Eye Surgery Salisbury Maryland  offers specialized treatment for multiple eye conditions. Our eye team, which includes specialists from Chesapeake Eye Center and Retina Consultants of Delmarva, also provides diagnosis and surgical treatment of glaucoma, diabetic eye disease, macular degeneration and corneal disease conditions.

 

A cataract is a clouding of the normally clear lens within your eye that results in blurred or distorted vision. Left untreated, cataracts will eventually cause loss of vision.

 

Three lens options are available in cataract surgery:  The basic monofocal lens implant, which is typically covered by Medicare and private insurance carriers, provides good distance vision and usually requires glasses for near-vision activities. The Eye Surgery Center at AGH offers the most advanced medical and surgical techniques for addressing disorders of the vitreous and retina.

 

 

Our Medical Staff

Catherine Smoot-Haselnus, M.D.

Medical Director – Founder of Chesapeake Eye Center

Dr. Smoot-Haselnus provides comprehensive medical and surgical eye care. She is past president of the Maryland State Medical Society as well as the Maryland Society of Eye Physicians and Surgeons. Medical Degree: University of Maryland School of Medicine

 

Zaaira Ahmad, M.D.

Joining Retina Consultants of Delmarva from Michigan, Dr. Ahmad specializes in vitreous and retinal surgeries. She is a peer-reviewed published author. She completed her residency at George Washington University in Washington, DC and a fellowship at the Kresge Eye Institute of Wayne State University in Detroit, MI. Medical Degree: George Washington University School of Medicine

 

Jeffrey D. Benner, M.D.

Cofounder of Retina Consultants of Delmarva, Dr. Benner specializes in vitreous and retinal surgeries. Medical Degree: University of Maryland School of Medicine .

You have been hearing about osteopathy and the benefits it can have on your health from close friends and you decide it is time you too consulted one for the various aches and pains that you have been suffering from. Since there are so many osteopaths practicing in your city, how will you be able to find out the right doctor for you? Ask these simple questions during your first appointment to ensure that you enlist the services of a practitioner who can understand and treat your problems successfully.

Would I have to take treatment for my entire body even though I only suffer from chronic backache?

A skilled osteopath will be able to explain to you why it is necessary to treat your entire body even though your complaint is restricted to one area. All the bones in our body are linked intricately and a problem in one part of the body can have an effect in another part. Sometimes chronic back ache may result from the spine compression, hence it becomes necessary to treat both the spine as well as the back muscles to address your back pain. If the osteopath focuses on just one area, he may miss out the complaints in the other parts and not provide you holistic healing for your entire body.

Do you have the right qualifications to treat me?

This may sound a little silly to ask any medical practitioner but is a must as it is your health at risk. You can request your osteopath to show his certificates or you only need to look around his office as most doctors hang their qualifications on the walls. After all, you are paying for his services and he has the duty to put your fears at rest.

Is it necessary to make appointments each time?

Some osteopathy practitioners may require you to make appointments each time you come for a sitting while some others may ask to make an appointment only the first time. Most often, after you have had a detailed first consultation, the osteopath prepares a plan of action and timetable which will have to be followed. A copy of this will be handed over to you while a copy will be maintained in your health records. This way, you will be free to walk into the clinic as per the plan instead of making appointments each time.

When will the treatment begin?

It is important to find out if the treatment will be put into effect from the very first consultation. Most practitioners prefer to start the treatment during the second sitting and devotes the first one entirely to understand what your complaints are and also to use the time to explain how the therapy will be carried out. But if you are suffering from chronic pain, then this will be taken into consideration and the practitioner will recommend you to take the treatment on the first day itself.

Should I sign a treatment contract before the actual therapy begins?

There are many clinics and osteopathy practitioners who may ask you to sign a treatment plan or contract even before you have been assessed and a diagnosis done. Think twice about continuing in such places as they clearly seem to be interested in your money than in your health. An ideal practitioner will never ask you to pay or draft a treatment plan before assessing you. Most often, a treatment plan is drawn only after you have been examined and diagnosed. In this situation too, the osteopath will explain that the plan is only temporary and changes will be made as treatment progresses and by the way your body responds to the therapy.

In 2009, The U.S. News and World Reports stated that one of the most worthwhile and lucrative career choices was that of being a physician assistant. Working as a medical health care professional who gives therapeutic, diagnostic and preventative services while under the supervision of a licensed doctor, a physician assistant can make approximately $90,000 a year, depending on where they are employed in the United States. Since the aging of the population is expected to continue over the next twenty years, the demand for doctors will continue to increase, along with the need for them to hire assistance with their expanding practices.

If you are yearning for a career as a physician assistant, you will need to finish a pre-medical series of courses at a four year college before undertaking the physician assistant programs available throughout the United States. In addition, a minimum of two years experience working in the health care field is necessary to obtain a Bachelor’s degree. You can then apply for physician assistant programs (there are at present 140 accredited programs available) by writing to the universities or colleges of your choice. Generally, these programs take approximately two and a half years to complete before you are given the title of physician assistant, and must be accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). There is also a written examination you will have to pass called the Physician Assistant National Certifying Exam (PANCE). To retain your certified status as a P.A., you will have to take and pass one hundred hours of continuing medical education every two years; however, you must be re-certified every six years.

Most of the graduate physician assistant programs leading to master’s degrees specialize in Physician Assistant Studies (MPAS), Medical Science, or Health Science; some require a GRE or MCAT scores in order to be accepted. Some physician assistant programs extend clinical doctorate degrees (Doctor of Science Physician Assistant) with certification being controlled by the professional medical committees in individual states. Although P.A.’s do not need a doctorate in order to practice, many continue their education to obtain PhD’s or a Doctor of Health Science (DHSc) degree.

As a student of a physician assistant program, you will be studying a variety of medical related topics such as pathology, anatomy, pharmacology, pediatrics, emergency medicine, and microbiology, just to name a few. While doctors are required to complete at least three years of residency after finishing their education, physician assistants do not have to do this; however, if you are involved in a specialized area of medical training, you may be able to participate in a residency program for Past who want to further their education in that field.

As a graduate of any of the many physician assistant programs available to those who qualify, you will be certified to perform physical exams on patients, fill out prescriptions, treat illnesses, and even sometimes assist your supervising doctor in certain minor surgeries. There is great flexibility involved in the P.A. field, and employment can be found in just about any branch of the medical health field

All businesses need to consider at some point in their lifecycle the issue of how to promote themselves to get their message out to potential customers. Maybe it is because they are newly established, there has been a change in ownership, a move of office location, a change to office hours, new partners or associates joining the firm or new products and services have become available. Medical practitioners and medical practices are no different.

A medical practitioner or medical practice is a business regardless of whether it has broader social and charitable aims: it employs staff, rents business premises, and must pay business taxes.

I write this article from first hand experience: I have helped my wife, a medical specialist, and her colleagues establish a new medical practice and have been given latitude to assist particularly with the online marketing and advertising activities. Their experience is that approximately 30% of new patients have come from the Internet to some degree – others quote as many as 80%. This has certainly helped to defray some of the high start up costs of establishing a practice. The website has also become a useful resource for patients and reduced the need to distribute information in a printed form.

Traditional promotion techniques

The traditional focus of promoting medical services is based on physical location, print advertising and networking. Locating a medical practice on a busy corner, near a shopping centre or other location with high visibility combined with clear signage is a simple way to ensure that people know where to find you.

Print advertising may take the form of a listing in the Yellow Pages or other print directory, advertising in local papers and specialist publications such as medical journals, College newsletters or medical publications.

Building a good reputation amongst medical colleagues, friends and other businesses is also important. In the case of specialists they need to establish a reputation amongst general practitioners to ensure referrals. In the case of a new medical practice networking might involve approaching nearby overworked colleagues who may be all too eager to reduce their workload, or these colleagues may simply remember their own experience in establishing a practice.

All these traditional (off line) techniques remain important however in an increasingly online world their importance is gradually diminishing.

Why do physicians establish websites?

There is no doubt that an increasing number of patients are using the online medium for entertainment, education, communication, and indeed as their first point of call to find information. So much so that the verb ‘Google’ has entered popular language, and even the dictionary, and has become synonymous with searching on the Internet. With over a trillion pages on the Internet in July 2008 there is information, and misinformation, about even the most arcane and niche topics.

A website gives a physician a relatively economical way (at nearly zero variable cost) to reach the estimated 75% of the population that uses the Internet.

The medium also has a number of other advantages as well as being nearly ubiquitous:

• it can be searched readily

• it allows a practically unlimited amount of space and time to communicate a message

• it is available 24/7

• it can be readily updated as things change

• it supports rich forms of communication like video and graphics, and

• it can support a two way conversation/dialogue.

This is the potential of the online medium. Rarely is this potential fully exploited by physicians.

The patients’ perspective

Although the subject of a physician’s website is the physician and her practice, the audience of a website is the public and other physicians.

The public and your patients benefit if you have a website as you are opening up another communication channel. Accessing your website gives a patient the opportunity to find out more about you, your style of practice and treatment philosophies before deciding to make an appointment. A patient may more readily make an appointment with someone who they have read about rather than someone who is just a name and phone number. If you don’t have a website or your website doesn’t make a favourable impression then you may never get the opportunity to demonstrate to the person the caring experience you provide, your proficiency or skills.

There are a variety of ways you can make an unfavourable impression – these may arise from how the potential patient perceives the tone or purpose of your website (eg maybe too aggressive or pushing surgical intervention) or may be as simple as out of date information (eg where you now practice, a phone number that doesn’t work), a slapdash attitude to grammar and spelling or a hard to navigate website.

Do you have a website?

There are few medical practitioners with a website today. The standard of those websites varies: some are no more than a brief one page biography with contact information; others have obviously been lovingly put together over a long period of time with professional graphics, multimedia, and include extensive patient educational information.

Setting up a website need no longer be a complex undertaking. There are many options ranging from doing it yourself using freely available tools to hiring a professional web developer to provide a complete solution. You can spend a few hundred dollars or a few thousand. The key to an effective website is to have a clear purpose and vision for what you want to achieve and to spend time providing quality content. It is difficult to find someone else who has the skills, understanding of your discipline, and passion to write effectively about you and your style of practice.

Best Practice

There is a great diversity in the kind of information and resources provided on physicians’ websites today. A list of some of these is below. If you have a website or are thinking of establishing one you can use this as a checklist to determine what you regard as appropriate information and content. You should carefully consider what your patients would value and what you are comfortable in providing. Some practitioners opt for providing basic information and some towards very detailed information including personal information, declarations of (potential conflicts of) interests and surgical complication rates.

• Contact information

• Area of practice or specialty

• physician’s biography

• Location, map (sometimes interactive) and directions

• Pictures and qualification of staff

• Email address

• Pictures of the practice

• Available services and or equipment

• Educational links or content about conditions and treatment

• Published articles

• Downloadable patient forms eg registration forms for new patients

• Presentations delivered at conferences

• Declarations of interest

• Online credit card billing

• Online satisfaction surveys

• Online tools eg to calculate an estimated due date for pregnancy

• Blogs (a form of online diary and discussion) about medical and non medical subjects

• Health news and updates from journals and the media

• Subscription to practice newsletter

• Pictures and/or videos/animations of procedures

• Audits of outcomes of surgery/surgical complication rates

• Awards, newspaper articles and TV appearances

• Printable patient self management forms and diaries eg food diaries

You can see from the list while many of the types of information have simple analogs off the Internet, others involve a new way of having a relationship and dialog with a patient outside the traditional physician-patient consultation. These provide you with a way of delivering rich and detailed information to patients at their own convenience however they also represent challenges in ensuring the information you communicate is clear and will not be acted upon without proper medical supervision or regard for their particular circumstances.

Conclusion

Having your own website gives you complete flexibility to determine how you wish to present yourself on the Internet rather than being limited by the space and format restrictions of others. It also gives the public a focal point with up to date information for your practice and where you can begin to establish a virtual rapport prior to any consultation.

Searching for information about your colleagues will often show you examples of good, and not so good, attempts at providing a useful resource and effective online presence.

I encourage you to search for your own name or that of your practice on the Internet and see how your patients can find you today. Even if you don’t have a website you may find that information about you has found its way onto the Internet. People may be relying on that information as your presence on the Internet. It may even be factually incorrect.

If you want to find further information about some of these topics, comment on the article or ask a question of the author please visit the AusMedWeb blog.