Weight Loss Surgery & Eye Pressure (IOP)

Did you know that an indirect benefit of weight loss surgery turns out to be a lowering of eye pressure, or IOP in patients with ocular hypertension? According to a study reported in Acta Ophthalmologica patients who had bariatric or weight loss surgery and successfully reduced their weight by a significant amount demonstrated a marked IOP reduction. Thus, the researchers believe that significant weight loss could have beneficial effects on IOP in obese individuals with ocular hypertension which might them to avoid having to use glaucoma eye drops.

If you or someone you know is contemplating bariatric weight loss surgery and has a high eye pressure they should be aware and schedule an eye exam with glaucoma testing. Schedule an eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Five Tips to Avoid Toy-Related Eye Injuries

With the holiday shopping season now in full swing, we want you to keep in mind certain eye injury prevention safety guidelines when choosing the perfect gifts for the little ones in their lives. Some popular toy types are commonly associated with childhood eye injuries. These include air guns and other toys that shoot projectiles, high-powered lasers, and sports equipment.

We want to encourage parents to consider these tips when gifting toys to children this holiday season. 

• Beware of airsoft, BB guns, and other projectile toys. Every year we treat thousands of patients with serious eye injuries caused by seemingly safe toys. Avoid items with sharp, protruding or projectile parts such as airsoft guns, BB guns and other non-powder gun–related foreign objects can easily propel into the sensitive tissue of the eye.
• Never allow children to play with high-powered laser pointers. A number of reports in the United States and internationally show that children have sustained serious eye injuries by playing with high-powered lasers (between 1500 and 6000 milliwatts). Over the years, these lasers have become increasingly more powerful, with enough potential to cause severe retinal damage, with just seconds of laser exposure to the eye. The FDA advises the public to never aim or shine a laser pointer at anyone and to not buy laser pointers for children.
• Read labels for age recommendations before you buy. To select appropriate gifts suited for a child's age, look for and follow the age recommendations and instructions about proper assembly, use, and supervision.
• Don't just give presents. Make sure to be present. Always make sure an adult is supervising when children are playing with potentially hazardous toys or games that could cause an eye injury.
• Know what to do (and what not to). If someone you know experiences an eye injury, seek immediate medical attention from an ophthalmologist. As you wait for medical help, make sure to never to touch, rub, apply pressure, or try to remove any object stuck in the eye. If an eye injury occurs follow these important care and treatment guidelines.

Please take steps to shop and play responsibly this year. Following these tips can help make sure our little loved ones have healthy vision for many holiday seasons to come. If you have questions or need an appointment please call Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Common Drugs & Light Colored Eyes Increase UV-Related Eye Problems

Did you know that some common drugs and light colored eyes can actually increase your risk of UV related eye problems? Even for many people who are taking certain drugs and have light-colored eyes they are unaware of the increased risk of certain eye diseases and conditions.

Studies have shown that, in addition to skin cancers, accumulated ultraviolet exposure from the sun can heighten the risk of eye diseases such eye cancer and cataracts, a leading cause of blindness worldwide. Intense UV exposure can also cause temporary blindness known as photokeratitis, while extended sun exposure is linked to growths such as pterygium, or surfer's eye. Consumer market research demonstrates that about half of the patients taking antibiotics containing tetracycline, or fluoroquinolones like Cipro, some birth control and estrogen pills and certain anti-inflammatory pain relievers, such as ibuprofen Advil and naproxen sodium Aleve are unaware that these medications are “photosensitizing” and increase the risk of eye problems from UV rays. In addition, more than half-54 percent of Americans-have light-colored eyes-blue, green or hazel which are more susceptible to UV damage. While people with eyes of any color can develop UV-related eye diseases, light eyes and sun exposure are associated with an increased risk of rare eye cancers, such as iris and uveal melanomas.

While it is just common sense to wear UV eye protective sunglasses, those in the higher risk groups above should be particularly cautious about UV eye protection-particularly if you work or spend a great deal of time outdoors. To learn more call Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Lipid Lowering Medication Can Help Diabetic Retinopathy

Did you know that medications used to treat high cholesterol and triglycerides in your blood can help diabetic retinopathy? In two clinical studies, the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study and the Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, the medications Fenofibrate (TriCor, Lipofen, Triglide, Trilipix) and Statins (Lipitor, Crestor, Mevacor, Pravachol, Zocor) have been found, to reduce the signs of blood vessel disease in the retina from diabetic retinopathy but also to actually reduce the need for certain treatments for diabetic retinopathy.  We are hoping that additional research becomes available that helps us help patients with diabetes avoid the sight threatening complications of this terribly common disease.

If you or someone you know has diabetes please be sure to have regular eye exams in order to avoid the potentially blinding vision loss from this disease. Schedule an eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Why NOT to Buy Eyewear or Glasses Online

Did you know that in Massachusetts the state regulates that eyewear is a medical device and by law it is required to be fit and dispensed (provided) by a qualified licensed Optician or a registered apprentice? On-line businesses do not follow this regulation, however they are permitted to provide eyewear because they are based outside of state and/or country lines. Your Optometrist or Ophthalmologist is required to provide you the needed binocular pupillary measurement, known as your PD.  However, this is a generic measurement that may not result in a pair of eyewear with optimal visual performance, especially if you wear progressive (no-line) lenses or have a difficult prescription.

 At Center for Sight there are several measurements and considerations we use when customizing a pair of eyeglasses that includes a monocular pupillary or visual center measurement (VCP), your visual needs, prescription, lens type, frame style, wrap angle, vertex distance, pantoscopic tilt, base curve, head and facial features, the intended use for your eyewear and previous eyewear worn. When fitting eyewear we also make precision adjustments so you are looking through the optical center of the lens.  Our Opticians also want your frame to fit properly so they do not slip on your nose, pinch the sides of your head, leave red marks or cause discomfort behind your ears or on your nose.  Any of these concerns may cause headaches and/or decreased vision.  The human face is not symmetrical left to right so using only your binocular PD will not place the pupils in the visual center of the lens and possibly cause distortion, unwanted prism and headaches. Taking this measurement yourself- as some online stores request you do is tricky-somewhat akin to trying to cut your own hair. To us, you are our patient, to them only a customer! 

If you or someone you know needs an eye exam, please schedule one at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment. 

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Computer Use, Your Eyes & Eyestrain

There are some important things to know about computer and video display terminal use in regards to your eyes and eyestrain. Staring at your computer screen, smart phone, video game or other digital devices for long periods won’t cause permanent eye damage, but your eyes may feel dry and tired. Although there are no long-term studies at this time, we do not believe there is any reason to be concerned that 3-D movies, TV or video games will damage the eyes or visual system.

Normally, you blink about 18 times a minute, but you only blink half that often while using computers and other digital screen devices, whether for work or play. Reading, writing or other intensive “near work” can also cause eyestrain of a similar nature.

It is helpful in avoiding computer related eyestrain if you first position yourself about24” from the screen you are viewing and with your eye gaze is slightly downward. It also helps to reduce glare from the screen by lighting the area properly and if possible use a screen filter if needed. It may seem silly but post a note that says “Blink!” on the computer as a reminder. Then, use the “20-20-20” rule. Every 20 minutes, shift your eyes to look at an object at least 20 feet away, for at least 20 seconds. It is also helpful to use artificial tears to refresh your eyes when they feel dry. Make sure that you take regular breaks from computer work, and be sure to get enough sleep at night. Now, if you wear contact lenses for the computer screen it’s important that you use and care for them properly in order to avoid eye irritation, swelling, infection and vision problems. Also, give your eyes a break and wear your glasses instead of your contacts sometime. Consider a special prescription and lens coating for computer use to help manage eyestrain and fatigue.

If you wish to learn more about computers, vision, eyestrain and your eyes call at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Alzheimer’s Disease & the Peripheral Retina

Your eyes can tell us a great deal about your overall health. In fact your eyes may turn out to be a “window” to brain degenerative disease such as Alzheimer’s Disease. Researchers reporting in the Journal of Ophthalmic Research demonstrated that carefully examining and imaging the peripheral retina could identify a greater number of drusen which might be a marker for Alzheimer’s Disease. In addition they found that that while it is normal for blood vessels to get thinner as they approach the peripheral retina, Alzheimer’s patients had a significantly greater rate of thinning as the blood vessels were more peripheral in the retina. While peripheral retinal imaging is not a diagnostic measure for Alzheimer’s Disease, peripheral retina examination and imaging of change in the eye could serve as a tool for disease progression in the brain.

Learn more at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Improvement in Glaucoma Blindness Rate

Rate of Blindness Caused by Glaucoma Decreasing

Glaucoma affects more than 2.7 million people in the United States and over 60 million globally. Although the disease is a leading cause of blindness worldwide, the probability of going blind from glaucoma has been significantly reduced due to advances in diagnosis and treatment. In office use of optical coherence tomography (OCT) to study and measure the nerve fiber layer of the retina and optic nerve as well lasers and implantable microscopic devices to change the risk of blindness from glaucoma. Researchers from Mayo Clinic College of Medicine studied the change in the rate of blindness from glaucoma over 2 consecutive 20 year periods and found that the rate of blindness was decreased by half but still remained unacceptably high! The best ways to avoid vision loss from glaucoma are to know your risk factors-such as family history, African and Hispanic descent, smoking, diabetes and sleep apnea, and be sure to schedule regular eye exams with glaucoma testing within timeframes recommended by your eye doctor.

If you or someone you now is concerned about their risk of glaucoma, schedule an eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Help for Keratoconus with Corneal Cross Linking

Keratoconus is a disease of the cornea in which the normally round dome like shape undergoes thinning and begins to bulge. This results in light entering the eye being irregularly focused and blurring of vision. Early on, the vision changes from keratoconus can be managed with eyeglasses and even later with contact lenses. However, keratoconus is progressive and many sufferers require cornea transplant surgery. The use of a new treatment option called Corneal Cross Linking appears to be successful in the treatment of keratoconus and stabilizes the shape of the cornea either significantly or completely halting the disease progression. 

If you or someone you know suffers from keratoconus and would like to know more about corneal cross linking, schedule an eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Thinner Retina a Sign of Cognitive Decline

We know that people with dementia typically have a thin retinal nerve fiber layer (RNFL) when we test them using optical coherence tomography (OCT) during their eye exam. Researcher reporting the results of a large study in JAMA Neurology found a significant association between RNFL thickness and cognitive function even when dementia had not yet been diagnosed. In fact, they found that those people in the bottom 20% of RNFL thickness were twice as likely to suffer cognitive decline over the next three years! This is the first study to identify that a thin RNFL indicates a risk of future cognitive decline and suggests that regular eye tests could help identify those likely to get dementia at a much earlier stage, which means suitable treatments could be prescribed at a more effective time to slow or stop the onset of dementia at early stages of the disease.

If you or someone you know is concerned about their risk of cognitive decline or even dementia, please schedule an eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Fitness & Exercise Reduces Glaucoma Risk

Did you know that meeting fitness guidelines can actually help reduce your risk of glaucoma? A recent clinical study reported in Medicine & Science in Sports & Exercise, the journal of the American College of Sports Medicine (ACSM) examined if there was an association between physical activity and cardiorespiratory fitness and the incidence of glaucoma. Thorough epidemiological data was reviewed and demonstrated that compared with low fitness, those patients with high levels of fitness had a significantly lower risk of glaucoma. By far the lowest risk of glaucoma was found in those patients who had both high fitness levels and met physical activity guidelines recommended by ACSM.

The message is clear-you can lower your risk of glaucoma by being active in accordance with the guidelines and maintaining a high level of fitness. If you or someone you know is concerned about their risk of glaucoma, please schedule an eye exam and glaucoma testing at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island. 

Back to School Contact Lens Care

Contact Lens 101: A Back-to-School Must for Teens

Did you know that 25% of children and adolescent emergency room visits related to medical devices are for contact lens problems? Many of our children and teenagers start wearing contact lenses as they enter junior high or high school. Safe and enjoyable contact lens wear does require good hygiene and care in order to prevent a risk of infection. Young people are notoriously poor at caring for their contact lenses, creating a potential gateway for serious eye infections that can cause impaired vision or even blindness. Research has shown that poor contact lens care practices by teens and young people raise their risk of eye conditions such as infectious keratitis and corneal ulcers. In the most severe cases, they may require corneal transplants to restore sight. Fortunately, contact lens eye infections can be prevented by following simple contact lens care guidelines. Here are some practical safety tips that teens with contact lenses should follow to avoid eye infections.

New Quarter, New Case! Replacing your contact lens case every three months will help keep germs at bay. To make it easy to remember, swap out your case at the beginning of each quarter. Waiting to replace contact lens cases after 6 months increases the risk of eye infection by nearly 5.5 times!

Just Say NO to H₂0. You may be captain of the swim team, but you shouldn’t swim, shower or go in a hot tub wearing lenses. Water from the tap might be clean enough to drink or bathe in, but it’s still home to the parasite Acanthamoeba, which can cause severe eye infections resulting in vision loss. For the same reasons, NEVER use water to rinse or soak contact lenses or cases.

You Snooze, You Lose. Never sleep in your contact lenses. Even occasionally sleeping in contact lenses increases the risk of moderate to severe eye infection by 6.5 times. Unfortunately, a poll of nearly 100,000 people by BuzzFeed found that about 70 percent of respondents occasionally or regularly sleep in their contact lenses.

It’s Too Late If You Wait. Symptoms of eye infections include redness, pain and light sensitivity and requiring examination and evaluation immediately. Waiting to get examined or treated could lead to vision loss.

If you or someone you know would like to learn more or has questions about contact lens hygiene and safety, please schedule an appointment at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Things to Know About Cataracts

Three Things Patients Should Know About Cataracts

Cataracts are an extremely common cause of vision loss-especially as we grow older. In the U.S. some 25 million people have cataracts which can often cause cloudy, blurry vision, dimming of vision, faded or dulling of colors, glare and difficulty with night vision or in dim lighting. These symptoms may indicate the presence of cataracts, which affect about 70 percent of people by age 75. The good news for people with cataracts is that they are corrected with cataract surgery and lens implants and restore excellent vision and a better lifestyle. Things you should know about cataracts include:

Age Isn’t the Only Risk Factor for Cataracts. Pretty much everyone will develop cataracts with age, many studies demonstrate that lifestyle and behavior can influence when and how severely you develop cataracts. Diabetes, extensive exposure to sunlight, smoking, obesity, high blood pressure and certain ethnicities have all been linked to increased risk of cataracts. Eye injuries, prior eye surgery and long-term use of steroid medication can also result in cataracts.

Cataracts Cannot Be Prevented, But You Can Lower Your Risk. Always wear UV blocking sunglasses and hats with brims when out in sunlight. Eating more Vitamin C-rich foods may delay how fast cataracts form. Absolutely, avoid smoking cigarettes, which have been shown to increase the risk of cataract development.

Cataract Surgery Helps Improve More Than Your Vision. During cataract surgery, we replace the natural clouded lens with a permanent artificial lens implant or called an intraocular lens, or IOL, which should improve your vision significantly and allow us to correct nearsightedness, farsightedness and astigmatism that you may have had before your procedure. In addition, we can help you choose a lens implant that also provides you a range of clear vision for arm’s length and near tasks such as for reading or using the computer. Besides the vision benefits, cataract surgery has been shown to improve your overall quality of life and reduce the risk of falling by providing more comfortable and safer mobility. 

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please schedule an appointment at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Tips to Help Prevent Glaucoma Vision Loss

10 Tips to Reduce Your Chance of Losing Vision from Glaucoma

Recent studies have identified a number of lifestyle factors that actually influence eye pressure which is a major risk factor for glaucoma. By either avoiding or embracing certain habits you can have a positive effect on your risk of glaucoma.

Get Regular Exercise. A recent study showed that people who engaged in moderate to vigorous physical activity appear to have a 73 percent lower risk of developing glaucoma. This is because blood flow and pressure inside the eye may change with exercise, which may affect glaucoma risk.

Eat a Diet Rich in Fruits & Green Leafy Vegetables. One study showed that people who ate more leafy vegetables have a 20 to 30 percent lower risk of developing glaucoma. Why? Nitrates in green vegetables can be converted to nitric oxide, which can improve blood flow and help regulate pressure inside the eye.

Drink Tea, BUT Coffee Only in Moderation. A recent study last month showed that people who consumed at least one cup of hot tea daily had 74 percent decreased odds of having glaucoma compared with those who did not consume hot tea. A little coffee is fine, but excessive caffeine intake is not ideal. One study found that drinking 5 or more cups of caffeinated coffee increased the risk of developing glaucoma. How can tea help? Antioxidants and the flavonoids contained in tea may improve the body’s ability to prevent the harmful effects of free radical damage.

Consider a Magnesium Dietary Supplement. We now know that an adequate intake of dietary magnesium may be beneficial for patients with glaucoma because of improved circulation.

Brush, Floss & See Your Dentist Regularly. A recent study showed that tooth loss may be linked to increased glaucoma risk due to because periodontal or gum disease stimulating and inflammatory response that can contribute to glaucoma.

Don’t Smoke. Studies clearly show that smoking cigarettes increases the risk of glaucoma, and has an overall negative impact on eye health.

Maintain a Healthy Body Weight. Studies show that people with a higher body mass index (BMI) are at increased risk for diabetes, and having diabetes puts people at risk of glaucoma. Having a too low BMI is also associated with increased glaucoma risk.

Avoid Inverted Yoga Positions. Studies show head-down positions can increase eye pressure and are not recommended for glaucoma patients.

Avoid Neckties. Researchers say that a too-tight necktie may increase the risk of glaucoma by increasing blood pressure inside the eyes.

  

Get Regular Eye Exams & Glaucoma Testing. Especially if you have a family history of the condition you are at greater risk and need more frequent eye exams and testing. Researchers have recently identified certain genes that increase the risk of glaucoma. Those at higher risk of glaucoma include people of African descent, people with diabetes, and those with a family history of glaucoma. You are at greatly increased risk if you have a parent or brother or sister with glaucoma. 

If you or someone you know is concerned about their glaucoma risk and is considering making lifestyle changes, before making changes please be sure to schedule an eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.

Protect Your Eyes from Age Related Macular Degeneration (AMD)

Robert Kelly, M.D.
Ophthalmologist, Retina Specialist & Cataract Surgeon

7 Ways to Protect Your Eyes from Age Related Macular Degeneration (AMD)

Age Related Macular Degeneration (AMD) continues to be the leading cause of vision loss in those over 50 years of age. While there is no way to completely eliminate the aging process, there are some things you CAN do to prevent vision loss. The key to preventing vision loss from Age Related Macular Degeneration (AMD) is early detection, diagnosis and treatment. There are a number of steps you can take that are helpful in preventing AMD vision loss.

Get Regular Comprehensive Medical Eye Exams. AMD often has no early warning signs, so getting regular comprehensive eye exams is critical in diagnosing and treating this eye disease in its early stages, BEFORE vision loss has occurred. The American Academy of Ophthalmology recommends that adults with no signs or increased risk factors get a baseline eye disease screening at age 40 which is the time when early signs of disease and changes in vision may start to occur. Even if you have obvious eye problems, symptoms or decreased vision, by age 65, it is recommended that you have a comprehensive eye exam every one to two years.

Stop Smoking. Many studies now show that smoking increases the risk of developing AMD by two times and the speed at which it progresses!

Eat a Proper Diet. Many studies demonstrate that eating a diet rich in fruits, vegetables, and nutrient packed foods, such as salmon and nuts, may reduce the risk of AMD. Research also suggests that patients who ate fresh fish, an important source of omega-3s, were at lower risk of developing AMD.

Take the Right Macular Health Vitamins. Vitamins can delay progression of advanced AMD and help people keep their vision longer if they have intermediate AMD or advanced AMD in one eye. But make sure it’s the right combination of vitamins! A recent study found that some of the top-selling products do not contain identical ingredient dosages to eye vitamin formulas proven effective in clinical trials. 

Get Regular Exercise. Exercising three times a week can reduce the risk of developing wet AMD by 70 percent. Studies also show that physical activity may lower the odds of both early and late-stages of AMD.

Monitor Vision with an Amsler Grid. This simple, daily routine takes less than one minute and can help people with AMD save more of their vision. Using this grid is essential to finding any vision changes that are not obvious, so you can report them to your eye doctor.

Know Your Family Eye Health History. If you have a close relative with AMD, you have a 50 percent greater chance of developing the condition. You may need more frequent eye exams and specialized testing based on your family history.

Take these simple steps to help prevent Age Related Macular Degeneration (AMD). Begin by making sure you have a comprehensive eye exam at Center for Sight 508-730-2020, visit Center for Sight, Google or www.facebook.com/centerforsightfallriver  to schedule an appointment.

Center for Sight is conveniently located at 1565 North Main Street, Suite 406, Fall River, Massachusetts 02720 for patients from Massachusetts or Rhode Island.