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Showing posts with label operation. Show all posts
Showing posts with label operation. Show all posts

Even a Chicken Can Get Lasik Surgery

If you take the time to read any of the message boards or chat rooms on the Internet about Lasik surgery, you will wonder how anyone could get the courage to schedule a Lasik procedure, and why on earth they would want it. The various Lasik clinics sound anywhere from impersonal to something similar to Dr. Frankenstein's lab, and the Lasik procedure itself sounds, well, surreal. It seems like the only people that would get Lasik are those with such bad vision that they cannot get out of bed without their glasses on.

Well, let me give you my story of how I chose Lasik. First of all, my vision is not good, but not terrible either. I can actually go to movies and see well enough to enjoy the film without glasses, but I need glasses to drive in order to read the street signs far enough away to act on the information. So for me, Lasik was not necessary, but I figured would simplify my life. I am outdoors very frequently, backpacking, climbing hills, and mountain biking. Glasses do not last long with me, and I am frequently grinding into the dirt which is not the best situation for contact lenses. For these reasons, Lasik looked very appealing.

The paragraph above might make you think I am a "manly guy" (hope so, think so!), so why on earth would I be afraid of a little Lasik scalpel? OK, technically Lasik does NOT use a scalpel but rather a "microkeratome blade", but it is still a sharp object approaching my eye as part of the Lasik procedure. Nowadays Lasik physicians can get a laser to cut the flap in the eye, which is more than a little better than a sharp blade. But anyway, I had too many spills in my life to think any sharp object nearing my eye was a good idea, even under the skilled hands of a Lasik physician.

After talking with three (yes, three!) independent Lasik physicians, they each assured me that a 28 year old guy in nearly perfect health (OK, I exaggerate a bit) with moderate nearsightedness was one of the very best candidates for a successful Lasik procedure. I decided to schedule my Lasik procedure with the one that had the best track record, and coincidentally took the most time to explain everything about Lasik to me.

The Lasik surgery was not painful, though I accepted nearly everything they offered to give me comfort, including a sedative and a teddy bear. (I even went back to take a picture of me and the Lasik comforting teddy bear.) The only strange thing I remember about the Lasik procedure itself was a smell, something vaguely like hair burning. I suppose that was my eye. I am kind of glad they didn't tell me to expect that before the Lasik procedure, I am not sure I would have gone in.

After a few years, I guess I was a nearly perfect Lasik client, as my eyes now have 20/20 vision and have remained stable long after the Lasik operation. I say that if you are a good candidate for a Lasik vision correction procedure, grab that teddy bear and go on in.

Choosing a Good Lasik Surgeon

Improving your vision with a Lasik procedure could be one of the greatest gifts you could get for yourself. However, as my mother used to say, "Your eyes are precious." It is important to entrust the Lasik operation to a doctor that you trust and have confidence in.

Let's begin with three factors that should NOT be the sole reason you select a doctor for the Lasik procedure. The location of the office is not particularly important, and a number of people travel long distances to have the Lasik procedure done, for a truly professional doctor will only need to be visited two or three times. Also, cost or the type of Lasik technology used should not be the sole factor. The range in surgical skill for a Lasik operation does vary, and there is the old saying "you get what you pay for." Further, though the newer types of Lasik procedures do have their benefits; many eye doctors in a large metropolitan area often offer two or three Lasik variants.

There are several ways to determine which is the best doctor for you in your area. One of the qualities to look for in a good Lasik physician is someone who can accurately assess your situation, and advise you if Lasik is even a good choice for you and your lifestyle. A physician that takes the time to discuss your own physical condition and situation with you is a good indicator that this is a Lasik physician that you can rely on.

Look for a Lasik doctor which has a solid reputation in the area, and has a good track record. A physician that advertises in a magazine is not a sufficient recommendation to put your trust in that doctor, and needs more investigation before agreeing to have him do your Lasik procedure. Sometimes a Lasik center with a large advertising campaign and discounted prices may be indicating that the quality of the surgery is not excellent, and this could be a red flag to avoid that center.

A good Lasik doctor should be involved in the entire Lasik process. As mentioned above, he should take time to assess your particular case and discuss it with you. Not only should he do the exam, but he should also perform most or all of the preoperative exam, and also should meet with you personally to monitor the success of the procedure at the dates for checkup. There are stories from some Lasik centers of the patients never seeing the physician again after the operation until they complained strenuously of some particular problem.

Make sure the physician is honest in their assessment of the general Lasik procedure, and his track record in particular. Ask for individual examples of patients that the physician dissuaded from having the Lasik operation, and why. Ask how many Lasik procedures the doctor has done in total, and how many in the last two years. An experienced surgeon should have performed in the neighborhood of 1000 Lasik procedures, with at least 500 of those in the last two years.

Use these questions as a starting point to investigate the Lasik centers in your area, and even the highly recommended ones in nearby major metropolitan areas. It will be time well invested, and the first step to a clearer future.

Bookkeeping Basics

Most people probably think of bookkeeping and accounting as the same thing, but bookkeeping is really one function of accounting, while accounting encompasses many functions involved in managing the financial affairs of a business. Accountants prepare reports based, in part, on the work of bookkeepers.

Bookkeepers perform all manner of record-keeping tasks. Some of them include the following:

-They prepare what are referred to as source documents for all the operations of a business - the buying, selling, transferring, paying and collecting. The documents include papers such as purchase orders, invoices, credit card slips, time cards, time sheets and expense reports. Bookkeepers also determine and enter in the source documents what are called the financial effects of the transactions and other business events. Those include paying the employees, making sales, borrowing money or buying products or raw materials for production.

-Bookkeepers also make entries of the financial effects into journals and accounts. These are two different things. A journal is the record of transactions in chronological order. An accounts is a separate record, or page for each asset and each liability. One transaction can affect several accounts.

-Bookkeepers prepare reports at the end of specific period of time, such as daily, weekly, monthly, quarterly or annually. To do this, all the accounts need to be up to date. Inventory records must be updated and the reports checked and double-checked to ensure that they're as error-free as possible.

-The bookkeepers also compile complete listings of all accounts. This is called the adjusted trial balance. While a small business may have a hundred or so accounts, very large businesses can have more than 10,000 accounts.

-The final step is for the bookkeeper to close the books, which means bringing all the bookkeeping for a fiscal year to a close and summarized.