Deductible: a burden of the US Healthcare System

Deductible: a burden of the US Healthcare System

The US Healthcare system is the most expensive per capita in the entire world yet the Global Burden of Disease 2015 of study of healthcare ranked Canada 9th and the United States well behind at 28th based on the UN General Assembly's Sustainable Development Goals. As if the cost of the premiums isn't bad enough, patients have to pay up front at the beginning of each year until they reach their deductible...an amount that in other countries could cover the full cost of healthcare for a family for the entire year...

Read More

Does maximizing utilization of "resources" lead to an improved patient experience in glaucoma care?

Does maximizing utilization of "resources" lead to an improved patient experience in glaucoma care?

Whether in private practice or a hospital setting, nobody wants to be throwing money away on ancillary testing devices and staff salaries so we usually try to make sure we use our resources to their fullest. With the cost of equipment such as perimeters to perform visual field testing or Ocular Coherence Tomographers for nerve fibre layer scans in the $25-125K range, and technicians to perform the tests drawing salaries of $20-$40 per hour, you can understand why those making the purchasing and hiring decisions would not want to see any idle time. But, does maximizing utilization of resources lead to an improved patient experience in glaucoma care? You need an abundance of resources to have smooth patient flow which leads to a positive patient experience and improved staff morale.

Read More

Uveal prolapse 3 months s/p Ahmed Glaucoma Valve revision

Uveal prolapse 3 months s/p Ahmed Glaucoma Valve revision
Rather unexpectedly, this 78 year old gentleman showed up for a follow-up visit, almost three months since surgery, with uveal tissue prolapsing out his suture line.
 
Read More

Ahmed Glaucoma Valve under scleral tunnel - modified Gdih technique

Ahmed Glaucoma Valve under scleral tunnel - modified Gdih technique

After learning about a modification of the Ahmed Glaucoma Valve implantation for glaucoma that avoids the use of donor material in favour of creating a scleral tunnel, I gave it a try.

 Read More

56 y.o. male with advanced Juvenile open angle glaucoma experience worsening of vision

56 y.o. male with advanced Juvenile open angle glaucoma experience worsening of vision
This 56 y.o. male whom I have been following for the past 14 years with Hand Motions visual acuity in both eyes, presented with a two week history of noticing his vision to be even worse than usual and finding himself to be light sensitive. This was not what I was expecting to find.Read More

Glaucoma risk factors: treat or not & how best to treat

Glaucoma risk factors: treat or not & how best to treat

Steven Mansberger from Portland talked about risk factors for glaucoma. We have come a long way from just educated guessing where our past success or failure influences our next treatment decision to the point of identifying risk factors for converting to glaucoma and even how best to treat patients. 

Read More