Patient lost confidence in their doctor

Patient lost confidence in their doctor

A new patient comes to see you because they've lost confidence in their doctor and they've heard great things about you. Don't get all proud of yourself and I'll tell you why.

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Glaucoma Oh Bleep Moment and Robotic Process Automation

Glaucoma Oh Bleep Moment and Robotic Process Automation

After listening to Nilay Patel talk with NY Times tech reported Kevin Roose about Robotic Process Automation (RPA) on an episode of Decoder, I recorded this rant. I talk about how there is a human aspect of being a physician that robots cannot replace in the context of a patient who had what I refer to as an Oh Bleep moment; realizing they had visually significant glaucoma.

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You want to see an Ophthalmologist during Covid?

You want to see an Ophthalmologist during Covid?

There's a pandemic out there; is it safe to see an Ophthalmologist? I walk through the steps when you enter my office to make sure everyone stays safe during Covid-19.

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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...

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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.

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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.
 
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