2011 nmoa convention newsletter...nmoa newsletter nmoa nmoa convention update this year’s nmoa...
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N M O A N E W S L E T T E R
NMOA
NMOA Convention
UpdateThis year’sNMOAConven3onisgoing tobeanothergreatmee3ng!
Once again, Dr. William Jones hasassembledanoutstandingscheduleof22hours of Optometr ic Con3nuingEduca3on and the ParaoptometricCommiteehasalsoassembled afulldayof quality Con3nuing Educa3on for theParaoptometrics.
The registered optometrists andparaoptometricswill certainly leave themee3ngeducated!
The J a ck Fe l te r Memor i a l Go l fTournamentwasheld onThursday, April28thatSandiaCasinoandResort. Thankyoutoeveryonewhopar3cipatedintheTournament.
AOerthetournamentmanyODs,vendorsandguestsenjoyedtheConven3onKick‐Off Dinner on the Pa3o at Sandia GolfClub overlooking the majes3c Sandiamountains.
Donotforgetthe“Tamalwood”BanquetonSaturday Evening. WewillinstallthenewNMOAOfficers,haveasilentauc3onandenjoyaspecialguest.
Once again our Exhibit Hall is SOLDOUT. Please remember to visit theExhibitHalland thank theforty‐fourvendors who are supporDng yourprofession.
For the 2011‐2012 year wehave a fewvendorswhoarereallycommiZedtotheNMOAandOptometry.
OurDiamondLevelSponsorsare:
PacificCataractandLaserInsDtute
EyeAssociatesofNewMexico
We also havetwo Silver Level Sponsorsfortheyear2011‐2012:
ColemanVision
OOGP
The Diamond Level Sponsors contributeatleast$10,000eachandtheSilverLevelSponsor contributes at least $5000.00.Please thank our friends for theirgeneroussupport.
The NMOA appreciates each of youaZendingtheNMOAAnnualConven3on.HaveaGreatWeekend!
2011 NMOA Annual Convention Newsletter
NewMexicoOptometricAssociaDon
106thAnnualConven3on
April28‐May1,2011
EmbassySuitesHotel
Albuquerque,NewMexico
TheCommunica3onCommiZeeappreciatesallthesubmissionsandwouldlovetohearfromYOU.IfyouhaveanythingyouwouldliketoaddtoourquarterlynewsleZerdon'[email protected]
Communica3onCommiZee:
KirstenDudeck,O.D.,LynnDavis,O.D.,NateRoland,O.D.,MamieChan,O.D.
N M O A N E W S L E T T E R
CallingAllBondGirls!ByLynnDavis,O.D.
NotsurewhattowearfortheSaturdayNightInstalla3onandRedCarpetEvent?Let’sjustsaythatthereistobeaBondGirl(andGuy)Reunion!WearyourbestBondGirlDress,TuxorSuit,decoderring,secretcamera,andwhateverspygizmoyouhaveinyourarsenal.Thereistobeagrouppicturewithaspecialguest,sogussyup!
Ourmissionhasbeenrevealedtomeviaspecialundergroundsources:bringyourcheckbook,cash,creditcard,orSwissBankAccountaccess,andbereadytodonatetotheNMO‐PACandAOA‐PAC.Wehaveupcomingmissionsthatrequireyoursupport,andweneedtobereadyatamoment’sno3ce.Every$100dollardona3ontotheNMO‐PACattheconven3onen3tlesyouto1Raffle3cketforaflatscreenTV.Every$100.00dona3ontoAOAPACen3tlesyouto1raffle3cketforahandsomemen’sandladieswatchduothatissuretoturnheadsacrosstheglobe!Double yourchancesofwinningbysigningupforautodeductonyourcreditcard!You’llneverevenmissthat$andyou’lldowondrousthingsforyourprofession.You’llneverfindbeZerodds,socomeprepared!
ForYourEyesOnlyByLynnDavis,NMOAPresident
Asour2010‐2011yearcomestoanend,itwouldappearthatthemissionhasjustbegun!HealthCareReformisfarfromfinished,MeaningfulUseforMedicare/CMSbeginsthisyear,ePrescribingisjustaroundthecorner,andmanyOD’sares3llwri3nginpapercharts.Whateverchangesthisyearhasbroughtyoutheyarelikelyfarfromover.
Changingtac3csforvisionplansandanuncertainfutureformedicalbillinginOptometrymeanthatourvigilisneverover.Onlythroughconstantmonitoringandac3onatthestateandfederallevel canwehopetostayabreastoftheshiOingsandthatisourhealthcaresystem.Inpar3ng,let’sconsiderourMissionPlan:
1. Con3nueourGrassrootsEffortsattheStateandFederallevel
2. MakethistheyearthatyougivetothePAC,bothNMandAOA
3. SupportournewPresidentandPresident‐Electincarryingoutourcon3nuedMissionofProtec3ngtheSovereigntyofOptometryasthePrimaryEyeCareDoctorsforAmericans
I’dliketothanktheBoardofDirectorsfortheirworkthisyear.And,asalways,wewouldneverfunc3onatthehighestlevelwithoutourExecu3veDirector,RichMontoya.
AsJamesBondsaysinYouOnlyLiveTwice,“We’vehadsomeinteres2ng2mestogether.I’llbesorrytogo.”
Opto‐GeekTrivia!ByJessicaNGiron,O.D.
Vogt‐Koyanagi‐HaradaSyndrome(VKH)is?
a.aneurologicaldisorder,thateffectstheeye,ear,andskin.b.asystemicdisorderthateffectsthecoveringofthebrainandspinalchord(meninges).c.ararediseaseinvolvingvariousmelanocyte‐containingorgansd.acondi3onthatistypicallybilateral.e.alloftheabove.
ThecauseofVKHis?
a.Haemophilusinfluenzaeb.Staphaureusc.Streppneumoniaed.Nisseriagonorrheae.Unknown
PaDentswithVKHmayexhibit?
a.new,unilateral,white‐yellowre3nallesionoOenassociatedwithanoldpigmentedchoriore3nalscar.b.yellow‐white,punched‐outroundspotsusuallylessthan1mmindiameter.c.bilateralserousre3naldetachmentswithunderlyingchoroidalthickening,vitreouscellsandopaci3es.d.anteriorchamberflareandcells,granulomatous(muZonfat)KP,perilimbalvi3ligo.e.bothcandd
Whichofthefollowingisfalse?
a.pa3entsmayexhibitneurologicsigns,includinglossofconsciousness,paralysis,andseizuresmayoccur.b.typically,pa3entsareaged20to50years.c.thediseaseisseenmoreinmales.d.thosemoreatriskarepeoplewithpigmentedskin,especiallyAsian,Hispanic,orNa3veAmerican.WhatwouldbethebesttreatmentopDon?
a.prednisoloneacetate,1%,q1hb.observa3onc.radia3ontherapyd.SupplementalvitaminB6(pyridoxine)
Answers:SEEPAGE16
N M O A N E W S L E T T E R
WhyaMovieTheme?ByNathanielRoland,O.D.
Manyhaveaskedwhyamoviethemeatourconven3onhereinNM.Toanswerthatques3on,IdecidedtoputtogetherasmalllistoftheactorswhoarefromNewMexico(NM),liveinNM,orclaimNM.Somemaysurpriseyou;somemaynot.Regardless,thereisagoodchancethatyouhaveseensomeoftheirwork.
SethAdkins:Albuquerque• BadNewsBears[2005],Titanic
DonAlvarado:Albuquerque• EastofEden,RebelWithoutACause• HasastarontheHollywoodWalkofFame
ZoraAndrich:SantaFe• TheIntroduc3on
AlanArkin:SantaFe• LiZleMissSunshine,GlengarryGlenRoss,Edward
ScissorhandsAviva:SantaFe
• SuperbadPaulBenedict:SilverCity,NM
• Cocktail,TheDevil'sAdvocate,TheFreshman,Arthur2:OntheRocks
• Trivia‐hewasMr.Bentleyon"TheJeffersons"PaulBrinegar:Tucumcari,NM
• HighPlainsDriOer,MaverickCarolBurneZ:SantaFe
• Annie,Pete'nTillie...morefamousforherTVshowBruceCabot:Carlsbad,NM
• KingKong,TheGreenBerets,McLintock!,Hatari!GloriaCas3llo:Belen,NM
• RunawayDaughters,You'veGottoBeSmartJanClayton:Tularosa,NM
• ThisMan'sNavyRonnyCox:CloudcroO,NM
• Deliverance,Taps,BeverlyHillsCop,RoboCop,TotalRecall
BillDaily:Albuquerque• TheBarefootExecu3ve...• Bestknownforhisroleon"IDreamofJeannie"
DashiellEaves:Albuquerque• Beloved
JaneFonda:Pecos,NM• Barbarella,CatBallou,Klute,OnGoldenPond
MaZGiese:Albuquerque• FanBoys
AnnabethGish:Albuquerque• Shag,Mys3cPizza
LeslieGraves:SilverCity,NM• DeathWishII
AdrianGrenier:borninaNewMexicocommunenearTaos• DriveMeCrazy• BestknownasVincentChaseonHBO’sshow
“Entourage”AnnaGunn:Tesuque/SantaFe
• EnemyoftheState,SantaFe,WithoutEvidence,Junior
• CurrentlystarringinAMC’sBreakingBadGeneHackman:SantaFe
• Unforgiven,TheFrenchConnec3on,SupermanNeilPatrickHarris:Albuquerque
• StarshipTroopers,Harold&KumarGotoWhiteCastle,UndercoverBrother
AlexaHavins:Artesia• 27Dresses,WheninRome
JudyHerrera:Espanola• ThePostman,Tor3llaSoup
DorisHill:Roswell,NM(silentfilmstar)DennisHopper:Taos
• EasyRider,Speed,ApocalypseNow,TrueRomanceBurlIves:BetweenGalisteo&Cerillos,NM
• CatonaHotTinRoof,EastofEdenMikeJudge:Albuquerque
• OfficeSpace,Beavis&BuZhead• He'saformerSt.PiusXSartan
MinkaKelly:Albuquerque• 500DaysofSummer,TheKingdom• Trivia‐herdadwasarhythmguitaristforAerosmith,
butquit...theythengotsomedudenamedJoePerrytoreplacehim
ValKilmer:nearPecos,NM• TopGun,Heat,BatmanForever,KissKissBangBang• Trivia‐hishighschoolclassmatewasKevinSpacey)
DianeLane:SantaFe• TheOutsiders,Murderat1600
CarrollMcComas:Albuquerque• JamiacaRun
AliMacGraw:SantaFe• TheGetaway,Convoy• Trivia‐wasmarriedtoSteveMcQueen
MaeMarsh:Madrid• TheBirthofaNa3on• HasastarontheHollywoodWalkofFame
BenitoMar3nez:Albuquerque• Saw,MillionDollarBaby
PatriceMar3nez:Albuquerque• ThreeAmigos,BeetleJuice,Convoy
MarshaMason:Abiqui,NM• OnlyWhenILaugh,HeartbreakRidge,2Daysinthe
Valley
N M O A N W E S L E T T E R
HR1195:NHSCImprovementActof2011ByMamieChan,O.D.
Atthe2011CongressionalAdvocacyConference,weaskedNewMexicocongressmentocosponsorH.R.1195,theNa2onalHealthServiceCorpsImprovementActof2011.TheNa3onalHealthServiceCorp(NHSC)ischargedwithimprovingthehealthofourna3on’sruralandurbanunderservedcommuni3esbyprovidingaccesstocareformillionsofAmericanswhomightnototherwisereceiveit.Aspartofthismission,theNHSCstudentloanrepaymentprogramhelpsbringtogethereducatedhealthcareproviderswiththeruralandurbancommunityhealthcentersthatneedtheirservices.Andwhiletheprogramwasrestructuredin2002,optometristswereaccidentlyleOoutoftheprogram.H.R.1195,theNa'onalHealthServiceCorpsImprovementActof2011,wouldreinstateoptometristsintheNHSCstudentloanrepaymentprogramandhelpbringqualifiedeyedoctorstotheruralandurbanareaswheretheyareneeded.
Youmayask…• WhatisNHSC?TheNHSCisanetworkofabout
7,500primaryhealthcareprofessionalsand10,000sitesworkinginunderservedcommuni3esacrosstheU.S.Tosupporttheirservice,theNHSCprovidesclinicianswithfinancialsupportintheformofloanrepaymentandscholarships.
• Howmuchloanrepayment?Upto$170,000inloanrepaymentwouldbeavailableforcomple3ngafive‐yearservicecommitment.Theprogramstartswithanini3alawardof$60,000fortwoyearsofservice.Anawardof$30,000isavailablefortwoyearsofhalf‐3meservice.
• Whoiseligible?MustworkorbeapplyingtoworkinanNHSCapprovedorotherhealthcenterlocatedinaHealthProfessionalShortageArea.Primarycareprovidersthatareeligiblearephysicians(MDorDO),den3sts(generalorpediatric),psychiatrists,nurseprac33oner(primarycare),andeventherapists,physicianassistants,socialworkers,counselors,andmidwivesareeligible.OptometristsaretheonlyprimarycareprovidersthatareNOTeligibletoapplyforthesescholarships.
• Whatkindofscholarshipcouldonereceive?NHSCpaystui3on,fees,books,clinicalsupplies,instruments,uniforms,amonthlys3pend($1,289in2010‐11),andmoreforabout200scholarsannually.AOercomple3ngtraining,studentsmustserveatleasttwoyearsinahealthprofessionalshortagearea,usuallyatacommunityhealthcenter
Sowhyareoptometristsnotincluded?Wewerepreviouslyincluded,buttheprogramwasoverhauledbyCongressin2002andODswereplacedinan“otherprovider”category,whichEXCLUDEDusfromeligibility.Theonlywaywecanbeincludedagainisastatutorychange.
Sohowcouldthisaffectyou?
Youmightsay…• I’mnotastudentanymore,soIwouldn’tbeeligible
forthesescholarships.Nottrue!IfyouhaveanybalanceleOonstudentloans,youcouldbeeligibletheloanrepaymentprogramforupto$60,000inloanrepaymentforfull‐3meorupto$30,000forpart‐3meTAXFREE.
• Idon’tliveinaruralareasoIwouldn’tbeabletoworkinthecityortowninwhichIlive.Nottrue!TherearesitesinalmosteverytowninNewMexico,includingAlbuquerque,SantaFe,RioRancho,LasCruces,Roswell,Farmington,Gallup…younameit.
• Iworkinaprivateprac3ceanddon’twanttoworkoff‐site,butmyprivateprac3cewon’tqualifyasafederalqualifiedhealthcenter.Nottrue!Soloorgrouppartnershipprac3cescanbecomefederallyqualifiedNHSCsitesiftheycareforlowincomeoruninsuredpeople.Youcouldthenbeeligibleforloanrepaymentfunding.
Itisnow3metostoptheexclusionofoptometrists’eligibilityintheNHSCprograms.Ina2009GWUstudy,only11%ofcommunityhealthcenters(CHC)havefull‐3meeyecareprofessionalsandlessthan30%offeranyon‐sitevisionservices.CDCexpectsnumberofblindandvisually‐impairedAmericanstodoublein20years.Annualeconomiccostofvisualdisordersanddisabili3esisover$68billion.Suppor3ngHR1195expandsaccesstoeyehealthcare.Andmoreimportantly,itisthefullandfairrecogni3onofOptometry’sroleinprimarycare.
ContactyourCongressmanandaskthemtoCO‐SPONSOR1195:District1:Rep.Heinrichhasalreadyagreedtobeaco‐sponsorDistrict2:Rep.Pearce–gotowww.pearce.house.gov/toe‐mailcall855‐4‐PEARCEDistrict3:Rep.Lujan–gotowww.lujan.house.gov/toe‐mailorcall(202)225‐6190
2011‐2012NMOADiamondSponsorSpotlightEyeAssociatesofNewMexico
Eye Associates of NewMexico has been providing eye care toNewMexicans for over 30 years. With 14optometristsand28ophthalmologistsin14loca3ons,EyeAssociates providesmedicalandsurgicalservicestoalargepartof thestate. This includesmanyunderserved areasbringing specialtycarethatmay otherwisebeunavailable. EyeAssociates con3nues to work closely withmanyexcellent optometristsacross thestate toprovidecarefortheirpa3ents.Withthehelpoftheseoptometrists,recentaddi3onofelectronichealthrecords,and the dedicated staff of our Doctor2Doctor programwe havedrama3cally improved our referral and co‐managementservicesresul3nginexcellentteamworkandpa3entcare.Welookforwardtoanother30yearsofprovidingthehighestqualitycaretoallNewMexicans.
BoardCer3fiedphysicians/surgeonsprovidesub‐specialtycarein:*Re3nalDisease*CornealDisease*CataractSurgery*LASIKEyeSurgery
*Glaucoma*Oculoplas3cs*PediatricOphthalmology*Neuro‐Ophthalmology
2011‐2012NMOADiamondSponsorSpotlightPacificCataractandLaserInsDtute
PacificCataractandLaser Ins3tuteis areferralcenterthatcompliments theexper3seofoptometricphysicians.Having performed over 300,000 micro eye surgeries, PLCI is one of North America’s most unique andexperiencedeyecarefacili3es. Pa3entscomerecommendedandreferredbyhundredsof familyeyedoctorswhohavelearnedtotrustourexper3se. Theorganiza3on’sworld‐class medicalteamprovidesalevelof careandmemorablewarmththathasbecomethehallmarkofourservice.
Ourmissionistoprovidethebestpossibleco‐managementservices totheprofessionofoptometry. Andourgoalissimple–tobeconsideredanextensionofyourprac3ce.Yourfriendshipandspiritofcoopera3onmakeitajoytoserve!
2011‐2012NMOASilverSponsorSpotlightColemanVision
ColemanVisionisdedicatedexclusivelytolaservisioncorrec3onanddoesnotfitorsellcontactlensesorglasses.Progressive,state‐of‐the‐arttechnology,anemphasisonlearning,andacaring,highlyexperiencedstaffcombinetoprovidepa3entsanddoctorswithconsistentlyexcellentresults.Dr.Colemanisaprincipalinves3gatorfornumerousFDAstudiesevalua3ngLASIKandfrequentlylecturesandteachescoursesonLASIKrelatedtopics.Abroadrangeofpa3entsfrommanyloca3onsandwalksoflifehaveLASIKatColemanVision.Mostrecently,workingwithDr.MikeHerreraofSantaFe,Dr.ColemanperformedLASIKonMickeyRourkeinprepara3onforthereleaseofhisupcomingfilmIronMan2.
2011‐2012NMOASilverSponsorSpotlightOOGP
OOGP is one of the largest authorized distributors and buying groups in the na3on, serving eye careprac33oners.
OOGPisthe#1‐StopOphthalmicDistributorwiththreewarehousesavailableforofferingthemostineyecareproductsincludingsoOcontactlenses,ocularpharmaceu3cals,lenscareproducts&etc.OurVIPProgramsofferthemembersFREEshipping.PleaserefertooureCatalogforfurtherinforma3on.
OOGPBuyingGroup,featuringthePremiumVendorProgramsrepresen3ngophthalmicandRGPlaboratoriesandframe&accessoryvendors,offersmoremembershipdiscountsthananyotherbuyinggroup.
OOGPprovidesa por3onof thesalesfromNMOAmemberstotheNMOA asNon‐DuesRevenue;apor3onofyourpurchasesmayhelploweryourdues.ContacttheNMOAformoreinforma3on.
POBox724,557WestbrookWay,GrantsPass,OR97528800‐654‐3829/541‐479‐4743/FAX888‐654‐0618/www.OOGP.com
HR 1219: The Hall- Schakowsky Optometric Equity in Medicaid Act
By Mamie Chan, O.D.
In1986,CongressapprovedandPresidentReagansignedintolawlegisla3onformallyrecognizingDoctorsofOptometryasphysiciansinMedicare(PublicLaw99‐509).Asaresult,for25years,America’sseniorshavebeenabletochoosetheirlocaloptometristforcoveredprimaryeyecare.
Unfortunately,inMedicaid,fortoolongtherehasbeenrestrictedaccessandfew,ifany,choiceswhenitcomestoessen3aleyehealth.Althoughoptometristshavelongprovidedthebulk–recentes3matesindicateupto81%‐‐ofprimaryeyehealthandvisioncarethroughMedicaid,theprogramtoooOenfailstofullyrecognizeoptometriststooffercoveredmedicalservicestheyaretrained,licensedandready,willingandabletoprovide.InaddiDontorestricDngaccesstocare,exisDnglawallowsbureaucratsand,increasingly,managedcarecompaniestomakeimportantmedicaldecisionsforpaDentswhoneedeyecare.Forworkingmenandwomen,thistypeofoutdatedproviderdiscrimina3oncanresultindelayedorevendeniedcareforaneyedisease.Inaddi3on,taxpayersul3matelypayevenhighercostswhenmuch‐neededaccesstoprimarycareisrestricted.
Reps.RalphHall(R‐TX)andJanSchakowsky(D‐IL)haveworkedwithalleyedoctors–optometristsandophthalmologists–onabi‐par3san,pro‐compe33veapproachtoge�ngexpandedaccesstoquality,essen3aleyecaretothecommuni3eswhereit’smostneeded.TheHall‐SchakowskyOptometricEquityinMedicaidAct(HR1219)seekstoavertapoten3alcrisisinaccesstoprimaryeyecareforMedicaidpa3entsbyamendingtheFederalMedicaidstatutetofullyrecognizeoptometriststoprovide“medicalandotherhealthservicestotheextentthoseservicesmaybeperformedunderstatelaw.”Thebillwouldnotchangethescopeofprac3ceofanyhealthcareprofessionalnorsupersedethelongstandingauthorityofstatestodeterminescopeofprac3ce.Thebilldoesnotauthorizeanynewspendingoraddanynewcoveredbenefit;itmerelygivespa3entsimportantchoiceandaccesstomedicaleyecarealreadycoveredbyMedicaid.
WhyisitSOimportantthatoptometristsarefullyrecognizedMedicaidstatute?
• Beginningin2014,therewillbeamajorexpansioninMedicaideligibilitytoincludeallnon‐elderly,non‐pregnantindividualswithmodifiedadjustedgrossincomesupto133%oftheFederalpovertylevel(FPL);actually,itwillbeupto138%ofpovertybecauseStatesmustdisregarddollaramountsequalto5%oftheFPL.
• TheAffordableCareActprovides100%FederalmatchingfornewMedicaideligiblesin2014‐2016,decliningto90%for2019andlater.Soinotherwords:federalmatchingforMedicaidbenefitswillbesignificantlyincreasingin2014,affec3ngbothstateandfederalbudgets.
• Statesmayalsoadopt“benchmark”or“benchmark‐equivalent”benefitpackages,whichmaycoverfewerbenefitsthantradi3onalMedicaid.Star3ngin2014,bothbenchmarkandbenchmark‐equivalentcoveragemustincludeatleastthe“essen3alhealthbenefits”tobedefinedbytheSecretary(these“essen3alhealthbenefits”willalsoapplytoprivateindividualandsmallgrouphealthinsurancemarkets).Essen3alhealthbenefitsinclude“ambulatoryservices”and“pediatricservices,includingoralandvisioncare”.TheSecretary’sproposeddefini3onofessen3albenefitswillbeopentopubliccommentduringtheusualrulemakingprocess.Westronglyfeelthattheessen3albenefitsshouldbeacomprehensiveeyeexamwithfollow‐upcareandhaveaskedsenatorswritealeZertoHHSSecretarySebelius
sta3ngso.Ifacomprehensiveeyeexamisrecognizedasanessen3alhealthbenefit,“benchmark”benefitpackages,privateindividualandsmallgrouphealthinsurancemarketswillincludecoverageforeyeexamsforpediatrics.With the Department of Health and Human Services (HHS) now implementing the provisions of the Affordable Care Act, Senators are urged to write to HHS Secretary Sebelius in support of making an annual comprehensive eye exam a foundation of the children’s vision care essential health benefit included in the law.
• Sec3on1905(e)oftheSocialSecurityActwasaspecialprovisionenactedin1972(CoshaZAmendment)thatappliesonlytooptometrists’services.Itsinten3onwastorequireaStatethatoncecoveredoptometrists’servicesunderitsMedicaidprogramandnowspecificallycoverseyecareprovidedby“physicians”(whichanoptometristisauthorizedtoprovide)tocoversuchservices,whetherrenderedby“aphysician”oranoptometrist.NotethatunderMedicaid,theterm“physician”isgenerallyviewedasreferringtodoctorsofmedicineorosteopathybecauseofhowthelawdefinestheterm“physicians’services”.Yetevenwiththisamendment,optometryiss3llconsidered“op3onal”.
• In2010,VirginiaandCaliforniaeliminatedreimbursementforMedicaidcoverageforadultservicesprovidedbyoptometrists.Fortunately,theCoshaZAmendmentprevailedandtheoptometrists’reimbursementswerereinstated.However,wecannotsolelyrelyontheprotec3onsoftheCoshaZprovision.Wemustinsteadprepareinadvancesothatoptometrywillbeinthestrongestpossibleposi3ontoensurethatODsandtheirpa3entswillnotbeunfairlytargetedduringthenextroundofstate‐levelMedicaidcutstobeproposed.
• IncreasingACCESS:TheMedicareprogramhasreliedonoptometristsforphysicianservicesfor25years;nowCongressneedstoassurethatMedicaidbeneficiarieshavethesameaccesstocoveredmedicaleyecare.
• IncreasingPATIENTEMPOWERMENT&CHOICE/COST‐EFFECTIVETOO:OptometristsprovidethevastmajorityofprimaryeyecareinMedicaid,butbureaucratsandinsurersareimposingtheirowndiscriminatoryrestric3onsonpa3entcareand,ul3mately,aredrivingupcosts.
TheSchakowskyAmendmentisabi‐par3sanstand‐alonebillthatwouldrequirestateMedicaidplanstocovertheprofessionalservicesofoptometriststotheextentthoseservicesareauthorizedbystatelaw.Undertheproposedlegisla3on,stateswouldbegivenareasonableamountof3metocomply(atleast90days;longerifStatelegisla3onisrequired).Ifenacted,suchlegisla3onwouldsignificantlyimprovetheMedicaidstandingofoptometrists’services.
ContactyourCongressmanandaskthemtoCO‐SPONSOR1219:District1:Rep.Heinrichhasalreadyagreedtobeaco‐sponsorDistrict2:Rep.Pearce–gotowww.pearce.house.gov/toe‐mailcall855‐4‐PEARCEDistrict3:Rep.Lujan–gotowww.lujan.house.gov/toe‐mailorcall(202)225‐6190
ContactyourSenatorandaskthattheywritealeZertoHHSSecretarySebeliusinsupportofmakinganannualcomprehensiveeyeexamafounda3onofthechildren’svisioncareessen3alhealthbenefitincludedinthelaw.SenatorBingaman:gotowww.bingaman.senate.gov/toe‐mailorcall(202)224‐5521SenatorUdall:gotowww.tomudall.senate.gov/toe‐mailorcall(202)224‐6621
N M O A N E W S L E T T E R
MeetaNMOAOfficer:Name:Dr.BobbyJarrell
Whatofficedoyouholdcurrently?NMOATreasurerandChairoftheAOAStateGovernmentRela3onsCenterExecu3veCommiZee
Wheredoyoulive?Some3mesIfeellikeIliveattheoffice,butIdohavearealhomeinAlbuquerque
Wheredidyougrowup?IgrewupinAlbuquerquefromage2.FollowinghighschoolImovedawayfromNewMexicofor13years.DuringthosethirteenyearsIlivedinIndiana;LosAngeles;Chicago;SanAntonio;Seoul,SouthKorea;Ferizaj,Kosovo,andTennessee.AOerliterallymovingaroundtheworldIreturnedtoAlbuquerquewithawife,akid,adog,twocats,andpurchasedahometwoblocksfromwhereIgrewup.Itwasgoodtogetback,andIfeelsofortunatethatthereissomuchopportunityhere.
Areyoumarried?IammarriedtothelovelyandtalentedRobinJarrell(formerlyGernert).Sheistheperfectmothertoourkids,mybestfriend,andmyboss.WemetduringaFieldTrainingExercisewhenwewerebothinthearmy.Herpick‐uplinetomewas“WillyouhelpmecleanmyM‐16?”WewereengagedduringmytourinKoreathenmarriedafewmonthslateratacourthouseinLeonValley,Texas.Therestishistory.BecauseofherIconsidermyselftheluckiestmanalive.
DoyouhaveChildren?Wehavethreebeau3fulchildren:Mackenzie(8),Jackson(2),andAlexandra(6Months)
AnOptometricMemorablemoment:Ihavesomanymemorableoptometricmoments–frompassageofourlegisla3ontosomeoftheawardsIhavereceived.Mostmemorablemoments(somebad,butmostlygood)involvemypa3ents.ThebestwasintheFallof2001.IwasdeployedtoKosovoasanoptometristintheArmyandwewereonamedicalmissiontoserveaMuslim
refugeecampinamountainouscommunityjustnorthoftheMacedonianborder.Wehadtoflybyhelicopterbecausetheroadhadbeendestroyedbylandmines.Whenwearrivedwesetupourclinicinablown‐upschoolhouseandperformedeyeexamsonthevillagers.AboutmidwaythroughthemorningIhadjustfita70‐year‐oldmanwithglasses.Whenheputthemonhebegantocry.Beingonewhotakesgreatprideinhiswork,Ibecameabitconcernedthatperhapshedidnotlikehisglasses.SothroughmytranslatorIaskedifeverythingwasokayforhim.Themantoldmethathewascryingbecausehewassohappy.Ithadbeenmanyyearssincehehadbeenabletoseewell.Hesaidthatnowwithhisnewglasseshewasabletoseeagainhowbeau3fulhiswifewas,andhewasovercomewithemo3on.Itwasquiteamovingexperienceformeaswell,andoneIwillneverforget.Whatmakesthisdaypar3cularlymemorableisthatbythe3mewereturnedtothebasecamplaterthatday,wehadbeeninformedthattheUSwasunderaterroristaZackandtheWorldTradeCenterhadbeenbombed.ThemorningthatIhadspentrevelinginthejoyofarediscoveredapprecia3onforwhatwedoforpeople(asoptometristsandasAmericans)wasreplacedbyanaOernoonofmind‐numbingfearanduncertaintywhileIspenttherestoftheeveninginabunkerwithaloadedmachinegun.The11thofSeptemberofthatyeariscertainlyonethatnoneofuswilleverforget.Iamfortunatethatthedatealsomarksoneofmyfondestmemories.
Hobbies:IntheliZlefree3methatIhaveIenjoyrunningandphotography.UnfortunatelyIcannotmakethelivingIwantwitheitheroftheseavoca3ons,butmydayjobispreZygood.Ofcoursemyfavoritenon‐work3meisthatspentwithmywifeandkids.
ProfessionalInterests:Itrulyenjoyworkingtopromoteadvocacyinourprofession.
Asurprisingfact(somethingothersinthegroupmaynotknowaboutyou)?IhadconsideredTheologyasamajorincollege.IspentfiveyearsintheUSArmyandachievedtherankofMajoratthecomple3onofmyservice.
Whatareyourgoalsinthisoffice?TohelpincreasemembershipandtodoabeZerjobofle�ngourmembersknowallthegreatthingsourstateandna3onalassocia3ondoesforthem.ConsideringallthegainswehavemadewithstateandfederalpolicythroughtheeffortsoftheNMOAandtheAOA,ourduesareabargain.Iwouldalsoliketocon3nuefosteringanenvironmentinourassocia3onwherewecaneffec3velylistentoandaddresseveryone’sconcerns.Theassocia3onshouldbedoingeverythingitcantoadvanceourprofession.Ifwearenotdoingagoodjobofthat,weneedtoknowaboutit.
WhatdoyoulikethemostaboutbeinganNMOAOfficer?Thepassionourmembershaveforourprofessionisunlikeanyother.Ihavehadmuchexperienceinterac3ngwithothermedicalprofessionalsandtheirrespec3veassocia3ons,andourlevelofmembershipinvolvementintheissuesthatareimportanttousistheenvyofallmedicalprofessionalassocia3ons.
WhatdoyouliketheleastaboutbeinganNMOAOfficer?ThereisreallynothingIdislikeaboutmyworkwiththeNMOAandAOA.Whenamembercomestouswithaproblem,par3cularlyonetheyarequiteupsetover,Ienjoythechallengeofhelpingtoresolveit.Weshouldalwayswelcomeanynega3vecri3cismbecausethatiswhatwillmakeusabeZerassocia3on.Justlikeinouroffice‐welearnveryliZlefromourhappypa3ents,andwelearnthemostfromthosewhohadabadexperience.Allourassocia3onmembershereinNewMexicoareverypoli3callysavvy,theyareheavilyengagedintheissuesoftheprofession, andtheycarealotaboutthefutureofoptometry.Thatisnotthecaseineverystate.Wearelucky.
N M O A N E W S L E T T E R
ADayOntheHillwithYourAOAAdvocatesDrs.MamieChan,LynnDavis,JenniferPlanitz,
NathanielRoland,andBobbyJarrell
5:30amEDTwake‐upcall(=3:30amMDT)
7:00amBreakfastRecep3onforOptometry’sChampions.HealthCareLeadershipAwardsgiventoIndianaExecu3veDirectorJimSieba,RepBobbySchilling,SBAAdministratorKarenMills,SenatorJohnBoozman,RepMcMorris‐Rodgers,andRepSchakowsky.Eatmediocre,greasybreakfast.
8:55amCheckweather
9:00amPurchaseumbrellas
9:05amDepartbycabtoCapitolHillduetoslee3ngrain(electtoskipquartermilewalktoMetroSta3on)
9:30amArriveCapitolHill,HartBuilding,waitinsecuritylineinfreezingrainoutsideofHartBuilding
9:40amGothroughsecurityintobuilding,discussstrategyon1stfloorbenches
9:50amTakeelevatorto7thfloor
9:55amEnterSenatorBingaman’soffice,checkinwithfrontofficestafffor10:00appointment
10:10amTakenbackbyBingaman’sHealthLegisla3veAidtosmall,crampedroomwhichbarelyholdsDrs.Planitz,Chan,Roland,Jarrell,Davis,andDaniel(Dr.Davis’verysuppor3veboyfriend)
10:15amDiscussiononSoltusMemorial,askforSenatorBingaman’ssupportinwri3ngaleZertoHHSSecretarySebeliusrecommendingcomprehensiveeyeexamforchildrenbeconsideredanessen3alhealthbenefitunderAffordableCareAct
10:30amMee3ngconcludes
10:35amWalktoCanonBuildingtodropoffphotostakenbyDr.DavisforCongressmenHeinrichandLujaninCongressmanLujan’sofficeforpresenta3ontotheCongressmenlater
10:40amSearchforCanonCaféinbasementofCanonBuildingforsnackinbetweenappointments,getlost,backtrackseveral3mesinthebowelsoftheCapitolTunnelSystem
11:00amFindCannonCafé.Crampedandstandingup,eatover‐pricedsnack.
11:45amConcludesnack,headovertoLibraryofCongresstokillanhourinbetweenappointments
12:00pmArriveatLibraryofCongress,vieworiginaldraOsoftheDeclara3onofIndependence,BillofRights,andCons3tu3on.VisitJefferson’sLibrary.ViewtheReadingRoom.
1:00pmDelega3onsplitsoff,Drs.ChanandRolandheadtomee3ngwithCongressmanPearce.Drs.Jarrell,Planitz,Davis,andDanielheadtomee3ngwithCongressmanLujan.Bothappointmentsarescheduledfor1:30pm
1:15pmDrs.RolandandChangetlostnaviga3ngthelabyrinthofhallwaysandbuildingswhichcomprisethelegisla3veofficecomplex.Climb4flightsofstairsinLongfellowBuildingonlytodiscovertheyneedtobeonthe4thflooroftheRayburnBuildingin5minutes
1:30pmDrs.RolandandChanarrive,sweatyandout‐of‐breathatPearceOffice.CheckinforappointmentwithCongressmanPearce’HealthCareLegisla3veAid,ClaireManaZfromRoswell,NM
1:40pmDrs.RolandandChanpresenttheirissues,askforsupportofHB1219andHB1195.Whilediscussinglocalissues,theydiscoverthatMs.MannaZisapa3entofDr.Geldert’s
1:10pmDrs.Jarrell,Planitz,Davis,andDanielheadbackovertotheCanonBuildingforappointmentwithCongressmanLujan
1:25pmDrs.Jarrell,Planitz,DavisandDanielcheckinfor1:30mee3ngwithCongressmanLujan
1:45pmDrs.andDanielaretakenbacktoCongressmanLujan’soffice.Issuesarepresented,Dr.DavispresentsherphototoCongressmanLujanwhileDr.Jarrellphotographstheevent.TheCongressmanspends5minuteswiththeadvocatesandtheniscalledtothefloorforavote.
2:00pmDrs.ChanandRolandhikebackovertotoCongressmanHeinrich’sofficeintheCanonBuildingtomeetDrs.Jarrell,Planitz,DavisandDanielwhoarealreadythere
Dr.LynnDavisandConressmanBenRayLujan
N M O A N E W S L E T T E R
ADayOntheHillwithYourAOAAdvocates(ConDnued)
2:10pmSteveHaro,CongressmanHeinrich’sChiefofStaff,meetsthecon3ngencyinCongressmanHeinrich’scrampedoffice.Dr.DavispresentsherphotothatshewillbegivingCongressmanHeinrichtoSteveHarowhileDr.Jarrellphotographstheevent.Mr.HarothenverygraciouslyarrangesaphotoopportunitywithCongressmanHeinrichimmediatelyaOeraHousevote.WalktoCapitolbuildingwithSteveHaro,waitforvotetoend.
2:15pmPhototakenwithCongressmanHeinrichonthestepsofCapitolHill.Thesunfinallypopsout.Isolatedpatchofblueskymayormaynotshowupinphoto.(Itwassunnyand72degreesthedaybefore,whenmee3ngswerefrom7:00amun3l7:30pm3storiesundergroundinthebasementofthehotel.)CongressmanHeinrich,atruechampionforoptometry,hasalreadyco‐sponsoredeverybillthedelega3onhasaskedhimtosupport.TheCongressmanthenfurtherpledgeshissupportforoptometricissues.Mr.Haroconfirms,sta3ng,“Thesupportiseasywhenthecauseisright.”
2:30pmHeadbacktowardhotelonthemetroforsnackbeforenextmee3ng
2:45pmSnackatCornerBakery.Actuallygettositdowntoeatandwarmupfromtrekkinginbetweenbuildingsinpatchesoffreezingrainandgus3ngwind
3:15pmBacktohoteltofreshenup
3:50pmMeetinlobbyofhotel
3:55pmBackontheMetroheadedforCapitolHill.Danielbailsandoptsforanap.
4:20pmArriveHartBuilding,gothroughsecurityfortheseventh3metoday
4:25pmArriveatSenatorUdall’soffice
4:30pmCheckinatSenatorUdall’soffice
4:35pmTakenbacktomeetwithSenatorUdall’sHealthCareLegisla3veAid,Fern,andinterningfellow,Donald.Fernisapprecia3veandsuppor3veofourissues,asksalotofques3ons.LearnthatFernhasfamilialoptometricconnec3ons.ThisisonlyDonald’ssecondday.
5:00pmSenatorUdallmakesacameoappearanceandspends5minuteswiththedelega3on.Thedelega3ononlyhas3metocoveronetopicwiththeSenator,whoensuresthatFernwillrelaytohimallthedetailsonoptometricissues.
5:05pmDelega3onminusDr.RolandheadsbacktoCanonBuildingtofilloutdebriefingsheetsandwritethankyoucardstotheindividualswemetwithtoday.Dr.Rolandgetsacall,
askinghecomebacktoSenatorBingaman’sofficeforfurtherdiscussion
5:20pmDelega3onminusDr.RolandarrivesatdebriefingroominCanonBuildingtodiscovertheyhaverunoutofdebriefingsheetsandthankyoucards.Allfoodandsodasaregone.Ithasbeenalongday.
5:25pmDr.Rolandmeetsthedelega3onatthedebriefingroomandrevealsthatSenatorBingamanhasdeclinedtosendaleZertoHHSSecretarySebeliusatthis3me
5:30pmWalkbackfromCanonBuildingtoCapitolSouthMetrosta3on
5:40pmBackonthemetroheadedtohotel
6:00pmArriveathotel,exhausted.Haveadrinktoroundouttheday.
6:30pmDr.PlanitzheadstodinnerwithJulieTruteofAOA‐PAC.Dr.ChanmeetshercommiZee,FederalRela3ons,fordinner.Dr.JarrellandDr.RolandnetworkwithotherAOAdelegatesovermoredrinks.Dr.DavisandDanielhavedinner.
10:30pmDrs.JarrellandChanprepareforthenextday’sCommiZeemee3ngs
11:30pmEn3redelega3onisbackintheirrespec3vehotelrooms,feetup.Over11mileswerewalkedandover20flightsofstairswereclimbedtoday.Alongdayisfinallyover.
Drs.Jarrell,Chan,Planitz,DavisandRoland
withCongressmanMar3nHeinrich
N M O A N E W S L E T T E R
CaseByDr.BrooksAlldredge
A32yearoldCaucasianmanwhoisafirst3mepa3enttoyourofficepresentsforanannualeyeexamina3onwithnocomplaints.Otherthanwearingeyeglassesforreading,hisocularandsystemichistoriesareunremarkable.Hetakesnomedica3ons.Herefractsat+0.50sphOUwith20/20acuityODandOS.HisIOPmeasures17mmHgOU.Hisanteriorsegmentexamina3onisunremarkableexceptforthefollowing:
Ques3on1:ThisisanexampleofaVanHerrickes3ma3onof:
a.) 0b.) 1c.) 2d.) 3e.) 4
Ques3on2:Whichofthefollowingwouldbethebestnextstep?
a.) Dilatedfundusexamb.) Serial(diurnal)tonometryc.) Glaucomaspecialistconsulta3ond.) Gonioscopy
Ques3on3:Basedontheinforma3onsofar,thispa3entis:
a.) Atnoriskofangleclosureb.) Athighriskofangleclosurec.) Atlowriskofangleclosured.) Don’thaveenoughinforma3onto
say
Youdecidetodogonioscopy.Anteriortrabecularmeshworkisthemostposterioranglestructureclearlyvisibleinthesuperiorangle.Posteriortrabecularmeshworkisvisibleinthelowerhalfofthelateralandinferiorangles.Thereisnopigmentinthe
meshwork.Theirisapproachisflat,withoutaperipheralroll.
Youdecidetoperformadilatedre3nalexamina3on.TheC/Des3ma3onis.25OUandthenervesappearhealthy.Theremainderofthedilatedexamisnormal.AOerdila3on,theIOPismeasuredat27mmHg.Gonioscopyisrepeatedandappearsunchangedfromthepredila3onexam.
Ques3on4:What’syourdiagnosis?a.) Normalexamb.) Chronicnarrowangleglaucomac.) Primarynarrowangleglaucomad.) Anatomicalnarrowangle
Ques3on5:Yournextstepwouldbe:a.) Annualeyeexamsb.) Baseline30‐2visualfields,op3c
nervephotosandOCTc.) Laserperipheraliridectomyd.) Laserperipheraliridoplasty
Answers:c,d,d,d,b
Thiscaseisanexamplewhereexperiencedandknowledgeabledoctorscancometodifferentconclusions.ManyofushavebeentaughtthataVanHerrickslitlampes3ma3onof2(whentheperipheralanteriorchamberdepthis¼thecornealdepth)correlateswithagonioscopydeterminedSpaethanglegradingof2,whichmeansthatangleclosureis“possible.”However,aVanHerrickes3ma3ononlyprovidesasinglefeatureoftheangle–howclosetheperipheralirisistothebacksurfaceofthecornea–andnothingelse.AVanHerrickes3ma3onof2orlessshouldindicatethatwegetoutourgoniolensesandtakeacloserlook.
Pa3entswithanangleconfigura3onthatismorenarrowthanusualcanhaveunequallyopenangleswithgonioscopy.Inotherwords,it’snotuncommonfortheinferiorangletoappearmoreopenthantheotherthree,par3cularlythesuperiorangle.Compressiongonioscopysome3messhowsthatthefouranglesareequallyopeninthesecases,butnotalways.So,ifoneormoreoftheanglesisconsideredtobeoccludablewhiletheothers
arenot,whatshouldbethemanagement?Howdoweevaluatetheriskfornarrowangleglaucomainthesenotsoclearcutcases?
Again,experienceddoctorscancometodifferentconclusions.However,noteverynarrowangleisoccludable,andcertainpa3entsareathigherriskthanothers.Riskfactorsthatareassociatedwithanoccludablenarrowangleareincreasingage,increasinglensthickness,femalegender,hyperopia,andethnicity(EastAsianandEskimo–asmanyofmyfriendswhohaveworkedintheAlaskaIHShavetoldme!).AhistoryofsymptomsassociatedwithintermiZentanglecloserisakeyindica3ontoconsiderinterven3on–halosaroundlights,eyepainorheadacheswhenthepupilisinamid‐dilatedstate(earlyinthemorning,lateatnight,uponenteringdimlylitareasandduringemo3onalorstressfulevents)arestrongindicatorsfortreatment.Anotherkeyfindingcanbeperipheralanteriorsynechiainanarrowanglepa3entwithoutahistoryofanterioruvei3s.
WhataboutthefactthattheIOPinthispa3entincreasedaOerdila3on?Socalledpharmacologicalprovoca3vetestsarenotoriouslyunpredictablebythemselvesatiden3fyingwhoisatriskofangleclosure.Infact,thereisevidencethatariseinpost‐dila3onIOPisariskfactorforopenangle,notclosedangleglaucoma.
Shouldpa3entsbeofferedalaserperipheraliridectomyiftheyhavenosignsandsymptomsofprimaryangleclosureglaucomaotherthanananatomicallynarrowangle?Certainlyiftheen3reanglehasonlyanterior(nonfunc3oning)trabecularmeshworkvisibleorelsetheen3reangleisoccluded,theLPIshouldbestronglyconsidered.Someprac33onersusetheso‐called270rule,meaningthatifmorethanaquarteroftheangleisopen,thentheriskofangleocclusioninanotherwisenormalpa3entisslight.Inapa3entsuchasinthiscase,whohasnoneoftheriskfactorsotherthananarrowangle(whichsomemightconvincinglyarguehedoesn’treallyhave)theoddsofangleclosureareslim.
N M O A N E W S L E T T E R
MeetaNMOAMember
Name:Dr.MaZhewBurgessWheredoyouLive?Farmington,NMWheredidyougrowup?Farmington,NMHavechildren?NoAnOptometricmemorablemoment?IdidadiseaseresidencyataVAHospitalinReno,NV.Ihadaptsayhewantedtoshowmesomethingthatwasoutinhiscar(hewasthelastptoftheday)andIagreed.Iwatchedas heunstrappedanolderemptySchlitz18packbeerboxandpulledoutnoneotherthanaRaccoon.HetoldmehehadpickedituponthewaytotheclinicandinvitedmeoverforsomeRoadkill.Ideclinedpolitely.
Hobbies?:Kiteboarding,Fishing,andSkiingProfessionalInterests:PrivatePrac3ce(MedicalModel)
MeetOurExecu'veDirector
Name:RichardMontoyaWhatareyourresponsibiliDesasourExecuDveDirector?AnythingandeverythingfortheNMOA.Justafewoftheresponsibili3esareCon3nuingEduca3on,Conven3ons,Legisla3veeffortstopromotetheprofessionofoptometryinNMandinWashington,DC,Assis3ngDoctorswithvariousques3ons,fieldingques3onsfromthepublicregardingoptometryandeyecareingeneral,correspondingwith
theAOAandwiththeNMBoardofExaminersinOptometry.HowlonghaveyoubeeninthisposiDon?SinceJune,1993.WhatdoyoulikebestaboutbeingourExecuDveDirector?Workingwiththedoctorsandstaff.Ialwaystellpeoplethatoptometristsarethenicestgroupofpeopleyouwillevermeet.Theen3reoptometriccommunityisextremelygivinginsomanyways.Iseedoctorsvolunteeringtheir3meforVisionUSA,InfantSEE,SpecialOlympicsandmanyotherlocalgroups.IamalsoimpressedhowthemembersoftheNMOArepresentthemselvesinaposi3vemanner.WhatdoyouliketheleastaboutbeingourExecuDveDirector?Thestressofaheatedlegisla3vesession.ItaketheaZacksagainstoptometrypersonallyandalthoughitisexci3ngtobepartofexpandingtheoptometriccareinNMitisalsoverystressful.Wheredoyoulive?Iamveryfortunatetoliveinabeau3fulappleorchardinTaos,NM.Wheredidyougrowup?IgrewupinAlbuquerque,aZendedSandiaHighSchoolandtheUNMAndersonSchoolofManagement.IdidnotleaveAlbuquerqueun3lwemovedtoTaosin1997.AreyouMarried?IamhappytosayImarriedmybestfriend,Nancy.Wehavebeenmarriedfor22years.Doyouhavechildren?No,childrenwerenotinthecardsforus,butwehaveagreatdog,Lucy.
Hobbies?Skiing,Bicycling,Running,Camping,YardWork,justaboutanythingoutdoors.Asurprisingfactothersinthegroupmaynotknowaboutyou?WhenIwastenyearsoldIcutallmyfingersoffinameatgrinder.Fortunately,thedoctorswereabletoreaZachallthefingersexceptthe3pofmymiddlefinger.WhatisyourmostmemorablemomentsofarinbeingourExecuDveDirector?Every3meaNMGovernorsignsanOptometryBill!
MeetaNewNMOAMemberName:Dr.KellyCyrWheredoyouLive?SantaFeWheredidyougrowup?NorthernMaine(closetotheCanadianborder)Havechildren?NoAnOptometricmemorablemoment?Ge�ngglassesforthefirst3mewhenIwas8yearsoldHobbies?Running,playingsoccer,hiking,rock/iceclimbing,traveling,readingProfessionalInterests?Oculardiseaseandprimarycare,AmericanAcademyofOptometry,screenings/missionworkAsurprisingfact(somethingothersinthegroupmaynotknowaboutyou):Iworkedonapotatoharvestergrowingupduringharvestbreak(inNorthernMainewehadtwoweeksoffofschoolinthefalltohelpwiththeharvest)
N M O A
Eye Associates has provided New Mexico
with the highest quality, state-of-the-art,
medical and surgical eye care since 1976.
Cataract Surgery
Anterior & Refractive Surgery
Retinal Disease & Surgery
Corneal Disease & Surgery
Glaucoma
Reconstructive /Cosmetic Oculoplastics Surgery
Neuro-Ophthalmology
Pediatric Ophthalmology
Doctor2Doctor | ABQ 505.345.4433NM 877.345.4433 | Fax 866.784.3083
[email protected] | www.eyenm.com
Timothy J. Johnson, ODVicki Herrera, Manager of Referral Services
N M O A N E W S L E T T E R
SPECIAL OLYMPICS New Mexico
Saturday, May 20, 2011 by Dr. Siu Wong, O.D.
The Albuquerque NM 2010 Special Olympics Summer Games is schedule for May 20, 2011 at the University of New Mexico Track stadium. As part of the Special Olympic Games Healthy Athletes venue we will again be offering the “Opening Eyes” *program. The “Opening Eyes” program provides a comprehensive eye and vision screening program to a group of athletes who seldom receive health care.
You and your staff are cordially invited to participate in the Special Olympics NM, Opening Eyes event on Saturday, May 20, 2011, 10-3. Stay the entire 5 hours or 2-3 hour blocks. Lunch, drinks and a T-shirt will be provided. Lions Club International members, Essilor and local opticians/technicians and others will be participating.
Join 100s of optometrists across the nation and the world in changing the lives of these remarkable Special Olympic Athletes by providing them eye and vision care.
Sign up for this community service event will start in May 2011. For more information or to participate, please contact Siu G. Wong, OD, MPH, at [email protected] 505-293-7347
Las Cruces Special Olympics – November 19, 2011 - contact Dr. Adrian Tenorio
* This program is generously funded by a grant from Lions Club International. In- kind sponsors: Liberty, Essilor, Safilio, Lombart, Santinelli, Optos
N M O A N E W S L E T T E R
GrabaHeine…forSenate!byJenniferPlanitz,O.D.
Inthefallof2012,NMOptometrywillhaveauniqueopportunitytohelpelectachampionofoptometrytotheUSSenate.CongressmanMar3nHeinrichhasannouncedhiscandidacyfortheSenateseatbeingvacatedbyJeffBingaman.FromthedayCongressmanHeinrichsetfootontheHouseFloor,hehasbeenanincredibleadvocateforourprofession.FollowingarejustafewreasonsMar3nHeinrichisworthyofourcon3nuedsupport.
• SinceHeinrich’selec3onin2008–hehasa100%ra3ngonAOA’sCongressionalScorecard.Inthe111thCongress,HeinrichcosponsoredbothHR1884andHR2697attheAOA’srequest.
• Duringthehealthcarereformdebate,CongressmanHeinrichtooktheleadonbothofourleZerstothenSpeakerNancyPelosiregardingprotec3ngournon‐discrimina3onbasedonlicensurelanguage.
• HisofficeplayedanintegralpartinbothourleZerssuccessonCapitolHill–theytooktheleadinge�ngmostofthefreshmanclasstosignbothofourleZers.
• HeinrichwasthePresidentoftheFreshmanClass(2008)–andtookthe3metoeducatehisfellowincomingfreshmanabouttheservicesweprovideandthepa3entsweserve.
• Inthe112thCongress,Heinrichalsohasa100%ra3ngonAOA’sCongressionalScorecard.HeisacosponsorofHR1195andHR1219.
Atourmid‐yearNMOAMee3ng,wewillhavetheopportunitytohelpCongressmanHeinrichkickoffhisSenatecampaign.Ihopeyouwilljoinmeinsuppor3ngMar3nHeinrichatarecep3onFridayeveninginhishonor.Bringyourcheckbook!
ThirdPartyReportbyDwightThibodeaux,O.D.
ArecentspateofrecordsrequestsregardingOCT'sfromoneofourstatesmedicalplanswasaproblemforsomeofusearlierthisyear.However,their"diagnos3c"wasendedsoonaOertheywerecontactedandremindedaboutthe3meandeffortittookforourofficestosupplythoserecords.OD'sandMD'swerebothaffected.Hopesforare‐evalua3onofthe50%paycutforSLO/HRT/OCTtestsarenowdashed.ThegoodnewsisthatOD'shavefaredfarbeZerthanmostprovidersinthisyears'CMSpaymentschedulechangesascomparedtomost.MostprivateinsurersarenowpayingatCMSlevelsforallservices.TheAOAandnumerousOptometricpublica3onscon3nuetoremindustokeepabreastofthecurrentandloomingchangesinthehealthcaredeliverysystem.Alongthoselines,ourgovernorrecentlyvetoedthebillprovidingfundsforNMtoformastate‐sponsoredHealthInsuranceExchangewiththethoughtthatitisn'tmandatedbytheAffordableCareActforacouplemoreyearsanditisalsonotyetwelldefinedbytheFeds.Moreominousistheupcomingforma3onoftheMedicalHomeModelspromotedbyCMS.WeasOD's,needtobeonboardwiththeirforma3oninNMorwewillbeleOoutofthereferralpaZernsoftheprimarycarephysicianswhowillbeac3ngas"gatekeepers"forspecializedcareunderthisplan.Thisisagreatthreattousregardingourhard‐wonscopeofprac3ce.Weallrememberwhatapainitwastogetreferralsformedicaltes3ng‐‐thiscouldbeworse.Ourlegisla3vecontactswillkeepusapprisedoftheseen33esastheybegintoformandeachofusneedstokeepoureartothegroundaswell.
EHR,E‐prescribingandPQRSares3llontrackforeitherfinancialincen3vesforpar3cipa3onorfuturepaymentreduc3onsandnon‐lis3ngaspreferredprovidersfornon‐par3cipa3on.Ifyouhaven'tembracedthesechanges,youwillhavetosoon.
Theongoingdebateastowhethertobillforamedicalvs.rou3neexamforpa3entswithmixedcomplaintsoraconcurrentocularmedicalcondi3onisaddressedbyarecentopinionfromDr.BrentShelly.Histalkswithvisionplanreps.andothersfoundthatifonechoosestodoawell‐visionexamwithrefrac3onandalsomanageamedicalcondi3ononthesameday,youcouldbillanScodefortherou3neexamanda99xxx(E/M)codeforthemedicalserviceswithoutbreakinginsurancerules.Examplesincludediabe3cre3nalchecks,treatmentofallergicconjunc3vi3sordryeye,glaucomafollow‐upcare,etc.Theissueofpa3entcomplaintsregardingthetwoco‐paysand/ormedicalinsurancededuc3blesremains,butatleastthepa3entwouldn'tneedseparatevisitstoaddressmul3pleissues.Thekeyispa3enteduca3onandpresenta3onofchoicespriortocheckout.
CMSisrampinguptheirauditrateandOD'sareatargetedprofessionthisyear,sokeepyourchartsfullycompliantortherewillberecoupmentshouldyoufailtomeetrequirements.Thegeneraldiscontentwithvisionplanscon3nuestoescalateassomeplansappeartobetryingtobecomehealthmanagersthroughtherequirementofmedicaldiagnos3cinforma3onwithbillingsubmiZals.AnauditisthreatenedbyVSPiflessthan5%ofclaimsdonothavetheinforma3onrequestedregardinghypertension,diabetes,diabe3cre3nopathyorhighcholesterol.Othervisionplanchangesincludeincreasedaccesstocertaincommercialloca3onsforVSPandHumanavisionplanpa3ents.Dependingonthetypeofprac3ceonehas,that’seithergoodorbadnews.
OPTOGEEKTRIVIAANSWERS:E,E,E,C,A
N M O A N E W S L E T T E R
"Tamalewood"
ThinkHollywoodwithaNewMexicoflair!
Comeasyourfavoritecharacterorcomeasyouare!Our2011‐2012Installa3ondinnerandsilentauc3onisonsaturdayevening,April30th.Thereisgoingtobearedcarpetandsomespecialentertainment.Youdon'twanttomissthisbigevent!TocelebratethespiritoftheeventallareencouragedtodressupasanycharacterfromanymoviemadeinNewMexicooranycharacterfromanySci‐FiorFantasymovie.Therearesomanyop3ons,andhereareafewtogetyouthinking:
IronManBacktotheFutureIncredibleHulkEragonSpiderManStarWarsAliceinWonderlandShrekDraculaFrankensteinMissiontoMarsSpaceBalls
GhostBustersBATManMeninBlackJamesBondmoviesMatrixLordoftheRingsWizardofOzTrueGritCowboys&AliensMenWhoStareatGoatsJourneytoCenterofEarthLandoftheLost
RedDawnContactConvoyHang'EmHighMilagroBeanFieldWarSundanceKidTerminatorSalva3onTransformersYearOneTheMissingSuperManColdMountain
MOVIETRIVIAHerearesomegreatmoviefactsthatyoumaynothaveknown!
Everyonelovesagoodmovie.BeitJamesBond,IndianaJones,IronManorwhateveryoumightbeinto,weallenjoywatchingagoodHollywoodmovie.Weallhearaboutthelatestnewsregardingmoviesandmoviestars,butthere'salsoalotoftriviawhichweneverevenhearabout.
1.ForthemovietheWizardofOz,JudyGarlandwaspaid$35aweekwhileTotoreceived$125aweek.
2.TheBluesBrothersonceheldtherecordforcrashingthemostpolicecarsinamovieatapproximately30.TherecordwaseventuallybrokenbyBluesBrothers2000.
3.InthemovieE.T.thereisascenewheretheyoungboylurestheextraterrestrialwithsomeReese'spieces.OriginallySpielbergwasgoingtouseM+M's,buthecouldnotgettherights.Reese'spieceswerethereplacement.
4.WhentheMother‐ShippassesovertheDevil'sTowerneartheendofSpielberg'smovie,CloseEncountersoftheThirdKind,R2‐D2canbeseenhangingfromtheboZomoftheship.
5.Whenfilmingsummerscenesinwinter,actorssuckonicecubesjustbeforethecamerarolls‐itcoolstheirmouthssotheirbreathdoesn'tcondenseinthecoldair.
6.TheGodfatherwasthefirstmovieinovertwentyyearsinwhichMarlonBrandowasrequiredtoaudi3on.
7.BeforeanyoneiskilledinthemovieTheGodfather,anorangeisalwaysseensomewhere.
8.NearthebeginningofthemovieBackToTheFuturethere'sascenewheretheyshowalloftheclocksatDoc'shouse.IfyoulookcloselythereisoneclockwithaliZlemanhangingfromtheminutehand.
9.BrookeShieldsspentalotof3meduringthefilmingofBlueLagoonstanding/walkinginatrenchbesideChrisAtkinssothatshewouldn'tbetallerthanhiminthescenesthattheyhadtogether.
10.TheproducersofthemovieGoneWithTheWindwerefined5,000dollarsforallowingtheword"damn”tobeheardwithinthemovie’sdialog.
N M O A N E W S L E T T E R
WaysYouCanSupportOptometryCares
MadeSimple
Onlytwomonthsremainun3lOptometry’sMee3ng®takesplaceinmajes3cSaltLakeCity.ThegeneroussupportofEssilor,Transi3onsOp3calandTheVisionCouncilismakingitsimpleforyoutoshowyoucareaboutOptometryCaresduringOptometry’sMee3ng®.
#1–ANendtheCAN’TMISSThursdaynighteventBringyourcashandcreditcardto“buy”stage3meforyourkaraokeperformanceduringOptometry’sGotTalent—orpaynottoperform!Youcanalsotakeashotatthe“Dunk‐a‐Dean”tank—allforagreatcause.WhatcouldbebeZerthanspendinganeveningwithfriendsandcolleaguesandraisingfundsforInfantSEE®,VISIONUSA,Optometry’sFundforDisasterReliefandtheotherprogramsoftheFounda3on?
ThankstoEssilor’scommitmenttohelpingraisevisibilityandfundsforOptometryCarestheeventisfreetoaZend.Sodon’tmissoutonTHEThursdaynighteventofOptometry’sMee3ng.
#2–Makeadona'onwithoutevenpullingoutyourwalletTransi3onswillmakea$10onbehalfofthefirst500ODswhodropbytheirbooth(#2213)andtakeatechnologysurvey.Takethecouponinyourregistra3onmaterialstotheirboothforyourdona3ontocount.
#3–Makeyourdona'ongo2xasfarTheVisionCouncilismatchingfundstomakeyourdona3ongoevenfurther.VisitAOACentralandmakeataxdeduc3bledona3onatthedona3onkioskwithyourcreditcardorcheck.Foreverydollaryougive,TheVisionCouncilwillmatchit.
Your$100dona3oninstantlybecame$200!
SupportOptometryCaresbyany(orall3!)ofthesesimpleways.NotabletoaZendthissummer?Youcans3lldonatetoOptometryCaresbyvisi3ngwww.aoafounda3on.org.
Photocap3on:2010karaokeperformersbel3ngoutatune!
CelebrateLife’sMilestoneswithaDonaDontotheBookofMemory
Adona3ontotheOptometryCaresBookofMemoryisagreatwaytorecognizeanindividualwhohasmentoredyouduringyourcareerortohonorthefriendwhohaseverything.TheBookofMemoryacceptsdona3onsofanyamountandforanyoccasion.Tomakeadona3on,simplysendachecktoOptometryCares,243N.Lindbergh,1stFloor,St.Louis,MO63141.Pleaseincludethenameandaddressoftheindividual(s)youarehonoring,sothatwecanletthemknowaboutyourgenerousgiO.Formoreinforma3on,pleasesendane‐[email protected].
Asoptometry’spremierphilanthropicandcharitableorganiza3on,OptometryCares–TheAOAFounda3oniscommiZedtoitsmission‐expandingeyehealthandvisioncareaccesstoeveryoneintheU.S.inordertoenhancehumanperformanceandqualityoflife.
Optometry’sMeeDngSaltLakeCity
June15‐19,2011
Youarecurrentlyenjoyingthefirstclasscon3nuingeduca3onattheNMOAAnnualConven3onandifyouarelookingformorequalityCon3nuingEduca3onyoumaywanttoconsideraZendingOptometry’sMee3ng®,theAmericanOptometricAssocia3on’spremiereevent,whichwillbeheldinbeau3fulSaltLakeCity,Utah,June15‐19,2011.
Thisyear’smee3ngpromisestobeenlightening,insigh�ulandgreen.ComeandexperienceeverythingOptometry’sMee3ng®hastooffertohelpyouthriveandsucceedinyourprac3ce,profession,andfuture.Whetherit’seduca3on–morethan300hours;innova3on–morethan200companiesexhibi3ngthelatestineyeandvisioncare;ordiscussinglegisla3onandothertopicsaffec3ngourprofessionwithcolleaguesfromacrossthecountry–Optometry’sMee3ng®hassomethingforeveryone.
Youwillno3cesomenewfeaturesthisyear,suchastheabilitytoviewconferenceprogramofferingsonline andplanyourownpersonali3nerarythroughthee‐brochure,andsmartphoneapplica3on(app),aswellassomefavoritemainstays,suchastheWelcomeRecep3onandOpeningGeneralSession.
Formoreinforma3on,pleasevisitwww.optometrysmee3ng.org
Registra3onisopen,socheckthewebsiteforimportantOptometry’sMee3ng®newsandinforma3on.
N M O A N E W S L E T T E R
Drs.WongandJoneskeepingintouchwithGovernorMar3nezaOersigningbillsintolawsatSandiaHighSchool
onMarch30thintheirdaughter’sgovernmentclass.
TheRedCarpetisreadyforthe2011‐2012NMOAInstalla3onofOfficersDinnerandSilentAuc3on!
11thAnnualSilentAucDon
HelpsupportyourAssociaDonandJuvenileDiabetesResearchFoundaDon!
TheNewMexicoOptometricAssocia3on(NMOA)ishos3ngits12thAnnualSilentAuc3on.Itisnottoolaatetodonateanitemtothisyear’sauc3on‐‐JustbringyouritemstotheNMOAConven3onRegistra3onDesk.
Ourthemethisyearis"Tamalewood",ourtakeonHollywood!ApercentageoftheproceedswillgotosupporttheJuvenileDiabetesResearchFounda3on,theNMOACharityoftheYear,sogetinvolvedanddon’tbeoutbid!
Therearealwayssomegreatdona3ons,sopleasebringyourcheckbookandbegenerous!Wearelookingforwardtoanotherwonderfuleveningoffun,greatfood,amazingSpecialGuestand,ofcourse,exci3ngbiddingonfantas3citemsatthe12thAnnualNMOASilentAuc3oninconjunc3onwiththeNMOAInstalla3onofOfficersandDirectorsonSaturday,May1,2010.
Doctors:LookingforanAdvancedCEProceduresCourse???
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