Friday, June 12, 2009

One docs opinion

Comments: A former student of mine (who is now a very fine doc!) posted this commentary on his FaceBook page. No matter if you agree or not....it is important to consider all the possibilities when it comes to the future of health care. Read this. Contact your representatives today and tell them how you feel about this important issue! DM

Every physician takes an oath dedicating oneself to the care of patients. Motivated by this oath, we are compelled to speak out and clarify what we believe are important facts regarding the healthcare debate. The real facts are not accurately reported to the public. We need to explain to you what the consequences of a new government run health plan will mean to you.

For historical and cultural reasons, physicians have been largely silent on political issues. This has been a mistake. Everyone, including our patients, has misunderstood our reluctance to speak out as silent support for the government’s plan. Nothing could be farther from the truth. We will be silent no longer. The government’s plan is frightening! Here’s what’s going to happen:

1. A new government health plan will be created. This would be similar to expanding Medicare to make everyone eligible regardless of age. It will start out innocently as a government option for those people currently uninsured or under insured. The plan will be subsidized by taxpayer dollars, allowing premiums to be underpriced relative to the rest of the healthcare market. Private insurers will be unable to compete and then forced out of the market, creating a government-run single payer system. With no competition and no accountability, “universal health care” will be slow and inefficient. Costs will go up, not down. Rationing of care will begin, and patients will languish and die on treatment waiting lists.

2. The government will set standards of care. The government wants to be in charge of what treatments are available to you. A Federal Health Board will create a set of one-size-fits-all government rules, which will be used to ration, delay or deny you care. You and your doctor will no longer be free to make treatment decisions. And it may become illegal to get the treatment you need by paying for your own care. The government rule-makers will not be accountable to anyone and will be motivated only to reduce costs. The doctor-patient relationship will become the “doctor-government-patient” relationship. If you thought hassling with your HMO was difficult, wait until this comes along.

3. Electronic medical records will become a curse, not a blessing. Instead of using technology to reduce costs and improve quality, technology will become an instrument of the government to monitor doctors and patients and intrude on your care. “Big Brother” will be watching us.

As our patient, there are some things we want you to know:

1. No one cares about your health as much as your doctor. Not the bureaucrats. Not the insurers. Not the politicians in Washington. Physicians are your most reliable, most trustworthy advocates.

2. We don’t have to passively accept the government’s proposed plan. The administration’s strategy is clearly to push a reform bill through very quickly, before any review and discussion can take place. As Tom Daschle wrote in his recent book, “The (health care reform) issue is too important to be stalled by Senate protocol.” In other words, politicians want to cheat the proper law-making process in order to get their way.

3. We don’t have much time! The House and Senate each plan to have a bill ready within the next 2-3 weeks. The American people will be denied opportunity for discussion and debate. We still have an opportunity to slow the process down enough to allow some dialogue. It’s time to fight!

4. Physicians want health care reform too. But we do not share the government’s vision of government-centered health care. We instead envision patient-centered care, brought about by a series of tax code changes, regulatory changes and changes to insurance plan structure that brings cost issues to the doctor-patient relationship. This will bring cost accountability to the appropriate decision-makers – doctors and patients – and allow market forces to drive down costs and make the system more efficient.

What Can You Do?

1. Become an informed patient. Do your own research. Learn as much as you can. Talk about it with your co-workers, friends and family. Don’t let the politicians and the media tell you what to think. Don’t assume they know what is best.

2. Write your congressman…..NOW. Congress plans to have the reform plan completed by the end of June, perhaps even sooner.

3. Talk to your doctor during your visit today. The more support we get from you, our patients, the bolder we can be.

4. Visit Docs4PatientCare.org. We have recently formed a group dedicated to giving practicing physicians a voice in the health care reform process: Docs 4 Patient Care. We add to the web site almost daily. Please visit the web site often and get more information.

Please help us! Our health care system is fighting for its life, and there isn’t much time left.

Thursday, June 11, 2009

OD2OD Newsletter

My colleague and friend, Dr. Michael Cohen writes a great newsletter for optometrists...take a look and subscribe! DM

OphthoWeb in Greek

If you are interested in optometry and eye care in Greece and read Greek, click on the title above. My colleague, Vassilis Kokotas. has a great blog! DM

Wednesday, June 10, 2009

Playing Music To Premature Babies May Improve Feeding, Reduce Pain

As long as there have been babies, adults have crooned lullabies to soothe them. But research suggests music might also help premature infants learn to suckle better and reduce their pain. ...

Long-Distance Brain Waves Focus Attention

...Just as our world buzzes with distractions - from phone calls to e-mails to tweets - the neurons in our brain are bombarded with messages. Research has shown that when we pay attention, some of these neurons begin firing in unison, like a chorus rising above the noise. Now, a study in the May 29 issue of Science reveals the likely brain center that serves as the conductor of this neural chorus. ...

Lessons From The Vaccine-Autism Wars

Researchers long ago rejected the theory that vaccines cause autism, yet many parents don't believe them. Can scientists bridge the gap between evidence and doubt?.....

Mozart And Others Had ADHD - Has It Always Been A Disorder? Or Has The Modern Classification Of It Made It A Disorder?

...Hyperactivity disorder, or ADHD, is currently the most commonly diagnosed childhood psychiatric disorder, says Smith, and millions of children are prescribed drugs such as Ritalin to treat it. Yet prior to the 1950s, it was clinically and culturally insignificant. ...many today assert that hyperactivity is a universal phenomenon, and say evidence of hyperactivity can be seen in historical figures such as Mozart or Einstein. Smith argues that hyperactivity as we understand it is rooted in social, cultural, political and economic changes of the last half century. ...

Reversible Verbal and Visual Memory Deficits after

The retrosplenial cortex is a cytoarchitecturally distinct brain structure located in the posterior cingulate gyrus and bordering the splenium, precuneus, and calcarine fissure. Functional imaging suggests that the retrosplenium is involved in memory, visuospatial processing, proprioception, and emotion. We report on a patient who developed reversible verbal and visual memory deficits following a stroke. Neuropsychological testing revealed both anterograde and retrograde memory deficits in verbal and visual modalities. Brain diffusion-weighted and T2-weighted magnetic resonance imaging (MRI) demonstrated an acute infarction of the left retrosplenium.
J Clin Neurol 3(1):62-66, 2007

Cognitive Effects of Antiepileptic Drugs

Antiepileptic drugs (AEDs) can adversely affect cognitive function by suppressing neuronal excitability or enhancing inhibitory neurotransmission. The main cognitive effects of AEDs are
impaired attention, vigilance, and psychomotor speed, but secondary effects can manifest on other cognitive functions. Although the long-term use of AEDs can obviously elicit cognitive dysfunction in epilepsy patients, their cognitive effects over short periods of up to a year are inconclusive
due to methodological problems. In general, the effects on cognition are worse for older AEDs (e.g., phenobarbital) than for placebo, nondrug condition, and newer AEDs. However, topiramate is the newer AED that has the greatest risk cognitive impairment irrespective of the
comparator group. Since the cognitive impact of AEDs can be serious, clinicians should be alert to adverse events by evaluating cognitive function using screening tests. Adverse cognitive events of AEDs can be avoided by slow titration to the lowest effective dosage and by avoiding polytherapy. J Clin Neurol 2008;4:99-106


Comments: Our patients often take many meds....meds that can have adverse effects in many areas. Click on title for full text of this article. Also see RJ Donati RJ, Maino DM, Bartell H, Kieffer M. Polypharmacy and the Lack of Oculo-Visual Complaints from those with Mental Illness and Dual Diagnosis.Optometry 2009;80:249-254. BTW topiramate which is being used more and more is also known to create myopic crisis and glaucoma. DM

Role of Neuroimaging in the Presurgical

A significant minority of patients with focal epilepsy are candidates for resective epilepsy surgery. Structural and functional neuroimaging plays an important role in the presurgical evaluation of theses patients. The most frequent etiologies of pharmacoresistant epilepsy in the adult population are mesial temporal sclerosis, malformations of cortical development, cavernous angiomas, and low-grade neoplasms. High-resolution multiplanar magnetic resonance imaging (MRI) with sequences providing T1 and T2 contrast is the initial imaging study of choice to detect these epileptogenic lesions. The epilepsy MRI protocol can be individually tailored when considering the patient’s clinical and electrophysiological data. Metabolic imaging techniques such as positron emission tomography
(PET) and single photon emission tomography (SPECT) visualize metabolic alterations of the brain in the ictal and interictal states. These techniques may have localizing value in patients with a normal MRI scan. Functional MRI is helpful in non-invasively identifying areas of eloquent cortex.
Developments in imaging technology and digital postprocessing may increase the yield for imaging studies to detect the epileptogenic lesion and to characterize its connectivity within the epileptic brain.
J Clin Neurol 4(1):1-16, 2008


Comments: Full text available by clicking on title above. DM

Tests Show Many Supplements Have Quality Problems

...Lead in ginkgo pills. Arsenic in herbals. Bugs in a baby's colic and teething syrup. Toxic metals and parasites are part of nature, and all of these have been found in "natural" products and dietary supplements in recent years....

Comments: Be careful what you recommend. You only want your patients to have the very best. DM

Home computers are growing source of injuries

...Between 1994 and 2006, researchers found, there was a more than seven- fold increase in the number of Americans who visited an emergency room for a computer-related injury -- lacerations, abrasions and bruises being the most common.
Up to now, studies have focused on chronic injuries associated with computer use such as back pain, blurred vision and eczema of the fingers from mouse use. However, accidents involving home computers have also increased....

Comments: Those evil computers! If you have Computer Vision Syndrome...well, we can fix that! DM

Dr. Dominick M. Maino on SOVOTO

A new social networking site for those interested in pediatrics, binocular vision, optometric vision therapy, special populations and more is now available at http://www.sovoto.com .

Click on my name to go to my page....and to learn about the Optometric Educators group I've created there.

Thanks

Dominick

Tuesday, June 9, 2009

Graduate attributes in the disciplines of Medicine, Dentistry and Veterinary

...A list of seven high level attributes which were desirable in graduates wishing to pursue either a professional or research career were identified. 105 students reported that a final year project was particularly effective at developing an understanding of the need to have an inquiring mind and critical appraisal skills whilst other components of their degree course covered team working skills, core knowledge and an understanding of ethics and governance....

Comments: As a Professor of Optometry and teacher, I found this article to be most interesting. If you click on the title the full pdf is available. DM

Good News for Preterm Babies

...In a study of more than 1,000 extremely preterm infants born in Sweden, researchers found encouraging data on live birth and survival rates. Researchers say improvements in perinatal – the period shortly before and after birth – medicine have increased infant survival rates so that neonatal – the first four weeks after birth – intensive care can be life saving. ...

Birth Weight and Optic Nerve Head Parameters

...Low birth weight, short birth length, and small head circumference at birth were associated with larger cup/disc ratio in children aged 12 years. Our findings suggest that fetal growth restriction could adversely influence optic nerve head parameters. This may have implications for future risk of glaucomatous optic neuropathy....

Click here for abstract
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VT2-4W4BMD1-2&_user=10&_coverDate=06%2F30%2F2009&_rdoc=16&_fmt=high&_orig=browse&_srch=doc-info(%23toc%236278%232009%23998839993%231130333%23FLA%23display%23Volume)&_cdi=6278&_sort=d&_docanchor=&_ct=41&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=705da6a8b060e0f9fd8c57c0455a1109

Monday, June 8, 2009

Electronic Bifocal Video

Children who switch from glasses to contact lenses experience slight myopia progression

A study showed a small increase in myopia progression in children who switched from spectacles to soft contact lenses

Inaccurate spectacles contribute to visual impairment among children in China

...Results showed that the glasses worn by 48.8% of children were inaccurate by 1 D or more, glasses worn by 17.7% of children were inaccurate by 2 D or more, and glasses worn by 6.1% of children were inaccurate by 3 D or more. Also, children with inaccurate glasses were younger, had more myopic error greater than 1 D and were significantly more likely to have worn glasses for 1 year or longer....

Optometry & Vision Development Volume 40, No. 2, 2009

Optometry & Vision Development Volume 40, No. 2, 2009
Free Online Access Now Available!

Editorial
Borg Certification: Resistance is Futile
by Dominick M. Maino, OD, MEd, FAAO, FCOVD-A, Editor

Editorial Essay
The Theory and Practice of Syntonic Phototherapy: A Review
by Larry B. Wallace, OD, FCSO

Articles

Field of View, Figure/Ground Discrimination, Sequential Memory, and Navigation Skills Improve Following Training on Motion Discrimination in Older Adults
by Teri Lawton, PhD; Douglas Stephey, OD, MS

Skew Deviation: Report of a Case Treated with Prismatic Spectacles
by Megan S. Allen, OD

Comparison of Distance and Near Heterophoria by Two Clinical Methods
by W. C. Maples, OD, FCOVD; R. S. Savoy, OD; B. J. Harville, OD; L. R. Golden, OD; R. Hoenes, OD

Literature Review
Current Eye & Vision Science Literature
Review by David A. Goss, OD, PhD, FAAO, FCOVD-A

Book Review
Fixing My Gaze: A Scientist’s Journey into Seeing in Three Dimensions
Review by Leonard J. Press, OD, FCOVD, FAAO

Practice Management
Changing Paradigms – Optometric Vision Therapy is Neuro-Science
Review by Jason Clopton, OD, FCOVD

Tour de Optometry
The COVD “Tour de Optometry” Program Continues its Successful Journey!
Review by Lynn Fishman Hellerstein, OD, FAAO, FCOVD

NewsMakers

Visual function in patients of a polytrauma rehabilitation center:

Abstract—Little is known about the visual function deficits
associated with polytrauma injury. In this retrospective
descriptive study, we examined the records of a clinic established
to assess visual function in patients experiencing
deployment-related polytrauma. We describe the clinical findings
and present a vision examination protocol that may be
useful for screening polytrauma patients in other settings. Data
from our sample suggested that self-reported vision complaints
were common (74%) and confirmed that visual impairment
occurred in 38% of all cases. When examining the mechanism
of injury, we found that polytrauma due to blast injuries
appeared to more than double the risk of visual impairment
compared with all other polytrauma causes (i.e., motor vehicle
accidents, gunshot and/or shrapnel, assault, falls, or anoxia).
The rate of visual impairment in blast-related injury was 52%
compared with 20% for all other sources of injury. Visual complaints
and impairments were common in the polytrauma
patients studied. This finding suggests that comprehensive eye
examinations should be routinely administered, particularly
when the mechanism of injury involves a blast.


Comments: This paper indicates that "little is known about visual function deficits associated with polytrauma injury". They didn't look as hard as they should have....no references by Ciuffreda, Suchoff, Kapoor and others!!

1:
The frequency of occurrence, types, and characteristics of visual field defects in acquired brain injury: a retrospective analysis.
Suchoff IB, Kapoor N, Ciuffreda KJ, Rutner D, Han E, Craig S.
Optometry. 2008 May;79(5):259-65.
PMID: 18436166 [PubMed - indexed for MEDLINE]
Related Articles
2:
Medications prescribed to brain injury patients: a retrospective analysis.
Han MH, Craig SB, Rutner D, Kapoor N, Ciuffreda KJ, Suchoff IB.
Optometry. 2008 May;79(5):252-8.
PMID: 18436165 [PubMed - indexed for MEDLINE]
Related Articles
3:
Vision therapy for oculomotor dysfunctions in acquired brain injury: a retrospective analysis.
Ciuffreda KJ, Rutner D, Kapoor N, Suchoff IB, Craig S, Han ME.
Optometry. 2008 Jan;79(1):18-22.
PMID: 18156092 [PubMed - indexed for MEDLINE]
Related Articles
4:
Critical flicker frequency and related symptoms in mild traumatic brain injury.
Chang TT, Ciuffreda KJ, Kapoor N.
Brain Inj. 2007 Sep;21(10):1055-62.
PMID: 17891568 [PubMed - indexed for MEDLINE]
Related Articles
5:
Occurrence of oculomotor dysfunctions in acquired brain injury: a retrospective analysis.
Ciuffreda KJ, Kapoor N, Rutner D, Suchoff IB, Han ME, Craig S.
Optometry. 2007 Apr;78(4):155-61.
PMID: 17400136 [PubMed - indexed for MEDLINE]
Related Articles
6:
Occurrence of ocular disease in traumatic brain injury in a selected sample: a retrospective analysis.
Rutner D, Kapoor N, Ciuffreda KJ, Craig S, Han ME, Suchoff IB.
Brain Inj. 2006 Sep;20(10):1079-86.
PMID: 17060141 [PubMed - indexed for MEDLINE]
Related Articles
7:
Oculomotor rehabilitation for reading in acquired brain injury.
Ciuffreda KJ, Han Y, Kapoor N, Ficarra AP.
NeuroRehabilitation. 2006;21(1):9-21.
PMID: 16720933 [PubMed - indexed for MEDLINE]
Related Articles
8:
Short-term adaptation to vertical yoked prisms.
Huang MA, Ciuffreda KJ.
Optom Vis Sci. 2006 Apr;83(4):242-8.
PMID: 16614570 [PubMed - indexed for MEDLINE]
Related Articles
9:
Elevated dark adaptation thresholds in traumatic brain injury.
Du T, Ciuffreda KJ, Kapoor N.
Brain Inj. 2005 Dec;19(13):1125-38.
PMID: 16286326 [PubMed - indexed for MEDLINE]
Related Articles
10:
Reading-related oculomotor testing and training protocols for acquired brain injury in humans.
Han Y, Ciuffreda KJ, Kapoor N.
Brain Res Brain Res Protoc. 2004 Nov;14(1):1-12.
PMID: 15519946 [PubMed - indexed for MEDLINE]
Related Articles
11:
Oculomotor rehabilitation in acquired brain injury: a case series.
Kapoor N, Ciuffreda KJ, Han Y.
Arch Phys Med Rehabil. 2004 Oct;85(10):1667-78.
PMID: 15468029 [PubMed - indexed for MEDLINE]
Related Articles
12:
A primer for the optometric management of unilateral spatial inattention.
Suchoff IB, Ciuffreda KJ.
Optometry. 2004 May;75(5):305-18. Review.
PMID: 15141821 [PubMed - indexed for MEDLINE]
Related Articles
13:
Vision Disturbances Following Traumatic Brain Injury.
Kapoor N, Ciuffreda KJ.
Curr Treat Options Neurol. 2002 Jul;4(4):271-280.
PMID: 12036500 [PubMed - as supplied by publisher]
Related Articles

Racial/ethnic variation in recovery of motor function in stroke survivors:

Abstract—Research documents that African American and
Latinos who have experienced an acute stroke recover more
slowly than Caucasians in the United States. This descriptive
study examines (1) the variation in Caucasian, Puerto Rican,
and African American motor function after stroke; (2) the association
between caregiver attributes and motor recovery after
stroke; and (3) the degree to which caregiver attributes explain
the variation in motor recovery between different racial/ethnic
groups. One hundred and thirty-five veterans who had been
hospitalized after an acute stroke, released home, and identified
an informal caregiver were enrolled in the study. Veterans
and caregivers were surveyed at five time points over the
course of 24 months. Results indicate that Puerto Ricans show
greater impairment and African Americans show less impairment
at discharge from the hospital compared with Caucasians.
Caregiver characteristics mediate the racial/ethnic differences
in impairment at discharge and motor recovery across time.


Comments: This research points out how different we all are....and how each of us heals at a different rate. You can read the full article by clicking on the title above.

This is one of many great articles in the Journal of Rehabilitation Research and Development http://www.rehab.research.va.gov/jour/jourindx.html
You can search this URL by topic and several other criteria....not all of it is vision based....but much of it should be of interest to any OD working with those with disability. DM

VISUAL ILLUSION OF THE YEAR

..Every visual illusion - from the way that simple lines drawn on paper seem to form a cube, to the logic-defying labyrinths of M. C. Escher - works exactly the same way: they expose discrepancies between physical reality and our perception of that reality. ...

Comments: This website is "way cool". If you are into illusions....you'll love this...so check it out. DM

Discoveries shed new light on how the brain processes what the eye sees

...Researchers at the Center for Molecular and Behavioral Neuroscience (CMBN) at Rutgers University in Newark have identified the need to develop a new framework for understanding "perceptual stability" and how we see the world with their discovery that visual input obtained during eye movements is being processed by the brain but blocked from awareness....in Current Biology (http://www.cell.com/current-biology)...

http://patientlinx.com/NeurologicalDisorders/thearts.cfm?artid=2740553&specid=43&ok=yes

..... goggles with a blue bulb, developed by Topbulb.com, LLC, based on its prior LRC light and health research. The prototype goggles were used on 11 subjects ranging in age from 51 to 80 years of age. Subjects wore the devices at two different levels of brightness for 90 minutes and blood and saliva samples were taken at 60 minutes, 90 minutes and 150 minutes.
Blood and saliva samples revealed that the hormones for nocturnal melatonin were suppressed by 35 percent at the low light level and 60 percent at the high light level after only one hour of light exposure. The effects were greater after 90 minutes, especially for the high light treatment, and the levels of melatonin suppression were maintained for one hour after the subjects stopped using the lights.
The LRC research is presented in the
current issue of Chronobiology International, Volume 26 Issue 4, 726.

Citalopram no better than placebo treatment for children with autism spectrum disorders

...Citalopram no better than placebo treatment for children with autism spectrum disorders...

Modern brain scanning technology offers simple look at everything from head trauma to tumors

...Thanks to advances in MRI and CT technology, doctors can get highly detailed images of the brain, a procedure used for patients with a wide variety of conditions. “Any patients with neurological or psychiatric symptoms might require an image of their brain, including patients [suffering from] stroke, brain tumor, multiple sclerosis, brain infections, Alzheimer’s, Parkinson’s and head injury,”

Three in Every One Thousand U.S. Children Diagnosed with Tourette Syndrome

...The first-ever national estimate among a nationally representative sample of U.S. children revealed that 3 out of every 1000 children between the age of 6 and 17 in the United States have been diagnosed with Tourette Syndrome (TS), according to a study by the Centers for Disease Control and Prevention (CDC) released in the Morbidity and Mortality Weekly Report....

SEMINAR OPPORTUNITY FOR STEREO SUE SUPPORTERS

... We have been blessed with a multitude of gifts, both professional and personal, from our work as ... optometrists. We would like to return and pay forward a small portion of the benefits that we have received. Please see the following information about an exciting seminar opportunity.Dave and Bob

Drs. David Cook and Robert Sanet
To promote Sue Barry's Book, FIXING MY GAZE: A Scientist's Journey into Seeing in Three Dimensions

Drs. Robert Sanet and David Cook will team teach a one-time seminar: Clinical Pearls in the effective Treatment of Strabismus. Dr. Barry references Brock's approach to "Understanding the Language of the Squinter" and Mclaughlin's "Real/Unreal" distinction in the development of suppression. The seminar will cover the vision therapy procedures based on these concepts as well as providing many other clinical and practice management insights.
SEMINAR HIGHLIGHTS:* Effective treatment of esotropia* Bypassing anomalous correspondence in esotropia treatment * Avoiding intractable diplopia when working with adults* Effective VT for Exotropia * 50 Practice management pearls for generating referrals, selling the benefits of VT- Increasing the effectiveness of parent conferences, training and retaining vision therapistsAnd much, much more.

SEMINAR COST:
FREE** to anyone who has, or will purchase, 100 copies of Sue's Book, preferably on amazon.com.
**The only will be only a nominal charge of $80 per person just to cover the cost of providing
2 lunches, coffee breaks, snacks and photocopying of the seminar handouts
Those purchasing 300 copies of Sue's book will, in addition to the seminar, receive a free 2-day in-office personal consultation/training visit to your office by Dr. Sanet (a $5,000 value-the only expense being Bob's airfare and hotel). Those purchasing 300 books will also receive Dr. Cook's manuals on therapy procedures and programming of strabismus and amblyopia (a $500 value). On a space available basis, the seminar will be open to other OD's who have not purchased Sue's book. The fee for the seminar will be $1,250.00, with all profits being used to promote Sue's Book.

SEMINAR DATES, TIMES, AND LOCATIONS:
The seminar will be presented in two locations and both Dr. Cook and Dr. Sanet will present and interact at each of the seminar venues.

The seminars will run:
Saturday 9:00 AM- 6:00 PM
Sunday: 8:30 AM – 3:00 PM
ATLANTA: July 25--26, 2009
The seminar will be held in the office of Dr. Cook (twenty minutes from airport) Office Address:1395 South Marietta ParkwayBld. 400, Ste 116Marietta, GA 30036email: cook2020@aol.com
phone: 770-419-0400
Hotel Information: one block away at:
Marietta Hampton Inn
455 Franklin Road
Marietta, GA 30067770-427-2545
Call hotel for reservations. Please mention Cook Vision Therapy to receive a reduced room rate: $79.00 per night if reserved by July 16th. After that, $109.00. Call early if you need two beds; most rooms have kingsize beds.

SAN DIEGO: August 29--30, 2009
The seminar is limited to the first 25 registrants.
Best Western Seven Seas Hotel
411 Hotel Circle South
San Diego, CA 92108
(619) 291-1300
E-mail reservations: bw7seas.com
WWW.bw7seas.com

Room Rates: $114 Single or Double

Please make your room reservations directly with the hotel. To ensure the lower room rate, please mention that you are a participant of the PAVE/Sanet Seminars.


FOR ADDITIONAL INFORMATION ON THE SAN DIEGO SEMINAR:
Contact:
LINDA SANET PHONE: 619-421-4739
1644 GOTHAM STREET E-MAIL: RSANET@CS.com
CHULA VISTA, CA 91913

SEE FOLLOWING PAGE FOR REGISTRATION FORM



REGISTRATION FORM
If you have purchased, or will purchased a sufficient number of copies then please fill out the fill out below and e-mail to both Dr. Cook and Dr. SanetDr. Cook: Cook2020@aol.comDr. Sanet: rsanet@cs.com

NAME __________________________________________________________OFFICE ADDRESS
_________________________________________________________________
_________________________________________________________________E-MAIL _________________________________________________________TELEPHONE______________________________________________________
______I have purchased 100 copies of Sue's book______I have purchased 300 copies of Sue's book
_____ I would like to attend on a space available basis, but do will be buying the books. Cost = $1,250

*If you are attending the San Diego seminar make the check payable to:
PAVE-Sanet Seminars

* If you are attending the Atlanta seminar make the check payable to:
Dr. David Cook

I wish to attend the at the following seminar location:______ATLANTA: July 25--26, 2009______SAN DIEGO: August 29--30, 2009______
I have purchased 300 copies of Sue’s book and need for Dr. Sanet to contact me about scheduling a personal in-office seminar/consultation visit and receiving Dr. Cook's VT Manual of Procedures.