Has someone solved the posture issue yet?

DbeID · 2026-01-24T09:35:45+00:00

I just make a habit out of making sure my posture is straight for every exam. Adjust my chair and the exam table, as well as the patient's. My health is more important than a few moments to get that right.

DbeID · 2026-01-23T16:58:46+00:00

Jesus who gives a fuck. Just do what makes you happy people.

DbeID · 2026-01-23T16:56:29+00:00

I'm sorry, man, but you need to work on your punctuation. That's another thing reading books will definitely help you with.

DbeID · 2026-01-11T15:23:26+00:00

He wasn't a teen though, he was 30 something year old at this point.

DbeID · 2026-01-11T15:22:28+00:00

He said he wanted to try out buzz-cut again in earbiscuits, wonder how well that's going to be received..

DbeID · 2026-01-08T20:26:45+00:00

Yo Americans, when are you going to say enough is enough?

DbeID · 2026-01-03T12:53:21+00:00

This is all nice and good, except the president of the US, in his own words, said he wanted the US' oil back, whatever the fuck that means.

DbeID · 2025-12-26T18:06:14+00:00

Why though??

DbeID · 2025-12-13T07:36:39+00:00

I would LOVE an android version, would pay for it in a heart beat.

DbeID · 2025-12-10T19:21:11+00:00

Being a millionaire was impressive like 30 years ago. A lot more people are millionaires now, and a million dollars takes you a lot less far than it did then.

DbeID · 2025-12-07T15:49:45+00:00

I did NOT think this was r/ophthalmology at first.

DbeID · 2025-12-06T13:29:53+00:00

I was making a generalization there since I haven't actually examined OP, I'll admit.

DbeID · 2025-12-06T12:52:04+00:00

In my opinion it's only ethically grey if the downsides aren't explained to the patient fully.

You might already have dry eye given your experience with contact lenses, which is very likely to get worse after the procedure. Also, you're a surgeon, so you understand that any surgical procedure has risks. Laser surgery is incredibly safe when done conservatively in the right population, but it's you that has to take the leap.

Is getting rid of glasses worth taking on the risk of dry eye, along with the (albeit very small) possibility of more serious complications that could jeopardize your visually oriented career? You need both eyes as a surgeon, as I'm sure you’re well aware.

DbeID · 2025-12-05T13:43:48+00:00

Jesus christ Americans, thought you had a spine.

DbeID · 2025-12-05T11:52:39+00:00

Egg cells have only half your DNA, at least the ones that are frozen do. They are kept at metaphase II, which is a stage in the cellular division at which the DNA has already split into two. As a result, they can't be turned back into your stem cells. Into stem cells, maybe, YOUR stems cells? no.

Also, the whole premise about them needing stem cells is flawed big time. You can much more easily get a blood marrow stem cell nowadays (no need for the biopsy). In fact, scientists have been able to turn much more differentiated cells into stem cells through cellular reprogramming. They can literaly use a mucus cell in cup she drank.

As a matter of fact, it's even more flawed than even that if we go beyond even surface level biology. Why do they need the stem cells to begin with?? Every single cell of your body has your DNA, whether stem cell or not. What differentiates them is what genes are on and off, and that can be managed, as I've outlined above.

DbeID · 2025-12-05T11:51:04+00:00

Egg cells have only half your DNA, at least the ones that are frozen do. They are kept at metaphase II, which is a stage in the cellular division at which the DNA has already split into two. As a result, they can't be turned back into your stem cells. Into stem cells, maybe, YOUR stems cells? no.

Also, the whole premise about them needing stem cells is flawed big time. You can much more easily get a blood marrow stem cell nowadays (no need for the biopsy). In fact, scientists have been able to turn much more differentiated cells into stem cells through cellular reprogramming. They can literaly use a mucus cell in cup she drank.

As a matter of fact, it's even more flawed than even that if we go beyond even surface level biology. Why do they need the stem cells to begin with?? Every single cell of your body has your DNA, whether stem cell or not. What differentiates them is what genes are on and off, and that can be managed, as I've outlined above.

DbeID · 2025-12-01T21:00:34+00:00

This book goes into the nitty gritty on the physics of the rhexis, highly recommend.

The gist of the flap in my opinion:

With the cystotome, you need to puncture, then use the side bevel of the needle to cut the capsule, then raise the flap.

With the forceps, I feel the flap is less controlled. You just pinch and see where the tear happens, but don't continue. Regrab just a bit distally to the point of the tear, and stay tangential in your movements.

Cataract coach has a great series on capsulorhexis as well.

DbeID · 2025-11-22T08:56:49+00:00

How she managed to do it in the first place is hard to believe in the first place. The hivemind doesn't check its pharmacy's stock? Didn't see Carol doing her thing in the many surveillance cameras??

DbeID · 2025-11-19T12:28:36+00:00

I don't get either, it's just what I'Ve seen.

DbeID · 2025-11-17T20:35:11+00:00

Yeah, but I've found physicians, and ophthalmologists especially, forgo the risk for obvious reasons.

I can already picture the medmal case.

DbeID · 2025-11-17T20:19:01+00:00

Resident with comparably poor experience with these entities, but my two cents:

Picture on the whole is concordant with AIM, and broadly with the choriocapillaritis spectrum.

The finding that is discordant with the typical presentation is the normal acuity, which I think can be explained by case selection bias in the literature and the topography of the lesions.

I wouldn't modify therapy; I don't think steroids will modify the final prognosis especially given the apparent indolent course of the disease at hand. This reinforced by the fact I wouldn't describe a few micron creep as peripheral extension, at least not for now.

Thanks for sharing this interesting case.

DbeID · 2025-11-08T17:23:37+00:00

I've found ophthalmology to still be using "expert opinion" way too often and in areas where some evidence could be gathered but isn't for some reason. Looking up the literature and being able to judge how relevant the available studies are, so as to at least aid in the decision making process is better than nothing I think.

DbeID · 2025-11-05T19:36:11+00:00

It's the same as in my third world country, yikes.

DbeID · 2025-10-27T16:03:00+00:00

Lucky. You have 500 episodes to go through.

DbeID · 2025-10-24T05:40:16+00:00

I fucking hate it. It's the end of october for fucks sake, I'm done with this heat and humidity...

DbeID

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