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Colorectal Cancer Recommendations

This is for a dear friend.  JAMA Clinical Guidelines Synopsis  April 25, 2019 Colorectal Cancer Screening Nina Gupta, MD1; Sonia S. Kupfer, MD1; Andrew M. Davis, MD, MPH1 Author Affiliations Article Information JAMA. Published online April 25, 2019. doi:10.1001/jama.2019.4842 Guideline title Colorectal Cancer Screening: Recommendations for Physicians and Patients From the US Multi-Society Task Force on Colorectal Cancer Developer US Multi-Society Task Force on Colorectal Cancer (MSTF) (American College […]

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Do Intravitreal Injections (into the eyeball) Help Diabetic Patients with Macular Edema Help Vision or Prevent worsening? Best treatment for diabetes

This shocking study has shown that all the millions of dollars poured into injecting the eyeballs of patients who have diabetes and macular edema (a major cause of vision loss in diabetics) with ok vision, does not seem to help save vision compared to 2 years of sole observation.     This study by the DRCR

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Updated Step Ladder

Since its last posting of my “Step Ladder for Dry Eye and Allergy,” we have now had 5 patients start Oxervate, 4 patients use Cord Blood Serum, and 4 patients have Autologous Stem Cell insertion into meibomian glands with stem cell drops. While it is still too early to say if how effective Oxervate is,

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Is Fresh Amniotic Membrane better than Cryopreserved or Dehydrated Amniotic Membrane?

Amniotic membrane has been used for years to help patient with serious eye conditions, such as Graft Versus Host, Stevens Johnson, Chemical Burns, Ulcers, and now dry eye disease.  It appears Fresh Amniotic Membrane has more of a particular molecule called Heavy Chain-Hyaluronan/Pentraxin 3 (HC-HA/PTX3 )which helps it heal tissue better and faster than Cryopreserved and

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Any Retinal Artery Occlusion should go to a Stroke Center or ER ASAP: CRAO, BRAO needs to be treated like a stroke

There is a small chance to have visual recovery if a drug called tPA is administered within 6 hours of the obstruction/acute vision loss. This is very hard to do but has been reported to help. In any retinal artery occlusion, the patient needs to be sent to a good Stroke Center ASAP if there

Any Retinal Artery Occlusion should go to a Stroke Center or ER ASAP: CRAO, BRAO needs to be treated like a stroke Read More »

Marijuana: its uses and dangers

Marijuana has long been used as a pain medication for cancer patients and patients who suffer from chronic pain. Still, its dangers are real and all medical personnel should block its legalization. Marijuana should be used only in certain patients who are under the care of an MD. Many patients have asked about the use

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