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Anti-aging isn't just about what you put on your skin—it's about how you live. Learn the unexpected lifestyle changes that can transform your skin, hair, and overall health.In this episode, I sit down with aesthetic nurse specialist Rachel Varga to explore the connection between beauty, health, and biohacking. She breaks down how toxins, EMFs, and inflammation impact aging and shares practical strategies to protect and rejuvenate your skin, hair, and overall well-being. From skincare essentials to cutting-edge therapies, this episode is packed with expert tips for achieving a radiant, youthful glow.Ready to transform your skincare and health? This episode is for you. Tune in now!Episode Timeline: 0:00 - Episode Overview1:04 - Podcast Intro1:37 - Meet Our Guest - Rachel Varga2: 59 - Rachel's Journey as a Double Board-Certified Aesthetic Nurse4:24 - How She Got Into Teaching and Publishing4:50 - Why Biohacking and Environmental Purity Matter for Aging7:06 - The Toxic Bucket Theory and How It Affects Your Health8:31 - The Role of Air, Water, Light, and Diet in Skin Health9:50 - Why a Clean Lifestyle Is Key to Radiant Skin10:38 - The Dangers of Tap Water and Hidden Contaminants11:20 - Distilled vs. Reverse Osmosis Water and What's Best12:06 - Rachel's Water Filtration Routine for Better Health13:03 - The Problem With Plastic Water Bottles and Health Risks14:23 - Why Cleansing Your Skin Twice a Day Is Essential16:32 - How to Choose the Right Cleanser for Your Skin17:19 - Why Mineral Sunscreen Is a Must for Skin Protection17:41 - How Skincare Products Affect Thyroid Health18:27 - The Benefits of Exfoliating for Skin Renewal20:00 - Why Health and Wellness Require a Team-Based Approach28:18 - The Hidden Toxins in Hair Products and What to Avoid31:15 - How Inflammation Affects Your Eyes and Causes Issues32:13 - The Role of Antioxidants in Fighting Inflammation33:56 - How Thyroid Health Impacts Eye Wellness38:06 - The Importance of Using Clean and Effective Skincare41:00 - Rachel's Personal Biohacking Routine for Healthy Skin48:27 - Inside Rachel's Skincare Line and Key Products49:15- Where to Find Rachel's Resources and Recommendations50:49 - Biohacking Products Recommendations52:49 - Thanking Our Guest - Rachel Varga54:56 - Episode Outro55:18 - Key Takeaways From This Episode & Episode Wrap-UpAbout Rachel Varga Rachel Varga, BSN, RN, CANS, is a Double Board Certified Aesthetic Nurse Specialist. Since 2011, Rachel has been offering medical aesthetic rejuvenation in the specialty of Oculoplastics and is known for providing a natural and healthy-looking transformation and educating through her show "The School of Radiance" podcast.Connect with Rachel Varga: Rachel Varga's The School of Radiance WebsiteRachel Varga's Personalized ConsultationRachel Varga's Skin Care Checklist Rachel Varga's PodcastRachel Varga's YoutubeDiscount code for consult Do You Want Help Saving Your Thyroid? Access hundreds of free articles at www.NaturalEndocrineSolutions.com Visit Dr. Eric's YouTube channel at www.youtube.com/c/NaturalThyroidDoctor/ To work with Dr. Eric, visit https://savemythyroid.com/work-with-dr-eric/
While the terms 'tech' and 'AI' might seem overwhelming to the average ophthalmologist and optometrist, the reality is that the future of medicine will certainly be intertwined with these technologies. So what exactly is 'health tech' in the context of eye care? Dr. Lisa Jagan is the founder of Lid Express, an online platform that allows patients to submit photos of eyelid lesions to be reviewed by a team of oculopplastic surgeons in an expedited fashion. She joins the podcast to share her experience developing an oculoplastics tech platform and the lessons she has learned along the way. Lid ExpressWebsite - https://clarityeye.ca/services/lid-express/Email - lidexpress@clarityeye.caInstagram @lidexpressThis episode is sponsored by Thea Pharma Canada - https://www.theapharma.caBecome a supporter of this podcast: https://www.spreaker.com/podcast/blind-spot-the-eye-doctor-s-podcast--5819306/support.
Rachel Varga, BSN, RN, CANS, Double Board Certified Aesthetic Nurse SpecialistSince 2011, Rachel has been offering medical aesthetic rejuvenation in the specialty of Oculoplastics and is known for providing a natural and healthy-looking transformation. She has performed over 20,000 rejuvenation procedures and is also a trainer for other practitioners on rejuvenation procedures including medical grade skin care, laser skin rejuvenation, injectables including neuromodulators and dermal fillers, and slowing aging in general. Rachel is passionate about delivering the highest standard of care, with a focus on what the patient's specific rejuvenation goals are, and a tailored approach to suit their needs, values, and lifestyle. She has published multiple research articles on rejuvenation protocols for the eyelids, jawline, and overall skin health transformation. Rachel is known for her gentle touch, natural-looking results, and making her patients feel comfortable, and at ease with her caring bedside manner that originated in pediatric nursing before beginning her career in medical aesthetics in 2011. She will guide you in creating your customized rejuvenation plan to achieve your goals through assessment, education, and facial rejuvenation options.Rachel Varga is one of the first to blend Western approaches to skin care and rejuvenation, functional insights, and biohacking optimization strategies. By blending the best of these worlds and observing what her most radiant patients are doing she will also help guide you on your path to healthy skin and vibrancy for many years SHOWNOTES:
If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast About the Hosts Daniel J. Ozzello, MD - Dr. Daniel J. Ozzello is a dedicated faculty member in the Division of Oculoplastics at the University of Colorado. With a rich background that includes training in ophthalmology at the Wills Eye Hospital and an ASOPRS fellowship in San Diego under the esteemed Dr. Don Kikkawa and Dr. Bobby Korn, Dr. Ozzello has established a diverse practice in oculoplastics as well as urgent and inpatient ophthalmic care. At Colorado, he engages in clinical care, research and teaching. Caroline Vloka, MD - Dr. Caroline Vloka recently completed her fellowship at the University of Colorado following her residency in Pittsburgh. Bringing fresh perspectives and insights, she has already made a substantial impact as a new faculty member. Her interests lie in advancing oculoplastic surgery techniques and patient outcomes, carrying forward her rigorous training and passion for patient care. Episode Summary: In this informative episode of the OculoFacial Podcast, Dr. Daniel J. Ozzello teams up with Dr. Caroline Vloka to delve into the latest advancements in oculoplastic surgery, focusing on two significant blepharoplasty studies. The discussion revolves around the effectiveness of tranexamic acid (TXA) in surgery, alongside an exploration of the cost-effectiveness of these surgical interventions and their impacts on patient care. Introducing listeners to these critical insights, the duo unpacks recent research findings, igniting conversations on how these might enhance surgical practices and patient outcomes. The analysis begins with an examination of a study concerning the preoperative use of TXA in eyelid surgery, meant to reduce bruising and improve patient satisfaction. Highlighting its potential benefits, Dr. Ozzello and Dr. Vloka weigh the simplicity and cost-effectiveness of incorporating TXA into regular surgical protocols. The conversation then shifts towards evaluating the economic and quality-of-life impacts that blepharoplasty offers. The pair discuss a study that aligns the procedure with high cost-effectiveness scores, emphasizing its beneficial role in elevating patient functioning and wellbeing. Key Takeaways: Tranexamic Acid Efficacy: Recent studies demonstrate that tranexamic acid significantly reduces bruising and enhances patient satisfaction in blepharoplasty procedures. Oculoplastics Cost-Effectiveness: Blepharoplasty is proven to be highly cost-effective, providing substantial improvements in quality of life for patients with dermatochalasis Importance of Context: The subjective nature of cosmetic and functional outcomes can vary based on demographic factors and patient profiles. Thorough Patient Education: Managing patient expectations about postoperative outcomes is crucial for satisfaction, especially when comparing with other surgeries like cataract interventions. Collaborative Inquiry: There is a call for larger-scale studies and collaborative data pooling in oculoplastic research to better address rare conditions like idiopathic orbital myositis Resources: University of Colorado - Division of Oculoplastics: Official Website Publications on Tranexamic Acid and Blepharoplasty: Recent articles in OPRS (Oculoplastic and Reconstructive Surgery). Listen to the full episode for valuable insights and stay tuned for more enlightening and engaging content from the OculoFacial Podcast!
If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast About the Guests: Dr. Bradford Lee Associate Clinical Professor at the University of Hawaii School of Medicine and private practitioner in Honolulu. Chair of the DEI (Diversity, Equity, and Inclusion) Committee for ASOPRS. Dr. Andrea Kossler Associate Professor of Ophthalmology, Stanford University School of Medicine Director of Oculofacial Plastic Surgery and Orbital Oncology at Stanford University. Board member of the Women in Ophthalmology and LATINOUS. Dr. Cesar A. Briceño Chief of Oculoplastics at Shea Eye Institute, University of Pennsylvania. Assistant Dean for Diversity and Cultural Affairs at the Perelman School of Medicine, UPenn. Dr. Eydie G. Miller-Ellis Chief of the Glaucoma Service at the University of Pennsylvania. Co-director of the RAB Venable Excellence in Research Project for the NMA. Dr. John Ng Division Chief and Professor of Oculofacial Plastic, Orbital, and Reconstructive Surgery at Casey Eye Institute, Oregon Health & Science University. Incoming Vice President of Aesoppers and future President. Episode Summary: Dive into an engaging panel discussion on Diversity, Equity, and Inclusion (DEI) within the sphere of ophthalmology, specifically exploring its role in oculoplastic surgery. Hosted by Dr. Bradford Lee and Dr. Andrea Kossler, this episode of Top offers profound insights into the initiatives promoting more inclusive and equitable practices in ophthalmology associations and medical education institutions. With esteemed panelists like Dr. Cesar Briceño, Dr. Eydie G. Miller-Ellis, and Dr. John Ng, the conversation shifts focus on innovative programs like the DEI Committee for ASOPRS, which prioritizes inclusion, access, and diversity for both practitioners and patients. The episode explores the intersection of DEI and patient care, highlighting how diverse medical professionals contribute to an enriched healthcare delivery model, thereby mitigating disparities in vision health care. The insightful contributions also touch upon the importance of justice within DEI efforts, as well as the significance of recognizing intersectionality among trainees and patients, which brings emphasis to the unseen and complicated layers impacting healthcare accessibility and delivery. Key Takeaways: The DEI Committee for ASOPRS is actively fostering inclusion and access through travel and research grants, as well as mentorship programs to promote diverse career pathways in ophthalmology. Diversity improves patient care outcomes by fostering a workforce that understands and respects varied cultural and socioeconomic backgrounds. Institutions must strive to create equitable support systems for trainees from diverse backgrounds to ensure they can excel in specialized fields like oculoplastic surgery. Addressing intersectionality is crucial in understanding the multifaceted barriers faced by diverse groups, ensuring a more comprehensive approach in medical research and education. Programs like the RAB Venable Excellence in Research Project aim to increase genetic representation in clinical trials, crucial for advancing targeted treatments. Listeners are encouraged to delve deeper into this vital discussion on DEI within ophthalmology by tuning in to the full episode. Stay connected for more insightful and enlightening conversations from our series.
adVANCEd Patient Care: A podcast series by Vance Thompson Vision
In this episode, we engage with leading oculoplastic surgeons to unravel the intricacies of eyelid, orbital, and facial aesthetics. "Visionary Sculptors" aims to empower eyecare providers with a comprehensive understanding of oculoplastic conditions, from common eyelid disorders to complex reconstructive surgeries.
adVANCEd Patient Care: A podcast series by Vance Thompson Vision
In this episode, we engage with leading oculoplastic surgeons to unravel the intricacies of eyelid, orbital, and facial aesthetics. "Visionary Sculptors" aims to empower eyecare providers with a comprehensive understanding of oculoplastic conditions, from common eyelid disorders to complex reconstructive surgeries.
adVANCEd Patient Care: A podcast series by Vance Thompson Vision
In this episode, we engage with leading oculoplastic surgeons to unravel the intricacies of eyelid, orbital, and facial aesthetics. "Visionary Sculptors" aims to empower eyecare providers with a comprehensive understanding of oculoplastic conditions, from common eyelid disorders to complex reconstructive surgeries.
adVANCEd Patient Care: A podcast series by Vance Thompson Vision
In this episode, we engage with leading oculoplastic surgeons to unravel the intricacies of eyelid, orbital, and facial aesthetics. "Visionary Sculptors" aims to empower eyecare providers with a comprehensive understanding of oculoplastic conditions, from common eyelid disorders to complex reconstructive surgeries.
One of the most common clinical presentations to ophthalmologist is 'the eyelid lesion'. While sometimes it might seem obvious what the diagnosis is, other times it's tough to make a spot diagnosis or even to decipher whether the lesion is concerning or not. So what are some helpful examination tips to help us discern the benign from the malignant? Oculoplastics specialist Dr. Lisa Jagan joins the podcast to share an effective approach on how to decide what types of eyelid lesions warrant a biopsy. This episode is sponsored by Sun Pharma Canada - https://sunpharma.com/canada/Check out Lid Express to help expedite a patient's referral for an eyelid lesion - https://clarityeye.ca/services/lid-express/ Become a supporter of this podcast: https://www.spreaker.com/podcast/blind-spot-the-eye-doctor-s-podcast--5819306/support.
Feeling frustrated by the limited time she could spend with patients, Dr. Ami Shah Vira took the leap from her large ophthalmology group to practice on her own with a focus on direct care. Now, her patients see her directly without referrals or long waits. She knows her patients on a personal level and is easy to reach when you need her.Dr. Shah Vira now offers a wide range of neuro-ophthalmology and aesthetic treatments, from eyelid surgery to radiofrequency microneedling.To learn more about Dr. Ami Shah ViraFollow Dr. Shah Vira on Instagram @amishahviramdABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
About the Guests: Dr. Kellie Satterfield, MD, is a Board-Certified Ophthalmologist and Oculofacial Plastic Surgeon working in private practice in San Diego. Dr. Satterfield has a keen interest in contract negotiations rooted in advocacy. She attended Medical School at UC San Diego, followed by Ophthalmology Residency at the University of Washington, and ASOPRS Private Practice Fellowship under Dr Bryan Sires, MD, PhD, in Seattle, WA. Dr. Satterfield's distinctive insight into contract negotiations stems from her time as President of the University of Washington Housestaff Association, during which she negotiated the contract between all ACGME residents and fellows and the University. She is passionate about advocating for and educating her colleagues on contract negotiations to empower their ability to make big career decisions. Dr. Rao Chundury, MD, MBA, is a Board-Certified Ophthalmologist and Oculofacial Plastic Surgeon, currently a faculty member at the University of Nebraska, having completed his fellowship at the Cleveland Clinic. His diverse career encompasses academia, private practice, and navigating ownership transitions. Holding an MBA from the Kelley School of Business at Indiana University, Dr. Chundury's expertise is enriched by his interest in the business aspects of Oculoplastics in addition to Resident and Medical Student mentorship and career guidance. Episode Summary: This episode features an enlightening conversation between Dr. Kellie Satterfield and Dr. Rao Chundury on the vital aspects of contract negotiations in the healthcare industry. They focus on empowering physicians with the knowledge to identify suitable job opportunities, understand and negotiate contracts effectively, and the importance of being well-informed throughout this process. Dr. Satterfield recounts her journey into contract negotiations, sparked during her role as Union President at the University of Washington. Her transition from academia to private practice deepened her understanding of contracts, wages, contract-pitfalls and self-advocacy. Similarly, Dr. Chundury shares his experiences of moving between academia and private practice, exploring the complexities of contracts at each stage. Together, they discuss the various environments physicians may encounter, from academic institutions to private and larger healthcare systems. The episode provides a comprehensive overview of considerations for medical professionals, whether they are new or experienced, when exploring job opportunities and contract specifics. The goal is to illuminate the often overlooked yet critical aspects of a medical career that can ensure professional growth and personal satisfaction. Key Takeaways: Knowledge of contract negotiation is essential for all physicians no matter the practice setting Academic and larger healthcare systems (ie. Kaiser) may offer less flexibility in contract terms, whereas private practices might allow more room for negotiation. Approaching contract negotiations with a clear understanding of what constitutes a fair and balanced deal is advisable, considering personal and professional priorities. Essential elements of physician contracts, such as compensation structure, benefits, vacation time, non-compete clauses, and termination provisions, demand careful attention. Average base salaries can vary significantly across different practice environments, with academic and private equity settings generally offering higher initial salaries. Notable Quotes: "You've acquired all these skills and talents, and now it's time to reap the rewards of what you've been sowing for so long." - Dr. Kellie Satterfield "It's always in your best interest to think about things early. Even in the private group, show early interest. So they've got a list, and they're going to go out to you first." - Dr. Rao Chundury "The best non-compete is no non-compete." - Dr. Rao Chundury Resources: ASOPRS and ETS Vision Job boards where physicians can find potential job listings. Professional networks and medical associations: Platforms for discovering job opportunities and gathering industry insights. Dive into this comprehensive discussion with Dr. Kellie Satterfield and Dr. Rao Chundury for valuable insights on navigating the complex world of contract negotiations in the medical field. Stay tuned for more episodes that explore the business side of healthcare and provide guidance for a thriving career. If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast
CAT BURKAT, MD, FACS: Dr. Cat Burkat is Professor of Ophthalmology and Oculoplastics at the University of Wisconsin-Madison with expertise in the health and beauty of the eyes and face. She is recognized for her contributions to the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and American Academy of Ophthalmology and is celebrated for her engaging and impactful presence at international meetings. Her professional prowess extends to delivering insightful data on new surgical techniques, Asian eyelid surgery, and aesthetic and lacrimal research. David B. Samimi, M.D, FACS: A partner at Eyesthetica, Los Angeles and Associate Professor of Ophthalmology at USC, Dr. David B. Samimi is a voice representing the next generation of ASOPRS members. He is dedicated to enriching the practice through education and social engagement. His career accomplishments include expanding the scope of Eyesthetica's aesthetic offerings to include advanced techniques in fat grafting and deep plane facelifting. Episode Summary: In this episode of T.O.P., the spotlight is cast on the intriguing world of oculofacial plastic surgery through lively discussions at the fall meeting of ASOPRS in San Francisco, 2023. Listeners are given front-row access to the stimulating and thought-provoking dialogues that took place among the experts in the field. The show captures the electrifying atmosphere that envelops the meeting, bringing together professionals from around the world passionate about the health and aesthetics of the eyes and face. Here, experts exchange transformative insights and revel in the camaraderie that only a gathering of like-minded individuals can offer. From breakthroughs in gender-affirming surgeries to the quick tip sessions on ptosis repair and specialty interest groups, this episode is packed with intellectual wealth and social festivities. The discussions underscore the value of in-person meetings for the exchange of live feedback and how the adoption of new surgical techniques can significantly shape future practices. Key Takeaways: - Our guests discuss the latest trends and advancements in oculofacial plastic surgery presented at the ASOPRS 2023 fall meeting. - There is an emphasis on the critical nature of learning from peers, especially through the exchange of experiences and insights on surgical outcomes and complications. - The meeting highlights include a focus on gender-affirming surgeries and the evolution of ptosis repair techniques. - Social interactions and networking are recognized as priceless facets of the conference, boosting both educational and personal connections. Progressive ideas for future conferences are floated, such as integrating additional social events and more interactive session formats. If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast
Dr. Richard C. Allen, MD, PhD, FACS, is an esteemed figure in the field of Oculoplastics. He has served notably as the immediate past president of ASOPRS, the American Society of Ophthalmic Plastic and Reconstructive Surgery. With a background that encompasses both clinical and academic realms, Dr. Allen has contributed significantly to the field through various roles, including scientific symposium director, counselor, and educator. His diverse experience includes private practice, general ophthalmology, and academic positions. Dr. Allen is known for his dedication to improving patient care and commitment to advancing the standards of Oculoplastics. Summary: In this inaugural 2024 episode of Top, Dr. Scott M. Goldstein welcomes Dr. Richard C. Allen, reflecting on the pivotal developments and themes from the year 2023 under Dr. Allen's ASOPRS presidency. This conversation provides an in-depth view into the evolving landscape of Oculoplastic Surgery, highlighting key projects, organizational growth, and strategic planning. Dr. Allen shares the accomplishments of ASOPRS in 2023, detailing the completion of projects from previous presidents and emphasizing communication and unity within the society. He also discusses the challenges and successes faced during his presidency, such as the relationship management with AUPO for fellowship oversight and the society's bylaws update. Additionally, Dr. Allen addresses the importance of advocacy in ophthalmology, focusing on the impact of state and national representation. Key Takeaways: The need for effective communication within ASOPRS to address concerns and promote unity among members. The evolution of ASOPRS into a large society necessitates careful planning and management of long-term projects, such as potential board certification for Oculoplastics. Importance of maintaining strong relationships with state societies and national organizations for advocacy in Oculoplastics. ASOPRS' international relations and the push towards standardizing Oculoplastic fellowships globally. The need for continuous involvement from younger members to ensure the society's progressive and adaptive future. If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast
Drs. Natalie Homer and Andrea Tooley share some major can't-miss diagnoses in the lids and orbit that carry significant morbidity and mortality, including sebaceous cell carcinoma, orbital tumors, and infectious processes such as mucormycosis and necrotizing fasciitis. Strategies for imaging, histopathology, and management are also discussed. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
Over the past two decades, Botox and Fillers have changed the landscape of cosmetic plastic surgery, including the field of oculoplastics. But how exactly to Botox and Fillers work, and more importantly, how should patients be counseled on these elective treatments? And from a philosophical standpoint, has the world of cosmetic surgery gone too far in 'de-aging' the population and perhaps further stigmatizing the natural process of getting older? Oculoplastics specialist Dr. Harmeet Gill joins the podcast.
With the advent of botox and fillers, cosmetic procedures have become much quicker to administer and more accessible to the masses. In many ways, one could argue this is a good thing – it offers a service to people who want it in a more available way than ever before. But in other ways, has the obsession with a certain definition of beauty and staying younger only further stigmatized getting older and aging naturally? Has the world of cosmetic surgery perhaps gone too far and fostered a certain type of ‘addiction' to looking younger? And how exactly do botox and fillers work? Plastic surgeon Dr. Harmeet Gill joins the podcast. Learn more about Dr. Harmeet Gillhttps://www.eyefaceinstitute.com/our-doctorsThis show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5432816/advertisement
In this insightful episode of "The History of Eyecare," host Dr. Morgan Micheletti sits down with Dr. Ted Wojno, an eminent figure in ophthalmology and oculoplastic surgery. Dr. Wojno, renowned for his pioneering work, sheds light on the evolution and impact of Botox in eye care. He navigates through its journey from a substance of intrigue to a mainstay in both therapeutic and cosmetic treatments, elaborating on its transformative role in managing various ocular conditions. The conversation then pivots to the realm of oculoplastic surgery, where Dr. Wojno's expertise truly shines. He discusses the advancements in surgical techniques and materials, particularly emphasizing the use of porous polyethylene, or Porex, in reconstructive procedures. Dr. Wojno illustrates how this material has revolutionized patient outcomes, offering improved integration with tissue and greater flexibility in surgeries. Throughout the episode, listeners gain a deeper understanding of these innovative practices that have significantly influenced modern eye care. Dr. Wojno's experiences and insights offer a unique glimpse into the dynamic field of ophthalmology, making this episode a must-listen for professionals and enthusiasts alike.
About Jenny Yu:Jenny Yu, MD FACS, is the Chief Health Officer for Healthline Media, the number one health publisher that drives well-being forward by leading our audience of 74 million people to take action and improve their lives. She leads the Medical Affairs team and supports the organization in strategy, growth, and medical integrity. Before joining the organization in 2020, she was a practicing academic clinician with experience in research and operation. She is the Co-founder of a non-profit, Project Theia, focusing on education, care, and innovation in facial reconstructive surgeries for global communities. She has a broad interest in innovation and solutions that help patients navigate the complexity of the healthcare systems.During her tenure at Healthline Media and RVO Health, she has engaged in various thought leadership opportunities and provided her clinical perspective internally and externally onbroad-ranging topics such as access and adherence, whole-person health, and health literacy.She graduated from The Ohio State University Medical School and completed an ophthalmology residency and an Oculoplastics fellowship at the University of Pittsburgh Medical Center. She has over 20+ publications in peer-reviewed journals, numerous book chapters, and various speaking engagements during her 15+ years of clinical practice.Things You'll Learn:Access to reliable and accessible health information is crucial for patients and consumers. High healthcare costs significantly impact patient outcomes, highlighting the necessity for affordable healthcare solutions.Personalized communication and consistent messaging play a vital role in effective healthcare practices.Cross-functional partnerships and collaborations are essential in addressing holistic health needs and promoting preventive care.Technology and innovative services have a substantial impact on improving healthcare accessibility, education, and cost concerns.Resources:Connect with and follow Jenny Yu on LinkedIn.Follow Healthline on LinkedIn.Visit the Healthline Website and here.
In today's episode, we are discussing all things eye aging, beauty trends for eye aging, and ways to slow the aging of the delicate eye area. We will discuss skincare for the eyes, collagen-boosting options for the eyes, and lifestyle tips for slowing the aging of this delicate area based on my experience and research in Opthalmology and Oculoplastics for over ten years!Ways to work with Rachel Varga!FREE Biohacking For Ageless Beauty Training! https://www.theschoolofradiance.com/freebiesBe the first to know when the audible and book are available! https://www.theschoolofradiance.com/bookBook a One-on-one with Rachel Varga for customized skin care, rejuvenation guidance, and ongoing support! https://www.theschoolofradiance.com/consultationShop skin care, make-up, hair/skin/nail supplements, grooming tools, dermal rollers, and much more! https://alwaysradiantskinshop.com/Join SkinCamp for expert Tutorials on skincare, makeup, hair care (and growth), biohacking, clean peels, pre and post-rejuvenation tips, dermal rolling, and advanced at-home practices for the face and body! https://www.theschoolofradiance.com/Join The School of Radiance Membership for cultivating resilient radiance through practices and mentorship: https://www.theschoolofradiance.com/membershipAs a disclaimer, please note that the information shared in this podcast and interview is not to be taken as medical advice, and it's always important to consult with your physician before making any lifestyle changes. Rachel disclaims any responsibility for inaccurate credentials of guests or information used that may cause harm.Thank you for tuning in to this episode of The School of Radiance with Rachel Varga (formerly The Rachel Varga Podcast and The Always Radiant Skin Podcast)!Rachel Vargainfo@theschoolofradiance.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
A chalazion is typically quite easy to diagnose, and for the most part, we know that it will resolve, either on its own, or with a fairly simple surgery. But for as common as a chalazion is, there isn't necessarily a uniformly agreed upon approach to this condition. How long does it typically take before one resolves on its own? When is it reasonable to offer surgery? Is it better to wait until the eyelid is less inflamed, or is it OK to proceed with treatment fairly soon if the patient wants it dealt with right away? And while chalazion excision is considered one of the ‘simpler' surgical techniques in ophthalmology, is that really the case?Dr. Ric Caesar - http://www.richardcaesar.co.uk
Better Edge : A Northwestern Medicine podcast for physicians
Neuro-ophthalmologist, Nicholas J. Volpe, MD, and Orbit and Oculoplastic Surgeon, Liza M. Cohen, MD, of Northwestern Medicine, discuss complex cases that overlap their complementary areas of expertise, including thyroid eye disease, orbital trauma and idiopathic intracranial hypertension. They also present an interesting patient case of lateral rectus metastasis presenting with diplopia.
We don't often think of money as a health topic, but being savvy with our finances can not only impact our quality of life, but can be really important in case of a medical emergency. In this episode Dr. Elisa Chiang and I had such a great conversation about Growing a Wealthy Mindset in which we answered the following questions:***************- As an ophthalmologist, how did Dr. Chiang become an expert in money management?- What are the advantages of investing early in life even if you can't invest much?- Why do women wait until later on in life to start thinking about money management / investing?- How does mindset affect performance when it comes to money management?- How can women like us start learning about money management?- How does coaching help advance our understanding of and strategy for investing?- What about credit cards? How can they be used to improve your finances?- Which type of investing is the easiest to get started?- Is it wise to have a financial advisor? If so, what should we be looking for?- What are Dr. Chiang's money mindset words of wisdom?***************Elisa Chiang is an board certified Ophthalmologist, fellowship trained Oculoplastic surgeon and certified Life Coach. Elisa earned her M.D. and Ph.D. in Neuroscience from Case Western Reserve University. She trained at Northwestern for Ophthalmology and Medical College of Wisconsin for Oculoplastics. She started investing, first in individual stocks as well mutual funds, during medical school and then expanded to real estate during graduate school. Elisa is a certified Life Coach through the Life Coach School. As a Life Coach, Elisa primarily works with health care professionals to work through issues of burnout as well as master their money mindset so they can build wealth and practice medicine on their own terms. She works part time as a physician at Ice Ophthalmology in Painesville, Ohio.***************You can find more from Dr. Chiang at:Websites: www.GrowYourWealthyMindset.comwww.DrEyelid.comhttps://www.youtube.com/c/WealthyMindsetMDFB & IG: @growyourwealthymindset@eyeliddrchiang***************Thanks so much for listening!There's lots more on my website:www.drlexlifestylemedicine.comand....If you love the music, check out:www.therealmichaelvm.com/musicAll my love & gratitude to:my guest: Dr. Elisa Chiang,my inspiration: my patients,my idea guy: Edward,my intro crew: Izzy, Lance & Lucia,my tech & equipment guy: Pop,my angel: Susie,my music & sound guy: Mike VM,my mascots: Jules & P.S., my creative director: Emily,my love, Michael.
Seeing Clearly: A Pre-Clerkship's Guide to All Things Ophthalmology
In this episode of Seeing Clearly, Emaan Chaudry and Danielle Solish talk to Dr. Yasser Khan, an oculo-facial plastic, reconstructive and orbital surgeon at McMaster University and the University of Toronto. Dr. Yasser Khan is an internationally renowned ophthalmic surgeon, humanitarian, and entrepreneur. He is an Oculo-Facial Plastic, Reconstructive and Orbital Surgeon residing in the Greater Toronto Area, Canada. He is an Associate Professor of Surgery at McMaster University and the University of Toronto. He teaches cutting-edge and innovative surgical techniques to surgeons nationally and globally. His International fellowship in Oculoplastics and Orbital Surgery has trained over 20 surgeons worldwide. He is also the founder, owner, and Director of Carrot Surgery Clinics– which combine information technology and medicine to provide state-of-the-art health care options for clients/patients. Dr. Khan is devoted to national and global humanitarian medical work. He is a founder and CEO of GIVE – Global Initiative for Vision and Eyecare. GIVE's primary aim is to develop social entrepreneurship solutions to empower local populations and treat blindness. He has worked in this capacity in over 40 different countries and in Northern Ontario with Indigenous communities. Dr. Khan has extensive experience in leadership and Corporate Board positions. He has served as past President and Vice President of the William Osler Health Corporations representing 1500 medical staff over 4 hospitals in one of Canada's best and largest healthcare systems. He has also served as a Member of the Board of Directors at William Osler. His hobbies include trekking and high-altitude alpine/mountain climbing. His highest mountain peak summited was Cotopaxi in the Andes of Ecuador at 20,000 feet. It is one of the highest active volcanoes in the world. In this episode, we discuss: - What drew Dr. Khan to the field of ophthalmology. - The day to day life and “bread and butter” of an oculoplastic surgeon. - The international side of ophthalmology and Dr Khan's experiences practicing, teaching and learning ophthalmology all around the world. . - Dr. Khan's advice for learners. Check out our website: www.eyecurriculum.com Follow us on Instagram: www.instagram.com/EyeCurriculum Follow us on Twitter: www.twitter.com/EyeCurriculum
Welcome back to another episode of open globe talk, we are joined today by Dr. Jenny Yu, who is an Oculoplastics specialist and the Co-founder of Project Theia. Dr. Yu attended the Ohio State University where she received a BS with distinction, honoring in biochemistry. She later obtained her MD through OSU's College of Medicine and Public Health before embarking on a residency in Ophthalmology at St. Vincent Hospital and the University of Pittsburgh where she also fellowship trained in Oculoplastics. As our first episode on Global Oculoplastics, this episode goes over multiple topics relevant at the trainee-level. You don't want to miss this incredible session!
Description: This week, we talk about oculoplastics for the medical student learner with Dr. Andrea Tooley from the Mayo Clinic. Episode goals: After listening to this episode, medical students should be able to: Acquire a general understanding of the breadth of practice for the oculoplastics subspecialty Describe the common examination and imaging techniques in oculoplastics clinic Describe common pathologies seen and procedures/surgeries performed on the oculoplastics service. Time stamps: 2:59 What is oculoplastics and what makes it unique? 4:40 Tips for first-time medical learners in oculoplastics 7:30 Top anatomical structures to learn and know 11:12 Common examination techniques and skills to learn 19:19 In office or minor procedures 22:17 Related rotations/topics for oculoplastics 29:20 A brief aside on Teprotumumab for thyroid eye disease 31:45 Approach to eyelid lumps and bumps 36:12 Common surgeries in the oculoplastics OR 46:40 Surgeries performed outside academic centers 48:42 First time OR tips 51:32 Takeaways 53:34 Closing remarks Links: Practical Ophthalmology Text: https://store.aao.org/practical-ophthalmology-8th-edition.html Eyes for Ears Podcast: https://eyesforears.net/ AAO Oculoplastics Education Center (images of eyelid lumps and bumps): https://www.aao.org/oculoplastics-center/oculoplastics-education-center AAO Careers in Ophthalmology Oculoplastics Video: https://www.youtube.com/watch?v=wswGbU8ZUpU
Kristin caught up with Dr David Woo, an Ophthalmic and Oculoplastics surgeon from the Sight Foundation at the Sydney Eye Hospital and the Sydney CBD eye clinic. We chat about orbital and periorbital cellulitis and other serious eye infections - including the red flags that differentiate these from common eye infections. To find out more about Dr David, visit his website
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Oculoplastic surgery focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Dr. Bryan J. Winn is an ophthalmologist who specializes in oculoplastic surgery. Here he discusses various procedures and surgeries. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 37144]
Jimmy and Roya jump into Tom Copperman's pet life while exploring the world of Oculoplastic Surgery, Punctal Cautery, Lid Lesions, and more! SOURCES Thomas Copperman, MDCopperman InstagramEnduragen ImplantTepezza
In this episode we hear from Vidushi Golash, a trainee from the Kent, Surrey and Sussex deanery about her experiences of setting up and running virtual consultations for Oculoplastics patients. --- Send in a voice message: https://anchor.fm/eyetoeye/message
Dr. Michael Chappell goes into fantastic detail in this episode of Eyetrepreneur in all of the different areas of his expertise being an ophthalmologist and oculoplastic surgeon. Enjoy! In This Episode: [3:35] How did Dr. Chappell get into ophthalmology and oculoplastic surgery? [10:06] What does Dr. Chappell do when he comes across a botched plastic surgery? [11:56] What are the entry points for patients to Dr. Chappell's practice, and what are the different approached Dr. Chappell uses? [34:26] What can people do to decrease a baggy eye look? [39:26] Dr. Chappell's experience with dry eye. [48:04] The different types of tapes for lids. [55:26] How do we all form a better bond? [1:11:02] What you need to know about Bell's Palsy. [1:19:50] How can you improve what you do? About The Guest: Dr. Michael C. Chappell is a board-certified ophthalmologist who specializes in cosmetic and reconstructive surgery of the eyelids, tear drainage system, bones and contents of the orbit around the eye, and the face. He is a native of Little Rock, Arkansas, and received his undergraduate degree magna cum laude from Hendrix College in Conway, Arkansas, before earning his medical degree, graduating with honors (Alpha Omega Alpha), from the University of Arkansas for Medical Sciences in Little Rock. Dr. Chappell completed an internship in internal medicine from St. Mary’s Medical Center and an ophthalmology residency at California Pacific Medical Center both in San Francisco, California. Following his residency, Dr. Chappell completed a two-year oculofacial plastic and reconstructive surgery (oculoplastics) fellowship accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), at the University of Washington in Seattle. At the conclusion of his fellowship, he received the Marvin H. Quickert Thesis Award – a prestigious recognition given to the most outstanding research conducted in the United States by oculoplastics fellows for that year. Dr. Chappell enjoys the breadth of the field of oculoplastics and is continually fascinated by the form and function of the periocular and facial tissues. Dr. Chappell is married, and he and his wife Mandi are very excited about being in the Kansas City area with the opportunities that Kansas City offers to them and their three children. Outside of medicine, Dr. Chappell enjoys listening to and playing music, playing soccer, running, travel, and spending time with family and friends. Resources: moyeseye.com Connect With Us On Social Media! Facebook Instagram YouTube
Session 78 Dr. Alex Voldman is an osteopathic (DO) physician who specializes in Ophthalmology as a cornea and cataract surgeon. Check out our latest episode to learn more. Also, check out all our other podcasts on MedEd Media Network. Please help us find a guest here on the podcast. Send me an email at ryan@medicalschoolhq.net. [01:35] Interest in Ophthalmology Alex didn't go to medical school thinking about such Ophthalmology Upon his path to being an orthopedic surgeon, presenting at a conference, he met an Ophthalmologist who encouraged him to spend a day at his clinic. Seeing their practice, he thought they're some of the happiest doctors he has ever seen in the years he spent as a student. He thought it was an organized environment where doctors and patients were happy. And he thought they were happy. Wanting to be happy as well, he decided to jump to the bandwagon. He also found them to be working at reasonable hours. They also got surgery and played with cool toys and lasers. When he found it was competitive, this drew him even more as it was something that challenged him. Thinking he was going to be a businessman, the father of Alex's friend called him and discouraged him from doing so. He was told that if he became an orthopedic surgeon, he was going to retire at 50 as a millionaire. It sounded great to him and thought the dad was great and living the life. So he literally switched his major and started taking science classes. He admits not really liking the business classes he was taking. Nearing medical school, he realized that advice the worst he had ever gotten. He was glad though because it brought him to medicine but to tell somebody to go to medicine to become rich is absolutely wrong. Sure, you could do well and be rich if that's the goal but that's not the way to do it. "To tell somebody to go to medicine to become rich is absolutely wrong." When he got into medical school, he started exploring the orthopedic surgery lifestyle but the personalities he met didn't seem to flow with his, as he describes it. He found people to be a bit more aggressive than what he would have envisioned a classic doctor. Personality-wise, he saw he was more aligned with the Ophthalmologists who are dorkier and laid back. [06:51] Traits that Lead to Being a Good Cornea Specialist Alex explains you have to be very meticulous although you don't have to start being one. Instead, you'd be forced to be meticulous. All of their surgeries and procedures are visible in the patient's eye everyday. So whatever result they have, they're walking around with it. They're looking through it. And if you're off by a small fraction, then a patient sees that for the rest of their lives. "Every calculation, whatever technology we're using... all have to be meticulously placed." [08:00] Types of Patients Although a cornea specialist, Alex also sees a lot of general ophthalmology. In reality, if you practice cornea in private practice, you're also more likely doing a lot of general ophthalmology because there's not that much cornea pathology to keep somebody all day long. For instance, in a day, he may see young patients for routine eye exams. The majority of his patients are also elderly. Common cases would be cataract, glaucoma, macular degeneration. And from a cornea standpoint, there are corneal diseases related to surgery such as patients with previous eye surgeries, multiple surgeries. If you have a sick eye and has had lots of surgery, it causes damage to the cornea which often needs corneal transplant. "If you have a sick eye and has had lots of surgery, it causes damage to the cornea which often needs corneal transplant." Sometimes, people have infections that cause scarring and corneal disease. So he may see contact lens wearers with corneal ulcers that sometimes have scarring so they need corneal transplants. Rarely, they will see certain corneal diseases like dystrophies people are born with. And often, they'd see those with corneal ectasia, also called keratoconus, characterized by thinning or balling out of the cornea if people are born with corneal disease. Their corneas become thin and pointed so they become weak and would nee corneal care either in the form of specialty contact lenses or corneal surgery. [11:20] Typical Day Alex's day usually starts at 8 am as his first scheduled patient and then see between 10 and 20 patients. He's in private practice, working about half an hour from his house. He has great support at the practice. He has a scribe and technicians that work patients out for him. He'd describe it as a pretty fast-paced practice. "To be able to get through 20 patients and make everybody happy around you, you have to be efficient." He'd usually finish around noon and the next patient is scheduled at 1pm. So he gets to have his lunch break (although he doesn't eat but doing other things). Then he ends at 430-5 pm. This is a typical clinic day For OR day, his first case starts at 7 and doing about 10 surgeries in a half day. He'd be done at noon, take a break, and then do clinic in the afternoon from 1-5 pm. [13:02] Taking Calls and Work-Life Balance In his practice, they have 7 physicians, they split their calls equally among 7 people. So he'd be called once a week and you're covering call for your practice only. It's usually light, too. Middle-of-the-night emergencies are rare and if they're happening, sometimes the person can be seen the next morning. He'd also cover call for the local university hospital occasionally where he gets to see trauma call with residents, which can be easy. They have the option to do it as much or little as they want so Alex is doing it one week a year only. "Generally, ophthalmology private practice call is not really intrusive in your life." When taking a call, it's very rare that he gets called in during the week since he can just see the patient the next morning. So he almost never has to go in during the week. On the weekend, he'd have a patient to bring every few weeks. So it's not very common. Alex illustrates his lifestyle as being very predictable and he thinks this is one of the biggest draws of the specialty. [15:22] The Training Pathway You have to do ophthalmology residency and prior to that, do your internship. As of now, they're separated. So you do one year of internship of some kind. Most people do traditional medicine or transitional. Very rarely would you see surgery or peds. Then you do three years of ophthalmology residency. Then for Alex, he did one-year Fellowship on Cornea. "Nothing is going to change the practice pattern so the lifestyle factor will always draw people and will make it competitive inherently because of that." He still thinks the specialty is highly competitive until now. He points out that the nature of the lifestyle is always going to draw people to it. To be competitive in matching, like any other field, you need to really know you want it and be able to show that you want it. The only way to do that is be involved - whether in research, clinical experience, shadowing, volunteering. These are all just ways to figure out whether you like it or not. Then build connections throughout the entire process and those connections are what can help you. You'd be able to get better letters of recommendation from people you spend a lot of time with. "You need to really know you want it and be able to show that you want it. The only way to do that is be involved." Undoubtedly, the first thing residency programs are going to screen you on is going to be your school and Step 1 that's going to get your foot on the door. Otherwise, it could be an uphill battle - not impossible, you could definitely do it. Next, is how well you interview. Ophthalmologists work tightly together and in a clinic environment side by side with your attending physicians, and a lot of times, with their private patients. So they want somebody they'd feel comfortable around patients. Lastly, Alex says that research always helps. For cornea fellowship, it's not as competitive. Good programs at anything are always going to be competitive. The same reason you could say that family medicine isn't competitive. But pick the best program in family medicine and it's going to be very competitive. Ultimately, in terms of competitiveness in ophthalmologic fellowships, it's probably middle of the road. [19:35] Other Sub-specialties There are new ones every couple of years. But for now, there are subspecialties like a 2-year fellowship in Retina or a 1-year or 2-year fellowship in Oculoplastics, a 1-year or 2-year fellowship in Oculoplastics, 1-year fellowship in Glaucoma and 1 year in Cornea. You could also do 1 year in Uveitis, 1 year in Pediatrics. You can also do Pathology or a special fellowship for Refractive Surgery. [20:35] Negative Bias in the Field and Alex explains that even as a DO the bias doesn't come up among his patients. The bias rather comes up when you're trying to apply for residency programs. The program directors of MD programs are not going to look at you first. You have to do something special to stand out among the MD applicants. "The bias undoubtedly is going to come when you're applying for residency programs because the field is so competitive." [21:27] Working With Primary Care and Other Specialties His advice to primary care physicians to refer early and don't just treat red eyes. The differential diagnosis of a red-eye when he sees one "Refer early and don't just treat red eyes." The exams he does and all the things he looks for are extensive. A lot of times, primary care docs see patients and they say it's probably a pink eye. Then they'd give somebody an antibiotic. Then send him his way. So he urges primary care physicians to refer early. Less is more. And don't just treat. Because a lot of times, this could make Alex's job a bit more difficult when they get to him and he's not sure where to really start. Other specialties he works the closest with include Anesthesia, Primary Care (as they manage a lot of diabetics), Neurology (taking care of patients with vision loss, cranial nerve palsies, etc.) He may also work with a Rheumatologist (autoimmune inflammatory eye diseases that need systemic management. [23:12] Special Opportunities Outside of Clinical Medicine One may get involved in the industry of surgical devices, doing trials, and testing new devices. You can also always be a business owner. [24:08] What He Wished He Knew that He Knows Now In one aspect, he has enjoyed building long-term relationships with patients. But as a practice, he is pretty tied to his geographic location because he's getting his self and name out there in building a patient base. So he can't just leave and decide in another part of the country, which is something other specialties can do such as Anesthesiologist or Emergency Medicine doc. "The private practice of Ophthalmology is much more community-centered." The best part of his specialty he describes is the one-day post-op where the patients come in and there's a smile in their face because they can see much better. On the flip side, one of the things he likes the least is the fact that he not infrequently does he have to talk to patients about money. For instance, he may prescribe eye drops that can't be covered by their insurance or offering different services not covered by insurance. [26:30] Working with Optometrists There's a lot of uproar being seen right now with optometrists requesting and pushing for more and more ability to do procedures and things. In his experience working alongside optometrists throughout medical school up to his private practice, he thinks the majority have not been interested in getting involved in surgical intervention. He doesn't blame them because a lot of them actually went into optometry because they didn't want to be surgeons. They want their predictable lifestyle and hours and don't particularly want to go out of the scope of what they're comfortable with. "There's a push for some optometrists to have a piece of the surgical pie and I've seen mistakes made and I've seen things that were missed." Alex says he had seen mistakes made by optometrists. However, it has nothing to do with them being an optometrist, but it just had something to do with them not having years of surgical training and not actually knowing what you could be looking for, let alone, missing it. This makes him a bit nervous. It's scary for patients to walk in the door because half the time, they might not know who they're talking to and who's actually doing surgery on them. So for patient's safety, Alex believes it can be dangerous for optometrists to get involved surgically. [29:23] Major Changes in the Field of Cornea Surgery Particularly in the field of corneal transplantation, they used to take donor tissues and sew them into place. They hope that in the future, they will be able to take individual cells and replace just the damaged cells instead of the tissues. This is in the effort to have lower rejection rates, faster recovery, and better outcomes for the patients. Other things in the cornea sphere, specifically from the refractive side (getting better vision), technology is like lens and plans they put in during cataract as well as better techniques to do cataract surgery. Currently, they're doing laser cataract surgery. Lastly, Artificial Intelligence (AI) is already in Ophthalmology to help them make better clinical decisions. Finally, if he had to do it all over again, Alex says he would still do it. His advice to students who might be interested in this specialty, spend some time with enough ophthalmologists. "Anybody that wants any specialty always gets in eventually. I've never met anybody that really wanted something that just never got it. Whether it took more time or a different approach or using different tools, somehow they got there. So do not give up!" Links: MedEd Media Network ryan@medicalschoolhq.net
This week's guest is Dr. Kyle Lewis. He's an ophthalmologist at UMMC and specializes in oculoplastics and reconstructive surgery. See acast.com/privacy for privacy and opt-out information.
Oculoplastics & Reconstructive Surgery focuses on corrective and cosmetic eye surgery related to the eyelids, eyebrow, forehead, and tear duct system. These surgeons also repair orbital trauma and congenital eye defects in children and adults.Physicians in this field are ophthalmologists who have received additional training in plastic surgery, and they are experts in conditions and treatments of the delicate eye area.Joining the show to discuss Oculoplastics services and questions about Botox for eyelid spasms, is Dr. Sarah Jacobs. She is an Assistant Professor specializing in Ophthalmology at UAB Medicine.
A conversation between Robert Goldberg, MD, and Guy Ben Simon, MD. Dr. Ben Simon discusses a paper he presented at Oculoplastics Today 2010, showing that the size of the bony ostium created during external dacryocystorhinostomy substantially decreases three months after successful surgery. (August 2010)
Guest: Daniel Ezra, MA, MRCOphthFellow and Lecturer in Oculoplastics and Orbital SurgeryMoorfields Eye HospitalUniversity College London Biomedical Research Centre for Ophthalmology London, EnglandUnited Kingdom
A conversation between Robert Goldberg, MD, and Tanuj Nakra, MD, during the Annual Fall Scientific Symposium of the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS). Dr. Nakra and colleagues retrospectively reviewed outcomes in 19 patients injected with hyaluronic acid gel fillers for a variety of indications, including nasal valve collapse, dorsum asymmetry, wide or flat dorsum and prior surgical over-resection of the dorsum. They found the procedure to be safe and effective with high patient satisfaction. (October 2009)
A conversation between Robert Goldberg, MD, and Bita Esmaeli, MD, during the Annual Fall Scientific Symposium of the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS). Dr. Esmaeli and colleagues reviewed the clinical data and histologic features of 30 consecutive patients with conjunctival or eyelid melanomas that underwent sentinel lymph node biopsy. Based on their findings they recommend sentinel lymph node biopsy for patients with ocular adnexal melanoma of greater than 2 mm in Breslow thickness and with ulceration. (October 2009)
A conversation between Robert Goldberg, MD, and Mark Lucarelli, MD, during the Annual Fall Scientific Symposium of the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS). Dr. Lucarelli and colleagues conducted an anonymous, online survey of ASOPRS members as well as a literature review to determine surgeons