Folly of FLACS
Eye Care Out Loud
by Darrell White, MD
1y ago
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 ca ..read more
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Harsh Truths of Treating Perioperative Dry Eye
Eye Care Out Loud
by Darrell White, MD
1y ago
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! S ..read more
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EMR Follies, Part Two
Eye Care Out Loud
by Darrell White, MD
1y ago
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 th ..read more
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EMR Follies, Part One
Eye Care Out Loud
by Darrell White, MD
1y ago
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.     ..read more
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01 How I came to start a podcast about eye care
Eye Care Out Loud
by Darrell White, MD
1y ago
In this inaugural episode, Darrell White, MD, gives the background of how he came to be Healio.com/OSN’s first podcaster, starting out from blogging, to The Dry Eye columnist to podcaster. While becoming known as Healio.com/OSN’s dry eye disease expert, he delves into his background as an anterior segment ophthalmologist with a cross-interest in business and the ongoing arc of his career. Disclaimer :09 Introduction: “You have been reading my blog posts, haven’t you?” 1:00 It’s great you’re a dry eye expert, but do you still operate? 2:22 Who am I and why should you care what I think?&nb ..read more
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02 Thoughts on conflicts of interest in ophthalmology
Eye Care Out Loud
by Darrell White, MD
1y ago
In episode 2, Darrell White, MD, gives his opinion on conflicts of interest in ophthalmology. From pens given out by companies to selecting which IOL to use, he puts into context what potential conflicts of are compared with what could be called true conflicts of interest and how it is affecting eye care and medical practice in general. Disclaimer :09 Introduction :25 White’s personal financial disclosures and consulting agreements 2:02 The state of eye care and medicine and what conflict of interest truly means 3:29 Starting with the “absolutely ridiculous bordering on asinine rules” 3:47 Ba ..read more
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03 The SkyVision patient-centered model
Eye Care Out Loud
by Darrell White, MD
1y ago
In Episode 3, Darrell White, MD, discusses how he modeled his new private practice after a “customer-centered” approach. He did not benchmark any medical practices but instead modeled it after successful retail and hospitality enterprises that were known for creating the best customer experience. He sold his employees on the concept by doing “secret shopper” style field trips with his entire staff and sometimes their spouses.  Disclaimer :09 Introduction :25 The SkyVision Story :35 An idea sparked while being sidelined with injury 1:21 Starting a customer-centered organization 3:30 Looki ..read more
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04 Thoughts on price transparency in eye care
Eye Care Out Loud
by Darrell White, MD
1y ago
In Episode 4, Darrell White, MD, discusses how and why transparency and price elevation has become so entwined in health care in the U.S. He discusses the impact of these issues on cataract surgery, and what can be done in to address some of the transparency – or the lack thereof – and pricing issues that have become deleterious to the private practice cataract surgeon. Disclaimer :09 Introduction :25 A Colorado law says all health care providers of any type must post their prices :35 Thoughts on transparency in medicine and price elevation in medical care in the U.S. 1:00 Let’s discuss the r ..read more
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05 Why you should treat dry eye
Eye Care Out Loud
by Darrell White, MD
1y ago
In Episode 5, Darrell White, MD, shares his thoughts on why every ophthalmologist in every subspecialty should be aware of the prevalence of dry eye and its impact on eye care. Everyone – including retina specialists need to be aware of dry eye :58 Financial disclosures 1:10 The hot dot in eye care 1:40 The space is growing: More people have dry eye and it’s affecting more of their lives 2:31 Dry eye and presbyopia-correcting IOLs 3:17 White’s personal dry eye story 4:54 Starting a dry eye practice from scratch 7:37 The archetypal patient defined in market research done by Allergan 8:12 The 3 ..read more
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06 Pass through pratfalls
Eye Care Out Loud
by Darrell White, MD
1y ago
In this episode, Darrell White, MD, discusses Omidria and how and why it’s used in cataract surgery. He also shares his thoughts on the pass-through status of this product and others and where things are headed.     Disclaimer :09 Introduction :20 Financial disclosures :50 What is Omidria, how is it used, and why is it controversial? 1:40 Along came floppy iris syndrome 2:10 The difficulty in predicting when IFIS will occur 5:09 The importance of pupil size in cataract surgery 7:59 Why people are not using Omidria 10:50 What makes Omidria controversial 12:50 Background on ..read more
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