Tag Archives: vision

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SEEING LIFE CLEARLY

Drs. Kristopher and Jessica Pugh

BY JLAURA ROSS | PHOTOS BY CHRISTIAN WATSON

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IN THE SPACE of a few moments, Dr. Jessica Pugh is a blur. She checks in with front desk staff on patient details, takes a ‘mom’ phone call on arranging transportation to her children’s evening school and sports activities, talks briefly with her husband, surgeon Dr. Kristopher Pugh, and cheerfully, if not somewhat reluctantly, takes a few minutes for a photo shoot and a media interview. It’s all in a day’s work for the busy physician, who along with her husband, owns and runs Dr. Black’s Eye Associates, specializing in ophthalmology and optometry, and vision correction surgery for patients in Southern Indiana and Louisville.

“Believe it or not, I don’t do caffeine,” she laughed. 

“I get up and exercise early and get our four kids (Emma, 14; Hadley, 13; Callum, 9; and Boden, 7) out the door, then I see patients. My husband and I are passionate about our work and we want to set that example for our kids to work hard and treat people correctly. Do I feel balanced all the time? No, but you give yourself grace and just have fun and do the best you can.”

That passion for patient care and good vision runs in the family. More than 30 years ago, Dr. Brad Black established his Southern Indiana practice, which evolved to become Dr. Black’s Eye Associates, serving Southern Indiana, and eventually expanding into Louisville. Dr. Black retired in 2017 and under the leadership of his daughter and son-in law – Drs. Jessica and Kristopher Pugh – the practice continues to expand and currently has 12 office locations, plus a surgery center (Vision Surgical Center) and a LASIK Center. Dr. Black’s Eye Associates now includes 21 doctors and 180 staff, along with a seven-vehicle fleet transportation department that provides complimentary transportation for cataract surgery patients. 

“I grew up in the business, peeking in at eye exams and watching everything,” Dr. Jessica Pugh said. “My dad started the business here in Jeffersonville when I was in first grade, and it feels like home to me.”

When she was in high school, a mission trip through VOSH (Volunteer Optometric Services To Humanity) with her father changed her life. “We went to Honduras and that stuck with me,” she explained. “My dad would spend hours operating, and I’d work in the dispensary, giving out glasses.” 

She made her way to Butler University, where she kicked around studying genetics and childhood education, but when a sorority sister went into optometry, it all clicked. “I realized I’d been preparing for that my whole life,” she said. 

As she focused on optometry, she also made another fateful connection. 

“Jessica and I met at Butler when several friends piled into a minivan for a short trip,” laughed Dr. Kristopher Pugh. “I got to know her then.” As they dated, they discussed their medical studies and naturally, Jessica talked a lot about her dad. 

“We went to different cities for medical school,” explained Kristopher, who had a goal of becoming a hospitalist. “I was influenced by her dad, who is really gregarious and fun to be around, and that combo and a surgery rotation my 3rd year made me decide to switch from medicine to surgery.” 

The couple was married shortly after graduation and moved to South Carolina for Kristopher’s surgery residency. While they were there, they welcomed their first two children. But, the tug of returning home to Indiana always remained. In 2007, with other job prospects on the table, the couple moved home. 

“We had offers to consider and it didn’t take us long to realize we had an opportunity you just can’t recreate – both our families are in Indiana,” said Kristopher. “Dr. Black is so well-known and has such a great reputation that the chance to come back here and learn from him, and for me to rev up as a surgeon and Jessica as an eye doctor, was as good as any fellowship or job that existed elsewhere.” 

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VISION AND GROWTH 

“We didn’t come here thinking my dad was on his way out,” said Jessica. “We’d love it if he’d work forever.” 

But retirement called by 2017, and Dr. Brad Black stepped away to become a full-time active grandparent. Kristopher and Jessica took over the family business. 

“Dr. Black was so helpful and set lofty expectations that allowed me the space and time it takes to be the best surgeon,” said Kristopher. “I have respect for him as a father in law, but also as a colleague and mentor and boss. I was lucky to work with him.” 

The Pughs soon learned that growing a business was just as much work as providing patient care. “We were just being the best doctors we could be,” said Kristopher. “But I’m fascinated by the opportunity to run a healthcare business. There’s a parallel between meeting a patient and putting together the puzzle on what their best vision is, and there’s also a puzzle piece in determining the eye care needs of Southern Indiana.” 

They realized that the area was a changing marketplace, with many of Dr. Black’s long-time colleagues retiring. “Dr. Black saw patients in rural communities,” said Kristopher. “He didn’t own practices there, but he worked alongside local, rural doctors and performed surgeries in their hometown hospitals.” 

The Pughs built upon those long-time relationships and began acquiring those practices as the doctors retired. “In just six or so years, we now have a comprehensive practice that has pediatric eye care and surgery, refractive surgery, glasses, contact lenses, and we are taking care of the aging population,” said Kristopher. “We’ve added new doctors and staffs, but while many of our competitors are selling out, we are locally, family-owned.” 

As their practice has grown, the Pughs actively empower their doctors in satellite offices to make their own decisions and keep their local feel. “Being locally owned sets us apart. It’s becoming a rarity,” said Jessica. “We’re one of the last free-standing optometric practices in the area.” 

“Like all of our doctors here, ethically, I’d have a hard time looking at a patient and recommending a treatment or surgery that I didn’t feel 100 percent behind,” she added. “I think the culture and work environment is so important. I want this to be a place where employees want to come in and I want them to have a smile on their face. When you can cultivate that within the practice, it is passed along to the patients.” 

“The concept of a family business is something we’re learning constantly,” said Kristopher. “It changes every day. If done correctly, you can create a workplace where everyone feels connected and involved in something that is bigger.” 

GIVING BACK 

The Pugh family and their extended family of physicians and staff are all actively involved in their communities. Dr. Jessica Pugh is on the board of the New Albany Education Foundation and supports many other organizations. “I grew up here and we are all firmly rooted in Southern Indiana,” she said. “There’s a big part of me that feels if someone asks for help, we should try to give back.” 

Dr. Black’s Eye Associates also sponsors many organizations across Southern Indiana, including Impact 100 Southern Indiana, New Albany and Floyd Central High Schools’ theatre arts programs, and the New Albany track program, among others. Doctors and staff are regular participants in many school career days and the practice provides complimentary vision screenings for more than 2,000 elementary students in Floyd, Harrison, Washington, Scott, and Ripley counties. The practice also takes the complimentary vision screenings on the road to county health fairs across Indiana. 

Eventually, the Pughs hope to develop a free clinic to provide necessary visual exams, frames, and lenses for families in need. “It’s so important to us to be a visible part of our community and continue the legacy of giving back that Jessica’s dad instilled in us,” said Kristopher. 

Reflecting on her own mission trips with her father, Jessica saw her past mesh with her future last year when she and her daughter, Hadley, traveled on a mission trip to the Dominican Republic. “It’s like I came full circle,” she mused. “Several doctors from this area ran a full clinic, with medical, dental and optometric services. I ran the optometric clinic and we handed out 650 glasses in one week. It left a huge impression on my daughter. It was so special to serve others with her by my side, and I know my dad was proud of both of us.” 

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COMMITMENT TO QUALITY 

When Dr. Brad Black established his practice, he made a commitment to treat each patient as he would a family member. Respect and compassion were – and are – as important as providing medical care. 

“It can be hard to prioritize your eye health, especially when you have kids, a busy job, and things going on constantly,” said Jessica. “And, for a patient, it can be very scary, after all, it’s their eyes. I don’t treat that very lightly. I’m sympathetic and like to talk you through the appointment,” 

“When I see patients, I don’t look at the clock. I look at them,” she said. “People like to have things explained and feel that they are heard. Everything we do here, we do 100 percent for every patient.” 

“In most medical practices, the art of personal service has been sacrificed for efficiency,” said patient William Hardy. “Eye Associates has created the perfect balance of medical practices and procedures, while giving personalized treatment.” 

“Every person I came in contact with at Dr. Black’s Eye Associates treated me with extreme respect,” agreed patient Jean Arden Haub. “Even though this was my first visit, they treated me like they had known me all my life.” 

“A good day for me is executing a plan to help people see better,” said Kristopher. “The outcomes are impactful and measurable, and I get quiet satisfaction from seeing patients respond so well. I enjoy meeting a patient, getting to know as much about them as I can, putting together a puzzle on how they’ve seen their whole life, how they see now, and how they want to see in the next decades.” 

“What I love most is that our family has cared for generations of area families,” said Jessica. “It’s fun. My friends come in. Their parents come in. It’s rewarding to carry on that tradition of service. My dad, Dr. Black, is the most jovial person you’ll ever meet, but he stood for nothing less than perfection in the operating room. We are proud to carry on that same quality.” 


ARE YOU A GOOD CANDIDATE FOR LASIK SURGERY? 

Since the early 1990s, LASIK (which stands for laser-assisted in-situ keratomileusis) vision correction surgery has changed the lives of thousands of patients who now enjoy greatly improved vision. LASIK surgery helps correct vision in people who are farsighted, nearsighted or have astigmatism. Newer, recent technology advances have made the procedure safer and more precise than ever before. Dr. Black’s Eye Associates’ Jeffersonville Vision Surgery Center offers advanced laser technology, using a femtosecond laser that provides outstanding precision and speed in the vision correction surgery. 

“Laser vision correction is one of several tools we can utilize to correct vision and let people live the life they want to live,” said surgeon Dr. Kristopher Pugh. “This is the only location in Southern Indiana where LASIK can be done.” 

Doctors first evaluate a patient’s vision, their age, and the shape and thickness of their corneas before performing LASIK. According to Dr. Pugh, the best age range for LASIK patients is between their mid-20s to mid-50s. 

The LASIK procedure performed by Dr. Black’s Eye Associates surgeons utilizes a bladeless WaveLight® EX500 laser system, which maps the unique characteristics of the patient’s eye. This computer-controlled, tiny beam of light prepares the cornea for treatment by a second, excimer laser. Computer-guided technology pin-points the precise topography of the eye to allow for precision and accuracy in reshaping the cornea, which is the clear front part of the eye, so that light traveling through it is properly focused on the retina, located in the back of the eye. 

Once the patient undergoes the surgery, vision can be significantly improved by the second or third day after the procedure. Many patients experience 20/20 vision. 

“It’s a pretty amazing procedure,” said Dr. Pugh. “The recovery is so quick, and that wow factor is so hard to replicate. Patients tell me stories that they’ve had glasses since they were six years old, and then they get up after surgery and see so clearly. It’s exciting to watch that reaction.” 

Unlike some LASIK vision correction surgery centers, Dr. Black’s Eye Associates provides a lifetime LASIK guarantee. If an enhancement or re-treatment is needed later, qualified patients will receive the treatment without charge. 

For a complementary consultation on LASIK surgery options, call Dr. Black’s Eye Associates at 812.284.0660. 

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Restoring Hope

Nonprofit provides sight and more to Third World countries

By Laura Ross

Photos by Christian Watson and courtesy of Dr. Ali Haider

 

“This is an inexpensive procedure of about $25 an eye that can give sight and is not available to most individuals in Africa, South America, Asia and other places. That’s why I do this.” –Dr. Ali Haider of World Sight

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Dr. Ali Haider’s eyes were opened wide as a young medical resident. While performing marathon volunteer eye surgeries in a primitive camp in Pakistan several years ago, he watched yet another family enter the rudimentary facility.

A little girl, maybe no more than 10 years old, gently led her grandfather who was blind in both eyes into the clinic. She had spent most of her young years leading her grandfather through life – in essence, acting as his eyes. He relied completely on the small child, and she lovingly cared for him.

Haider, an ophthalmologist and surgeon, performed cataract surgery on the man and restored his sight. The next day, when the grandfather left, he held his granddaughter’s hand and – this time – led her home, both laughing with joy.

Sitting in his comfortable office, now, years later, that moment is still fresh. “I knew I had to continue doing this,” said Haider. “It’s extremely gratifying and the thanks these patients and their families offer is tremendous and completely affects you. Yes, it’s selfless work, but it’s also selfish to a degree, because it becomes an addiction to helping others have sight. You give from your skill, and in moments, you change someone’s life completely.”

He took that inspiration and founded a nonprofit, World Sight, that provides eye surgery to blind patients in Third World countries for an amazing average cost of around $25.

Haider, 41, who has offices in Southern Indiana – including Madison – and Louisville, was born in Pakistan and lived there and in Swaziland (also known as eSwatini), until he moved to the United States as a teen with his family. His father was the only physician in their area in Pakistan. He often treated patients for free, never expecting anything in return.screen-shot-2018-11-20-at-4-04-15-pm

“My father helped underserved communities in Pakistan and other parts of the world,” said Haider. “He was everything, from a surgeon to a gynecologist, internist, and family doctor. He was trained as an internist, not a surgeon, but sometimes he’d put a textbook on the table and start operating in the office. That is tremendous when you think about it. We take so much for granted here in the United States.”

Following his father’s lead, as a medical student, Haider made several trips to dangerous and impoverished countries for a week here or there to perform surgery in less than ideal conditions. He’d work around the clock, performing dozens of surgeries, but would return home frustrated.

“I did not want to do mission trips all the time,” he said. “It’s heartbreaking to work for a week, and then what? There’s no follow up. I saw the degree of suffering. You don’t expect to go blind from cataracts in the United States, it’s a normal part of getting older. But, in the rest of the world, especially Third World countries where there is lack of care, people go blind from something as simple as cataracts or even simple cancers like skin cancer that isn’t taken care of and then spreads and turns terrible.”screen-shot-2018-11-20-at-4-04-26-pm

He realized the solution was not the mission trips, but a foundation with a mission. “It was empty to some degree for me: ‘Oh, look, I did a mission trip.’ It’s not about me; it’s about the patients. If you want to have a true impact, you need the continuum of care.”

Haider reached out to friends, contacts and even patients for ideas and guidance. One patient, Graham Cooke, seized the idea. A lawyer and owner/operator of Louisville’s treasured Hawley-Cooke Booksellers, Cooke was nearing retirement and looking for a new outlet for his energy.

“We started talking about what we wanted to do in the future,” Cooke said. “Dr. Haider has a has a huge heart and it shows. For a very small amount of money, we could deliver sight. That is true impact.”

Soon, Louisville stockbroker and Morgan Stanley money manager Dick Wilson was on board as well. Together, the trio reached out to several local investors and business leaders, and with their help – and the assistance of Lions Club International – World Sight was formed.

Haider realized the key was setting up active clinics in an area, training a surgeon on site, and then supporting that clinic with supplies and guidance. World Sight clinics currently operate in Ghana, Iraq and Tanzania. A fourth clinic also operated in Madagascar but is temporarily closed due to lack of funding. These are clinics in dangerous, poor, underdeveloped or war-torn countries. Haider should know. He was briefly kidnapped once in Iraq. He’s suffered from malaria three times.

“In the beginning, I took a bag and went there on my own to work,” said Haider. “But, now, we contract with a full-time surgeon there who is our local point man. He does his own work; I give guidance, training, and supplies. He can then follow up with all the patients. In some cases, we’ve had surgeons from Africa come here and do fellowships with me.

“Cataract surgery takes me about seven minutes, and – boom! – you can go from blindness to seeing,” Haider added. “This is an inexpensive procedure of about $25 an eye that can give sight and is not available to most individuals in Africa, South America, Asia and other places. That’s why I do this.”

And he does it with extreme efficiency.

“Here’s the challenge,” explained Dick Wilson. “World Sight is one of the most efficient charities because we have no overhead. We have no office, no staff, anything we do is through the internet and Dr. Haider.”

Donors generated by Wilson, Cooke and Haider’s networking raise funds for supplies and kits needed for the surgeons on site to do their job. “If you could work on the efficiencies of a position on site versus sending a team from the USA and the cost of that for a short trip, it’s so much more efficient to support the local ophthalmologists,” said Wilson.

Haider travels to each site through the year. He recently returned from Iraq in late October. “In Iraq, we work with a hospital where their entire ophthalmology department is World Sight physicians. It’s difficult to manage this in a place like Iraq. There was the issue with ISIS and that stops all business. We have trouble importing medicine and equipment because everything shuts down. Many of these countries are corrupt. We sent a cataract machine to Iraq, and it sat in the port for three months until the person there was taken care of. Of course, that frustrates me, but that’s part of the ‘game’ there,” Haider said.

There are other frustrations, too.

Haider’s work in Third World countries has created an internal struggle. “It humbles you,” he said. “Initially, it was extremely shocking and disturbing, things go through your head that you don’t understand. For example, why is there such an abundance of food in one part of the world, where we toss uneaten hamburgers because someone put ketchup on it? Somewhere, kids are starving to death because their bodies are eating their own muscles. It makes no sense. We are wasting so much food when there is starvation. People get all googly-eyed about their animals. If they saw what happens to children over there, these people would be crying their eyes out.”

Many patients in the clinics are blind in both eyes, said Haider. “I must make that decision: Do I have enough equipment for both eyes, or do I only operate on one eye on this person and save the cornea for the next person? Giving sight in one eye makes a person non-blind. I can make two people non-blind. It’s shocking to my mind to not be able to give full sight to one person, but I have limited resources.”

To continue its mission and grow, World Sight needs funding, new supporters, and literally, new eyes on the nonprofit. Haider knows that probably means fundraising, networking, building local boards and volunteer bases, hosting events, and doing all the business side of charitable work. It’s necessary in the world where we live. But, if he could have his way, he’d prefer to focus on the outcome of what they do and keep it simple.

“If I was to stand on the road and simply hold a sign that said, ‘Give me $20, and I’ll give one person sight,’ I’d do that,” he said earnestly. “I bet there is enough goodness in people that they would stop and hand me a $20 bill. It sounds so simple. And, it is.”

While the procedure costs just under $25, it provides far more than sight, Wilson said.

“If you want to make change in the world, look at what World Sight does. We can change the whole economic and social structure of these people’s lives with one operation,” he said. “It’s amazing.”

In the meantime, Wilson and Haider are open to new ideas from the community. “I want to grow World Sight,” said Haider. “But, I need help. I need a development and organizational person, I need more funding. That’s my challenge. I am the technical person; I am the surgeon. I need to spread the word.”

At the end of the day, Haider keeps one thought in mind.

“Darkness is devastating,” he said. “Medicine here in the United States is so difficult. Over there, it’s simple. There’s no paperwork. No computers. No insurance company representatives. There is you, who can help another person. There is a patient who is given sight. There is a family that is forever grateful.  That’s all. It’s the core of being human.”

For more information about World Sight, visit www.worldsightnow.org