The 20/20 Podcast

Harbir Sian, OD
  • 5.0 (21)
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Dr. Harbir Sian is an award-winning optometrist based in Vancouver, Canada. In The 20/20, Dr. Sian interviews guests from various backgrounds and industries to share their struggles and successes. Guests include business owners, entrepreneurs, world-class athletes, media personalities, medical professionals, and more. Through conversations with these guests, Canada's number 1 optometry podcast brings clarity to business, entrepreneurship, and eyecare. Dr. Sian also shares his personal experiences through his shorter Eye2Eye segment. In these short episodes, Dr. Sian opens up and provides a vulnerable look into the challenges he has faced (and overcome) in his personal and professional life. The 20/20 Podcast gives you a look through different lenses and helps you focus on your growth.

  1. Kids, Screens, and Anxiety: What Optometry is Missing - Dr. Meenal Agarwal

    5D AGO

    Kids, Screens, and Anxiety: What Optometry is Missing - Dr. Meenal Agarwal

    In this episode of The 20/20 Podcast, I sit down with Dr. Meenal Agarwal, a multi-practice owner, speaker, podcast host, and now author of the upcoming book Stuck in a Flat World. But more than her resume, this conversation is about perspective. We go deep into something many of us have noticed in clinic but haven’t fully connected the dots on… why patients (especially kids) are changing. Less eye contact. More anxiety. Avoidance of driving. Difficulty engaging socially. We’ve blamed screens for years… but Meenal takes it further. She introduces the concept of Spatial Awareness Processing Disorder (SAPD), a framework connecting excessive screen use to changes in how the brain processes space, fear, and human interaction. It’s a powerful lens that links optometry to broader neurological and mental health conversations. But this episode isn’t just clinical… it’s personal. Meenal opens up about: The drive (and trap) of constantly chasing growthBurnout and the search for fulfillment beyond businessRejection early in her speaking and podcast journeyBeing told she “wasn’t the right fit”—and pushing forward anywayA recent experience with online criticism and how the profession rallied behind herThis is a conversation about identity, resilience, and what it really means to show up—not just as an optometrist, but as a human being. If you’ve ever questioned your direction, your value, or your voice in this profession… this one’s for you. Key Moments Introducing SAPD – Connecting screen use, spatial awareness, and rising anxiety in patientsWhy behavior is changing – Kids avoiding driving, social interaction, and eye contactThe “Costco effect” – Understanding sensory overload and spatial processing challengesFrom growth to burnout – Building multiple practices and realizing it wasn’t fulfillingPushing through rejection – Starting a podcast and speaking career despite being told “no” Memorable Quotes “You can blame everybody else, but you need to believe in yourself.” “If we feel our profession isn’t worthy, what are others going to think of us?” “Don’t focus on the people who weren’t there. Be grateful for the ones who were.” bout Dr. Meenal Agarwal Dr. Meenal Agarwal is a Toronto-based optometrist, entrepreneur, and thought leader in modern eye care. She owns three practices, hosts the Uncover Your Eyes podcast, and is the author of the upcoming book Stuck in a Flat World, exploring the connection between screen use, brain function, and spatial awareness. She is passionate about expanding the role of optometry within healthcare and advocating for a more holistic understanding of vision. What You’ll Learn A new framework for understanding behavioral changes in patientsThe neurological link between vision, space, and anxietyPractical ways to support kids struggling with spatial processingHow to push through rejection and build something meaningfulWhy communication and vulnerability matter in our professionConnect with Dr. Meenal Agarwal Instagram: @drmeenalagarwalPodcast: Uncover Your EyesNewsletter: Available via Instagram link in bioBook Waitlist: https://www.drmeenal.com/book-waitlist-entry Love the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

    48 min
  2. From Strained to Synergistic: Rethinking the OD–Optician Relationship - Dr. Romie Dhaliwal and Arshdeep Manghera

    APR 22

    From Strained to Synergistic: Rethinking the OD–Optician Relationship - Dr. Romie Dhaliwal and Arshdeep Manghera

    What if the biggest growth opportunity in your clinic isn’t new technology, better marketing, or more patients—but the person standing right beside you? In this episode of The 20/20 Podcast, Dr. Harbir Sian sits down with Dr. Romie Dhaliwal and optician-entrepreneur Arshdeep Manghera to unpack a topic that quietly shapes every eyecare practice: the relationship between optometrists and opticians. Too often, that relationship sits somewhere between neutral and strained—defined by silos, hierarchy, and missed opportunities. But Romie and Arsh have built something different. From a pivotal moment during pregnancy to a bold decision to co-own a practice, Romie shares how she stepped away from comfort and into uncertainty. Arsh brings a story rooted in persistence—building a relationship with a clinic owner over seven years before finally acquiring the opportunity to take over. Together, they transformed a 30-year-old optical into a modern, thriving practice that blends clinical care, retail excellence, and community connection. But what makes their story truly compelling isn’t just the business success—it’s how they’ve achieved it. By breaking down the traditional “front vs back” divide, they’ve created a seamless patient experience where clinical knowledge and optical expertise work hand-in-hand. Their collaboration allows for better patient education, stronger trust, and more effective treatment adoption—especially in areas like dry eye. Beyond the clinic walls, they’ve reimagined what an optometry practice can be. From hosting comedy shows and wellness events to partnering with local businesses and community organizations, they’ve turned their space into a hub for connection. It’s not just about attracting patients—it’s about becoming part of the fabric of the neighborhood. This conversation also explores the realities of ownership—structuring partnerships, navigating legal complexities, and building systems that support growth. And as they look ahead, Romie and Arsh are investing in branding, social media, and influencer collaborations to take their practice to the next level. At its core, this episode is a reminder that growth doesn’t always come from doing more—it often comes from working better together. Key Takeaways Collaboration between ODs and opticians can dramatically elevate both patient care and business growth Breaking down traditional roles leads to better communication, trust, and outcomes Community engagement is a powerful (and underused) marketing strategy Old-school networking still creates massive opportunities Growth starts when you step outside your comfort zone Memorable Quotes “If we’re not collaborating with each other, how can we collaborate with anyone else?” “Working together has taken our patient care from neutral to above and beyond.” “You either win or you learn—the worst they can say is no.” “When you get too comfortable, you don’t grow.” Connect with the Guests eyesonacademy@gmail.com @academyoptical @drromiedhaliwal @thetailoredoptician Love the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

    52 min
  3. AI vs Optometrists: Biggest Threat or the Biggest Opportunity Ever? - Dr. Masoud Nafey

    APR 15

    AI vs Optometrists: Biggest Threat or the Biggest Opportunity Ever? - Dr. Masoud Nafey

    AI isn’t coming to eye care… it’s already here. The real question is—are we ready to evolve with it? In this episode of The 20/20 Podcast, Dr. Harbir Sian sits down with AI entrepreneur and optometrist Dr. Masoud Nafey to break down one of the most important—and misunderstood—topics in modern eye care: artificial intelligence. From large language models like ChatGPT to emerging AI “agents,” Dr. Nafey explains how AI actually works in a practical, relatable way. The conversation explores where AI is already being used successfully in optometry—like front desk automation, scribes, and billing—and where expectations may still be unrealistic. More importantly, this episode dives into the future of the profession. Will AI replace doctors? Or will it finally free us from admin work and allow us to focus on what matters most—human connection and patient care? This isn’t a technical deep dive—it’s a strategic conversation about adaptability, mindset, and how eye care providers can position themselves to thrive in an AI-driven world. Key Highlights 1. AI is Already Here (and Learning From You) Tools like ChatGPT improve every time we use them AI is trained on massive datasets and continuously refines its responses Even your corrections (“that’s not what I meant”) help train the system 2. The Biggest Opportunities in Eye Care Right Now Customer operations: AI answering phones, especially after hours AI scribes: Reducing charting burden and improving efficiency Billing & coding: Pattern recognition makes this a natural fit The key: If it doesn’t save time, it won’t be adopted. 3. Diagnostics: Assistive, Not Replacement (Yet) AI is moving toward clinical decision support, not full diagnosis Emerging field: oculomics (AI analyzing imaging like OCTs) Future vision: AI flags concerns → doctor interprets + connects with patient 4. The Real Bottleneck Isn’t Technology—It’s Us Adoption = change management problem, not a tech problem Practices must evolve workflows—not expect AI to do everything instantly Providers must be willing to: Adjust behavior Invest in training Embrace imperfect early versions 5. The Future Practice Model Might Look Very Different Data collection + analysis → handled by AI Doctors → focused on consultation, decision-making, and empathy The value of eye care shifts from data gathering → human connection Memorable Quotes “If it requires a brain, AI can probably do it. If it requires human connection, that’s where we shine.” “We signed up to be empathetic providers—not data collectors.” “We’re in the middle of a revolution… we just don’t fully understand it yet.” Key Takeaway AI won’t replace optometrists—but optometrists who embrace AI may replace those who don’t. Love the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

    42 min
  4. Eye2Eye: Stop Playing Small, Fulfill Your Potential - BE THE LIGHT

    APR 8

    Eye2Eye: Stop Playing Small, Fulfill Your Potential - BE THE LIGHT

    What if the role you’re meant to play right now… isn’t to find the light—but to be it? In this Eye2Eye episode, Dr. Harbir Sian shares a deeply personal and reflective message inspired by a powerful moment of loss. After attending a funeral for a young father, Harbir reflects on the idea that each of us is on a “mission”—sometimes big, sometimes small—and in difficult moments, that mission may simply be to support others. This episode introduces a meaningful shift in perspective: instead of waiting to “see the light at the end of the tunnel,” we can choose to be the light within it for others. Whether someone is navigating grief, stress, or personal challenges, the energy and presence we bring can help illuminate their path. Drawing on the powerful Marianne Williamson quote about our “light,” Harbir challenges listeners to stop playing small, embrace their potential, and recognize that by shining brightly, they give others permission to do the same. Your presence—your energy—your willingness to show up fully… it matters more than you think. Key Highlights Be the light in someone else’s darkest moments When people can’t see the “light at the end of the tunnel,” you can help illuminate their path by showing up with support, empathy, and presence. You are always on a mission—whether you realize it or not Sometimes your mission isn’t something grand—it’s simply being there for someone when they need it most. Stop playing small—your light impacts more people than you think By stepping into your full potential, you unconsciously inspire others to do the same and create a ripple effect beyond your immediate circle. Memorable Quotes “Instead of waiting to see the light at the end of the tunnel… be the light in the middle of the tunnel.” “We’re all on a mission—sometimes it’s big, sometimes it’s just showing up for someone who needs you.” “When you let your light shine, you give other people permission to do the same.” Call to Action If this episode resonated with you, share it with someone who might need this message right now. And I’d love to hear from you—when was a time you were the light for someone else, or someone was that light for you? Send me a message on Instagram @harbirsian.od, email me, or share your thoughts on LinkedIn. Let’s keep this conversation going—and let’s keep showing up for each other. Love the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

    12 min
  5. The Hidden Playbook of Successful Optometrists: Networking, Niche & Influence - Dr. Shaminder Dhaliwal and Dr. Kulvir Singh

    APR 1

    The Hidden Playbook of Successful Optometrists: Networking, Niche & Influence - Dr. Shaminder Dhaliwal and Dr. Kulvir Singh

    In this episode recorded live at Vision Expo in Orlando, Dr. Harbir Sian sits down with two standout Canadian optometrists—Dr. Shaminder Dhaliwal and Dr. Kulvir Singh—for a candid, high-value conversation on building a modern optometry career. This episode is packed with insight for both new grads and seasoned practitioners, covering everything from business ownership to developing a niche, getting involved in industry, and building influence in the profession. Dr. Dhaliwal shares his journey into private practice ownership, including the realities of taking risks, navigating uncertainty, and learning on the fly. He emphasizes that ownership is not the only path to success—and that fulfillment comes from aligning your career with what truly matters to you. Dr. Singh dives into how he built a specialty in dry eye, highlighting the importance of networking, learning from others’ mistakes, and taking small, consistent steps toward expertise. He reinforces that becoming “the expert” doesn’t start with equipment—it starts with intention and curiosity. A major theme throughout the episode is the power of relationships—with colleagues, mentors, and industry partners. The conversation challenges the common perception of industry as purely transactional, reframing it instead as collaborative, educational, and full of opportunity. Ultimately, this episode is about taking action—whether that’s starting a business, building a niche, creating content, or simply having your first conversation with someone in the field. The message is clear: you don’t need to have everything figured out—you just need to start. Key Highlights 1. There is no single “right” path in optometry Ownership, associateship, industry, and education are all valid paths Success comes from aligning your career with what you actually want Don’t let external pressure dictate your decisions 2. Networking is the foundation of growth Career-defining opportunities often come from conversations, not courses “Have a coffee” is more valuable than passive shadowing One connection can change your entire trajectory 3. Start before you feel ready There is no perfect timing—action creates clarity Whether it’s business ownership or building a niche, just begin Small steps build confidence and momentum 4. Learn faster by leveraging others’ experience Learning from others’ mistakes accelerates growth Conferences = “hallway CE” and real-world insights Every expert does things differently—find your own lane 5. Build relationships with industry (authentically) Industry partnerships open doors to opportunities and innovation Early exposure to trends and products gives you an edge Authenticity is key—only align with what you truly believe in Love the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

    30 min
  6. Eyecare Kiosks in the Mall? Maximizing Specialty Care, Avoiding Obsolescence - Dr. Faten Edris

    MAR 25

    Eyecare Kiosks in the Mall? Maximizing Specialty Care, Avoiding Obsolescence - Dr. Faten Edris

    Recorded live at Vision Expo in Orlando, this episode of The 20/20 Podcast features a powerful and insightful conversation with Dr. Faten Edris—Miami-based optometrist, owner of eight clinics, and a leading voice in reshaping modern optometry. Dr. Edris shares her perspective on one of the biggest challenges facing optometry today: the disconnect between clinicians and decision-makers in industry. She emphasizes the importance of optometrists having a seat at the table to influence how the profession evolves—particularly when it comes to scope of practice, reimbursement, and public perception. The conversation dives deep into how optometrists can move beyond the outdated image of “glasses and contacts” and fully embrace their role as primary eye care providers. Dr. Edris highlights the need to shift both patient expectations and insurance models to better reflect the medical care optometrists provide. From a business standpoint, she offers practical insights into successfully implementing new technologies in practice—stressing that systems, training, and team alignment are far more important than simply purchasing equipment. Her approach blends clinical excellence with strong operational strategy, showing how growth can be both patient-centered and profitable. Looking ahead, Dr. Edris shares her excitement (and caution) about emerging trends like AI, telemedicine, and diagnostic kiosks. Rather than fearing disruption, she encourages optometrists to embrace innovation and actively shape how these technologies integrate into patient care. This episode is ultimately about leadership, ownership, and stepping into the future of optometry with intention. Key Highlights & Timestamps [00:01:20] – Dr. Edris’ mission: breaking generational barriers in optometry[00:02:50] – The biggest pain point: optometrists not having a seat at the table[00:04:00] – Why optometry must shift beyond “glasses & contacts”[00:06:00] – The compensation challenge and its impact on patient care[00:09:00] – Early career struggles and developing a growth mindset[00:11:30] – Why most clinics fail with new technology implementation[00:12:30] – Aligning your team and doctors for successful adoption[00:14:00] – Using data and performance metrics to drive growth[00:16:00] – Systems and protocols > equipment[00:17:40] – The future of optometry: AI, kiosks, and disruption[00:20:30] – Why innovation should be embraced, not feared[00:22:00] – Personal advice: navigating difficult seasons in life[00:23:10] – Hard work vs. luck—and the reality of failure behind success Key Takeaways Optometrists must actively engage with industry to shape the future of the professionThe perception of optometry needs to evolve toward full-scope medical careProper compensation is essential to delivering high-quality patient careSuccessful implementation of new services requires systems, training, and team alignmentData and transparency can drive accountability and growth within practicesAI and automation are coming—optometry must adapt, not resistTrue success is built on resilience, failure, and consistent effort—not luck  Memorable Quotes “We weren’t sitting at the table… and by the time decisions were made, it was too late.” “Our profession has been shaped as glasses and contacts—and we need to change that.” “If you always do right by the patient, you will make a difference.” “You can buy equipment—but if you don’t implement it properly, it will just collect dust.” “Systems and protocols are more important than the equipment itself.” “We can’t be afraid of change—we have to be part of it.” “You will make it through the darkness into the light.” “People call it luck—but they don’t see the failures behind the success.” Connect with Dr. Faten Edris Instagram: @blinkingowleyecareLinkedIn: https://www.linkedin.com/in/faten-edris-o-d-5934b43/

    25 min
  7. Eye2Eye: The Power of Enough - Lessons from India

    MAR 18

    Eye2Eye: The Power of Enough - Lessons from India

    In this solo Eye2Eye episode, Dr. Harbir Sian shares reflections from a recent three-week family trip to India—his first time visiting the country his parents once called home. What started as a long-overdue trip quickly became something deeper: a reset, a perspective shift, and an ongoing internal conversation about gratitude, presence, and what it really means to have enough. From walking through the village where his father grew up, to unplugging from the daily grind of clinic life and business, this episode is a candid and vulnerable look at the tension many of us feel—between ambition and contentment, growth and gratitude. At the heart of the episode is a powerful realization: while we often chase a future version of success, we may already be living a life we once dreamed of. Episode Highlights A firsthand look at how travel—especially to places rooted in your family history—can reshape perspectiveThe unexpected power of unplugging from work, metrics, and constant connectivityWhy gratitude often becomes most clear when we step outside our everyday environmentObservations of community, simplicity, and contentment in developing regionsThe internal struggle between ambition and the feeling of “enough”A powerful retelling of the businessman and the fisherman parable—and why it hits differently now A Story That Stuck This episode revisits the classic parable of the businessman and the fisherman—a story that perfectly captures the tension between striving for more and appreciating what already exists. We spend years building a life we hope will bring us peace… only to realize that peace was available to us all along. Enjoying the Podcast? If this episode resonated with you, please: Share it with a friend or colleaguePost a screenshot and tag @harbirsian.odLeave a review to help us reach more of the optometry community

    21 min
  8. The Business of Myopia - COPE ACCREDITED Podcast Episode

    MAR 4

    The Business of Myopia - COPE ACCREDITED Podcast Episode

    This milestone episode marks the first COPE-approved CE activity offered through The 20/20 Podcast in partnership with the New England College of Optometry. Dr. Harbir Sian presents his signature lecture on “The Business of Myopia,” focusing not on clinical refraction techniques, but on the real-world systems required to deliver effective myopia management in everyday practice.   Dr. Sian reframes myopia as an ocular disease with a refractive component and outlines how optometrists must move beyond simple correction toward comprehensive, lifelong management. The lecture walks listeners through the entire patient experience—from online discovery and front-desk scripting to consultation design, equipment decisions, treatment selection, documentation, pricing, and marketing.   Whether you are just starting with myopia control or refining an established program, this episode provides a practical blueprint for building a scalable, profitable, and patient-centered myopia service.   Key Takeaways Think Beyond Correction → Think ManagementMyopia must be treated as an ocular disease, not just a refractive error. True management spans prevention, treatment, monitoring, and lifelong eye health. The Patient Journey Starts Before the ExamWebsites, phone scripting, intake forms, and in-office messaging determine whether families engage in myopia care before the doctor ever enters the room. Start Small, Build Systems FirstBegin with one treatment modality and focus on protocols, staff training, and communication tools before expanding to multiple options. Axial Length Is the Critical MetricJust as IOP guides glaucoma care, axial length measurement is essential for tracking myopia progression and treatment success. Compliance Drives OutcomesThe “best” therapy is the one the child will actually use—treatment selection must be individualized around lifestyle, motivation, and family preferences.   How to Earn Your CE Credit Listen to the full episode on your preferred platform. Visit: https://neco.pdx.catalog.canvaslms.com/ Register for the course and complete the short quiz. Download your COPE certificate for 1 hour of CE credit. Connect with Harbir: Instagram LinkedIn YouTube

    1h 14m
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5
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About

Dr. Harbir Sian is an award-winning optometrist based in Vancouver, Canada. In The 20/20, Dr. Sian interviews guests from various backgrounds and industries to share their struggles and successes. Guests include business owners, entrepreneurs, world-class athletes, media personalities, medical professionals, and more. Through conversations with these guests, Canada's number 1 optometry podcast brings clarity to business, entrepreneurship, and eyecare. Dr. Sian also shares his personal experiences through his shorter Eye2Eye segment. In these short episodes, Dr. Sian opens up and provides a vulnerable look into the challenges he has faced (and overcome) in his personal and professional life. The 20/20 Podcast gives you a look through different lenses and helps you focus on your growth.

Information

  • Creator
    Harbir Sian, OD
  • Years Active
    2022 - 2026
  • Episodes
    206
  • Rating
    Clean
  • Copyright
    © Copyright 2025 Harbir Sian, OD | The 20/20 Podcast | All Rights Reserved
  • Show Website
    The 20/20 Podcast

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