Tuesday, February 28, 2017

A First Trip to Japan The Interesting Adventures of A Consultant


Irv Arons

In the summer of 1979, I had been hired to conduct a survey of all of the major contact lens companies operating around the world, for a US company interested in finding a partner for its contact lens company. I had completed my interviews of the companies in the US and Europe, and now had to interview the two companies producing lenses in Japan. Since this was my first trip to Japan, I decided to combine business with pleasure and took my wife along to spend a week on vacation, visiting Tokyo and Kyoto, before I was to meet up with a colleague from the Arthur D. Little (ADL) Tokyo office, who would act as my interpreter and take me to my meetings in Osaka and Nagoya.

The first leg of the trip was a three-day contact lens conference being held in San Francisco. There, I met up with a friend who ran a contact lens practice in Hawaii. Since he had clients who were on the management staff of Japan Airlines (who would be flying us from San Francisco to Tokyo), he was kind enough to arrange for my wife and I to be upgraded to First Class for our flight to Tokyo. (That was our first experience flying internationally in First Class and we liked it so much that I decided to upgrade our return tickets – at a cost of $600 each, as I recall, to fly First Class on our return flight from Tokyo to Boston. An excellent decision, as it was about a twelve-hour flight.)

We arrived in Tokyo and managed to find our way via bus from Narita airport to Tokyo Central Station, and to get a taxi to take us to our hotel, the Okura, in central Tokyo and near the ADL Tokyo office.

Our first venture out of the hotel was to the downtown shopping district of Tokyo. We had learned from our travel guide books that the best place to eat was at the restaurants located within the major department stores, up on the fifth floor. What the guide books neglected to tell us was that very few people spoke English and since we spoke only a few words of Japanese, we were left with only hand gestures!

At least at the restaurant, there were pictures of the several dishes available, and by pointing to the ones we wanted, we had a reasonable chance of getting something we could eat. But the next dilemma, the meals were served in a stack of bowls, and of course, with chop sticks. Was the top bowl broth or soup, or to wash your hands? And, if it is soup how do you eat it without spoons? Finally, another customer, sitting at a nearby table, sensing our discomfort, took pity on us and gestured to hold the bowl to your mouth and sip from it. So, that problem was solved.

The next day, I wanted to walk to the ADL Tokyo office that I was told was close by, so that I would know where it was for the following week when I had to check in. The street signs were a complete mystery and I had no idea how to get from the hotel to the office, even though I had instructions and a map!

Two Japanese men, passing by, sensed my dilemma and offered to help. After showing them the address of the office, they were kind enough to walk us right to the building, a very generous offer from strangers. The second offer of kindness to strangers from the Japanese people.

We had planned on spending a few days exploring Tokyo and then take a trip via the bullet train to Kyoto, the Japanese shrine city. However, our plans got changed because of a chance meeting at a coffee shop that afternoon.

An older gentleman introduced himself to us, while we were enjoying our coffee (or tea, I don’t recall). It turned out that he was a retired military officer, and also a former member of parliament. He offered to act as our tour guide and show us the real Tokyo and then take us to see Mount Fuji.

Since our plans were flexible, we agreed to his offer and arranged to meet him the following morning at the coffee shop for a guided tour of Tokyo. We hired a taxi for the day and our new guide took us to see and walk through the Parliament building and showed us several historic sites around the city. We ended that day with a visit to the Kabuki theater, being taken in through the people’s entrance and were able to watch the show from the first balcony. Quite an experience.

We enjoyed the tour so much, we agreed to let him be our tour guide the following day and take us to visit Mount Fuji, taking the bullet train (as long as we paid his fare). However, the weather didn’t cooperate and when we got to the mountain, it was completely fogged in. On the way back to Tokyo, we had another interesting experience. Three young women were on the opposite seats from us on the train and attempted to engage us in conversation. They claimed to be English teachers (or maybe students studying to be teachers) and wanted to practice their English with us. To be honest, we could barely understand them.

Since that was our last day of sightseeing, our gentleman guide asked us to meet him at a local Chinese restaurant that evening for a farewell dinner and to meet a few of his friends from the Kabuki theater. Little did we know that he had arranged for us to get the bill at the end of the evening and I got hit with a $250 check! (Recall that this was 1979, and the exchange rate for the yen was quite in my favor, about 350 yen to the dollar, but this was still an expensive meal!) I guess that was his way of getting paid back for acting as our tour guide for the couple of days we spent with him.

The next day, I left my wife at the hotel and made my way to the ADL Tokyo office to begin the business part of my trip, to visit the two contact lens companies in Nagoya and Osaka. (No wives allowed on business trips in Japan!)

Quite an interesting experience for my first trip to Japan!






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The Best Monitors For Body Fat Foster City


By Robert Robinson


Many people who are on the lengthy road to lose weight typically use weighing scales as a guide to measure their weight. In any case, their foremost objective is weight reduction. But there's this one fact you should consider: a scale weigh not only your fats, but also your bones, muscle, and fluids. At the end of the day, the figures that appear on your weighing scale isn't at all the important numbers. Necessary numbers are those which means more in terms of total well-being. Such numbers are numbers that indicate the percentage of body fat Foster City. As most of us have heard, muscles certainly weigh more than fat.

You begin to have problems only when your body stores too much fat. Remember that too much of anything is bad for you, and too much of this substance can translate into a host of health issues, which may include hypertension, insulin resistance, and glucose intolerance, among others. Perhaps the most dangerous stores are the ones at your waist. This is why in your efforts to lead a healthier life, it is important to measure not just your weight, but your composition as well. And composition measurement necessarily involves the measurement of fat percentages.

There are several ways by which fat percentages can be measured, and hydrostatic weighing also known as underwater weighing is just one of them. This method measures the density of your whole body by determining its volume. There are several different types of equipment being used for this method ranging from a contraption consisting of a chair and a scale hanging over either a pool or a hot tub to a stainless steel tank containing a chair that is mounted on a set of underwater scales.

In using the hydrostatic weighing technique, you will first be weighed outside the tank, immersed completely in water, and then weighed again. The volume and density of your body are then calculated, and the percentage of your fat is determined from these figures.

Why Use Body Fat Monitors? It is the most recent and best type of scale to have as we speak. An even better weighing scale to have is one with a water monitor - many people are pretty dehydrated nowadays, and they don't even know it. A water monitor can help them keep on top of hydration, thereby achieving better general health.

BI, or bioelectrical impedance, is still another method by which you can measure percentage levels. This method uses electrical signals to measure your composition. The signals travel through your body and pass through all of its components, muscles, water, and bone.

The levels of conductivity or impedance of each component is already known, which is how the percentage of your fat is determined through the BI method. There are now modern versions of the bathroom scale that use the BI technology and are therefore able to provide you with more information aside from your weight.

You could also talk to your doctor or nutritionist, or browse online forums to gather feedback for the different methods so you can decide which method of measuring fat will work best for you. Ensure to check out on the above factors when working out to lose weight.




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Monday, February 27, 2017

Curing Eye Floaters



It's the question that everyone asks me.  Is there a cure for eye floaters?  The answer is a simple yes or no, unfortunately.

Yes, you can prevent eye floaters or slow them down.  No, you can't eliminate them, without risky surgery.

To prevent eye floaters you must get a good eye drop solution.  Use it two times, ones before you go to bed and once when you wake up in the morning.  Your eyes get very dry and this dryness causes the floaters.  If you use a drop to keep your eyes moist you can greatly slow down the creation of more links.  Try it, you will not be dissappointed.  We all want cures to our Eye Floaters!  The key is to keep doing it, you can't do it every now and then.  You need a pattern of consistency.

The surgery is an option, but it is simply too risky.  Have you heard of someone that has had a successful surgery?  I sure haven't, which means too many people haven't done it yet!  I wish someone would come in and blog about their success stories, it could really change my mind about having it.  It probably is the best bet to get rid of them forever, but to be honest with you, I am a little scared about getting it done.

Try my cure first and let me know what you think!

How did my eye floaters start?  I first noticed them when I was about 24 years old.  I was wondering why I could see the "fluid" in my eyes.  Silly me, that wasn't fluid, it was the shadow from my eye floaters.  The problem is floaters kept getting worse and worse.  As I got older, I got more floaters.  There is nothing worse than wanting to go outside and read a book and all you see are these eye floaters.  It's just not good!  That's what caused be to start going after cures for eye floaters.  Although I haven't found the ultimate cure yet, I will continue to look for one until I find the best one out there.

Once I do, I promise I will share it with all of you!  Eye floaters are not something that everyone has, but if they did, they would definitely feel our pain.  Stay in the dark as mush as possible and your life will seem like it is getting much better, day by day.  The sun is your enemy and you need to treat it like one.  If you do have to go outside, please wear sunglasses, it just makes it much better.  I've also posted information at Eye Floater.  Thank you everyone for reading my information!

Hello everyone, I'm Nicole and I'm a graduate of the University of Florida.  I have a website at Eye Floaters where I try to inform the community about my eye floaters condition.  I hope you have found this blog helpful.  

For more information regarding this topic, I have found another great resource list about Finding the Cure.

How to Get Rid Of Eye Floaters Naturally

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Top Alternative Lyme Treatments And Care


By Marie Cook


Lyme disease is associated with a bacterial infection that is transmitted to a person or an animal when bitten by a tick. The condition is treated with antibiotics, but many sufferers are unable to cope with the severe adverse effects caused by using these drugs on a daily basis. With alternative Lyme treatments available, relief can be sought through herbal solutions, bee venom, and modern processes that support healthy and strong immune functioning.

Lyme disease caused by a bacterial agent is often misdiagnosed leaving many patients with little options and symptoms that tend to worsen over time. The effects associated with the condition include unexplained joint pain, lethargy, muscle aches, and hair loss. Poor immunity increases susceptibility to infections and colds resulting in a multitude of symptoms that cannot be properly managed.

This condition is treated with a course of antibiotics to address the bacteria and to best control the symptoms that are associated with the imbalance. When using harsh medication over a long period of time, it can lead to kidney and liver problems, but also increases inflammation in the body. The condition can become increasingly severe if the correct management plan is not incorporated and has moved more people to seek natural remedies.

An antibiotic regimen disrupts balance within the body and decreases available resources for healthy operation. Many of the good bacterial agents are destroyed with harsh medication making it increasingly difficult to achieve balance and well-being. A closer look at options provided by natural remedies may prove effective in addressing the complexity of this disease without exposing sufferers to additional chemicals and harsh measures.

Been venom is fast becoming a popular treatment solution to manage symptoms associated with Lyme disease. The poison is effective in controlling the protein that is in bacteria recognized as contributing to damages and painful effects on the body. Individuals who suffer from an allergic response to bees will have to seek alternative treatments to assist in relieving pain and increasing energy.

Herbs must be part of a management plan as it provides the body with antibacterial properties and the elimination of microbial actions. Herbal remedies support healthy operation and provide the immune system with support to protect against severe infections and illnesses. An experienced therapist in herbal remedies will determine the measures that must be put in place that will improve physical operation.

The disease has been known to spread on a cellular level including the soft tissues that may be addressed through the process of electrotherapy. Having electricity safely and gently conducted through the body may protect against further physical dysfunction and imbalances. It is a non-surgical option that aims to return the healthy function of the body and relieve severe symptoms.

The alternative approach to treating Lyme disease includes herbal and natural methods that aim to target the active bacteria within the body and reduce symptoms. The goal for therapeutic measures is to support physical functioning and relieve the severe symptoms that are restricting the ability to reach a state of balance and well-being. With reliance on such measures, it can aid in producing effective results including the means to cope with the condition on a daily basis.




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Myopia Retinal Breaks Retinal Detachment





MYOPIA, RETINAL BREAKS, RETINAL DETACHMENT




 






EYE - A CAMERA
Our eyes are living cameras. Eye has a film in the form of retina. It also has focusing system in the form of cornea and lens which make the light rays to focus on the retina.
The following figure shows the similarity between eyeball and  camera:


NORMAL VISION

The light emerging from the objects we see, is made to focus on retina by eye’s focusing system (cornea and lens). Thus an image is formed on retina which is transferred to  brain by optic nerve, where the photo is printed and vision is perceived.
  
REFRACTIVE ERRORS-
Myopia, Hypermetropia,Astigmatism
If the light is focused on the retina, we get a normal crisp vision. If in case, the light is focused ‘in front’ or ‘behind’ the retina, we get a defocused blurred image. These conditions are called refractive errors. In these conditions, we try to bring the focus back on retina by glasses or contact lenses.
Myopia
If the light rays are focusing ‘in front’ of retina, its called myopia (Near sightedness). These people can see near objects clearly but far objects are blurred. People with myopia are called as “Myopes”. Myopia can be corrected by Minus glasses.
Hypermetropia
The light focuses behind the retina. They have good far vision.  ( Thus called Far Sightedness). This can be corrected by Plus glasses.
Astigmatism
In this condition the focusing of light varies in different meridians. These people have distorted vision. Objects may appear to tilt. This is corrected by Cylindrical glasses.






MYOPIA -RETINAL BREAKS &
RETINAL DETACHMENT
Our eye has a film in the back of it, just like a camera film. This living film is called as Retina. Unlike the camera film, retina is attached like a sticker to the wall of eyeball. If by any chance it gets detached , it stops working, leading to blindness.

Normal retina is like a thin plastic sheet. This is spread over the inner surface of eye ball like a sticker. Eye ball is filled with vitreous gel which helps in attaching the retina to the surface. In myopia the eye ball is big. The inner surface area is more than normal. To cover this extra inner surface , the retina gets stretched. So the retina in myopes is much thinner and stretched. As the time goes, this thin retina can become friable in certain areas which are called as Retinal degenerations. Later they may tear up causing “Retinal Holes” or “Retinal Breaks”.  If untreated at this stage , these holes can become access points to water in vitreous gel. Once the water enters these breaks, it reaches beneath the attached sticker (Subretinal Space). From here it spreads beneath the retina and detaches it from its surface. This is called as Retinal Detachment (RD). The detached retina loses its food supply and starts dying within hours. Patient loses vision and may become blind for the rest of his life. RD is a serious blinding eye disorder. RD can lead to permanent blindness. This condition can be prevented by timely treatment of retinal breaks.
 
 
                                                                                                                             
MYOPIA AND RETINAL DETACHMENT-
FEW QUESTIONS -THEIR ANSWERS:
1.     What are retinal degenerations and retinal breaks?  Why are myopes at  more risk of developing them?
        In myopia, the retina is stretched out and thus is thinner than normal. Such thin retina becomes eroded in certain areas . These weakened areas are called retinal degenerations. These may later break causing a hole in the retina. These are called as retinal breaks or holes.
        Consider a thin cloth. You stretch it with both hands. As you stretch it further, it becomes thinner in certain areas and later gets torn. Retina in Myopes behaves in similar way.
2.     How do I know if I have retinal breaks?
        There is no way that you will know of their presence. There are no symptoms nor indications. Only a retinal surgeon can detect these holes. Occasionally few patients can have floaters or flashes of light when they develop breaks. You should not rely on these symptoms as they are seen in only small percentage of retinal holes.
3.     Can the retinal holes be prevented?
        Absolutely no. The thin retinal nature comes by birth. It cannot be modified. So the holes cannot be prevented. Can u make a dwarf become tall? No. Certain things cannot be prevented or changed. Retinal breaks are one of those.
4.     What are the complications of retinal breaks?
        Retinal breaks if not treated early, can lead to Retinal Detachment and blindness.
5. What is Retinal Detachment?
        Normally the retina is attached like a sticker to the underlying layer. The separation of retina from the inner surface of eye is called as RD. RD is a serious blinding disorder.
6.     Can Retinal Detachment be prevented?
        Certainly yes. It can be prevented by regular retinal screening examination and timely laser barrage to retinal holes.
7.     What is retinal screening and prevention?
        Patients with retinal holes do not have any eye problem or symptoms. It is the  retinal surgeon, who after examination, detects these holes. The examination which he does to detect these holes is called as Retinal Screening. In case of a hole being detected, he does a laser treatment to seal off the holes . This treatment done to prevent RD is called “Prophylaxis” (Preventive treatment ).
        Retinal Holes are like bombs being hidden in your eyes. All myopes are at risk to have these bombs. If not disconnected and removed at right time, the bomb may explode and cause serious damage. Similarly retinal hole if not treated , can explode in the form of RD and cause serious blindness. The test done by Retinal surgeon to detect these bombs is called as Retinal Screening. The laser treatment which he does to disconnect these bombs is called as “Prophylactic LASER barrage” .
8.     Who should undergo retinal screening?
        Any myope with more than -3 Diopter glass power should undergo yearly retinal screening.
9.     How often should retinal screening be done?
        Usually you should get it done every year, Unless your retinal surgeon advices otherwise.
10.   I am a myope with -5 D glass power. I don’t have any problem with my eyes. I have absolutely no symptoms. Should I still undergo retinal examination?
        Absolutely yes. By the time you develop symptoms, you may already have developed RD. Then you may become blind for the rest of your life.
11.    What  is Pupil dilatation?
        Retina is inside the eye ball. Its like a movie screen inside the theater. The only way to look at it is a small window in our eye, which is called pupil. It is like peeping through the window to watch the movie. The more the window is open , the more the view of screen. Normally the pupil is small, allowing us only partial view of retina. Pupil should be widened to give the full view of retina. The process by which pupil is dilated is called as pharmacodilatation. This is done by instilling eye drops. It takes 30 min. to one hour for full dilatation. After the dilatation, persons near vision will get blurred for few hours. Also he has Photophobia (Inability to see light) for few hours. All these are temporary.
12.   What is “Prophylactic Laser Barrage”?It s a treatment done for the retinal Breaks or degenerations, to prevent  Retinal Detachment. It aims at creating a Barrage (Fence/Dam) around the dangerous lesions (The danger areas). LASER is passed onto the retina and it is welded around the lesions. This adhesive fence which is created , blocks the water to spread beneath the retina. Thus it prevents RD.           

It is a minor procedure done in doctor’s room. It is done under topical anesthesia (eye drops). It needs less than 10 minutes. No injection or rest is required. There is no need to stay in hospital. The patient can resume his/ her activities in a couple of hours. It s entirely safe procedure. Usually a single sitting is sufficient. Few people with extensive lesions may require more than one sitting.



                13.   Does laser barrage give life long protection? Is there a need for yearly screening after laser barrage?
        Laser barrage does not prevent formation of holes in other areas. Consider a torn cloth. You stitch it. Does this prevent it in getting torn in other sites? Similarly, laser barrage treats only the existing lesions. Patient still has chance of  developing lesions in other sites. Yearly screening and repeat laser, if required, are very much essential.
14.   I underwent LASIK. Should I still undergo retinal screening?
        Yes. LASIK only removes your glasses. It has no effect on your retinal status. Your thin retina still remains risky. LASIK does not reduce the chance of retinal breaks or RD.
15.   I am a myope. I sometimes see few black spots and strings infront  of my eyes, especially when i look at sky. What are these?
        These are called as “Floaters”. Myopia is a complex disorder with various problems. Glasses is just one of them. Myope have retinal problems. They may also have Vitreous Gel problems. Our eye ball is filled with a Vitreous gel. This gel is usually clear. In some myopes and even in normal people, this gel may get condensed in certain areas , forming opacities. These condensed vitreous strands are seen as spots or strings. These are innocuous and dangerless. But in few cases these floaters may be associated with retinal breaks. So you should undergo retinal screening to detect holes. If no holes are found, then you have nothing to worry. Sometimes you may see Flashes of light, which is called as photopsia. This is again an indication for immediate retinal screening, as it can be associated with retinal breaks.
16.   What are the risk factors for Retinal detachment?
        Myopia is the major risk factor.
        Other risk factors are:
        a.    Previous cataract surgery.
        b.    Severe Injury.
        c.    Previous RD in other eye.
        d.    Family history of RD.
        e.    Retinal degenerations (which can be detected only by a retina surgeon) etc.    
17.   What is the treatment of Retinal Detachment?
        There is no guaranteed treatment for RD. But there are treatments (Complex Vitreoretinal surgeries)  which are aimed at reattaching the retina. But these should be considered as “Damage control measures” rather than guaranteed surgeries. Its like damage control done after a bomb explosion. Our aim should be to prevent the bomb explosion rather than doing damage control after explosion.
        The available treatment modalities for RD are Scleral Buckling and Vitrectomy.
        The type of surgery, type of anesthesia etc are decided by the characteristics of Retinal Detachment.
Scleral Buckle: A flexible band (Scleral buckle) is placed around the eye to counteract the force pulling the retina out of place.The fluid under the retina is drained off if necessary. This is an extraocularoperation with relatively less complications than vitrectomy.

 
Vitrectomy : This is intraocular procedure, where the surgical instruments enter the eyeball. The vitreous is removed, the subretinal fluid is removed and vitreous is replaced with air , fluid or silicon oil.



                                           


18.   What are the risks of retinal surgery?
        No surgery is riskless. RD surgery has some risks like Bleeding, Infection, Raised Intraocular pressure, Cataract etc..
        The retina cannot be reattached even with all efforts in some cases
        Most RD surgeries are successful, although a second operation is sometimes needed.
19.   What are the visual expectations after surgery?
        Vision may take many months to improve and in some cases may never return fully. The amount of visual recovery cannot be predicted before surgery. Its only a matter of luck and chance. Unfortunately some patients do not recover any vision.
20.   What happens to the eye if RD surgery is not done?
            It will slowly lose all  existing  vision and becomes totally blind. The eye will eventually become small and shrunken causing an ugly cosmetic appearance.
Retinal Detachment blindness has no cure.
Prevention is the only way.

 
         Regular retinal screening and Timely LASER Barrage is the only way to prevent Blindness.