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HIGH TECH MEDICINE: POWERFUL LASER
The American Medical Association revised its ethical guidelines in 1975 to permit advertising by doctors. Taking advantage of this opening, some physicians have lifted the laser to the status of cure-all and come-on.
Ads in newspapers and on billboards, radio, and TV- as well as doctors appearing as guests on TV and radio talk shows-often make outrageous claims for use of the laser’s intense, oscillating beam of light.
In skilled hands, the laser has touched and helped heal many areas of the human body. Although, lately, it too often is promoted as a treatment for everything from cancer to ingrown toenails, the laser actually has real curing power and true pain-relieving potential. But much of the advertising reeks of hype to get you in the doctor’s door, so check the physician’s experience with lasers. In the hands of an untrained doctor, the laser can be deadly. In the hands of an unscrupulous one, the only thing patients will be relieved of is their cash.
Dr. Barry Levine, an expert in laser surgery and chief surgeon at Montefiore Medical Center in the Bronx, New York, does not see lasers as limitless. “Lasers for hemorrhoids are a gimmick,” he says, adding that he also doubts the efficacy of lasers for aiding migraines and knee and foot problems. Still, lasers are seen as treasures for many conditions, including glaucoma; torn retinas (surgery is being done to restore sight when a retina, the photographic plate at the back of the eye, has torn loose); nearsightedness (a new, highly regarded surgery is being tested); prostate surgery; and the removal of tumors, gallstones, and urinary bladder stones.
Basically, a laser is a high-powered light beam. It can deliver intense heat- hotter than the sun-to a spot the size of a pinpoint. It can weld cut arteries. Since lasers cut and weld at the same time, laser surgery is noninvasive and almost bloodless. Devised in 1960, the laser creates a focused, intense, one-color beam of light. Light from an incandescent bulb is widespread and a mix of many colors; in the heated filament of a light bulb, billions of atoms dance to different temperatures and span the colors of the spectrum. In a laser, the electrons that circle each atom vibrate together to the same energy level. Released together, they emit light at the same energy and color, and the energy they release creates a temperature so high that it can vaporize skin, bone, or muscle. There are lasers of various energies, including the excimer laser, which can remove molecules from tissue without damaging the cells surrounding it.
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