TAG Episode 27 - 1Mar2017: Harbin Ethics in Medical Tx (mp3)

[This is the .mp3 un-enhanced version of this podcast. The AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.]

Tom Harbin

Tom Harbin

In this episode, Tom Harbin, from Eye Consultants of Atlanta, and I discuss ethical issues in the medical treatment of glaucoma. This includes generic vs brand name drugs, the need to shop around for the best price, and looking out for talks from so-called Key Opinion Leaders.

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Production information:

This episode was recorded live in March 2014 during the Annual Meeting of the American Glaucoma Society in Washington, DC using two Shure SM58 microphones with a Marantz PMD661 digital recorder. Mixing and sound levelling were FINALLY performed in February/March 2017 on a MacBook Pro using Levelator, and Hindenberg Journalist Pro software. Narration was overdubbed using a Heil PR40 and Audio Technica ATR2100 USB Microphone with Journalist Pro. This completes my transition from Garage Band to Hindenberg Journalist Pro which allows me to edit these shows cross-platform and hopefully will help me get episodes out more quickly like the three still awaiting release with Chris Johnson, Ron Fellman and Murray Johnstone that were recorded in 2016.

Opinions expressed in this podcast  are those of the speakers and are not intended to be taken as the standard of care for glaucoma treatment. Please always weigh the complete clinical picture and involve patients with any decisions in their care.
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Tom Harbin, MD, MBA
Eye Consultants of Atlanta
http://eyeconsultants.net
http://tomharbin.com
Waking Up Blind (from Amazon.com)
Tom Harbin discloses that he has a financial interest in the sale of his book
TomHarbin@comcast.net
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Robert M Schertzer, MD, MEd, FRCSC
podcast@iguy.org

Twitter - http://twitter.com/robschertzer
or http://iguy.tv/twitter
Blog -     http://wholelottarob.com
or http://iguy.tv/blog

Although I closed down the West Coast Glaucoma Center after moving to the east coast in the Fall of 2013, the website is still alive as a resource for eye information athttp://westcoastglaucoma.com
or http://iguy.tv/office

Theme music "Middle East Gold" ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr

 © 2017 DOSWA Prods Enr/Robert M Schertzer MD. MEd, FRCSC

TAG Episode 26 - 29Jan2017: Wright Tx to Outcome Gap (mp3)

TAG Episode 26 - 29Jan2017: Wright Tx to Outcome Gap (mp3)

In this episode, I talk with Tracy Wright, now based at Kaiser Permanente in Washington DC. He was at the Bascom Palmer Eye Institute at the University of Miami when we recorded this conversation. The implications immediately effected how I look at visual fields. The findings you are about to here may be shocking...

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TAG Episode 25 - 29Feb2016: Nelson Winkler & Cheryl Khanna Team Based Glaucoma Care (mp3 version)

TAG Episode 25 - 29Feb2016: Nelson Winkler & Cheryl Khanna Team Based Glaucoma Care (mp3 version)

In this episode, I talk with Nelson Winkler (a medical student at the time) and Cheryl Khanna (Glaucoma attending) at The Mayo Clinic, who analyzed the outcomes of their team based model for Glaucoma care...

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TAG Episode 24 - 30Aug2015: Suman Thapa Delivery of Glaucoma Care in Nepal(mp3 version)

TAG Episode 24 - 30Aug2015: Suman Thapa Delivery of Glaucoma Care in Nepal(mp3 version)

In this episode, I talk with Suman Thapa about delivering glaucoma care in Nepal. This conversation took place long before the two massive earthquakes in 2015. I am happy to see that Suman is back at work caring for patients.

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TAG Episode 23 - 3Nov2014: ab-interno trabecular bypass surgery (mp3 version)

TAG Episode 23 - 3Nov2014: ab-interno trabecular bypass surgery (mp3 version)

In this episode, Tom Samuelson and I discuss trabecular bypass procedures including the currently available & two future models of the iStent, and the Ivantis Hydrus Microstent. There is a tendency for doctors to prescribe third and fourth glaucoma medications even though it is well known that there is such a diminishing return after two medications. These ab-interno devices can serve as a glaucoma-lite procedure, the next step after two medications for those reluctant to proceed with a potentially more effective but more risky trabeculectomy. The use of multiple iStents, next generation devices, or targeting delivery to visualized collector ducts should lead to improvements in ab-interno trabecular bypass procedures in the years ahead.

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TAG Episode 22 - 6Feb2014: HiFU Therapy (mp3 version)

TAG Episode 22 - 6Feb2014: HiFU Therapy (mp3 version)

In this episode, I talk with Florent Aptel, a glaucoma specialist in Grenoble, France, about his work in developing a modern day hi frequency ultrasound as a treatment for glaucoma in its early stages. Their group has developed a device that selectively focuses the energy on the ciliary body without collateral damage that offers hope as a future treatment modality.

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