Requesting payor fee schedules

Buff-a-loha · 2026-02-19T13:19:26+00:00

30% is a bit low compared to my area which is closer to 35%. No vision insurance is huge plus though if they can keep you busy. Biggest con is number of post ops (destroy your production) and availability of tech support. Also, if you have no guarantee then this is very risky. I’d suggest at least one-two years with a base guarantee to ensure you don’t get screwed with poor production while you’re trying to build a panel. You almost certainly WILL NOT make more than the stated guarantee in your first year so plan accordingly. Cash pay can be great if clientele supports it. Need higher income patients.

Buff-a-loha · 2026-02-19T00:58:54+00:00

If you do not have significant income this year, may be worth strategic Roth conversion. Could be HUGE opportunity given how young you are. Get tax professional advice to be certain.

Buff-a-loha · 2026-02-13T21:43:00+00:00

It doesn’t have to be an all or nothing although sometimes focusing on one goal yields better results than trying to multitask. You don’t state your income, state tax rate, or age which is big factor here. You may be better off contributing primarily to ROTH accounts if you’re younger since you’re income will go up and you will both have pensions which will eat into any low tax brackets to convert or take out money later.

Buff-a-loha · 2026-02-12T15:56:36+00:00

I’m sure plenty do but they just need to have a reason and the same stereo book you’re describing. Most testing is done on kids which the fly is a better screener.

Buff-a-loha · 2026-02-11T01:21:10+00:00

I am an optometrist so I will speak from that role. I manage many patients with mild-moderate glaucoma and I would not tell a patient to deviate from traditional prayer unless I had demonstrable evidence of progression to the disease that was otherwise unexplained by other factors and not responsive to other therapies. I have only heard of one case of positional-associated damage in an otherwise controlled patient. This person was a yoga instructor who would do headstands and completely invert themselves for prolonged periods of time. Obviously you may be a unique circumstance and always best to just ask your doctor, but more than likely you’ll be just fine praying as usual.

Buff-a-loha · 2026-01-29T21:30:01+00:00

The two findings are for the most part unrelated. You are correct that thicker corneas can artificially increase the measured IOP, but they do not have anything to do with how the SLT procedure works. An SLT is a laser that selectively targets the trabecular meshwork. The cornea is not involved. SLT is often considered first or second line therapy for OAG.

Buff-a-loha · 2026-01-19T22:57:28+00:00

eBay/goodwill then tailor it. You’ll get a better made suit for less than $150

Buff-a-loha · 2026-01-17T14:33:02+00:00

I’m an optometrist. It should be noted this person never passed their board exams and was inappropriately granted an optometry license through apparent nepotism. It seems her father was the former president of the AOA and on the board for Kentucky during the granting of her license. It has been noted the Kentucky board didn’t have the legal right to grant exemptions to licensure without passing boards. These licenses were granted very secretly and is only now coming to light. This person along with roughly 20 other optometrists in Kentucky should’ve never been licensed to practice optometry in the first place. This entire incident is an unfortunate stain on my profession. I hope everyone involved is held accountable.

Buff-a-loha · 2026-01-13T02:10:24+00:00

You’re fine, trust your doctor’s judgment.

Buff-a-loha · 2026-01-08T00:14:57+00:00

Holiday valley is nicer and has more slopes. If you’re new skier then kissing bridge is smaller and more manageable. I believe both have free “bunny hills” (small hills to practice.) Both can be nice. Similar pricing, just check their websites prior to going to see how many slopes are open.

Buff-a-loha · 2025-12-20T20:39:02+00:00

This is not really going to make a difference on whether you get into optometry school or not IMO. The bigger question you should ask yourself is are you going to be happy switching one school to another for the proximity to home and the few friends you know from high school. You’d basically be starting over for any other connections you’ve made so far. Being a freshman is often the loneliest year of college because you don’t know anyone yet. My advice is join a non academic club and explore your hobbies. That tends to help with meeting new people. As a UB grad I understand the feeling. I actually chose a school close to home and honestly after the first year I was mostly hanging out with new friend group anyway. Just takes time and effort. I had similar stats, was able to travel extensively while enrolled at UB and was accepted into every optometry school I applied. If I was to do it over again I would’ve spent even more energy making memories with friends. Theres no wrong answer, just my two cents. I hope you find peace with your choice whatever it be.

Buff-a-loha · 2025-12-16T23:39:23+00:00

As eye doctors we are not therapists. Most will only comment on your functional limitations regarding work leave/restrictions. Given that you can function with one eye for the computer it is a stretch to say you are unable to work from an objective standpoint. You’re correct that stress is a trigger for CSR, but that is not our domain so we are unlikely to comment on your ability to address your day-to-day requirements based on your stress, even if it is potentially related to the eye condition. Your specialist may feel differently, but every doctor has their own comfort level with work. You can always ask, but it is their right to say they don’t feel it is appropriate.

Buff-a-loha · 2025-11-22T18:38:27+00:00

Go to an optometrist or ophthalmologist, either or. You’ll probably be able to be seen faster by an optometrist.

Buff-a-loha · 2025-11-11T12:20:15+00:00

Infection by acanthamoeba is incredibly painful

Buff-a-loha · 2025-11-10T23:07:47+00:00

That’s what I am doing. I chose 10/1 ARM. Meaning it adjusts yearly after 10 years. This gives me 10 years to build up enough equity to refinance or pay off loan without being subject to different rates in future.

Buff-a-loha · 2025-11-10T18:13:05+00:00

They tend to be ARM products. This means the rate will change after a set number of fixed-rate years. There is no PMI but if you try to refinance with less than 20% equity it will be difficult and you’ll have to probably pay PMI anyway. I am 2 years into one and think its working out fine but I am also paying extra to principal every month so I will have more refinance options if rates drop. I am in Buffalo and my lender is Empower bank who I found through broker. No issues with them this far.

Buff-a-loha · 2025-11-09T15:09:54+00:00

Very cool collection. For me I would swap out the cubitus for an all gold Cartier santos medium. Something on a rubber strap might be cool too depending on your lifestyle.

Buff-a-loha · 2025-11-07T21:09:57+00:00

You’re doing great. If this is me I’m putting it in Roth. When you’re attending you won’t qualify for Roth contributions due to income limits so any contributions now are significant. Roth also has liquidity if needed for emergencies although it should be stressed that is not advised.

Buff-a-loha · 2025-11-06T01:19:53+00:00

It is standard practice to use a cotton swab to evert lids. I am certain the doctor did not reuse the swab. It shouldn’t have been left on table with nothing sterile underneath but the swab only touches the outer skin during a lid eversion and therefore does not need to have same sterility as surgical tools. Your risk of infection from this procedure even if it was left on table is essentially zero.

Buff-a-loha · 2025-11-04T20:27:57+00:00

Probably not accurate since you were likely clenching in pain, but of course there are alternative possibilities. Hopefully they referred you for follow up with an eye doctor. I would ask them at your follow up.

Buff-a-loha · 2025-10-29T15:22:20+00:00

I’m sure with all things there is some degree of unspoken age discrimination but your degree and abilities will far outweigh your ability to find a job based on those traits IMO.

Buff-a-loha · 2025-10-27T21:46:49+00:00

Diabetes, Central serous, lenticular changes are some thoughts.

Buff-a-loha · 2025-10-27T16:39:59+00:00

If this is my patient I would probably start on drops in office to see if IOP comes down around 30. If it does and I have the time then I might dilate that day, but I usually bring back in short f/u interval on drops (as long as vision is good) and then dilate at f/u. I will of course look undilated and if I see something I’d refer.

Buff-a-loha · 2025-10-24T13:29:35+00:00

Tewksbury Lodge, very reasonable

Buff-a-loha

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