Doctor insights on:
Scleral Depression Techniques
My retina specialist did not examine me by scleral depression (lattice).He said there was no need and he would do that if he saw any suspicious spots?
Good peripheral view: Retina specialist are trained to examine the entire retina all the way to the most peripheral parts, to search for defects. The view to the far periphery is dependent on factors such as pupil dilation, clarity of media, presence/absence of native lens or lens implant, experience of the retina specialist, etc. If factors are favorable, there may not be a need for scleral depression in some cases. ...Read more
Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more
When is scleral depression indicated? Doc said it was not required for me. He did a dilated non-depressed exam to review my symptomatic lattice (retina).
Depends: Most retina specialists will do this as a routine part of their peripheral retina exam. Some general ophthalmologists will only do it if they are suspicious of something in the back of the eye. ...Read more
Not much: It has not been studied and has no proven benefit. It was developed mostly to improve posture, balance and alleviate pain. It is more widely use by performers and athletes and is taught by certified teachers who have gone through about a 3 year certification program usually in wellness centers. ...Read more
Depression Prevent: Spend time with your friends. If a religion, practice it routinely. Exercise - but do not overdo it. Insist on restorative sleep. Avoid anything more than infrequent alcohol intake. Emphasize happines, fun, and pleasure as part of your life goals. Mindful meditation practiced routinely helps. Being grateful, forgiving youself/others, engaging in flow experiences. Have clear goals and find meaning. ...Read more
What is the best method/technique of fat harvesting and injecting? Dear doctors, I have linear morphea on my face. I consulted some cosmetic surgeons, they all advised me fat transfer to fill/correct the depression (fat loss) on the face caused by the m
As other surgeons have indicated, the most important factor in a successful fat transfer procedure is proper, gentle handling of the harvested fat. There are two major methods of fat harvesting. The first is the standard technique of manual suction, washing, and separation of the fat. The newer technique is an in-line harvesting system, which uses a more standard liposuction technique with collection, separation, and washing of the fat within the suctioning system. The second approach avoids multiple transfers and air exposures of the harvested fat, and offers equivalent long term results following transfer.
Also important to the ultimate outcome of fat transfer is the injection technique. Surgeons may choose to use standard injection needles or custom designed blunt fat injection cannulas with no difference in results. The important factor in injection technique is very small volume injections made in multiple passes through the appropriate tissue planes. Postoperatively, one should avoid repetitive use of the treated area, especially in active areas such as the hand.
Despite excellent technique with both harvesting and injection, transferred fat may be expected to retain approximately 40-80% (average 60%) of its volume in long term follow up. For this reason, most patients may expect that fat transfer may need to be performed as a several stage procedure.
All the best,
dr. Skourtis. ...Read more
Some thoughts...: There are many signs that may suggest depression, such as: feelings of sadness or hopelessness, angry outbursts or irritability, loss of interest in normal activities, sleep disturbances, tiredness or a lack of energy, either weight gain or weight loss due to appetite changes, anxiety or restlessness, slowed thinking, feeling worthless, etc... Seeing one's primary care doctor is a good start. ...Read more
Depression Sx’s: May include *sad/angry/irritable mood, *low energy level, *lack of motivation, * absence of joy, * feeling helpless or hopeless, * feeling guilty, * low self-esteem, problems with memory, concentration or decision making, crying spells, suicidal thoughts, isolation from others, problems with job performance. Etc. ...Read more
SAD CAGES: S-sleep disturbance, A-appetite disturbance, D-depressed mood, C-cocentration decreased, A-activity decreased or agitated, G-guilt increased, E-energy decreased, S-sucide thoughts or behavior. ...Read more
Multiple causes: Refers to a mood condition typified by the presence of a combination of symptoms including loss of interest, sad mood, appetite& weight changes, low energy, poor concentration, sleep disturbance, guilt or shame with or without feelings of hopelessness and despair. In severe cases suicidal thoughts and/or psychosis may also be present. Most commonly used to describe mdd & bipolar d/o. ...Read more
It is treatable: The condition involves depressed or sad mood, changes in eating habits, lack of interest, feelings of guilt, decreased energy, difficulty concentrating and changes in sleep patterns. Sufferers may experience one or many of these symptoms. Most severely, depression may lead to feelings of hopelessness and a desire to harm oneself or others. Fortunately, the condition is treatable. ...Read more
Types of Depression: There are several types of depression. Reactive depression occurs as a result of loss and eventually we adjust. If one does not adjust or if the cause is not clear certainly seek professional help. "feeling good" by david burns is an excellent self-help book based on science. Don't let the thickness of it intimidate you. Take it bit by bit. Chemical depression-neuroscience lab tests-urine. ...Read more
Perpetual sadness: Period of intense sadness, regular crying, apathy, decrease in energy and appetite, poor sleep, decreased motivation and enjoyment of activities, poor self care, isolation and withdrawal, hopelessness, thoughts of suicide. These thoughts, behaviors and feelings are typically not associated with things that would make one sad (loss) but are often independent of life's circumstances. ...Read more
Persistent low mood: Sad and low mood which persists for weeks accompanied by changes in sleep and appetite, decrease interest in previously pleasurable activities, decrease motivation, concentration and interest life are commonly seen in depression. Hopelessness and suicidal ideation may be signs of worsening depression and needs immediate help. ...Read more
Depression signs: Include being down most of the time, loss of interest/pleasure in activities, unintended increase/decrease in appetite/weight, sleeping more or less than usual, being agitated or lethargic, feeling worthless or inappropriately guilty or self critical, having difficulty concentrating or making decisions, ; thinking of death ; dying. Talk to your physician or a mental health professional to decide. ...Read more
Causes of depression: Include a genetic component that increases your risk when a blood relative has depression, distressing experiences combined with dysfunctional negative thinking and beliefs, and behaviors that contribute to withdrawing socially & reducing pleasurable & rewarding activities. Cultivating an optimistic, resilient attitude that sees problems as solvable challenges help prevent depression. ...Read more
This is a good question. It depends on several factors. Most important is the cause of the depression. I suggest a consultation with a psychiatrist for clarification and treatment.
Usually psychotherapy, physical activity and, if necessary, medication can be effective. Ask your family doc for a referral to a therapist sooner rather than later. ...Read more
No way, No how:
Please never forget that in some way, the unavailable portion of my mental apparatus-the unconscious, has co-opted my mood and reasoning. Result : depression. Depression is increasing. Approaching 18%. It is a complicated & serious disease. Both genetics and development are intertwined.
Biogenetics is greatly advancing;in addition to better medication; learned psychoth. = new br path/conn. ...Read more
Multitude of things: A question surely pondered thru the ages. Some people are born with a genetic predisposition and a strong family hty. Drug and alcohol abuse can cause depression. Prolonged exposure to stress can make the most resilient among us depressed. Medical depression may be related to inflammatory cytokines which travel from site of illness to brain (e.G mult. Sclerosis can present with depression). ...Read more
Yes: Children can get depression as well as adults, although they may not present with the same symptoms. Both can experience changes in sleep and eating patterns, social withdrawal, depressed mood, or even suicidal thoughts. In children, also look for someone who doesn't take pleasure in things they used to enjoy, lots of headaches or stomach aches, or even hallucinations if severe enough. ...Read more
Teen with depression: Depression in children & teens is much the same illness but because of age related factors expression of the depression varies. Children are especially difficult to assess due to limited understanding and communication skills. Teens bring a special set of problems to diagnosing depression; a sense of immortality, a "can do it myself" attitude, male and female hormone influences, oppositionality. ...Read more
Typically yes: Depressions can resolve or diminish spontaneousy but that can take months or even years. Talk therapy and/or medication help depressions resolve faster and more completely. The goal of most treatment is to achieve a complete remission. ...Read more
Task Completion: If you are able, undertake a task that you know for sure you can finish. When we complete a project, even something small like washing the dishes or organizing a closet, our brains release the same chemicals produced by the prescription antidepressants. So often, reactive depression is associated with events that take away our initiative and make us procrastinate, and this is what we must fight! ...Read more
Beyond saddnedss: Period of two weeks where one experiences depressed mood or loss of interest and at least 5 of the following: disturbances in sleep (excessive most often), apathy, withdrawal, isolation, hopelessness, thoughts of death or suicide, lack of energy, impaired concentration, lethargy. Treated best with psychotherapy in combination with antidepressants. ...Read more
Persistent despair: Can begin a downward spiral. As energy & motivation decrease, people often withdraw, isolate themselves & feel helpless & hopeless. They may become self-critical & self-blaming. Behaviors, thinking & emotions intensify each other. Chronic, moderate depression is dysthymia. Research & clinical experience show that cognitive-behavioral therapy (cbt) is the most effective treatment. ...Read more
Bipolarity: Unipolar depression is characterized by psychomotor retardation, loss of interest in usually enjoyed activities, amotivational periods. The flip side is periods of extremely active, often extremely productive activate, as seen by such people as ted turner. If one has bipolar depression and it qis treated for what presents as unipolar depression, the manic phase can rear it's scary head. ...Read more