SCARS

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SCARS
Dr. David Almeida
Nowadays I dont want a perfect face and body
I want to wear the life Ive
lived. Pat Benatar
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• TASK AT HAND This week Im thinking about
  scars. We normally think of scars as negative
  manifestations of past trauma. Sequels of serious
  harm. Instances where circumstances went beyond
  our ability to repair and restore our normal
  constitution. Whether they be physical,
  psychological or spiritual, scars are commonly
  unwanted tattoos of dramatic life events
• But this view is nearsighted.
• As the insightful Pat Benatar quote echoes above
  you, your body, your face and your smile are
  reflections of the life you live. The scars you
  collect speak volumes of the miles you travel,
  the milestones you achieve, and the pain you
  reconcile. These are, whether negative or
  positive, the greatest hits of your life. The
  scars you collect are essential elements of your
  constitution consequently, they should be
  celebrated for, so strong an effect they have,
  they change you forever.

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• The scars you collect speak volumes of the miles
  you travel, the milestones you achieve, and the
  pain you reconcile.
• Dont hide from your scars! There is no need for
  that perfect face and body Benatar alludes to
  above. Instead, embrace scars, imperfections, and
  stains. Actually, let me go one more welcome the
  opportunity to develop new scars! Challenge your
  character and choices in ways that provide
  opportunities for personal growth and the ability
  to foster new relationships.
• When life pushes you, push back.
• When you are held down, the only next move is to
  get back up.
• When you are questioned, answer in the
  affirmative. Answer without fear of scars.

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• MEDICINE MACULA Check out one of our recent
  publications, Dysfunctional Autonomic Regulation
  of the Choroid in Central Serous
  Chorioretinopathy by C Nathaniel Roybal,
  Elisabeth Sledz, Yasser Elshatory, Li Zhang,
  David RP Almeida, Eric K Chin, Brice Critser,
  Michael D Abramoff Stephen R Russell.
• It was published in the June 2017 issue of
  RETINA.

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• We describe the effect of changing perfusion
  pressures on retinal and choroidal structure in
  central serous chorioretinopathy (CSC). In this
  study, we found that choroidal thickness
  increased in response to increased perfusion
  pressures in patients with CSC and not in normal
  controls. These findings likely represent an
  autonomic dysregulation of choroidal blood flow
  in patients with CSC.
• GRATIS Happy Fathers Day to the selfless
  individuals who, without fear, serve as mentors
  and role models!
• My best to you,
• David Almeida
• david_at_davidalmeidamd.com