Eye Care Out Loud Healio
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- Saúde e fitness
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Listen to Darrell White, MD, discuss out loud what everyone else is thinking about in the eye care space.
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Post-op Drop Madness
Join White as he discusses the burden cataract post-operative regimens place on both patients and staff, and ways to “stop the madness.” He also gives a history of cataract post-op and the breakthroughs that led to today’s most common regimens.
Disclaimer :09 Intro :24 Let’s talk about post-op drop regimens for cataract surgery :35 Financial disclosures :53 Asking specialists from around the country two important questions 1:40 Question 1: ”What is your definition of health?” 3:05 The “best” answer 3:47 Question 2: ”What is your perioperative cataract surgery drop regimen?” 4:12 The most common regimens 5:18 The rise in publications about using antibiotics inside the eye 9:23 “Revolutionaries” who stopped using steroids post-op to reduce patient drop burden 10:19 One drop of topical NSAID a day vs. steroids post-op 12:23 White’s study: moxifloxacin vs. moxifloxacin and dexamethasone 14:27 How can we get to a “dropless” situation? 17:40 Why are patients continuing with topical antibiotics when they’re also using intracameral antibiotic injections? 20:16 There should be fewer eye drops and medications in eye drops surrounding cataract surgery 22:05 “Stop the madness” - Reducing the post-op medication burden on both patients and staff 24:58 Outro 25:43 We’d love to hear from you! Send your comments/questions to Dr. White at ophthalmology@healio.com. Follow us on Twitter @Healio_OSN and @DarrellWhite.
Disclosures: White reports no relevant financial disclosures. -
Unnecessary Care?
What is unnecessary care? What does it look like in the real-world? Join White as he defines “medically unnecessary care” and shares a personal story.
Disclaimer :09 Intro :24 Today we’ll talk about unnecessary care :38 Financial disclosures :52 Defining unnecessary care, or medically unnecessary care 1:05 Unnecessary care in the real-world setting 2:24 A case of “unnecessary care” 6:50 Thanks for listening 19:40 We’d love to hear from you! Send your comments/questions to Dr. White at ophthalmology@healio.com. Follow us on Twitter @Healio_OSN @DarrellWhite
Disclosures: White reports no relevant financial disclosures. -
Folly of FLACS
Join White as he discusses the history of cataract surgery and where femtosecond laser-assisted cataract surgery, or FLACS, fits in. He also explains what he believes to be follies of FLACS and why some people continue to use this procedure.
Disclaimer :09 Intro :24 Today we’ll talk about femtosecond laser-assisted cataract surgery, or FLACS :36 Financial disclosures :57 The history of cataract surgery and where FLACS fits in 1:21 The lens supplies about 1/3 of the focusing ability of the human eye 3:35 Scheie Eye Institute 5:42 The discovery of poly(methyl methacrylate) 6:14 Extracapsular cataract extraction 7:14 Cataract surgery moves almost entirely to posterior chamber 7:44 The YAG laser 18:40 Phacoemulsification 19:21 All of these procedures were paid for by health insurance 11:41 The Crystalens 17:00 A petition for patients to have the right to pay to upgrade their implant experience 17:37 The era of refractive cataract surgery 19:03 A false timeline 19:32 Comparing things properly, you find a small difference between two surgeries 22:29 The impressive engineering of femtosecond lasers 23:30 Why do people use the femtosecond laser surgery? 24:53 I do a bit of work as a defense expert in malpractice cases 26:42 There are some bright spots here 29:21 Calling out two groups who don’t let patients decide whether they want FLACS 30:48 I have respect for them, but I don’t think there is justification for doing FLACS based on outcomes 36:13 Throwing a bone to the proponents of FLACS 37:14 That’s my take on FLACS 38:56 We’d love to hear from you! Send your comments/questions to Dr. White at ophthalmology@healio.com. Follow us on Twitter @Healio_OSN @DarrellWhite
Disclosures: White reports being a consultant to Allergan, Bruder, EyePoint, Eyevance, Kala, Novartis, Ocular Therapeutix, Omeros, Rendia, Sun and Tearlab; speaker for Allergan, Eyevance, Kala, Novartis, Omeros and Sun; and ownership in Ocular Science. -
Harsh Truths of Treating Perioperative Dry Eye
In this episode, White shares the harsh truths about treating perioperative dry eye, including who, when and for how long. Spoiler: Treated dry eye leads to better outcomes.
Disclaimer :09 Intro :24 Treating dry eye around the time of cataract surgery and laser refractive surgery :36 This talk will focus on cataract surgery 1:04 Financial disclosures 1:26 The harsh truths about treating the perioperative dry eye 2:07 Harsh truth #1 3:11 Harsh truth #2 4:11 Harsh truth #3 13:25 Harsh truth #4 14:25 Harsh truth #5 17:17 Harsh truth #6 18:11 Take-home message 25:20 We’d love to hear from you! Send your comments/questions to Dr. White at ophthalmology@healio.com. Follow us on Twitter @Healio_OSN @DarrellWhite
Disclosures: White reports being a consultant to Allergan, Bruder, EyePoint, Eyevance, Kala, Novartis, Ocular Therapeutix, Omeros, Rendia, Sun and Tearlab; speaker for Allergan, Eyevance, Kala, Novartis, Omeros and Sun; and ownership in Ocular Science. -
EMR Follies, Part 2
In this episode, Darrell White, MD, continues his analysis of the impact of electronic medical records (EMR), also known as electronic health records (EHR) on private ophthalmic practices.
Disclaimer :09
Introduction :20
Financial disclosures :36
The impact of implementing an EMR at SkyVision 1:39
Lessons learned from being forced into change 3:50
Would engineers design a cockpit on a fighter jet without having flown in one? 4:45
The spoken word should be the goal in the next generation of EMRs 5:55
Once the focus shifts from the patient to the screen, the quality of that experience plummets 8:20
Can we find a way to have the same medical record on every platform? 9:10
Next, let’s go back and figure out who owns this mess 13:00
Have you ever tried to get a copy of a medical record from an EMR company? 21:00
Somewhere, somehow, some institution needs to say “enough” 23:20
The essence of medicine is finding the right story 24:49 -
EMR Follies, Part One
In this episode, Darrell White, MD, takes a deep dive into the recent history of the impact of electronic medical records (EMR), also known as electronic health records (EHR) on private ophthalmic practices.