The Harman Eye Clinic

Common Complaint 20 Years After LASIK

Many of our first LASIK patients from all walks of life were in their 20’s, 30’s or 40’s in 1996 when we first offered LASIK.

All walks of life

Now, some 20 years later, patients are returning with stories of sailing around the world, running marathons, taking on new career opportunities and/or raising families who now have children of their own and hoping for LASIK.

One common complaint prevalent to almost all of these patients is this:  their arms are too short!  They complain that they no longer can read without reading glasses and this is really annoying!Business Woman

Fortunately we are able to assist our grown-up LASIK patients with new solutions of a refractive lens exchange, better known as an RLE.

RLE takes care of three birds with one stone.  First, it takes care of the need for reading glasses.  Second, it takes care of fine tuning vision for distance, intermediate and near.  Third, it takes care of the need for cataract surgery in the future.

One of the most popular lifestyle premium lens implants is the Tecnis Symfony.  A popular video helps describe this important breakthrough.

Whether you are ready to move into the grown-up lifestyle premium refractive lens implants or help your children toward sight without glasses through LASIK, we are here to help!  For more information, call our Refractive Consultant at 360-474-2561 or visit http://www.20Better.com.  We look forward to seeing you again.

 

 

 

Ashton Huppe, COA, MA-R

Ashton Huppe, COA

Ashton Huppe, COA MA-R, is congratulated by President Bruce Wietharn, MD.

For over 32 years, The Harman Eye Clinic has sought out employee candidates who possess an uncanny aptitude for service. These candidates train in specific medical fields, such as patient coordinating, finance and ophthalmic assistants.

Ashton Hupple came to The Harman Eye Clinic and began her career here training as a Patient Coordinator for several years. She is smart, alert, and able to assess situations.   Best of all, she is fun-loving and always ready with a clever comment!  Ashton is the kind of person everyone feels comfortable around.

Ashton took full advantage of JCAPHO’s Home Study Course and while training as an ophthalmic assistant, she was authorized to perform specific duties. Presently, Ashton is cleared to perform all diagnostic testing complete refractive and cataract consultations, assist the doctors as scribes and so much more!

Yesterday, in passing her exam, Ashton became a Certified Ophthalmic Assistant as authorized by JCAPHO. She is also registered as a medical assistant.

“We have great opportunities to grow as individuals,” shared Ashton as she posed for her congratulatory picture.

Our staff’s medical and technical growth directly affects the level of care our patients receive. Our staff excel in skill and technology, but most important, they excel in compassion, great humor and service. Ashton is a perfect example of these traits.

Congratulations, Ashton! We are so proud of you!

The Harman Eye Clinic

903 Medical Center Drive, Arlington WA 98223

360-474-2561  360-435-8595  FAX 360-435-5233

http://www.20Better.com

Excellence is never an accident and often takes time.

Cataract Surgery1Challenges That Occur With Patient’s Time Versus Patient Care In a Specialized Medical Eye Surgery Clinic

When you come to our Clinic, you will meet a group of heart-centered  team members with your eye surgeon   They are trained to perform in the most efficient way to value your time.

There are numerous, behind-the-scene, staff members who are also relentless in keeping our standards high with checks and balances.  From maintaining all of the specialized equipment, the secure network computer systems, the auditing of ICD-10 coding on your claim, sending and following up on claims sent to your insurance companies, the auditing of chart notes, education of possible surgical events, reminding patients of their appointments, tracking down patients with serious, sight-threatening eye diseases like glaucoma for timely follow-up appointments, maintaining your patient portal, responding to an average of 200 calls per day, and so much more. A staff of 25+ full and part-time people are diligently working together in our surgery center and clinic to make each patient’s visit meaningful, safe and enjoyable.  All of this is taking place while you are sitting in the comfort of your chair in one of our lanes.

We support our medical doctors/eye surgeons who specialize in ophthalmology.  Our comprehensive eye examinations and surgery consultation appointments will take from 1-1/2 to 2 hours.  Patients sometimes find this time assessment unrealistic. Our doctors have invested in advanced technical equipment to make an effective, safe and appropriate diagnostic/treatment plan designed for your specific medical needs.  To those new to ophthalmology, it may seem like an hour is enough for testing and meeting with your doctor.  Your past experience of quick exams were from a time when medicine was less complicated leaving your opportunities for best corrected vision limited. It was a time when when government documentation regulations were less.  Today, we are challenged by new strains of bacteria and viruses, we are challenged to be sure all medicines (yes even eye drops) interact well with each other, we have surgical options for your vision that we did not have before and we need to educate you on your options.  We want to give you the best and the best takes time.

Insisting that an eye exam takes about an hour, you may feel you are ignored when you have not seen your doctor within that hour, or complain that we have over-booked appointments.  A specialized ophthalmology medical facility deals with daily emergent and urgent work-ins and patients who require unexpected care while here.   Even though there are several other patients working through doctor-ordered diagnostic tests, when it comes to your care we focus on you as the only patient of the day.  You have all of our staff working to make this a reality. We love what we do and it shows!

From time to time people interested in an annual vision check, (getting a new prescription and a pair of glasses or contacts), with time restraints, would be better served to schedule with area optometrists who will refer you to an ophthalmology specialist if they were to see the need.

Our mission statement is this: We are an advanced eye surgery center where all people are treated with extraordinary care:  Patient, Doctor and Co-Team Members.  We hope these comments are helpful when you consider your time.  Please let us know how we can make you more comfortable today.

The Harman Eye Clinic

903 Medical Center Drive, Arlington WA 98223

360-474-2561  360-435-8595  FAX 360-435-5233

http://www.20Better.com

 

Training Course for Ophthalmic Assistants Offered

Transform Your Thinking

We are recruiting professional people who will train as ophthalmic assistants.  These assistants complete diagnostic testing, gather medical history and review medical systems to help our doctors assess and recommend treatment plans in a timely manner.

The Harman Eye Clinic is specialized medicine. Those who are employed here are offered specialized training that exceeds what is taught in medical assistants courses.  These trainees will study the anatomy and physiology of the eye, EHR and Practice Management Programs, diagnostic equipment.  They will learn how to educate patients regarding vision defects, iLASIK, lifestyle lens implants for cataract surgery, Dropless cataract surgery.  A home-study course will be provided each trainee in anticipation of sitting for JCAHPO Ophthalmic Assistant Certification.

Within the next couple of weeks, a few eligible candidates will be chosen to enroll in this home-study and work-study training.  For more information, visit our Careers website.

Grand Opening of New Responsive Website!

adventure 2

Life in 2015 is amazing with daily delights making our lives more productive and fun! Along these lines, The Harman Eye Clinic has unveiled our new website, www.20Better.com.

With the common use of iPhones, iPads, Smart Phones, Smart Pads, Laptops, computer tv and, oh yes, standalone computers, it’s time to offer a site that will translate sizes to all computer devices.  We first learned about responsive  site programming from wordpress.com where we house this blog, HarmanEyeClinic.com.  The layout and content magically adjusts to any device used.

Glacial Multimedia and WordPress.org have completely overhauled our old site and we think you will love the ease of communication between you and our doctors.  Let us know what you think.

Thank you for your continued confidence and willingness to let us participate in your eye care.  We love what we

Cataract Surgery Patient Workbook is here!

Cataract Surgery Patient Workbook (dragged)Download the most recent copy of our Cataract Surgery Patient Workbook.

We hope this workbook will assist you up to the day of surgery and beyond.  We understand how nervous people can be when they anticipate their first eye surgery. We encourage you to enter into this event with a clear and relaxed attitude.  The more you know, the more you can participate in the success of this surgery.  The American Academy of Ophthalmology estimates that cataracts affect 22 million people in the US.  Know you are not alone and you are in good hands. This Workbook is created to help organize and convey what you will need to know.

We’ve been performing cataract surgery for over 30 years.  You can rest assured we know our stuff.  Now it’s you we wish to bring into our practice and share what we know so that you will move forward with confidence.

In this workbook you will find what we call the Cataract Process.  We will discuss the big picture so you will know where you are going.

We will look at the procedures leading up to the day of surgery.

We will also take a look at Medicare policies that create a safe environment for you.

And, in the back of this booklet is the paperwork that you will need at various points of your journey.

So, are you ready?  We will be with you all along the way.  Congratulations on finding a way to rejuvenate your eyesight.  We hope for the best outcome for you!

— the Doctors and Staff at The Harman Eye Clinic

 

Weighing The Risks and Benefits of LASIK

 

Weighing the Risks and Benefits of LASIKRecently, we received a comment on Facebook expressing disappointment for his sister who returned to glasses some two years later.  I can imagine how he felt seeing his sister in glasses so soon after surgery.

The circumstances where a patient would need to return to glasses two years after surgery is very unusual.  It is impossible to explore reasons without visiting an ophthalmologist’s office.  The most obvious thought is that the patient was in her 40’s when she had surgery and hadn’t fully appreciated the onset of presbyopia.

Forty-something patients who are nearsighted usually have progressive lenses, bifocals or take off their glasses for best near vision.  After surgery, they cannot take off their glasses and so now require reading glasses.  It is unclear, however, that this is the situation with the commenter’s sister.

It makes us wonder how well people prepare for eye surgery.  Eye procedures are certainly not on an equal plane as buying glasses or contacts.  Refractive procedures are permanent changes to the eye.  LASIK changes the shape of your cornea.  We provide very precise, wavefront, computer-driven, customized laser vision correction. Even so, it is the preliminary discussions we have prior to LASIK that give a patient the best chance of successful surgery.

The VISX and IntraLase laser technology is considered the gold-standard of LASIK. We spend considerable time before surgery to screen patients to explore if there are any factors that will impact a successful outcome.  We remind patients that we are working with each person’s individual health situation and ability to see, noting their specific lifestyle vision requirements.  Patients who are seeking surgery in their 40’s are given special counseling, for they are heading for years when they will most likely need reading glasses. From the Patient Guide for Successful LASIK:

Not all people are candidates for LASIK.  Here is one discussion we hold with all people before they make an appointment:

  • Are you able to see close to 20/20 with glasses or contacts? If answer is yes, then you may be a good candidate so far! (If no, read the last paragraph).
  • Do you consider your vision to be normal with the exception of glasses? If you answered yes you may be a good candidate so far! (If no, read the last paragraph)
  • Do you have any history of serious eye disease: glaucoma, diabetic retinopathy, retina surgery? Yes, you are probably not a good candidate. (Read the last paragraph).
  • Have you ever worn contact lenses? If yes, you will need to be out of your contact lenses for 2 weeks for soft lenses, and a minimum of 3 weeks for hard contacts plus additional weeks for each decade you have worn contacts, before you come in for a dilated evaluation appointment. You could come in for an initial evaluation to meet your surgeon and receive motivation to stay out of your lenses.
  • Females: Are you pregnant? Yes, you are probably not a good candidate until nursing has stopped. Your vision may change during your pregnancy and the calculations for surgery will not be accurate for the long-term. It is far better to wait.

NOT A GOOD CANDIDATE? iLASIK and PRK are designed with a healthy eye in mind. This surgery will not improve poor vision in unhealthy eyes and could potentially make your present condition worse. It may help you to discuss with your eye doctor further to uncover reasons why iLASIK or PRK may not be for you. If you are unsure, you are welcome to come for a free LASIK evaluation.

After talking with a staff member, we will ask that you come for a free but comprehensive eye exam and plan to be here a minimum of 2 hours.  During this time, our doctors will look for reasons why we should not advance toward LASIK.  All surgeries contain risks and benefits.  During this evaluation time, we will weigh risks and benefits in light of each patient’s situation.  Realistic expectations are part of our discussion.

LASIK is a procedure designed to correct nearsightedness, farsightedness and astigmatism of patients who are over the age of 21, and have had stable vision for over a year.  It will not correct presbyopia (the need for reading glasses), but there are other refractive options that can address this situation.

We hope these comments are helpful.  For more information, please call 360.435.8595 Ext 1 or schedule a complimentary evaluation to see if any of the refractive surgery options are helpful for you and your vision needs.

The Harman Eye Clinic

903 Medical Center Drive, Arlington WA 98223

360-474-2561  360-435-8595  FAX 360-435-5233

http://www.20Better.com