Eyeworld

EW IN OTHER NEWS 86 July 2016 From scrubs continued from page 85 we do this again?" Dr. Yeh's eldest, Alexander, has risen in the ranks to First Sergeant Remington Kane, and her youngest is now Corporal Jonathan "Duke" Kane in Company A. "People say it takes a village to raise a child; I would say it takes a regiment to raise a child," Dr. Yeh said, explaining how her sons' newspaper field artist, a seamstress, and a laundress, to name a few. The strength of the actors is in the personas they build for them- selves and the attention they pay to details of the era. Take their cos- tumes, for example. Dr. Yeh said the soldiers wear traditional, thick wool, despite the summer temperatures. "The heat, the exhaustion, the dehydration, it's part of living the history and understanding how it was at the time to fight," she said. She, on the other hand, tries to avoid wearing all of the layers— stockings, pantaloons, chemise, corset, under petticoat, hoopskirt, over petticoat, and finally a dress—a Civil War-era woman of her stature would don while maintaining the outward appearance that she is fully clad in all the garb. "It really is important to dress in the era. For example, for the dances, there are moves such as sashaying where you basically sway from side to side. It's totally idiotic-looking while you're wearing pants. When you're wearing a dress, it's like a bell shape and it sweeps back and forth," Dr. Yeh said. Recently, Dr. Yeh said she and her family participated in a Civil War sing-along with the piano pres- ent at Abraham Lincoln's wedding to Mary Todd playing in accompa- niment. "Do you know how many people in America have played the Lincoln piano and sang with it?" Dr. Yeh asked rhetorically. While she might be far from the operating room on these weekends, Dr. Yeh discussed how the Civil War was, in some respects, the catalyst for modern medicine in the United States. "Before the Civil War, unless you lived in a big city, there were no hospitals—none. The doctor came to your house and treated you and you either got well or you died, that's it," Dr. Yeh said. Enter the Civil War, which Dr. Yeh said many thought would last only a month, leaving them sorely unprepared to care for the thou- sands of injured and dying. "[Medicine] was chaotic, but eventually ambulances formed, the nurses' corps formed, there were a lot of developments that happened because of the war. Medicine went a long way toward becoming modern- ized," Dr. Yeh said. EW Contact information Yeh: syeh2020@aol.com HEALTHCARE PROFESSIONAL INDICATION AND IMPORTANT SAFETY INFORMATION The STAR S4 IR® Excimer Laser and iDESIGN® Advanced WaveScan Studio System for wavefront-guided LASIK in patients with myopia. CAUTION: U.S. Federal Law restricts this device to sale, distribution, and use by or on the order of a physician or other licensed eye care practitioner. ATTENTION: Reference the Operator's Manual for a complete listing of Indications and Important Safety Information. INDICATIONS: The STAR S4 IR® Excimer Laser and iDESIGN® Advanced WaveScan Studio System is indicated for wavefrontguided LASIK in patients with myopia as measured by iDESIGN® System up to -11.00 D SE, with up to -5.00 D cylinder; with agreement between manifest refraction (adjusted for optical infinity) and iDESIGN® System refraction of 1) SE: magnitude of the difference is ˂ 0.625 D, and 2) cylinder: magnitude of the difference is ≤ 0.5 D; with patients 18 years of age and older, and with refractive stability (a change of ≤ 1.0 D in sphere or cylinder for a minimum of 12 months prior to surgery). CONTRAINDICATIONS: Laser refractive surgery is contraindicated in patients with: collagen vascular, autoimmune, or immunodeficiency diseases, pregnant or nursing women, keratoconus, abnormal corneal topography, epithelial basement membrane disease (EBMD) and degenerations of the structure of the cornea, symptoms of significant dry eyes, corneal thickness would cause anticipated treatment would violate the posterior 250 microns (μm) of corneal stroma, advanced glaucoma, and uncontrolled diabetes. If the patients have severely dry eyes, LASIK may increase the dryness; this may or may not go away. Severe eye dryness may delay healing of the flap or interfere with the surface of the eye after surgery; it may result in poor vision after LASIK. WARNINGS AND PRECAUTIONS: LASIK is not recommended in patients who: have a history of Herpes simplex or Herpes zoster keratitis, have severe allergies or tendency rub their eyes often, are taking the medication Isotretinoin (Accutane®), are taking antimetabolites for any medical conditions. The safety and effectiveness of this laser for LASIK correction have NOT been established in patients: with progressive refractive errors; previous corneal or intraocular surgery; or trauma in the ablation zone, who are taking the medication Sumatriptan (Imitrex®), or Amiodarone hydrochloride (Cordarone®), with corneal neovascularization within 1.0 mm of the ablation zone, over the long term (more than 1 year after surgery), for patients who engage in activities that could endanger or damage the LASIK flap, for patients who have a family history of degenerative corneal disease, history of inflammation of the eye, for patients who have a history of crossed eyes (strabismus) or who have undergone strabismus surgery, prior LASIK or Refractive Surgery, with history of any eye diseases or abnormalities such as corneal scars or active disease, and whose BSCVA is worse than 20/20. To reduce the risk of corneal ectasia, the posterior 250 microns (μm) of corneal stroma should not be violated. The treatment of highly myopic eyes necessitates the removal of significant amounts of corneal tissue. The iDESIGN® System calculates the estimated residual bed depth using the pachymetry and intended flap thickness entered by the user. Actual flap thicknesses may vary. If the estimated residual stromal bed is ≤ 320 microns, an in-the-bed pachymetric measurement should be performed. ADVERSE EVENTS: Possible adverse events include loss of best spectacle corrected visual acuity (BSCVA), serious Transient Light Sensitivity Syndrome, serious primary open angle glaucoma, miscreated flap, melting of the flap, severe glare, and severe dry eyes. Complications can include corneal edema, epithelial ingrowth, diffuse lamellar keratitis, foreign body sensation, and pain. ©2016 Abbott Medical Optics Inc. iLASIK, iDESIGN, iDESIGN Advanced WaveScan Studio, WaveScan, and STAR S4 IR are trademarks owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates. All other trademarks are the intellectual property of their respective owners. PP2016RF0055 involvement in the 10th Illinois Volunteer Cavalry has not only given them a strong education but has played a role in shaping their characters. "I'm raising patriotic kids who are historically very attuned," Dr. Yeh said. But it's not all battle reenact- ments and fighting (those only take about 20 minutes each). There are flag ceremonies, ladies' tea, balls, and more. "It's almost every aspect of life in that era," Dr. Yeh said. In addition to actors serving as soldiers, there is a nurse, an embalming surgeon, a In addition to acting as a "visiting lady" and "vivandiere," Dr. Yeh specializes in presentations on women's dress and etiquette of the era. Source (all): Sandra Yeh, MD

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