Lasik Surgeon Maryland: Pick A Qualified Surgeon}

Lasik Surgeon Maryland: Pick A Qualified Surgeon

by

Terry Lamb

Your eyes are your most important bodily organ. Without your eyes, you would not have the ability to see. Without the ability to see, you could not engage in many necessary activities of daily living without significant assistance. Therefore, finding top-notch health care providers for your eyes is one of the most important actions you can take in support of your health and well being.

Having any sort of surgical procedure whatsoever is not a decision to be entered into lightly and nowhere is that a more valid statement than when it applies to a Lasik operation. You should think very carefully about both the procedure and the physician. Although numerous ophthalmic surgeons perform Lasik vision corrections and do so at low prices, you should keep in mind that the cost is not nearly as crucial a concern as the capability of the surgeon.

Locating a surgeon with enough expertise to work on the eyes may be achieved by talking with other patients and reading reviews online. Looking for specific terms that are based upon where you live is a good way to find doctors to start the research. Search terms such as ‘eye care Washington DC’ may be used to narrow the list of doctors that are near you.

If you are looking for a Lasik surgeon in Maryland simply type the terms “Lasik Surgeon Maryland” into a popular search engine. The results will also provide a list of doctors and the cities they are located in. You may even find some reviews that will be helpful in choosing a good practitioner.

Clearly, you should feel free to substitute useful local terms in this search query. For example, if you’re currently living in Minneapolis, Minnesota, try typing ‘Lasik surgeon Minnesota’ instead of ‘Lasik surgeon Maryland.’ Then, you’ll be able to follow the given information in order to locate a doctor within your own area of the country.

Reading and taking note on all the information you find is important, and some of the best tips on Lasik can be found when you search for a physician. This will help you figure out what questions to ask the physicians during the search for who has the best experience, as well as help you prepare yourself for both the procedure and recovery process.

There are many doctors that offer Lasik surgery for an affordable fee. Search terms such as ‘

eye care washington dc

‘ can be used to find a list of doctors who practice closest to you. To locate a Lasik surgeon in Maryland, you may simply enter the term ‘

lasik surgeon maryland

‘ and receive a lot of results for a good surgeon.

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Lasik Surgeon Maryland: Pick A Qualified Surgeon

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Fußball-Bundesliga 2007–08: Borussia Dortmund vs. Bayern Munich

Sunday, October 28, 2007

October 28, 200717:00 (UTC+1)
Borussia Dortmund 0–0 Bayern Munich Signal Iduna Park, DortmundAttendance: 80,708Referee: Markus Merk
Tinga 45’Valdez 61’Valdez 79’Federico 79’Blaszczykowski 83’Klimowicz 83’Klimowicz 90’+1′ Match Report 66′ Sosa 66′ Altintop 70′ Toni 70′ Podolski 88′ van Bommel 88′ Ottl 90’+1′ Schweinsteiger

Bayern Munich remained undefeated in all competitions after a 0-0 draw against Borussia Dortmund. The draw leaves Bayern at the top of the table with 27 points. However, the lead is down to four points after Hamburg’s 1-0 win against Duisburg.

Franck Ribery didn’t pass a late fitness test and didn’t make the 18-man strong matchday squad. Luca Toni, Martin Demichelis an Jose Ernesto Sosa replaced Lukas Podolski, Philipp Lahm and Hamit Altintop. Jose Ernesto Sosa returned after being sidelined for almost two months after ankle surgery.

Bayern Munich and Borussia Dortmund exchanged plenty of chances and almost had a 50/50 possession between them.

Bayern Munich plays Borussia Mönchengladbach at home in the DFB Cup while Borussia Dortmund plays Eintracht Frankfurt in the same competition.

Cleveland, Ohio clinic performs US’s first face transplant

Thursday, December 18, 2008

A team of eight transplant surgeons in Cleveland Clinic in Ohio, USA, led by reconstructive surgeon Dr. Maria Siemionow, age 58, have successfully performed the first almost total face transplant in the US, and the fourth globally, on a woman so horribly disfigured due to trauma, that cost her an eye. Two weeks ago Dr. Siemionow, in a 23-hour marathon surgery, replaced 80 percent of her face, by transplanting or grafting bone, nerve, blood vessels, muscles and skin harvested from a female donor’s cadaver.

The Clinic surgeons, in Wednesday’s news conference, described the details of the transplant but upon request, the team did not publish her name, age and cause of injury nor the donor’s identity. The patient’s family desired the reason for her transplant to remain confidential. The Los Angeles Times reported that the patient “had no upper jaw, nose, cheeks or lower eyelids and was unable to eat, talk, smile, smell or breathe on her own.” The clinic’s dermatology and plastic surgery chair, Francis Papay, described the nine hours phase of the procedure: “We transferred the skin, all the facial muscles in the upper face and mid-face, the upper lip, all of the nose, most of the sinuses around the nose, the upper jaw including the teeth, the facial nerve.” Thereafter, another team spent three hours sewing the woman’s blood vessels to that of the donor’s face to restore blood circulation, making the graft a success.

The New York Times reported that “three partial face transplants have been performed since 2005, two in France and one in China, all using facial tissue from a dead donor with permission from their families.” “Only the forehead, upper eyelids, lower lip, lower teeth and jaw are hers, the rest of her face comes from a cadaver; she could not eat on her own or breathe without a hole in her windpipe. About 77 square inches of tissue were transplanted from the donor,” it further described the details of the medical marvel. The patient, however, must take lifetime immunosuppressive drugs, also called antirejection drugs, which do not guarantee success. The transplant team said that in case of failure, it would replace the part with a skin graft taken from her own body.

Dr. Bohdan Pomahac, a Brigham and Women’s Hospital surgeon praised the recent medical development. “There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Leading bioethicist Arthur Caplan of the University of Pennsylvania withheld judgment on the Cleveland transplant amid grave concerns on the post-operation results. “The biggest ethical problem is dealing with failure — if your face rejects. It would be a living hell. If your face is falling off and you can’t eat and you can’t breathe and you’re suffering in a terrible manner that can’t be reversed, you need to put on the table assistance in dying. There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Dr Alex Clarke, of the Royal Free Hospital had praised the Clinic for its contribution to medicine. “It is a real step forward for people who have severe disfigurement and this operation has been done by a team who have really prepared and worked towards this for a number of years. These transplants have proven that the technical difficulties can be overcome and psychologically the patients are doing well. They have all have reacted positively and have begun to do things they were not able to before. All the things people thought were barriers to this kind of operations have been overcome,” she said.

The first partial face transplant surgery on a living human was performed on Isabelle Dinoire on November 27 2005, when she was 38, by Professor Bernard Devauchelle, assisted by Professor Jean-Michel Dubernard in Amiens, France. Her Labrador dog mauled her in May 2005. A triangle of face tissue including the nose and mouth was taken from a brain-dead female donor and grafted onto the patient. Scientists elsewhere have performed scalp and ear transplants. However, the claim is the first for a mouth and nose transplant. Experts say the mouth and nose are the most difficult parts of the face to transplant.

In 2004, the same Cleveland Clinic, became the first institution to approve this surgery and test it on cadavers. In October 2006, surgeon Peter Butler at London‘s Royal Free Hospital in the UK was given permission by the NHS ethics board to carry out a full face transplant. His team will select four adult patients (children cannot be selected due to concerns over consent), with operations being carried out at six month intervals. In March 2008, the treatment of 30-year-old neurofibromatosis victim Pascal Coler of France ended after having received what his doctors call the worlds first successful full face transplant.

Ethical concerns, psychological impact, problems relating to immunosuppression and consequences of technical failure have prevented teams from performing face transplant operations in the past, even though it has been technically possible to carry out such procedures for years.

Mr Iain Hutchison, of Barts and the London Hospital, warned of several problems with face transplants, such as blood vessels in the donated tissue clotting and immunosuppressants failing or increasing the patient’s risk of cancer. He also pointed out ethical issues with the fact that the procedure requires a “beating heart donor”. The transplant is carried out while the donor is brain dead, but still alive by use of a ventilator.

According to Stephen Wigmore, chair of British Transplantation Society’s ethics committee, it is unknown to what extent facial expressions will function in the long term. He said that it is not certain whether a patient could be left worse off in the case of a face transplant failing.

Mr Michael Earley, a member of the Royal College of Surgeon‘s facial transplantation working party, commented that if successful, the transplant would be “a major breakthrough in facial reconstruction” and “a major step forward for the facially disfigured.”

In Wednesday’s conference, Siemionow said “we know that there are so many patients there in their homes where they are hiding from society because they are afraid to walk to the grocery stores, they are afraid to go the the street.” “Our patient was called names and was humiliated. We very much hope that for this very special group of patients there is a hope that someday they will be able to go comfortably from their houses and enjoy the things we take for granted,” she added.

In response to the medical breakthrough, a British medical group led by Royal Free Hospital’s lead surgeon Dr Peter Butler, said they will finish the world’s first full face transplant within a year. “We hope to make an announcement about a full-face operation in the next 12 months. This latest operation shows how facial transplantation can help a particular group of the most severely facially injured people. These are people who would otherwise live a terrible twilight life, shut away from public gaze,” he said.