[00:00:00] Speaker A: At your job, do you ever have to deal with a nose roller? How about a snub pulley? Well, if you're installing a new conveyor belt system, dealing with the different components can sound like you're speaking a foreign language. Luckily, you've got a team ready to help. Grainger's technical product specialists are fluent in maintenance, repair and operations. So whenever you want to talk shop, just reach out. Call clickgrainger.com or just stop by Grainger for the ones who get it done.
The patriot is WWTC Minneapolis St. Paul FM 107.5 K298CO Minneapolis Intelligent Radio with SRN News. I'm Bob Agnew in Washington. The Senate confirmed Pete Hegseth as the nation's defense secretary in a dramatic late night vote. More details from correspondent Bernie Bennett. Republicans pushed back against questions about heck disqualifications amid allegations of heavy drinking and aggressive behavior. Vice President J.D. vance is on hand to cast a tie breaking vote. On this vote, the yeas are 50 and the nays are 50. The Senate being equally divided, the vice president votes in the affirmative and the nomination is confirmed. The Republican senators prioritize the former Fox News host and combat veterans vow to create a warrior culture at the Pentagon. Confirming hegseth rounds out President Donald Trump's top national security cabinet officials. Ernie Bennett, Washington President Trump heaping blame on OPEC for the ongoing Ukraine Russia war. During a speech of leaders at a global summit, the president said the OPEC alliance is keeping the price of oil too high. This is SRN news.
Bad decisions limit future options. Make enough bad decisions and you destroy your life. Listen to the Flatline with your host Rick Hughes every Sunday morning at 7:30 here on AM 1280, the Patriots. The flatline describes a main line of resistance in your soul built on God's word. Join us every Sunday for 30 minutes of inspiration, motivation, education, all without manipulation. The Flatline with Rick Hughes Every Sunday morning at 7:30 here on AM 1280 the Patriot. Did you know my mom's gonna have a baby?
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[00:02:38] Speaker A: I appeal to you to fight. I fully recognize not everyone has a fighting nature but everyone can help fighters. What's wrong is not to do either. If the troops have no supplies, the troops are worthless. This station is a fighter. So there's a very simple way for you to help this station, and that is just patronize their sponsors. Help us continue to keep the Twin Cities right by supporting the local businesses you hear on this station. When you hear the term living better, what do you think about more money? A bigger house, maybe a yacht? What about how you feel physically? How do you wake up each day? How do you sleep during the night? What activities you can and cannot do? When you feel good, life is good. So if pain is affecting your life, see how Relief Factor can help. Relief Factor is a daily supplement that fights pain naturally developed by doctors. It doesn't just mask pain temporarily, it helps reduce or even eliminate pain. How do I know Absolutely am a customer. I take Relief Factor daily. No lower back pain for me anymore. In fact, the longer you take it, the more effective it is. Give their three week quick start a try. It's only $19.95, less than a dollar a day. Just one phone call 800, the number for relief 800 for relief relief factor relief wherever you're hurting in three weeks or even days, Relief Factor can give you a chance to rediscover the true meaning of living better again. Visit relieffactor.com or call 800 for relief. That's 800, the number four relief for the one and only relief Factor. It's the New year and it's snowing savings at Invergrove Hyundai Stop ignoring that engine light or strange noise from your car. Why risk it? Invergrove Hyundai's terrific technicians are your car's best friend and waiting to help. Bring your car in today and save $50 off any maintenance or repair over $100 plus. We offer a free inspection with every service. Do it yourselfers Invergrove Hyundai has an extensive parts inventory with competitive prices and assistance from trained professionals. Apply for parts and service financing. We have over 30 years experience working with special credit needs. Learn
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The following program was pre recorded and the views expressed do not necessarily represent those of this station or its management. This is Open YOUR eyes radio with Dr. Kerry Gelb.
[00:05:47] Speaker B: Good morning, I'm Dr. Kerry Gelb and welcome to Wellness 1280 on open your Eyes Radio. Please listen as it discussed the newest information in the world of health, nutrition and sports. Every Saturday morning, 6am Central Time on AM 1280 the Patriot. Also, please share your thoughts by emailing me at drkerrygelbmail.com that's D R K E R R Y G-E L bmail.com and visit my new website, wellness1280.com where we have all guest links, Wellness 1280 info and previous shows. Wellness is taking over the Patriot Airways for the next hour. Sit back and enjoy part two of my interview with Dr. William Fox. In part one, we talked about that there's a lot of people in the United States that wear contact lenses, about 45 million of them, and the delicate balance that doctors have to go through to fit contact lenses. They have to consider safety, vision and comfort. And Dr. Fox, who's an optometrist in North Carolina, he does a lot of volunteer work, volunteer missions between in the US and overseas. He's done about 25 volunteer eye missions, providing eye care and eyewear to underserved communities. So Dr. Fox is really a great guy. He has a lot of he has a lot of experience in the eye care profession, in optometry, as being an optometric physician helping patients. He has a special interest in fitting multifocal contact lenses, which we talked about in the first segment. But he's going to give some of the nuances in this segment about fitting multifocal contact. So Dr. Fox, thank you for joining me again today on OPEN YOUR Eyes Radio and podcast with Dr. Kerry Yelb.
[00:07:40] Speaker C: Thank you Dr. Gel. It's always great to be with you.
[00:07:43] Speaker B: So let's get into it. Let's get into some of the nuances that we didn't have time to talk about in segment one. Tell us about some of the nuances and some of the tricks of a multifocal patient. So this is, let me set this up so this is a patient who. Who typically is over 40, maybe over 42, over 45, needs different glasses for reading than they do for distance because their closed vision is starting to go. And they still want to wear contacts because there's close to 130 million people out there that are presbyopic, which loss of focusing as they get older, which is more than a third of the US Population as the population is aging. So let's talk more about fitting those multifocal contact lens patients and tell us some of the tricks of the trade. Dr. Fox?
[00:08:33] Speaker C: Well, and many optometrists, of course, know these things, but it is. It is an art and a science, or I should say a science and an art. So you want to find the profile of your patient, you know, what their motivation is for contacts, what they want to do with the contacts, and what's the physiological ability of their eye to hold and maintain a contact lens because it has to fill it with fluid. And so moisture is such an important part. But there are other things, too, and there are ways, you know, you sort of test the flexibility of your patient as well, especially if you run into some potential problems. And I would say about half the time, you have to make adjustments to get the best experience with the contact lenses you're fitting. And I have a perfect example of the last patient I actually saw in the office. And he, you know, he tried. He wasn't wearing any contact lens. Well, he wore glasses occasionally for distance, but then he had to get multifocal glasses. And he said, I just can't walk in these things. I can't deal with this at all. But I can't see up close. When I take my glasses off, I'm near sight. I see a little better, and I see have to wear them for driving. But he said, this is driving me crazy. I can't see up close, and my work involves a lot of that. So we fit him with bifocal contacts, and he loved the feel of him. He had pretty good moisture in his eyes, and so dryness wasn't a factor. But he said, it's kind of fuzzy in the distance. And he also had astigmatism, so I had to use more of a complex lens to fit astigmatism and a multifocal. And so I said, well, let's try to see what the problem is. And up close, he saw good, but the distance he did. So you take his dominant eye, and I had done his dominant eye or got it from the end of the test, and the refraction from what we talked about last week, and I put a little bit of a lens over one eye to see if it's fuzzy and say, is it better when I put this lens and make it a little fuzzy on your right or your left eye? And he basically said, it's better on my right eye. But he also said it didn't seem so blurry when I put it over the left eye. So his left eye, I stayed with the bifocal contact. And the right eye, I literally took that had the more stigmatism. Also, I literally took the bifocal out. And because I knew he would be able to have the distance lens with both eyes open, seeing the distance a little better with his right eye than his left. But he still had the bifocal in the left to see up close. And over the years, I've found that up close, if you just had one eye, it usually works fine, unless maybe you're dealing on a computer for 12 hours or 8 hours or something. So that was just one of the little nuances that you work with. And that has to do with what I call dividing the eyes. Sometimes you have to make one eye a little better for near, one eye a little better for far. But you have to decide if they could. You know, you have to find out if they can tolerate that. Some people cannot tolerate that at all. And so you have other things, too. My father, I'll never forget, he never wore his glasses. He's nearsighted. He can see up close, but never wears glasses in the house. And I said to him once, we're watching tv, you know, how do you see this? You can't see this clearly. He said, no, I see pretty good. And I said, no, you don't. I said, I'm your optometrist. He put his glasses. I said, here's your glasses. Put them on. I said, now, isn't that a lot better? And he goes, yeah. And I said, wait a minute. I know it's better. But he was so used to seeing a little fuzzy in the distance that it wasn't that big a deal. He certainly used him for driving. He knew he had to see more detail. Well, those type of patients, when you learn and you ask them when and how they wear their glasses, you may know that now, this patient, you can put a bifocal on both eyes, even if it's a little fuzzy in the distance, because it's not going to bother them. They're used to that as long as they can see. And you see it all the time in Lasik surgery where they'll see 20, 25, and they say, I see fantastic, I see everything. It's wonderful. So once again, the tolerances of seeing 2020 crisp and sharp, seeing 2020, not as sharp gives you more flexibility in what you do. And so those are just part of the many nuances and kind of what I call the art of fitting. And it's like a puzzle. You just go. And when you. You see this, is it clear up close? It's clear justice. Can you make one out better for near, one eye, better for far? What are the tolerances of the patient? So some psychology involved even. Sure.
[00:13:10] Speaker B: And you know, it's funny when it comes to computers, you know, we always talk about the difficulties with computers. The blink rate goes down and it's dry there, increased dryness. But nothing has been really, in my opinion, better for multifocal contact lenses than computers because computers are further away from the patient than reading. So that gives us a more slop in fitting multifocal contact lenses because they don't have to see as close, so the contact lenses don't have to be as strong for the reading part. What's your opinion on that?
[00:13:43] Speaker C: Oh, you're so right about that. It does make a little bit more potential for dryness, but mostly because a lot of times there's strain there. If it's a strain, then your eyes are going to get dry because you don't blink as much. And when you're focused, you don't blink as much as. Well, there's a lot of studies that show that the great Art Epstein, who was one of the greatest in dry eyes, did a study and proved that, that you don't blink as much on the computer and you need the blinking for the tears. But you're right, the greatest thing or the hardest thing about multifocal glasses is that when you get to the computer, you have to raise your head up or raise it down. You have to get that perfect spot. With contact lenses, you don't through any place up or down, you can see distance, near and intermittent everywhere. If you look to the floor, it's not blurry when you're going down steps of contacts. When you're looking straight ahead with your computer, if it's a desktop and it's straight ahead, you can still see up close, but then you can also see in the distance. If your computer is a laptop and it's down a little bit below and your eyes go down a little bit to see the computer, you still can see up close or intermittent if you grab your cell phone and hold it up close. You can still see it. The beauty of the multifocal contact lens. And it's like I said, my patient the other day said I just couldn't wear those glasses comfortably and I don't think I ever will. But he said I love these contact lenses. After I got him set up and I had one for distance and one with a distance and a near multifocal.
[00:15:19] Speaker B: Well, we're speaking with Dr. Bill Fox from North Carolina. He's an optometrist. The Fox Eye Care Group. You're listening to Dr. Kerry Gelb open your eyes radio and podcast on AM 1280 the Patriot. We'll be back right after the break.
[00:15:38] Speaker D: I went to the eye doctor the other day with my daughter Maggie. I was shocked when the doctor told me that my daughter was already becoming nearsighted. It turns out that this problem affects more than 40% of Americans. My eye doctor thinks this disease is getting worse. Perhaps it's getting worse because of kids prolonged time spent playing with smartphones or maybe because kids now spend less time outside. My genetics probably aren't helping her a whole lot being nearsighted myself. But the good news is that the doctor told me about a new FDA approved product called MySight. This specific one day contact lens is already worn, worn by thousands of children in the US it is proven to slow down the progression of nearsightedness. And best of all, Maggie loves these contact lenses. The doctor taught her how to use them. Now it is so exciting to see her have even more success in the classroom and when she plays sports. I Recommend you visit openyoureyesradio.com to find an eye doctor that specializes in this treatment program. Learn more at Open youn Eyes Radio.
[00:16:38] Speaker A: Hi, this is Chris at SupportLife Crystal Women's Clinic where we've been empowering women and protecting life since 1992. Our mission is to be the first step for women at risk of aborting their babies right here in the Twin Cities. At Support Life, we empower her to choose life through education, ultrasound, practical help and hope in Jesus. Would you help her choose life by considering a monthly donation of any amount? Donate
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[00:17:39] Speaker D: Doctor the other day with my daughter Maggie. I was shocked when the doctor told me that my daughter was already becoming nearsighted. It turns out that this problem affects more than 40% of Americans. My eye doctor thinks this disease is getting worse. Perhaps it's getting worse because of kids prolonged time spent playing with smartphones or maybe because kids now spend less time outside. My genetics probably aren't helping her a whole lot being nearsighted myself. But the good news is that the doctor told me about a new FDA approved product called MySite. This specific one day contact lens is already worn by thousands of children in the US it is proven to slow down the progression of nearsightedness. And best of all, Maggie loves these contact lenses. The doctor taught her how to use them. Now it is so exciting to see her have even more success in the classroom and when she plays sports. I Recommend you visit openyourizedradio.com to find an eye doctor that specializes in this treatment program. Learn
[email protected] we're back with Dr. Bill.
[00:18:42] Speaker B: Fox, North Carolina optometrist. This is Dr. Kerry Gel for Open your eyes Radio. Make sure you check out our documentary, the open your eyes documentary on Apple TV, Amazon Prime, YouTube movies and shows and our podcast is released every Monday morning on YouTube and wherever you get your podcast in addition to our radio show. So Dr. Fox, let's talk about astigmatism. A big word. About a third of the population has astigmatism. What is it? And do we need special contact lenses for astigmatism and do they make daily contact lenses for astigmatism?
[00:19:21] Speaker C: Yeah. Patients come in and say I got the astigma.
I say oh, astigmatism. They say, yeah. And then they think is that an eye disease? It's like, no, no, it's just a part of your prescription in your glasses. And to simplify things, I tell patients it means you have more power go one direction than the other in your glasses actually as a consistent change in power, having more power one place, another power the other. And where the power starts out is called the axis. So when you get into contacts, it's a little more complex fit to do that. But once again, it used to be a real problem keeping stability on the eye because the contact lenses can't Rotate a lot. And that used to be a problem with the contacts. And we worked very hard to stabilize it. And if eyes got dry, it really would come unstable. But these days, they're so much better that even with some dryness that's a little bit dry, they seem to really hold their position some better than others. And of course, once again, an experienced doctor will know which do better, which do worse, and know the nuances, the lenses they like to use. But yeah, that's the main thing. It's just a different power one direction than the other. So you have to have different powers in your contacts. And they don't want to rotate. You got to have them. You want them to move, to get tearful up under there, but just up and down. Yeah, but we can do that. They have them in dailies? Yes, of course they do. And they have one of the best in dailies from CooperVision that I use all the time. And they have them in the monthly, of course, as well, too. They even have astigmatism lenses with multifocals for those who have gotten into their 40s. And they say, look, I want to keep into contacts, but I can't see up close. I'm tired of wearing reading glasses over top. Well, you don't have to do that anymore.
[00:21:10] Speaker B: Yeah, I mean, it's amazing that they could put in that disc, that plastic little piece of plastic that they could put a correction for people's astigmatism where they have the patient has a different prescription going one way compared to the other way on their eye. The way their eye is shaped, the prescription vertical is different than horizontal, and they make a little piece of plastic to match. That is really amazing. And all four of the major manufacturers do it, and they all do it well. And, you know, they've spent millions of dollars in research and development. In the first segment, I spoke about how CooperVision there was in Fortune magazine, and they reported that they spent, I think it was 21 or 22, $110 million just in research and development. And that's CooperVision, one of the contact lens manufacturers that's including what Johnson Johnson spends or Alcon spends or B. Shalom spends in getting the best possible contact lenses. And when I fit contact lenses for astigmatism, you know, patients have trouble a lot of times with glasses for astigmatism. They get their glasses, they have trouble getting used to them. They're walking, the floor seems tilted. They put these contact lenses on and they see amazing. And I got to tell You. I've been doing this a long time and I'm still amazed that they can make a contact lens that exact to help people with astigmatism. What do you think? Do you agree? Disagree. What do you think about that?
[00:22:41] Speaker C: Oh, I'm just. I'm just totally amazed as well, too. Even after all these years, I am totally amazed at how do they get that in that small piece of plastic and make it work and then also keep it stable on the eye, even in dry eye situations.
Yeah, I'm overwhelmed with it. And it's even more than that. It's not. And I tell my patients, like having two different prescriptions, but you really, as you know, have many different prescriptions. It starts here and it's a little different here, here, there, there. And by the time you get here, it's totally different than the prescription. This way, if you have access 180 and then of course, access can be anywhere too. So, no, I'm. I'm overwhelmed. And then when you add a multifocal in there, which gives you near vision, intermittent vision, you have like three different prescriptions in there. Really more than three. And I'm just, I'm blown away. And that it's still just like the eye itself. It's just a remarkable thing. And I'm always awed and amazed at.
[00:23:40] Speaker B: Yeah, and it's like thousands and thousands of combinations of prescriptions that these companies are able to make. And they go at 10 degrees and at 10 degrees increments that they're able to make these type of contact lenses to give people the sight.
It's really an amazing thing. And I really want to thank the contact lens manufacturers for spending the money for doing this type of work to help people, because they really help a lot of people with these contact lenses.
[00:24:11] Speaker C: You know, I do too, because their research and development put a lot of money, a lot of time, a lot of effort, a lot of careers in making contact lenses better. And they have made them so much better and have really changed so many people's lives. My brother is, you know, he's in his 70s now, but he just still loves his contact lenses and it's changed his life. And, you know, and so it's, it's just a remarkable thing. I've seen the manufacturer lenses many a time. I've been to them, and you have to. And I still am just like, how do they do that?
How these engineers come up with such amazing things. But you're right, it's time, it's effort, it's determination, and I really appreciate the contact lens companies for what they do and the research they put into them. It gets better all the time.
[00:25:05] Speaker B: Let's talk about myopia now. So tell us what myopia is. It's 42% of, you know, kids between, I think 9 and 18 are myopic. About 42, maybe a little more percent of the population is myopic. Tell us what that is.
[00:25:22] Speaker C: Well, myopia is seen in the distance. I mean, seeing up close, but you can't see in the distance. It's where the light rays come into the eye and focus on the retina in front of the retina. So you're seeing a blurriness because they don't focus right on the retina itself. Light rays come into the cornea and it bends them toward the retina and they all come into an image there. And retina is a thin tissue in the back of the the eye. So that's called myopia. And yeah, it's becoming a problem.
It's truly an ocular disease in nature because it's happening more and more and more. 150 years ago, 200 years ago, there weren't that many people nearsighted. Now it's about 40%, and it's increasing incredibly, because it seems not to just be heredity. It's a heredity plus environment. People are predisposed, and many of us, we're finding so many of us are predisposed to nearsightedness. And you put us in the right environment with a lot of computers, a lot of cell phones. Near things that take our attention up close. Yes, it makes it much easier to start going into nearsightness. And as I tell my patients, it's only a quarter of a millimeter. Your retina has to go back to get you a tremendous amount of nearsightedness. And if the brain thinks you're focusing up close is more important than your distance or your periphery vision, it's going to change things because the eye is just an extension of the brain. It's going to change things to make it easier for you to see up close. And then you get into nearsightedness.
Yeah.
[00:27:06] Speaker B: And as the near sinus increases, the risk of cataracts goes up. Goes up. Retinal detachment, glaucoma and myopic macular degeneration. So there's a lot of emphasis put on us to try to prevent people from becoming nearsighted. And again, our partners at the contact lens manufacturers, the big four, Bau, Shalom, Alcon, Cooper Vision, and Johnson Johnson are trying really hard to come up with contact lenses to try to prevent people from getting nearsighted. I know CooperVision has my sight, which is a soft contact lens, which could decrease the progression of nearsightness by about 60%. And that's, that's something that's been a tremendous discovery. If you could talk a little bit about preventing nearsightedness in kids and when should we start preventing it and who should be. When should kids start being examined?
[00:28:06] Speaker C: Well, you're exactly right. And nearsightedness, like I said, is such a prevalent thing now today, and especially if the parents are nearsighted, but they don't have to be nearsighted.
And as I tell people, you want to start right away by having your kids, you know, do things outside. You know, there's a study that was shown how someone was spent 30 minutes outside has much higher chance of getting near sight. Is it someone, a child or an adult too, who spends an hour or more outside? So getting outside where you see periphery, where you're looking in the distance. Yeah, it's important to learn how to read early on. You do want to do that. It's, you know, we love to give our kids the computers and play the games, but limit their time, have them do distance things, keep them away from the TV and have in a distance. You want your brain to think distance and periphery is just as important as up close. And that will help keep you from adapting into nearsightness because often it's an adaptation you want to start early on. But as time goes on, if you are nearsighted, then there are things and there's getting more and more things that we're discovering and finding through research and development. Often with the contact lens companies that can help emphasize the periphery over the central. And like with my sight contact lenses, which has been a game changer, by the way, because it's so much easier to work with that Those things have really helped us to get a handle on this and to start the process of trying to limit myopia in our population with our kids.
[00:29:50] Speaker B: Yeah, I mean, you bring up a great point. There was a Sydney study, Sydney, Australia versus Singapore. And the Sydney kids were on digital devices just as much as the Singapore about, but they were four times more outside than they were than the Singapore kids. And they had 3% myopia compared to the Singapore kids that had 29% myopia. We're speaking with Dr. William Fox, NC optometrist. And we'll be back after the break. After the break. We'll continue our discussion on myopia and what we could do to decrease the risk. Dr. Kerry Gelb for Open youn Eyes Radio and Podcast.
[00:30:38] Speaker D: I went to the eye doctor the other day with my daughter Maggie. I was shocked when the doctor told me that my daughter was already becoming nearsighted. It turns out that this problem affects more than 40% of Americans. My eye doctor thinks this disease is getting worse. Perhaps it's getting worse because of kids prolonged time spent playing with smartphones or maybe because kids now spend less time outside. My genetics probably aren't helping her a whole lot being nearsighted myself. But the good news is that the doctor told me about a new FDA approved product called My Sight. This specific one day contact lens is already worn by thousands of children in the US it is proven to slow down the progression of near sight. And best of all, Maggie loves these contact lenses. The doctor taught her how to use them. Now it is so exciting to see her have even more success in the classroom and when she plays sports. I Recommend you visit openyoureyesradio.com to find an eye doctor that specializes in this treatment program. Learn
[email protected] hey, Carl Jackson here for Dennis Prager.
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[00:32:38] Speaker D: I went to the eye doctor the other day with my daughter Maggie. I was shocked when the doctor told me that my daughter was already becoming nearsighted. It turns out that this problem affects more than 40% of Americans. My eye doctor thinks this disease is getting worse. Perhaps it's getting worse because of kids prolonged time spent playing with smartphones or maybe because kids now spend less time outside. My genetics probably aren't helping her a whole lot being nearsighted myself. But the good news is that the doctor told me about a new FDA approved product called my sight. This specific one day contact lens is already worn by thousands of children in the US it is proven to slow down the progression of nearsightedness. And best of all, Maggie loves these contact lenses. The doctor taught her how to use them. Now it is so exciting to see her have even more success in the classroom and when she plays sports. I Recommend you visit openyoureysradio.com to find an eye doctor that specializes in this treatment program. Learn
[email protected] we're back with Dr. William Fox.
[00:33:43] Speaker B: This is Dr. Kerry Dell for Open Your Eyes Radio and AM 1280 the Patriot. And we're talking about nearsightedness. People that could see near but they can't see far and about trying to prevent it. And what some of the some of the causes and it seems like one of the major causes is spending time outdoors. Kids that spend more time outdoors become less nearsighted than kids that are always indoors looking at computers. And you talked about in last segment how back in the before 1900 is only about 3% of the population was nearsighted. Now we have about 42% of the population is nearsighted. So all the things that we live in an up close world. And another study that I think is very interesting is that in the winter months nearsightedness develops three to four times faster than during the summer months where people tend to be outside. And another study that is 40 people who spent 40 to 80 minutes outside reduce their risk of myopia up to 50%. You know, and weird thing is that prisoners are required to spend two hours outside where our children aren't even spending anywhere near two hours outside.
So you know what kind of tests do you when patients come into your office, do you think are important to get an assessment of their nearsightedness?
[00:35:12] Speaker C: Well, of course, you know the refraction that we do to see what the near, you know, if the child is nearsighted themselves.
Also up close how the focusing is up close. If they're having children actually can have focusing problems up close. I know I was one of them. I wore a bifocal when I was in college and it changed my life you know, and if they have focusing problems, it can turn into myopia or nearsighted problems. So you want to take care of those focusing problems because it helps them in school, but also it may help them keep from getting nearsighted or getting less nearsighted. But also, you know, what they could see on the vision chart, of course, is where it starts. And if they're not seeing clear in the distance and up close, you know, they're nearsighted. You want to look at the heredity of the family as well. Are they both parents nearsighted? Well, pretty good chance they're going to be nearsighted, you know, is, you know, how is a child a huge reader and doesn't get outside much? Oh, they read so well and they love to read. Well, that's great. We want that, of course, but you still got to get them outside. You have to look them in the distance. The brain will adapt to where it thinks the most important thing is. And if it thinks it's most important up close, it basically says, well, why am I having to use this lens to pull the vision up? I can just make, the brain can make you nearsighted and then it's much easier to see up close. But now you can't see in the distance forever.
[00:36:44] Speaker B: How about screen time for kids, babies, as they get older? Any recommendations on that screen time?
[00:36:54] Speaker C: Yeah, I would say try to limit it to two to three hours, I mean, and try to break it up. Say no more than, you know, an hour at a time. I know that's hard. I have a son, I understand that.
You know, don't let him get real close to the tv. It's probably better watching TV on the couch far away than watching it on their screen up close, especially as a young adult. And so, you know, and nowadays I find that the kids are coming in, they're watching everything up close on their, their near devices and it's like, no, no, no, you get family time and watch TV in the distance if you have to do that. But mainly take them outside, like let them have a peripheral vision they can see because we, we want to focus our peripheral and you do that outside. Get sunlight, get vitamin D. Sunlight is very helpful for your eyes. You know, you got to have sunglasses to protect you on the high noon times, but the rays around and the light itself is very helpful. And of course you get less nearsightness, as you said, if you're outside.
So I say, yeah, try to limit it as much as you can because it's going to make A difference.
Yeah.
[00:38:06] Speaker B: And the American Academy of Pediatrics up until age 2, they recommend no screen time and then as they get older, between two and five, maybe an hour max, according to the American Academy of Pediatrics. So I think that's something that people need to really think about. And you know, it's easy for us to use the computer as a babysitter for little kids but you know, if the American Academy of Pediatrics is recommending against it, it may be something people might want to listen to.
[00:38:38] Speaker C: Yes, yes, you, you, I totally agree with that. I think an hour is up to five years old is more than enough. And no, you don't want to use it as the babysitter for sure. You know, get them involved in other things and it will make, it can make a big difference, especially if as parents, both parents are nearsighted because you know, your odds are very, the child's probably going to become nearsighted in this day and age. But how nearsighted makes a big difference and you made a good point that it can make a difference. With diseases of the eye. They're two to five times more likely to have a lot of of our more serious diseases and someone is high nearsighted.
[00:39:23] Speaker B: Yeah, I mean, so we were talking about ways to decrease nearsight. We talked about my sight, which is a soft contact lenses. There's orthok which are gas permeable contact lenses that are gently placed on the eye that the kids sleep in that decrease the progression up to about 70% what you're feeling about ortho k and the decrease increasing myopia.
[00:39:50] Speaker C: I think, I think both the mysite and the orthok are tremendous tools to help decrease myopia and they do very well. And amazingly children do very well putting on and taking off their, their hard contact lenses. You know, I would have thought that would have been a very difficult thing, but it's not. And our director at All Docs, which is our association for doctors next to lenscrafters, you know, she used to do it all the time and she says don't, don't even worry about it. Kids can put them in and take them out much easier than you can and much easier many times than adults. And then you sleep in them, you take them out and you can see clearly during the day without anything, glasses or contact lenses. So the parents are there when the devices are being used. So yeah, I love ortho K. My side of course makes it easier for the general practitioner doesn't do ortho K and most of Us don't to also get the same effect. And there's another option as well too, the medical option. And that is very small amounts of atropine, which dilates the eye, but not in very small amounts. And that's a medical option as well.
[00:41:11] Speaker B: Yeah, they just did a new study and you know, it's always a controversy what dose of atropine should be 0.01, should be 0.025. Now there was just, I think the study was in China, the Mosaic trial, and it showed that 0.05% atropine seems to be the most effective for decreasing myopia. But you're putting a drug in, in the eye of a child and that you're doing it for many years, it just not doing it once, you're doing it for many years. I personally don't use atropine as a treatment. That's just my feeling. I don't like putting drug giving kids to be on drugs chronically even though it's a low dose. And a lot of people disagree with me and I understand that. But this is my feeling. I'd rather go the my side route or the ortho k route. And what's your feeling on, you know, and we may disagree on this, on using atrophy long term for children?
[00:42:11] Speaker C: Well, you know, it's, I agree with you in that it's always better not to use a drug every day in your eye like atropine. Atropine and those lower mouses are very safe. But still you're building it up over day after day after day. And so I don't do that either. I like the other two options better. I do realize that many, it's been used for many years even in higher amounts in children and there have been very few bad effects as a result. Result of that. So I'm not against that. I have some doctors in my group who do want to utilize that and I'm okay with that, you know, but I like the other options better.
[00:42:50] Speaker B: And I think for people it's important that they know the side effects. If they do atrophine, which is dry mouth, red skin, a rapid heart rate, that kids may be a little confused. They just have to know that blurred vision because the pupils dilated, some glare, if they are going that route, just to be aware of some of the side effects.
[00:43:11] Speaker C: I think, yeah, yeah, you're right. You do get those side effects. What are they like? Mad as a hatter, dry as a bone, red as a beat. I always remember those.
And then the kids can also get dilated pupils with glare and possibly difficulty to focus. Even with that 0.05%, which is a low percent, the lower percents do better. But you're right, the studies are indicating now that.05% gets you the best results. But there are some children that can't handle that, especially light eyed children that have the large pupils anyway. And many children do are going to have a, can have a little bit more of a difficulty with that. So a parent needs to be very aware and a teacher too, especially with their reading and if they're having complaints of bright lights and things such as that.
[00:44:01] Speaker B: You know, it's really interesting that we talked about controlling nearsighted and we want to do that because the more near sighted you get, as we talked about greater risk of glaucoma, cataracts, retinal detachment, myopia, macular degeneration. Now there are going to be glasses that are going to be coming out. So people are going to be able to, kids, kids are going to be able to use these invisible bifocal glasses that can decrease myopia. So look for that to come. Do you have any opinion on that, Dr. Fox?
[00:44:31] Speaker C: Well, you know, it's amazing once again what research and development is doing and it's coming mostly out of our country and I'm very proud of that. And yeah, you're right, there are going to be glasses that will help. I don't think they're going to do as good a job as the ortho k that you sleep in at night or the mysoft or the other soft lenses that will be coming out. But yeah, I think it's going to help. It's going to help a lot with decreasing parents and children who don't want to wear contact lenses but can help with the myopia. This is a whole new area which I'm so glad we're doing. And it's the time to do it because it's taking over the world and using these type of research and development things and having them in glasses too makes all the sense in the world. And so I'm happy to see that.
[00:45:24] Speaker B: We're speaking with Dr. Bill Fox of the Fox Eye Care Group. You're listening to Wellness 1280 on Open Your Eyes radio at AM 1280, the Patriots. We'll be back right after the break.
[00:45:39] Speaker D: I went to the eye doctor the other day with my daughter Maggie. I was shocked when the doctor told me that my daughter was already becoming nearsighted. It turns out that this problem affects more than 40% of Americans. My eye doctor thinks this disease is getting worse. Perhaps it's getting worse because of kids prolonged time spent playing with smartphones or maybe because kids now spend less time outside. My genetics probably aren't helping her a whole lot. Being nearsighted myself but the good news is that the doctor told me about a new FDA approved product called My Sight. This specific one day contact lens is already worn by thousands of children in the us. It is proven to slow down the progression of nearsightedness. And best of all, Maggie loves these contact lenses. The doctor taught her how to use them. Now it is so exciting to see her have even more success in the classroom and when she plays sports. I Recommend you visit openyourizeradio.com to find an eye doctor that specializes in this treatment program. Learn
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[00:47:40] Speaker D: I went to the Eye Doctor the other day with my daughter Maggie. I was shocked when the doctor told me that my daughter was already becoming nursing. It turns out that this problem affects more than 40% of Americans. My eye doctor thinks this disease is getting worse. Perhaps it's getting worse because of kids prolonged time spent playing with smartphones or maybe because kids now spend less time outside. My genetics probably aren't helping her a whole lot being nearsighted myself. But the good news is that the doctor told me about a new FDA approved product called MySite this specific one day contact lens is already worn by thousands of children in the US it is proven to slow down the progression of nearsightedness. And best of all, Maggie loves these contact lenses. The doctor taught her how to use them. Now it is so exciting to see her have even more success in the classroom and when she plays sports. I Recommend you visit openyourizedradio.com to find an eye doctor that specializes in this treatment program. Learn more. And at open your eyes radio.com we're.
[00:48:43] Speaker B: Speaking with Dr. Bill Fox of the Fox Eye Care group. This is Dr. Kerry Gel for Open your Eyes radio on AM 1280 the Patriot. Dr. Fox so let's change our attention, shift our attention away from contact lenses to some more of the medical things that we do. Talk about the eye as a biomarker and why is a complete eye examination so important rather than just a refraction?
[00:49:10] Speaker C: Well, you know, that is the one thing that I try to get over to my patients and to the general public. The eye exam is not just about seeing more clearly. And if you do see clearly, doesn't mean you don't need to see the eye. Dr. Because there's so many things we see in the back of the eye just for vision itself. You can have a hole, you can have a tear in the retina that you're not going to feel because there's no feeling in the back of the eye, no pressure. If you have glaucoma, there's pressure put on your optic nerve, you're not going to feel that. And the last thing that will happen is that you'll lose vision. But at the same time, it has so many biomarkers for determining or telling you the health of your body as well. There's 300 systemic diseases, bodily diseases that you can see at times through the eye.
We often are the first to diagnose diabetes, even though it's probably been there for a while, people don't always feel that bad with it or they think maybe I'm just getting older and we will be the ones that see it. And because you can see the vessels in the back of the eye and what's happening with the small vessels in the back of the eye is probably what's happening or going to happen with the larger vessels in the rest of the body.
[00:50:25] Speaker B: Yeah, I mean, the eye is a tremendous biomarker. We could see early signs of diabetes now because the cameras we use, we're seeing the retina or these, these capillaries at 8 microns. In the old days when you and me finished school, we were using an ophthalmoscope. We were seeing about 150 microns. And at that time, by the time we started seeing hemorrhages and changes from diabetes, typically the patient would know they had diabetes. But it's flipped now that we can see at 8 microns now, many times, and many, many times, it's the eye doctor who's the first one, the primary care eye doctor, the first one to diagnose that you may have diabetes. Because if there's a hemorrhage in your eye, it could be diabetes, but it could be many other causes.
[00:51:10] Speaker C: You know, you're so right about that. And. And it. As we're seeing better and in different layers of the retina. Retina has 10 layers, and as you go down, it's harder to see clear. But in certain instruments coming out, you're going to see clear and clear. And as you know, you yourself did an incredible study at the Academy of Ophthalmology that was presented in 2016, and I was a participant in that to determine that you could tell up to 5 to maybe even 10 years someone who had an 80% chance of getting diabetes through the eye. So this technology and this knowledge is just at the beginning point, and there's so many other things, and I know you're a pioneer, and I appreciate and thank you for that in this area to help work with systemic diseases seen through the eye. And it's going to be a huge change in our profession and in the medical treatment alone, with work that you and others have done in this area.
[00:52:11] Speaker B: Yeah, I mean, we could see the earliest signs of ED in the eye, not the ED that everybody's thinking about, but that can lead to the other type of ed, because in the eye, people that have endothelial dysfunction, one of the earliest signs of blood vessel disease, the endothelium, is responsible for producing nitric oxide and other factors to keep the body safe. If that is starting to become damaged, somebody's at greater risk for heart disease or stroke. And if somebody has endothelial dysfunction, if they have. Some of the signs in the eye are microaneurysms, hemorrhages, exudates, that means that they're at risk for diabetes, that risk for atherosclerosis, at risk for cardiovascular disease. And we could see that in the eye.
[00:53:02] Speaker C: You know, you're so right. And, you know, there were times when, you know, you would look at the eye and you'd see a little hemorrhage and say, well, let's see if it's still there when it comes back, because. And you test for diabetes and it's not there. And we would say, well, I guess it's nothing. But now we're realizing and understanding. And once again, I thank you, Dr. Yo. Because part of it's your work that this could be endothelial dysfunction, which can have huge problems, cause huge problems systemically with the body, with the heart, with the vessels. And we are in a situation where we can catch it early. And as time goes on, we will do so more and more.
As a participant in your study, starting in 2012, I actually found that I was the one that had the microaneurysm in the fifth level that you discovered. And I was going to go, I was headed for diabetes, and I made lifestyle changes and things that you recommended. And to this day, I'm doing great. Still don't have diabetes, and I'm healthier than I was in 2012, a lot healthier. And I thought I'd have to retire at 65. I'm 70, and I can continue to go on probably indefinitely.
[00:54:18] Speaker B: You know, we see so many different things in the eyes. We sometimes see the vessels get. We call it vessel tortuosity, where all of a sudden the vessels get very curly, like curly cu. Inside the eye. And that could be associated with kidney dysfunction. You know, blood, blood pressure changes. We start to see that the. The blood vessels start to change inside the eye. Where the. Where the veins inside the eye will start to look like there's beating of the veins or looping of the veins. Alteration. Different types of hemorrhages cause different. Could be different types of problems. So we see hemorrhages in the eye. Most of the time it's probably diabetes, but it could be other things that could cause the problem. I had an interesting patient. She had a lot of hemorrhage in her eye, and she had a vein occlusion. And we sent her out and what she was, she had very high platelets. So it could be. It could be a sign of many things. So that's why when we see these type of issues in the eye, the patient has to be worked up and they need extensive labs to find out what the cause is. And here's over at a thousand labs. So if the doctor does the wrong lab, they might say you're okay, but they might have done the wrong lab.
[00:55:35] Speaker C: You know, you. You are so right about that. And so many times what we used to say, well, they have tortuosity of the vessels and thought no more of it. But now all this new technology and knowledge is coming out that says no, that means something or could mean something. And so we need to work with that and working with the general medical field medical doctors.
It's getting to the point where it's almost imperative to have your eyes examined. You don't just want to go, you want to see your general medical physician, of course, every year, but you also want to see your optometrist every year as well. And this is a whole new horizon with the technology and the knowledge of us having a whole different perspective as eye doctors, not just for the eyes and the vision, but also for the entire health of the body and the longevity and the health and discovering potential problems percolating within the body that can cause a lot of damage. And it's whole new research coming out, and it's going to present a whole new day in the profession of optometry and ophthalmology. And I'm very excited about it. And, you know, I don't. I don't want to toot your horn too much, but you're right in the midst of all that and with, with testing for yourself, presenting optometrists with testing for endothelial dysfunction, the work that you've done up in New Jersey. So thank you for that.
[00:57:03] Speaker B: I appreciate the kind words, Dr. Fox. You know, diabetes being the leading cause of blindness under the age of 55, over the 55 being macular degeneration, and the technology is really driving this technology part, just like our partners in the contact lens fields, which are driving technology and making better contact lenses, they're making better technology for us to use to be able to help patients to discover disease much sooner.
[00:57:33] Speaker C: Yes, it's so exciting. I mean, the instruments are going to be coming out that we can get down to that, as you described at the fifth layer, where so much of the action is, we don't see that quite as well as we want to. Now we're getting down to 8 microns. But to see it clearly in the fifth level is where we're going to discover so many amazing things. And instrumentation is going to be coming out pretty soon that will give us clear vision down to that area. And I think that's going to be a game changer where once again, a general physician is going to say, okay, now you need to go see your eye physician, just like they do now if you have diabetes. But they're going to be saying it for everybody because there's so many things that we're going to be able to see that others won't be able to see. And once again, we're talking the body systemically, not just the eyes. Yeah.
[00:58:21] Speaker B: I mean, it's 37 million, 37 million people with diabetes in the United States. There's 100 million people with prediabetes, prediabetes or diabetes. So now you're going to go to your optometrist. They're going to be able to see these things so early. They're going to be talking to you about diet and exercise and lifestyle changes so you don't get these diseases because we're the first ones to see that you're at risk of it. So I want to thank Dr. Fox for joining us today on OPEN YOUR eyes podcast and radio. And Dr. Fox, if people want to find out more about you, how can they do that?
[00:58:56] Speaker C: Well, go to our website, Fox Eye Care Group. We're in Greensboro, Raleigh, Goldsboro and Winston Salem. And there's a whole, a lot of doctors, great doctors. You'll, you'll enjoy them very much. And we thank you. And thank you, Dr. Gel. And I'm very excited about the horizon of optometry. What an amazing profession this is. And I think we're going to really be able to help out the whole medical community.
[00:59:21] Speaker B: Thank you, Dr. Fox, and to the audience. We'll see you next week. This is Dr. Cary Gill.
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