Friday, March 8, 2013

Free Elderly Transportation for Appointments

Difficulty or lack of transportation for you or elderly loved ones often times deter from scheduling necessary medical appointments. Here are two great transportation services available in the Rogue Valley for those senior individuals who need rides to medical appointments.


  • RVMC Transportation Services
    • 541-789-5233
    • No charge to seniors for medical appointments
    • Must schedule a minimum of 24 hrs in advance
  • TransLink
    • 541-842-2060
    • No chage to Medicaid patients
    • Must schedule two (2) days in advance
Contact us today to schedule your appointment and we look forward to seeing you soon!

Dr. Douglas G. Smith, O.D.
(aka. Doc Bison)

Thursday, February 28, 2013

Q&A with the Doc: Why Doesn't Insurance Cover Contact Lens Exams

Question: Why am I charged for a contact lens exam if I my insurance company pays for a “Comprehensive Eye Exam”?

Answer: A comprehensive eye exam includes evaluation for each eye’s focus and eye pointing capability at all distances, and an evaluation of how the eyes focus and converge. The “which is better: one or two?” portion of the exam is the refraction and results in a spectacle prescription. It also includes external and internal eye health evaluation including checks for glaucoma, cataracts and macula degeneration.

A contact lens is a synthetic device made of hard or soft plastic polymer that rests upon the living, naturally clear tissue of the cornea. Additional testing and measurements are made to assure, safe, comfortable and best possible vision correction.

I am a medically focused Optometric Physician and insist that my patients allow me to protect their eye health, in order for them to have decades of successful contact lens wear. A contact lens Examination and Fitting process requires evaluation of the lids, lashes, and corneas in order to provide the best and safest contact lens prescription. This requires extra time, training and skill on the part of the doctor. The patient must also become a student and learn from the doctor and his staff how to handle, clean, disinfects, insert and remove the lenses.

Experience and training allow me to determine the most appropriate lens for the patient, that will provide:
  1. Clear vision
  2. Comfortable wear
  3. Safety for the eye
The patient has votes for number 1 and 2, but my vote for 3 overrides 1 and 2. I base the successful completion of the fit on how the patient adapts to the lens over a 4 to 8 week period. This requires that the patient return to my office for me to evaluate the cornea and contact lens combination during that period and annually. The contact lens examination and fitting program fees include the two months of follow-up visits and all trial lenses used for adaptation.

You may wonder why is medical monitoring of contact lens fitting necessary? Aside from the immediate benefits of a responsible fit, the long term health of the cornea is protected. Many contact lens patients convert to Lasik patients later on. If the cornea is healthy, laser surgery can proceed without an extended period of corneal rehabilitation before the patient is allowed to have the surgery. Also a healthy cornea and continuous 20/20 vision provide a best case playing field for the laser surgeon to achieve an optimal outcome.

Bison Vision Center's web-based store matches online prices of 1-800 xxxxxxxx, and delivers them to your home. As a patient of Bison Vision Center, when you purchase your contact lenses through our online store  at www.bisonvisioncenter:
  • the consumer rebate coupons AUTOMATICALLY appear, reducing your cost even further;
  • we provide replacement contact lenses, when a contact lens tears or you run out of lenses just before your annual exam.
Thank you. I appreciate your business and your loyalty!

Dr. Doug Smith, O.D.
(aka. Doc Bison)

Wednesday, February 27, 2013

Doc Bison Facts of Life: Your Vision at Work

Did you know that you can save yourself physical stress and discomfort while at work AND improve your efficiency buy maintaining good posture? Here are a few tips on how to achieve optimal results!

  

First and most importantly, modify your chair with cushions to follow the 90 degree rule:
  •     Head over shoulders and elbows
  •     Elbows at 90 degrees to torso and parallel to the floor
  •     Hips and knees parallel to the floor
  •     Knees above ankles
  •     Keep feet flat on the floor
If you use bifocals, trifocals or progressive lenses, the center of your computer screen should be slightly lower as well as parallel to your tilted face. You should be able to look over the top of your computer screen while looking straight ahead.

The concept of "special use" glasses is becoming a reality with today’s technology. A 15", 17" and even 21” illuminated monitor is not have the same visual demand as a book or sheet of paper. While We traditionally think of “a pair” of glasses to perform successfully in all environments and for all needs day to day activities of shopping, reading and driving, work environment, and all recreational and sports activity, this is no longer the case. Especially with smartphones and the tiny screens, this is another workout for your vision. It is important to talk with me, your eye care professional, about your vision "use and needs" so we can discuss what type of glasses are best for you.

If you use a large screen, you may also need special work spectacles. We have special lens designs that allow for larger fields in the middle (CRT RANGE) and bottom (DESK LEVEL) sections of the fields while still allowing you to respond to someone who comes to your workstation without having to remove your glasses. We are always willing to discuss this very useful problem solver lens with you.

Contact our office today to schedule your appointment and we look forward to seeing you soon!

Douglas G Smith, O.D.
(aka. Doc Bison)

Monday, January 28, 2013

Sports Concussions - New Position by the American Medical Society of Sports Medicine


Recently, the American Medical Society for Sports Medicine (AMSSM) advised a new position statement on concussions in sport. I encourage everyone, whether their children or loved ones play or are involved with athletics, to read this article

"An athlete with concussion should not return to practice or competitive play until all symptoms have resolved, in order to avoid the risk for further injury during the vulnerable period before the brain has recovered, the American Medical Society for Sports Medicine (AMSSM) advises in a position statement on concussions in sport." -  American Medical Society for Sports Medicine (AMSSM), January 17, 2013.

The serious nature of even the mildest blow to the head, especially in youth athletes is now recognized. There does not have to be a period of unconsciousness for a concussion ( blow to the brain) to have occurred.

The brain is like a peeled grapefruit sitting in pineapple juice enclosed in a bone box, with many bony spikes and depressions in it. If you shake or hit the box hard enough the grapefruit will strike the side of the box, a spike or a depression and tear. Some grapefruit juice will leak into the pineapple juice. Also the grapefruit cells will have ruptured, or been bruised so much that they will never to hold juice again.

So much for the lesson in agricultural neurology.

Think of the magnitude  of the impact  of head to head clunks on the playground, a basketball forward coming down off the boards to hit the top of another player’s head with a pointed elbow, a full on soccer kick unintentionally striking the face of an opponent, and a missed ground ball striking a young fielder on the forehead.

“Shake it off and go back into the game”.

WRONG MOVE, COACH!!!

Pre-season Cognitive Tests should be part of a sports physical for all athletes, at all levels of play.
Some high school teams are conducting pre-season computer based Cognitive Processing screenings for their athletes. Most youth and school teams are not. Even the pre-season tested athlete is often told to shake it off and is allowed to continue to play. A sideline retest should be administered before the athlete is allowed to reenter the game, yet in the melee of a game, follow up cognitive testing is done the next day when the team is back on their own campus. One day of increased vulnerability or actual undetected damage has lapsed.

Skiers, snowboard and skateboard enthusiasts should be tested to allow reassessment after a serious head-biff on the hill or off the rail in a skateboard park.

If your child is a youth athlete, a KING-DEVIK TEST provides an accurate and repeatable  baseline test for cognitive function and speed. This test plus a sideline version administered by coaches or trainers every time an athlete has a bell ringing contact will assure parents of no hidden neurological damage.

King Devik Testing is done at Bison Vision Center. Contact us today if you are interested in a consultation at 541-773-1414.

Monday, October 22, 2012

Vision Therapy - Renewed Vision


A patient recently posted on Facebook the following testimonial that I would like to share. It is success stories like this one that motivates and inspires me to be the best possible doctor, each and every day, furthering my education and new methods of vision treatment.

"It's official....I've graduated from "vision therapy" and feel like my normal self again!!! It's all thanks to Dr. Douglas Smith at Bison Vision Center. He was the first medical provider to understand what was happening to me AND knew just what treatment to do. I got right in to see him just before Labor Day and following the relatively simple steps he prescribed, I'm here to report that non-stop dizziness I felt since April is gone!! Seeing him and putting the time in at home was the best thing I could do for myself. I am so thankful to have found him!!"

If you could benefit from "vision therapy" from a knowledgeable and caring doctor, call our office today at 541-773-1414 or visit www.bisonvisioncenter.com to schedule an appointment today!

Tuesday, October 9, 2012

33 Years of Service


As they say in the Indian Nations “Greetings All My Relations!!” (meaning family and those related through humanity and friendship).
  
I recently celebrated my 33rd anniversary of being an Optometric Physician in Medford., OR.

Before moving to Medford in 1979, I had been on the clinical staff at Pacific University and administered Indian Health Service Clinics in Montana and Washington.

In 1979 there were twelve Optometrists from Ashland to Grants Pass, and 6 Ophthalmologists.  Now there are 54 Optometric and Optical locations and 16 ophthalmologists in that same area.

Medford has grown from 46,000 people to 68,000.

In 1979 Optometrists were allowed to use drops in order to dilate patients’ eyes.  Now Optometric Physicians routinely treat eye infections, allergy attacks and glaucoma.

I began my career as an Optometrist, with a degree of   Doctor of Optometry.  Now by virtue of lifelong education and legislation I am practice as an Optometric Physician

As a guest lecturer and Adjunct Associate Professor at Pacific University College of Optometry, I have instructed undergraduate interns and fellow Doctors of Optometry in Pharmacology, Microbiology,  Patient Communication, Strabismus (cross eye), Amblyopia (lazy eye) and minor surgical procedures involving the exterior tissues of the eye.

I served on the Oregon Commission for the Blind and the State Children’s Services Advisory Panel.

I was an appointed member of the Oregon Board of Optometry for an unprecedented 12 years, where I oversaw the expansion of the four corners of professional training and licensing.

I am on the invited staff of two local hospitals working in the In-patient Rehabilitation Units, with stroke and head trauma patients.  Blows to the head frequently disorganize the visual system. I work with OTs and PTs to eliminate double vision compensate for peripheral field loss, vertigo, and balance and posture issues.

I spent several months spread over 10 years working  in The Russia Far East of Siberia as CEO and COO of the not for profit NGO GatewayAmerica, using worldwide resources of Project HOPE and Rotary International to deliver $18 million USD value  in medical and humanitarian aid…and doing a little fishing on the side.

I have rolled a suburban over a 150’ cliff landing in the Klamath River and was able to swim to safety from the submerged vehicle.

I have been held at gunpoint in Russia in a late night raid on my apartment.

I have fished Oregon, California and Alaska Rivers, and hunted free range buffalo in Colorado.
Imagine the personal satisfaction of succeeding  in straightening the turned eye of a child and  returning a lazy eye to 20/20; to creating normal  academic and social opportunity; convincing children to wear glasses now to keep them out of their wedding and sports pictures later in school and life and seeing pictures of their weddings and team photos free from glasses; alleviating previously “incurable” headaches;  restoring equilibrium in patients debilitated by See Sickness, dizziness and vertigo, and the everyday victories of being an eye care professional.

My wife of 41 years has put up with my shenanigans and together we have given the world two grown children exploring, and building lives of their own.

I have been given all these gifts, adventures and much more.

I do plan to keep “practicing”, learning and serving, probably, as my Irish forebears say “until they pat me in the face with a spade.”

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Dr. Doug, a.k.a. Doc Bison