Emory Health Now Blog

Program helps South Georgia farmworkers

January 11, 2010

It’s not often that individuals think about the hard work responsible for the fruits and vegetables for our dinner tables every day. Somehow it magically appears in the produce department season after season, without fail. We don’t have to plant it, water it or pick it. It’s ready for us to take home and prepare.

We never see the thousands of migrant farmworkers who move from county to county during the peak season, providing the growers with the labor required to keep farms bountiful. These men, women and children – unlike the plants they take care of – have no roots and live from day to day wherever they are needed, and until their job is done, says Tom Himelick PA-C, MMSc, founder and director of the South Georgia Farmworker Health Project, and Emory Physician Assistant (PA) Program faculty member and director of community projects.

For most of these workers, having a family health care provider is unthinkable. The combination of poverty, lack of health insurance, language barriers, limited transportation and cultural differences creates a vacuum when it comes to health care.


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Coordinating care a key to health reform

January 7, 2010

Kenneth Thorpe, PhD

Last month, Emory held its fifth annual predictive health symposium “Human Health: Molecules to Mankind.”Researchers, physicians, health care workers and members of the community from throughout the country learned of intriguing research and listened to provocative commentary by health care experts. Kenneth Thorpe, chair of health policy and management at Emory’s Rollins School of Public Health, discussed the elements of health reform that may be getting lost in the reform process– redesigning the delivery system to prevent and avert the development of disease.


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Personal genomics: out of the bottle

January 6, 2010

Do you really want to know? That’s the question more and more people will be faced with, as personal genetic testing becomes more widespread.

Andrew Faucett discussed some of the emerging issues in “personal genomics” that will confront both doctors and patients at Emory’s Predictive Health Symposium in December. Faucett is an expert in the field of genetic testing and genetic counseling and an assistant professor in Emory’s Department of Human Genetics.

For example, does a man want to find out whether he is really the father of a baby? A recent New York Times magazine article explores this issue.


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Start the new year with eye care tips from experts

January 5, 2010

Emory Eye Center doctors Emily Graubart, MD, assistant professor of ophthalmology, and Paul Pruett, MD, assistant professor of ophthalmology, Emory School of Medicine, say people often have misinformation about their eyes. They answer questions below to dispel myths about eye disease and eye care. Start the new year with knowledge about your eyes:

Paul Pruett, MD

Paul Pruett, MD

How often does an adult need to see an eye doctor?
“It depends on your age,” says Pruett, an expert in glaucoma. “In your 20s, 30s and 40s, about every two years is sufficient. If you have certain medical conditions, it may be necessary to be seen more often. For example, patients with diabetes should have their eyes examined every year, at the least. Many eye diseases can be asymptomatic, and early detection can prevent vision loss. This is especially true for glaucoma. Half of all patients with glaucoma do not know they have the disease.”

Is my computer work damaging my eyes?
“No, however, staring at a computer screen means you may not blink often and your eyes may become dry,” says Graubart, a comprehensive ophthalmologist and cataract surgeon. “Blinking more frequently while working on the computer, as well as using preservative-free artificial tears will help to reduce the dry-eye symptoms associated with long-term computer use.”

Emily Graubart, MD

Emily Graubart, MD

Do certain foods or vitamins help the eyes?
“While there are a lot of claims regarding vitamins and eye health, there are only a few conditions where studies have proven a benefit,” says Pruett. “In age-related macular degeneration, for instance, there is a certain formulation of vitamins and minerals that has been proven to reduce the rate of vision loss in certain populations of these patients. Despite these medicines being over-the-counter, it is important to discuss with your doctor whether vitamin therapy is right for you as there may be potential interactions with other medicines or conditions. In general, a well-balanced diet with plenty of fruits and vegetables is the way to go, not only for eye health but also for your overall health.”

Why does reading get more difficult with age?
“We begin to lose our ability to focus up close, which is called presbyopia, between our late thirties and early forties,” says Graubart. “The natural lenses of our eyes become thicker and harder, and the muscles controlling the lens shape weaken making it more difficult to see up close. If you have not needed glasses before, you will likely do well with over-the-counter reading glasses. These glasses cannot damage your eyes. However, the American Academy of Ophthalmology recommends a comprehensive eye exam at age 40 to screen for diseases of the eye. At this visit, your ophthalmologist can tell you what prescription would work best for your eyes.”

Does reading in dim light or reading very small print damage your eyes?
“No. You may experience eye strain with both of these activities, but there will be no permanent damage to your eyes,” says Graubart. “More light helps to improve contrast and thus, allows you to read with greater ease.”

Are eye problems genetic?
“Not always,” says Pruett. “Although there is a higher risk for certain diseases, such as glaucoma that run in families, it does not mean you as a child will get every eye disease or disorder that your parents may have had. Problems that come purely with aging, such as cataracts, have no relation to parents. The important thing to remember is that if you have a family history of eye disease, you need to have thorough screenings at appropriate times in your life.”

Do eye exercises help vision?
“In children with certain convergence issues (crossed eyes), the exercises prescribed for them do help,” says Pruett. “However, in adults, eye exercises have shown no improvement in vision according to studies. Methods that promise to get rid of glasses by eye exercises are not viable.”

Does my toddler need an eye exam?
“Your child’s eyes are examined as a newborn by your pediatrician, and then again between ages six months and one year.“ says Graubart. “Your child’s vision should be tested by your pediatrician or an ophthalmologist at age three to three and one-half, earlier if your child can recognize images on the pediatric eye chart. If your child has a family history of eye disease, if you notice your child’s eye wandering, or if you have any concerns regarding their vision, they should be screened regularly and quickly referred to an ophthalmologist if there are any concerns.”

Learn more about the eye. Read about Emory Eye Center in Emory Eye magazine.

Eastern and Western medicine unite for mind/body health

January 4, 2010

Geshe Lobsang Tenzin Negi, PhD, senior lecturer in the Department of Religion at Emory, and Charles Raison, MD, in the Department of Psychiatry and Behavioral Sciences, Emory School of Medicine, have been associates, colleagues and friends whose relationship has grown as a result of their participation in the Tibetan Studies Program at Emory. Together they have served for the last several years as co-directors of the Emory Collaborative for Contemplative Studies.

Geshe Lobsang Tenzin Negi

Geshe Lobsang Tenzin Negi, PhD

Charles Raison, MD

Charles Raison, MD

Negi and Raison recently collaborated on a study at Emory looking at the practice of compassion meditation and its effect of on inflammatory responses when people are stressed. The study required one group of college students to attend compassion meditation class sessions, while a control group attended classes on topics relevant to the mental and physical health of college students.

Negi developed and taught the compassion meditation program that was used in the study based on a thousand-year-old Tibetan Buddhist mind-training practice called “lojong” in Tibetan. Raison and his team of researchers tested the participants and analyzed the data.

The study, which has been published in two articles in the medical journal Psychoneuroendocrinology in 2009, succeeded in showing a strong relationship between time spent practicing meditation and reductions in inflammation and emotional distress in response to psychological stress.

The success of this initial study has led the pair to embark on an expanded protocol for adults called the Compassion and Attention Longitudinal Meditation study (CALM). The CALM study will compare compassion meditation with two other interventions – mindfulness training and a series of health-related lectures.

The outcome of the CALM study, combined with the data from the initial meditation study, will help neuroscientists to further expand the awareness of how mind and body are connected, and the power of the mind to effect both illness and health.

Raison is clinical director of the Emory Mind-Body Program, and director of the Behavioral Immunology Clinic at Emory’s Department of Psychiatry and Behavioral Sciences. He specializes in scientific studies that show how stress can have a negative impact on the body’s immune system.

Negi earned the highest degree of learning in Tibetan Buddhism, the degree of Geshe Lharampa, from Drepung Loseling Monastery, and received his PhD from Emory’s Graduate Institute for the Liberal Arts in 1999. In addition to teaching at Emory, he serves as spiritual director of Drepung Loseling Monastery, Inc., which has been affiliated with Emory since 1998 and which serves as the North American seat for Drepung Loseling Monastery, one of the largest Tibetan Buddhist monastic centers in exile in India.