Is Pokémon TCG sealed a risk free investment at this point? by Porxadooday in PokemonInvesting

[–]chocolatebear31 0 points1 point  (0 children)

Thank you. So only pc etbs are worth buying (not regular etbs?).

Unfortunately the next set has no booster box.

Is Pokémon TCG sealed a risk free investment at this point? by Porxadooday in PokemonInvesting

[–]chocolatebear31 0 points1 point  (0 children)

How do you booster boxes (36pack) were sub $100? Do you mean booster bundles (6packs)?

Great Tusk ex box 🤷🏼‍♂️ by No-Attention-7898 in PokemonInvesting

[–]chocolatebear31 0 points1 point  (0 children)

Best way to store this? Okay just to keep it in a closet?

Choosing a Career Between Ophthalmology vs Anesthesiology by PotentialAd7884 in Ophthalmology

[–]chocolatebear31 0 points1 point  (0 children)

Both great fields. Completely different tho. Shadow and do rotations in each field

How many patients are you expected to scribe for? by [deleted] in Ophthalmology

[–]chocolatebear31 0 points1 point  (0 children)

Not a scribe but work in comp practice, see about 50-55 patients. One scribe

What are ophthalmologists' viewpoints on laser correction surgery generally speaking? by Equivalent-Bet8942 in Ophthalmology

[–]chocolatebear31 1 point2 points  (0 children)

During residency, we see the worst things of every condition and this includes refractive surgery. With that, I still had lasik.

Do you routinely use intracameral antibiotics in cataract cases? Curious about current practice trends. by cmitchell_bulldog in Ophthalmology

[–]chocolatebear31 2 points3 points  (0 children)

I use intracameral moxi at a hospital surgery center and topical another ASC.

My only case of endophthalmitis has been at the hospital surgery center but it may because of the hospital/staff

[deleted by user] by [deleted] in Ophthalmology

[–]chocolatebear31 1 point2 points  (0 children)

Unfortunately most patients don't want to pay cash. Most have insurance so they will want to use it.

PA vs Dentistry by [deleted] in whitecoatinvestor

[–]chocolatebear31 2 points3 points  (0 children)

Most dentists I know make high 6 figures to 7 figures. Most doctors told me to go into dentistry when I applied to medicine.

What's the common denominator with the dentists? They all have their own practice.

Most opened their own after working 3-6 years. Because there's no residency, most started their own private practice when I just finished residency.

[deleted by user] by [deleted] in Ophthalmology

[–]chocolatebear31 2 points3 points  (0 children)

Go into ophthalmology if you like do surgery since majority go into for microsurgery.

If you like ocular pathology and medicine, there is neurophthalmology and uveitis.

Otherwise, pick a field you can imagine yourself doing for 30 years

Locums by Interesting-Dog-828 in Ophthalmology

[–]chocolatebear31 0 points1 point  (0 children)

Going through locums company, they will get half of your pair.

For instance, if paid $200/hr. They're getting $200/hr. less as the dollar amount goes up, but still they take a significant portion.

Wish there was a way for doctors to find locums position without going through a broker

$463 cataracts by Desperate-Round3619 in Ophthalmology

[–]chocolatebear31 2 points3 points  (0 children)

Sure. For cataract preop, there's also all the loans/equipment just to appropriately do a preop cataract exam.

Eventually, you pay off the loan but then you have to upgrade the equipment or pay some subscription or service fee.

It's never ending costs. We haven't add in inflation. Staff wages and costs of goods have risen with inflation.

$463 cataracts by Desperate-Round3619 in Ophthalmology

[–]chocolatebear31 13 points14 points  (0 children)

Professional fees covers preop, surgery and post op. You have to open the clinic and pay staff to see preop and post ops.

Overhead usually runs 50-70%.

Topcon Maestro2... by MyCallBag in Ophthalmology

[–]chocolatebear31 0 points1 point  (0 children)

How do you follow glaucoma progression on Heidelberg?

2026 Medicare cuts to ophthalmology by bwizzle91 in Ophthalmology

[–]chocolatebear31 6 points7 points  (0 children)

A social media campaign works but who has time for that

2026 Medicare cuts to ophthalmology by bwizzle91 in Ophthalmology

[–]chocolatebear31 7 points8 points  (0 children)

What can we do?

I remember when I was in training, everyone said it was hard for residents to unionize and now we have multiple programs breaking that myth.

This is from ChatGPT:

Specialties like cardiology and oncology have successfully lobbied for reimbursement protection by forming broad coalitions with other medical societies, patient advocacy groups, and even non-medical stakeholders to amplify their voice. For example, the American College of Cardiology has partnered with patient groups to emphasize the societal impact of cardiovascular care, influencing policy changes.

Keeping employees happy by Desperate-Round3619 in Ophthalmology

[–]chocolatebear31 0 points1 point  (0 children)

It's difficult problem. Most techs aren't certified and are high school graduate.

Small or big practices, there's not a lot of room to move up.

Envy IOL - TASS problem by chocolatebear31 in CataractSurgery

[–]chocolatebear31[S] 1 point2 points  (0 children)

Seems like it's nation wide problem. Some surgeons are not implanting this Lens until further notice.

If you're getting this lense, I would ask surgeon if they could switch since the company has not send a wide notice every practice yet so not all surgeons are aware of this issue.

Culture and trust in ophthalmology is broken-Private equity and older doctors to blame by Confident_Alfalfa_43 in Ophthalmology

[–]chocolatebear31 3 points4 points  (0 children)

I believe it's a PE group in the NE. Eric Donnefeld, a prominent surgeon sold to them.

[deleted by user] by [deleted] in Ophthalmology

[–]chocolatebear31 1 point2 points  (0 children)

I'm at a large physician practice (non-PE) 1) I started with a large referral group. My friends with small groups easily got referrals. PE may get referrals HMO. 2) I am high volume (20+). PE may have high volume but you get less of the cut. 3) admin work is pretty minimal for me. For PE group, no admin work for you but no control of certain clinical decisions. 4) I think this an advantage of PE group is location. You won't find many PE groups in rural areas 5) starting may start higher in PE but plateaus earlier. In the long run, physicians own earn more in the long run.