What Does Good Care Look Like?
While we specialize in eliminating eye problems, the eyes are really a reflection of your overall health status. In this summary we focus on diabetes. The eyes can be a reflection of diabetic control and care. People with diabetes need to be active participants in their medical care to know what excellent diabetic care looks like. Here are some things you should look for --whether you are newly diagnosed or have had diabetes for awhile:
What tests to do when
Below are tests everyone with diabetes should have, when they should have them and what the target results are.
Key Diabetes Tests
Test Frequency Target
Hemoglobin A1c 2-4 times yearly Under 7
HDL cholesterol Yearly Over 45
LDL cholesterol Yearly Under 100
Triglycerides Yearly Under 150
Blood Pressure At least 2x yearly Less than 130/80
Microalbumin Yearly Under 30
Eye exam Yearly Discuss problems
Foot exam At east visit Discuss problems
If the doctor says test results are good, but doesn't say what the actual results are, ask. Compare what is said with the results above. If the doctor has different target levels than those listed (which is certainly possible for various medical reasons), ask why. Both Optos retinal imaging and dilated retinal exams have been proven effective in monitoring the retina for diabetic changes. Our doctors make it a point to discuss your retinal findings with you. There are other eye changes that can result more often in our patients with diabetes. However, as a general rule, the better you maintain your systemic diabetic health, the fewer eye complications you will have.
Posted on 06/27/2014 3:28 PM by Dr. Jeff Kegarise
Nike Coaches Meeting
I just returned from the Nike Basketball Coaches National Meeting in Las Vegas. What a great opportunity to learn from the very best coaches in America! I got to hear Josh Pastner talk about his full court press philosophy and the importance of the "controller" in starting the press. Jamie Dixon from Pitt emphasized how he gets the University of Pittsburgh hoops team to perennially lead the nation in offensive rebound percentage.Mark Few went through offensive sets and philosophies. Bobby Knight discussed drills, free throw shooting in practice, as well as building relationships with players (yes, that's what he said!)
Much like running an optometry practice or a business, I saw that each coach is successful with his own philosophy. They've learned, experimented with, and ultimately embraced certain concepts to build their own personal brand in their program. Dave Rose, the 9-year coach of BYU who has made the NCAA tournament 7 times and the NIT 2 times, emphasized his philosophy of being solid on defense but outstanding on offense. His success has shown that while many coaches emphasize defensive stops, his offensive "out-score the opponent" mentality can be just as successful. There is no single best way to run a business or coach a basketball team. Through education and experimentation, we all improve and integrate our teachings into our own personal coaching philosophy.
One of the underpinnings of each coach's philosophy was the importance of building individual skills. They each stressed that there was no substitute for trying to improve in every facet of the game. This includes sports vision and the ability to be quicker and more accurate. It also slows the game down. The slower the game seems, the quicker the decisions are made and the player improves.
How are your sports vision skills and how do they measure up to your competition? If you're not sure, it's time to set up sports vision assessments pre-season for each of your players. If you have questions, call or e-mail me. Or if you want to talk more hoops, let's go have a cup of coffee!
Posted on 06/17/2014 1:48 PM by Dr. Jeff Kegarise
Is Caring Ap-parent?
In a previous blog, I was bragging on our doctors of whom I am particularly proud. There are two other people that I am particularly proud of and I want to share those thoughts with you here.
My parents are Ron and Ann Kegarise. Many of you know them. It continues to amaze me how many people come in and say "I know your parents. How's your mom doing? Is your dad still painting?" My parents have only lived in Franklin for 14 years but they seem imbedded in so many communities, whether at church, Fifty Forward center, or other organizations. They have a unique spirit and a way about them to engage and connect with people. My mom will say she's shy, but she can talk to anybody and, in fact, looks forward to group get-togethers. My dad would not consider himself shy, nor would anyone else; however, he has that unique balance of assertiveness without rudeness.
I've been fortunate to have a great wife, Susan, great kids, and to work with tremendously talented and great people, particularly at Cool Springs and Donelson EyeCare. While many people write stories of how they've had to overcome difficult childhoods, challenges to their health, or other problems, I'm humbled that I don't have a story like that. I only have the story of growing up with loving, compassionate parental guidance. My mom taught me to look at the other side of every situation because people have reasons for feeling the way that they do and those should be respected. My dad taught me persistence and creativity, and he continues to guide me in important management and leadership activities. There's not a time that I sit down with either of them that I don't learn something.
If you enjoy the compassionate care that we strive to provide at each of our offices, then you would enjoy meeting my parents. They've set the benchmark for love in a marriage and how to interact and give back to people. If you don't know them, I hope you meet them one day. They're great people and I'm truly blessed. Why do I take this time in a blog to brag on my parents? Because they deserve it and because I can!
Posted on 06/04/2014 1:48 PM by Dr. Jeff Kegarise