We are surrounded by SCIENCE

by Joseph Donahue

Science is applied around us in massive quantities everyday by humans and Mother Nature to an extent far greater than is generally appreciated. The extent of our involvement with science is shown by a few examples cited below.


Temperature is the measurement of the rate of vibration of atoms. The faster that atoms are vibrating in a material the higher is the temperature of that material. If a material is cooled the vibration slows until at absolute zero the vibrations cease. Thus, there is a lowest possible temperature, absolute zero, which is – 273.15o Celsius or – 459.67o Fahrenheit.

There is no upper limit on temperature. As the temperature increases most materials proceed from a solid to a liquid and to a gas. At higher temperatures molecules separate into atoms which then lose electrons and at very high temperatures become bare atomic nuclei. Such high temperature gasses are called ion plasmas. Plasmas with a temperature of 1,000,000,0000 C. have been created on earth.


Visible light is a small part of electromagnetic spectrum which ranges from radio waves to gamma rays as is shown in the chart.

Electromagnetic radiation waves are fluctuations of electric and magnetic fields, which can transport energy from one location to another.

To include all of the wavelengths of electromagnetic radiation the above chart should be extended down another two inches. Note that the wavelength of the waves range from extremely small, about a billionth of an inch for gamma rays, to over a thousand miles for long radio waves. All of these rays travel at the speed of light, 185,282 miles per hour.

Electromagnetic radiation has no mass. That is the reason that emissions at the speed of light can be readily made. There is no
inertia to overcome.

Our eyes can detect only visible waves which are an extremely small portion of the total electromagnetic spectrum. Eyes evolved to detect the primary radiation from the sun and not all of the other waves which are less common in nature. These other waves are detected by instruments.

There are many uses of the different electromagnetic spectrum rays. Examples include tumor destruction by gamma rays, photographs by x-rays, sterilization by ultraviolet rays, sight by visible waves, cooking by microwaves, many forms of
communication by radio waves and communication with submerged submarines by long radio waves.


A magnet is a material that produces a magnetic field. When a material is magnetized the spin of the atomic electrons are aligned in a uniform direction. Iron, nickel and cobalt can be readily magnetized as can many compounds called ferrites.

Magnets are used to hold refrigerator doors tightly closed, in compasses, in speakers and in microphones plus many other uses. Ferrite magnets are used on credit cards, audio and video tapes and hard drives. The magnetic fields surrounding a magnet are shown with iron filings.

Magnetic fields are also produced when electrical current is passed through a coil of wire. The field ceases to exist when the current is stopped. Two major uses of electromagnets are electrical generators and motors.


The weight of a column of air one square inch from sea level to outer space is 15 pounds. Thus the air pressure at sea level is 15 pounds per square inch, psi. At higher altitudes the pressure decreases as the weight of the air above that point decreases.


Static charges are produced on objects when electrons are removed thus making one object positively charged and another negatively charged. This normally occurs with friction such as rubbing a balloon which will then stick to a wall because of its charge. On a cold winter day a static charge of thousands of volts can be produced on your body by walking on a carpet.

The accumulation of static electrons is discharged through a spark when a finger approaches a metal conductor.

Voltage does not harm cells, it is current when too high that causes the damage. Using a Van de Graaf static generator volts of 100,000s can safely be placed on a human body or on other objects. Note effects of high static charges on humans.


Molecules that contain a dipole, that is one side of the molecule has a plus charge and the other negative, absorb microwave radiation which causes them to vibrate and bounce around. That movement heats the material and thus cooks the food. Microwave absorbing molecules include water, sugars and fats. Non polar materials like glass, paper and plastic are not heated
by microwaves.


When a gas is compressed it gives off heat as the molecules are forced closer together. In a refrigerator or air conditioner a motor compresses a gas, which heats it up. The heated gas is then passed through a radiator where it gives up the heat to the room or outside air. The compressed gas at a temperature close to the room or outside air is than forced through a small opening into a tube where it expands. As the gas expands it cools as the molecules move away from each other. In a refrigerator the tube wherein the gas expands and cools is inside the refrigerator. The radiator is on the outside of the refrigerator.


Thanks to the Hubble telescope in space that question can be largely answered. Our galaxy contains over 100 billion stars. The universe contains about 100 billion galaxies. That brings the total to over 1022 or 10,000,000,000,000,000,000,000 stars.

Our sun is one of those stars. The number of stars in the universe is greater than all of the grains of sand on all of the beaches on earth. Recent observations suggest that the planets in the universe outnumber the stars. And the number of moons probably exceeds the number of planets. The universe also contains many massive gas clouds. It is in these clouds that new stars are born.


The universe started with the big bang. Following some cooling the elements of the universe consisted almost completely of hydrogen and helium, the smallest elements. Today, after almost 14 billion years the universe is still similar with 73 percent hydrogen and 25 percent helium.

The big change in that time is that heavier elements have been created which now constitute about 2 percent of the elements in the universe. It is these heavier elements that make up most of earth and many other planets and moons.

When the hydrogen in a star begins to deplete the star expands up to 1,000 times its former size and becomes a red giant. Without an adequate hydrogen supply the helium atoms begin to unite forming heavier elements. It then progresses to become a large supernova. The stars life ends with a huge explosion where all of elements at blown great distances into space. Our earth is really the ashes of a long dead stars.


Yes, baseballs really curve up to as much as 14 inches from the path that they left the pitchers hand.

If the pitched ball has a counter clock wise spin the balls left surface will have air passing it at the speed of the ball plus the linear movement of the surface of the spinning ball. The right side will have air movement of the speed of the ball minus the spin surface velocity. The faster moving air on the left side will exert a lower pressure on the ball than that on the right. This difference in pressure causes the ball to curve left.

The same principle works on golf balls wherein slices and hooks are caused by clockwise or counterclockwise spins on the ball. Because of its long flight a badly sliced golf ball can curve as much as 450. A ball with no spin will proceed straight without curving.


When a lightning discharge occurs it heats the air in the discharge to around 50,000o F., hotter than the surface of the sun. This rapid heating and expansion of air creates a shock wave, which is known as thunder.

The distance of the lightning from an observer can be determined by counting the seconds between the light flash and the thunder sound. Light travels very fast, 186,282 miles per second, and thus arrives at the observer almost instantaneously. Sound travels much slower, about 1,100 feet per second in air. Thus each second between the flash and the sound determines the distance to the strike. For example, if the time is five seconds then the strike is about a mile away.


This is accomplished by placing the satellite 22,400 miles above the equator. In this position the satellite revolves around the earth at the same speed that the earth rotates. Thus with respect to the earth the satellite is in a fixed position even though it is moving at a high velocity.


It was initially thought that a bicycle remained upright because of the gyroscopic effect of the spinning wheels. That may play a small effect but experimentally constructed bikes with counter wheels, which cancelled out the gyroscopic effect also stayed upright. A bike sent forward on its own without a rider as seen below will correct itself and stay vertical as long as a reasonable velocity is maintained. If a riderless bicycle is sent down a slight incline it will remain vertical and proceed a long distance on its own.

Amazingly, the process is not fully understood but it relates to the fact that the contact point of the front wheel is behind the axis point of the steering column thus the front wheel follows along as does the front caster on a shopping cart. Another demonstration of this stability is that a bike rider can go long distances without touching the handlebars.

How to easily change your email address!

Time for change?

How long since you upgraded your computer? How long do you usually keep your car before trading itin? Have you had the same email address for over10 years?


checking emailI am often asked about how to change an email address. Sometimes a client has been ‘hacked,’ and their email and password have been compromised more than a few times. Sometimes the amount of junk mail, or ‘Spam,’ becomes a relentless barrage that cannot be held back. There are several solutions to these dilemmas, including creating a stronger password, unsubscribing (this only works when it is a legitimate site!) and using junk mail filters.

It is often easier to start fresh with a new email address, and I will describe that process in this article. Depending on the email service that you’re using and how much effort you want to put into things, changing your email address can be either easy or difficult. More likely, it will be closer to an easy process if you plan and follow the steps reviewed here.

First, it is a good idea to keep your current email active if creating a new one for usage. This will allow you to monitor the old account and check for any messages from senders not aware that your email has changed.

Next, you need to decide on a new email provider, or you can reserve your own domain for email. There are several free services: Gmail (yourname@gmail.com), Apple’s iCloud (yourname@icloud.com) and Yahoo! (yourname@yahoo.com) are some of the largest. Another option is to get your own domain (www.yourname.com) and then you have a personal email address (you@yourname.com) that is unique and memorable. This can be done for around $30 per year. After you create the new account, you will need to send out an electronic ‘Change of Address’ notice. This can be simple and to the point, it will go to those friends, family and associates that you correspond with regularly, we will address other accounts shortly. You have probably received several such emails from your friends, this time it is you who will be sending it. Here is a simple template:


Message Body: Effective immediately, my new email address will be example@example.com. Please copy this address and paste it into your address book, replacing my prior email.

• Important: Send this email only from your new email address, and make sure to put all the recipients into the BCC field to avoid sending your entire address book to everyone.

Your Internet Service Provider (ISP) will likely only allow you to send 30-40 emails at a time, an anti-spam measure. This is short, simple and to the point.

You now have a fresh, clean email account that is only known by those whom with you shared it. Continue to monitor your original address for any stragglers that did not get the notice, and you can notify them of your new address on a case- bycase basis.


Rather than trying to sit down and remember all the places your email address is stored online, update web sites as you go. This
applies to banks, credit cards, airlines and other online retailers. Fill out the change of address forms on sites you are registered with as you return to them, this will make the task less daunting. Keep a list of those you have completed for reference. Also remember that your username is often your email address, and this may not need to be changed everywhere it is used. You often have a separate user name and contact email, you may keep your old username but make sure to change your contact email in your account settings for each website. For example, if you have an iTunes account, it can be difficult to change the original email you signed up with due to music copyright laws. In that case, keep the original email you used for future iTunes purchases, but change your contact email so that you still receive receipts.

One reason to keep the older email active is that you can use that when you need to fill out a form that requires an email address, this will help you keep the junk separate from valid emails. You could also create a second new email address, often called an alias, which you could use only for forms and online shopping, to help filter any resulting junk mail. Also remember that it is often not a good idea to delete an email account entirely, as you may need to check it for messages from those you correspond with less frequently. There will come a time that you only need to check that old email account once a month or less!

Changing your email does not have to be a difficult process, and by following the steps listed it should be an easy endeavor.

Jeff Bohr
Naples Mac Help
239.595.0482 | jeff@jeffbohr.com

Understanding the points of a good cut

by Erick Carter

by Erick Carter

A great hair style starts with a great haircut and for that you must have balance.Understanding the eleven balance points of a good cut, which include vertical and horizontal planes, gives creative freedom to your hairstylist.

All good hair design starts with the main balance point, which is found at the highest point of the head, when the head is in a natural position. From there your stylist will draw five vertical planes of balance. They are the center part, three inch points each side of the part, and the tops of both ears.

To create horizontal planes of balance, a line is drawn first at the round, and second at the flat of the head. When the vertical and horizontal planes meet, they create the all-important points of balance. These points dictate where your hairstylist sections the hair for corrective work, creative work, and conservative work, both in cutting and coloring.

When your hairstylist fails to respect these points, your hair style can appear off-balance and that alone can make you frustrated at home when trying to recreate salon results.

If you feel your hairstyle needs to be better balanced, please call for a no obligation consultation.

I would like to invite all readers to write in your questions. You can do so by email at Erickcre8U@gmail.com or call me at 239.777.2380.


A true Swanky Speakeasy is coming to Naples!

swanky speakeasyThe 4th annual fundraiser for the Physician’s Led Access network (PLAN) of Collier County will be beyond compare!

You’ll sneak into a hush – hush location and be delighted by 1920’s era music, gaming, complimentary libations, inventive foods, silent auction and prizes that support the vital work that over 200 volunteer physicians, hospitals, labs, and radiology centers provide to our neighbors in need here in Collier County.

PLAN of Collier County is a 501(c)(3) organization which helps qualified, low-income, uninsured Collier County residents receive free comprehensive medical care. PLAN has been serving the community since 2003 and has coordinated over $25 million in medical care services.

All proceeds from this fundraising event will help PLAN to continue providing volunteer medical services to those who have no other access to care in our community.

Join us in “Making a Difference in the Health of Our Community.”

If you would like more information about this topic, please contact Colleen Dunphy at 239.776.3016 or email at colleen@plancc.org.

“A copy of the official registration and financial information may by obtained from
the division of consumer services by calling toll-free 800.435.7352 within the state.
Registration does not imply endorsement, approval, or reccomendation by the State.
Registration #CH32532.”

THE QUIET QUEST: Professionals Seeking Citizenship:”

Mike Reagen Citizen Member Editorial Board

Mike Reagen
Citizen Member Editorial Board

A four-part series


The fact that many foreign-born professionals are legally seeking admission to the USA is one aspect of the fractious debate on immigration that is often overlooked. It is important, as the debate surely becomes more rancorous and divisive in the days ahead, that their importance and their contributions be considered and put into context.

As Neil Diamond wrote and sang in 1980, the data is clear. More folks are moving to SWFL to enrich our communities. FGCU’s Dr. Gary Jackson shares data that by 2015 our six-county [Charlotte, Collier, Glades, Hendry, Lee and Sarasota] regional population will total 1,769,438 people. Lee County’s economic development Office’s recently reported a net total of 5,242 moved to Lee from nine U.S. States plus Florida.

Three percent came from foreign countries and their impact is considerable. While foreign borns’ share of total U.S. population in 2011 was almost 40.8 million or 13 percent of our 313.0 million, between 2011 and 2012, another 1.1 percent or 447,000 came to our nation. Today, 15.3 percent of Lee County’s population of 661,115 and 23.6% of Collier County’s population of 339,642 are foreign born.

Much debate, of course, is focused on the influx of less-skilled foreign borns coming to the USA to work in our agriculture, hospitality, manufacturing, construction industries. But we should also focus on the positive impact of foreign borns on physical science, computer science, business and health care, jobs requiring higher education and training. The incomes of those foreignborn naturalized citizens exceed noncitizen incomes by 60%. They pay more taxes, buy more goods and services
and make other contributions to our GNP. Foreign-born citizens add significantly to our well-being. According to William A. Kandel, U.S. Congressional Research Service Analyst, in recent years, foreign-borns contributed to nearly 30% of recent U.S. Population growth. More than two-thirds of the foreign-borns serving in our armed forces are naturalized citizens. The 44,705 members of the U.S. Armed Forces who were naturalized citizens in February 2008 represent 68% percent of the 65,033
foreign-borns serving in the U.S. Military, says Jeanne Batalova, Senior Policy Analyst at the Migration Policy Institute.

Foreign-born citizens also help keep Social Security and Medicare solvent and pay other local, state and U.S. taxes. They often create their own jobs and own businesses which, in turn create jobs for other Americans. They well integrate into our local communities by their educational, home ownerships and increased living standard advances. And, increasingly, they come here to study.

“Foreign students have long sought education in the United States, but shifting economic fortunes have quickened the flow and titled the demographics younger” says Michael Alison Chandler in a recent Washington Post article.

“At a time when many ‘Made in the USA’ products struggle in the global marketplace, American diplomas are more coveted than ever. More than 650,000 international students were enrolled in U.S. colleges and universities in 2009, fueling a nearly $18 billion international education industry. Federal government data show that 35,000 foreign students attend primary or secondary schools in the United States, not including one-year cultural exchange programs or short-term language courses,” Chandler said.

Devon Haynie, education reporter for US News, recently wrote that, “The United States enrolled the highest number of international students in its history during the 2012-2013 school year, welcoming 819,644  undergraduate and graduate students to colleges and universities throughout the country.”

There are now 40 percent more international students studying in the U.S. than 10 years ago, according to the report by the Institute of International Education [IIE]. The influx of foreign students boosts the U.S. an economic, says the IIE, adding approximately $24 billion to the U.S. economy and, according to the Association for International education, helped create
300,000 jobs in 2011-2012.

Few of these students get scholarships from U.S. universities. About 72 percent of international students receive most of their funds from personal and family sources or from their home country governments or universities, the IIE reports.

Also, according to the National Association of International Educators [NAFSA], foreign students contributed helped create 300,000 jobs in 2011-2012. In fact, over the last three years the international student population has been increasing and today there are 764,495 international students in the US. And many of our well-educated foreign-born citizens who have studied here have powerful, varied stories and strong opinions. We asked several who are Collier County citizens to share both. We asked them why and how they came here and what advice they would give to others, including our policy makers.
November: Their Stories.

Turtles On Board

 Jim Henderson President of William C. Huff Companies and national speaker for estate downsizing and lifestyle transitions

Jim Henderson
President of William C. Huff Companies

by Jim Henderson
President of William C. Huff Companies and
national speaker for estate downsizing and lifestyle transitions

We are very excited to be the official Turtles on the Town logistics and transportation sponsor this year. If you haven’t heard of it yet – Turtles on the Town is a collaboration designed by the Community Foundation of Collier County, the Conservancy of Southwest Florida and the United Arts Council as an engaging arts project. The endeavor is designed to support the arts, environment and the promotion of charitable giving.

The project will feature 50 loggerhead sea turtle sculptures to be displayed at locations throughout Collier County from November 2015 through February 2016. Interested parties will have the opportunity to bid on the turtle sculptures at the Turtles on the Town Gala, Wednesday, March 9, 2016 at the Conservancy of Southwest Florida Nature Center.

Being part of Turtles on the Town and supporting their mission is very exciting to say the least. Our company will handle all the transportation of the turtles from picking them up once they are cast to delivering to the local artists that will transform the turtles into artwork. We’ll also be storing the turtles in our warehouse at various times between now and the gala. Plus, we’ll be hosting several of their events prior to the Gala.

Be on the lookout for our trucks around town, they’ll be sporting signage that reads: Turtles Onboard. When you see us and the sign, take a photo and post it on social media using the hashtag #TOTT. We want to help create a greater social media buzz for the project.

William C. Huff is a full-service company which specializes in complete personalized logistics support for high and ultra-high net worth home owners, builders, designers, architects and estate managers. With a wide range of services for local, national and international clients, the company also serves as an art shuttle, and specialized antique/heirloom handlers. And now, we’re adding Turtles to our list! #TOTT

Expansion Brick Campaign – Naples Senior Center

Naples Senior Center LogoThe Naples Senior Center is expanding to meet increasing demand. The Naples Senior Center, a program of JFCS of Southwest Florida, opened its doors on January 22, 2014 to 80 seniors who came for a hot lunch, entertainment and most of all, comradery! For some, it was the first time in several years they enjoyed a meal with others. Fast forward to present, the Naples Senior Center has just under 700 members, offers programs five days a week from 10-4 and has quickly outgrown its space!

Your-BrickWe are in the process of expanding from 3,000 square feet to 6,000 square feet at our current location on Castello Drive. YOU can be an important part of this successful project by donating a “brick”, which will be permanently displayed at the entrance of the Naples Senior Center. Bricks are being sold for $500, $1,000 and $2,500 and can be personally inscribed. The EXPANSION BRICK CAMPAIGN creates an opportunity to be part of the magic that is happening at the first senior center in Collier County, the Naples Senior Center!

Brick CampaignThe Naples Senior Center offers art classes, computer skills training, Spanish language classes, chair yoga, tai chi, intellectually stimulating lectures, a writers’ group, knitting and crocheting, cards and Maj Jong and a weekly hot lunch followed by entertainment. The Alzheimer’s Support Network, Area Agency on Aging and Collier County Department of Social Services are among the Community Partners using space
at the Naples Senor Center to meet with those interested in their services.

JFCS empowers individuals and families by giving them tools to address life’s challenges.

Core services include mental health counseling, geriatric case management, dementia respite and caregiver support services, the JFCS Food Pantry and the Naples Senior Center. Services are provided by licensed, skilled professionals and are supported by a corps of 120 volunteers.

Since the Naples Senior Centered opened its doors in January 2014 it has become a portal to core JFCS services. Usage of all programs, including the JFCS Food Pantry, has doubled!

The Naples Senior Center is a place where seniors meet for socialization, intellectually stimulating and emotionally satisfying programs. It is also a place where they can get assistance with life’s challenges.

Please be part of our expansion. Order your customized brick today!

To order your customized brick online visit www.jfcsswfl.org or call 239.325.4444 and ask for the “Brick Campaign!”

Hidden in Plain Sight

Melanie Black and Katherine Gutierrez of Drug Free Collier along with Captain Beth Jones, Sgt. Jeff Boyd and Cpl. Alison DiSarro of the Collier County Sheriff’s Office unveil the new traveling exhibit

Melanie Black and Katherine Gutierrez of Drug Free Collier along with Captain Beth Jones, Sgt. Jeff Boyd and Cpl. Alison DiSarro of the Collier County Sheriff’s Office unveil the new traveling exhibit

Walk into an average teenager’s room and you are likely to find a pile of clothes on the floor, scattered school supplies on a desk, and a wide range of personal care products on a vanity. Nothing unusual for most parents who are raising teens, but in some cases, looks can be deceiving.

Critical insights about teen behavior can be found within that clutter.

With this in mind, Drug Free Collier has developed a unique traveling exhibit in collaboration with the Collier County Sheriff ’s Office to alert parents of potential warning signs. “Hidden in Plain Sight” is an interactive display designed to help parents recognize unfamiliar hazards that are often in plain sight. By walking through a simulated bedroom, parents learn to identify objects that could signal potential risky behavior such as substance abuse, violence, eating disorders, and much more.

Participants will have an opportunity to interact with more than 100 items on display and will learn about current trends from local experts.

“As drug trends change, our knowledge about drugs should change too,” said Melanie Black, Executive Director of Drug Free Collier. “Parents will be enlightened by what they learn through this program and will also walk away with important resources to help them safely navigate the teen years,” Black added.

Hidden in Plain Sight is a new campaign that was recently unveiled in Collier County. The traveling exhibit can easily be brought to local parent groups such as PTA, neighborhood associations, businesses, and church or civic organizations, said Black. However, due to the nature of the material being discussed, the exhibit is open to adults only. Reservations to host this innovative program are now being accepted.

“Hidden in Plain Sight was specifically developed with today’s parents in mind,” Black said. “The program is meant to help inform busy parents about emerging trends by offering an important visual reference that they can easily recall,” she added. “Parental involvement is crucial.”

Hidden in Plain Sight is a free, local educational resource made possible thanks to support from the Collier County Sheriff ’s Office; Arthrex; Mothers Against Drunk Driving; North Collier Fire and Rescue; the Community Foundation of Collier County; and St. Matthew’s House. “As a coalition of concerned citizens, we understand that local problems require local solutions,” Black said. “Drug Free Collier is proud to stand with so many strong community partners who are working on those solutions with us.”

To schedule a presentation call 239.377.0535 or email: info@drugfreecollier.org The email should include: the name of school, agency or business making the request; date & time you wish to reserve; and the location of the presentation. The presentation requires a minimum space of 9 feet wide by 10 feet deep to accommodate the makeshift bedroom. Drug Free Collier will provide a hosting packet with more information to help ensure a successful presentation.

Established in 2005, Drug Free Collier is a local non-profit organization whose mission is to unite the community to protect the children of Collier County from substance abuse. For more information, visit www.DrugFreeCollier.org.

30 Years of Thanks

Morocco PassportAs we finish our 29th year serving more than 2,200 abused children and their families in Collier County, our staff, board of directors, and our committed corps of volunteers want to express our deep gratitude to those who have made our work possible.

With an unsurpassed turnout and generous auction bidding this year, our guests raised more than $200,000 when they “rocked the Kasbah” at our Moroccan-themed Beach Ball.

We offer heartfelt thanks to Charles Mereday, a loving father as well as a gifted gourmet chef and committed CAC patron, who staged the most creative and mouth-watering holiday fundraiser in town, bringing in $13,800 with his second annual Duck Feast.

To Arthrex: We are humbled once again for your lead sponsorship of the Beach Ball and our annual Golf Classic. Your support in our community is unsurpassed.

To Skillets, Tommy Bahamas, Iberia Bank, Barron Collier Companies, Naples Children & Education Foundation, The United Way, and to all the other gracious companies, foundations and individual patrons that support us. You have proved that you care about creating a better community for our children – a community that does not tolerate child abuse.


To our dedicated team at the Collier County Sheriff’s Office, the Naples Police Department, the Department of Children & Families, and the State Attorney’s Office who serve these young victims not just because it’s their job but as a mission of the heart.

To the ladies of the Naples Quilters Guild for sewing quilts that traumatized children can snuggle into, to Betty Shepard for her tireless effort to provide educational pillow bags, and to all the people who donate teddy bears, toys and clothing for children who arrive at our door with nothing – sometimes not even clothes on their backs – we thank you.

It is because of each one of you, and your kindness, more and more people are becoming aware of the critical work we do here at the CAC. It is because of you that we can provide hope to the children that are abused each year. It is because of you that we can lessen their trauma, provide them with critical therapeutic services, and guide them through the long healing process. It is because of you that we can provide these services and more to improve the lives of these precious children and for that we thank YOU!

Save the Dates

Our mission, as we begin our 30th year, is to expand that awareness and more fully serve these precious children within our community. You can help by attending our 20th annual Beach Ball on March 5th at the Naples Grande, or at Chef Mereday’s fabulous Third Annual Duck Feast, December 9, 2015.
Summer in Crisis
Please know that summer is a particularly difficult time for children in abusive situations. Help is needed now.

So, if you have funds or time to share, please call me personally at 239.263.8383.
Children’s Advocacy Center of Collier County

Dry Eye Disease

Allister Gibbonsby Allister Gibbons, MD

Dry eye disease can be a very challenging and confusing diagnosis not only for patients; but also one that can be challenging to make and treat. Often enough it can be managed with over-the-counter medications and the patient’s life can go on as usual. But what happens when this same patient arrives at our clinic after having previously tried multiple therapies and seen multiple colleagues? They usually bring extensive printed medical records, a bag (or two) of ophthalmic drops, all of which have failed to bring comfort and peace to our patient.

Accompanying this we can also find frustration, anxiety, and sometimes a loss of faith in traditional medicine.

Usually, we address dry eye disease as we would approach any chronic malady: a step-wise approach. We start with the simplest and safest forms of treatment, escalating in complexity and cost until the patient’s symptoms have abated to a point they’re comfortable and able to go on with their normal lives. First line treatments include over the counter artificial tears and eyelid hygiene. All this is subject to heated debate, and the specific role or order in which something is tried will depend on the severity of presentation, patient preference, and the specific cause of the dry eye.

Dry EyeOn our second step, we find multiple treatment modalities, both medical and surgical. Adding anti-inflammatory drops such as steroids or cyclosporine, addressing the inflammation that usually accompanies dry eyes can help alter the disease process.

Other interventions include lacrimal punctum occlusion (either permanently or with removable plugs), thereby increasing the retention of tears on the ocular surface. Also the prescription of slow-release lubricants that are placed behind the eyelid or systemic medication that can augment tear production can increase patient comfort.

Many patients will agree that these treatments, in the initial phases of their disease brought them comfort. But over time their symptoms might increase so they can no longer keep their eyes open long enough to watch television, read or drive, which is quite debilitating, especially in an otherwise healthy and selfdependent person.

So, where do we go from here? Possible step-up treatments, include the use of blood derived products and surface protection with contact lenses. Scleral lenses offer a great alternative to treatment, acting as a “wind shield” over the surface of the eye while maintaining the cornea moist in a pool of saline solution.

Older patients tend to express their concern about fitting these special lenses, which are a slightly larger version of regular contact lenses, but with adequate training, especially if the patient has previous experience with contact lenses, this is something that can be consistently achieved.

Blood derived products also offer an excellent treatment option for patients, their serum, diluted from 20-50 percent can be used as any other ophthalmic drop, though it need refrigeration. Its special composition, including growth factors, antibodies and other proteins certainly offer something that regular artificial tears cannot match.

When dry eye disease becomes resistant to treatment, usually this means a more severe form of disease exists, or that even though all symptoms point to dry eye it may be different disease altogether. More severe form of dry eye disease can sometimes be attributed to systemic diseases like Sjögren’s syndrome that also causes dry mouth and other systemic findings; this can also be found frequently coexisting with rheumatoid arthritis. This requires working in conjunction with a rheumatologist and starting systemic therapy.

In complex dry eye cases one must always balance the needs and realities of the patient versus our own expectations of a pristine ocular surface. Sometimes taking on additional therapies after the patient is subjectively comfortable will only reduce the compliance and quality of life of the patient.