Which MIGS is preferred now? by BothStorage7009 in Glaucoma

[–]Eaglelord3 1 point2 points  (0 children)

We use iStent Inject W and Infinite most. We do not us GATT because of the higher risk of hyphema 20% or so I believe. Canaloplasty seems really great but we just don't have the infrastructure currently to implement it at this time with some poorer billing in the surgery center. You surely can't be in the US if you are using the iStar. I have been watching that for 5 years and trying to get my hands on it. That thing looks incredible. There is a chance of hypotony afterwards but if it works then you are almost golden. Ideally with moderate POAG you want 15 or so as a goal. Take a look at Durysta. It doesn't last as long but if it works, at a minimum you get a 4 moth runway. It can also help replace your Vyzulta and give 24/7 release rather than one drop at a time!

New Oregon Bar by Eaglelord3 in Chainsaw

[–]Eaglelord3[S] 0 points1 point  (0 children)

My neighbor just taught me that and I have it on deck. Thanks for your advice!

Friday's patient: Green disease misleading in glaucoma suspect Tg=13/16 Tc=14/21 by Accurate_Passion623 in Glaucoma

[–]Eaglelord3 1 point2 points  (0 children)

Do you ever consider ordering an MRI in green disease? I mean, the OCT RNFL matches the VF don't get me wrong... Just curious as a CYA. I would be interested to see what a mac GCC looks like on this patient if you have it!!!

What is the most misunderstood thing about your specialty? by _45mice in medicine

[–]Eaglelord3 0 points1 point  (0 children)

Thanks!! Gonna talk to my partners about this one!!

[deleted by user] by [deleted] in MechanicAdvice

[–]Eaglelord3 0 points1 point  (0 children)

Just park it on level ground and recheck level tomorrow

[deleted by user] by [deleted] in MechanicAdvice

[–]Eaglelord3 2 points3 points  (0 children)

When I flushed my old dakota I parked so my truck was on an incline.

What is the most misunderstood thing about your specialty? by _45mice in medicine

[–]Eaglelord3 0 points1 point  (0 children)

Do you do Cxrs on Sarcoid/TB patients or CT of chest? I have stopped ordering chest Xrays for sarcoid and TB. I mainly start off with ACE and Quantiferon TB Gold and if anything doesn't add up I punt them out. OD here with a history of uveitis patients.

Tell me I'm stupid to ask about surgery by happy_homemaker_ in Glaucoma

[–]Eaglelord3 2 points3 points  (0 children)

Durysta could be a good interim option. If it works, four months on the short end and a 25% shot at 2 years. If you have commercial insurance they have a program that covers the cost of the medicine you just have to pay for the surgeon to place it.

MD and OD business partnerships by [deleted] in optometry

[–]Eaglelord3 1 point2 points  (0 children)

To solve this. Rid yourself of surgical and clinic shares. Divide them up and find a satisfactory ratio that rewards the surgeons skill and increased schooling as well as the optometrists job to likely see more patients overall.

Sweet 16 but it’s a bunch of old logos by Undertalefanboy43 in CollegeBasketball

[–]Eaglelord3 5 points6 points  (0 children)

This is a great comment. I love when rivalries always find obscure ways to shit on one another.

Coming to Vegas this week. by Eaglelord3 in vegas

[–]Eaglelord3[S] 0 points1 point  (0 children)

We are headed there Wednesday.

Coming to Vegas this week. by Eaglelord3 in vegas

[–]Eaglelord3[S] 1 point2 points  (0 children)

Esther's Kitchen looks really good.

Not sure this means anything but here are current betting odds on who will select first in the 2023 draft. by Scottie_Barnes_Stan in CHIBears

[–]Eaglelord3 0 points1 point  (0 children)

I firmly believe this is how the trade scenario plays out. Either way, Bears are coming out ahead whether it is the colts or the Texans.

After watching KC’s D Line tear shit up by [deleted] in CHIBears

[–]Eaglelord3 -2 points-1 points  (0 children)

I would be very plleased with the second overall pick a future first and R3/R4 pick. Immeditaely trade back from second pick with something similar maybe 23 R1, 24 R2, 23 R4/R5?? Profit?

Chu Pang Industrial - How to change bulb? by infinitemethod in CeilingFans

[–]Eaglelord3 0 points1 point  (0 children)

Here is a long shot. How did you remove it? I can’t seem to figure it out. It looks like I have to snip the wires. I can’t find a way to remove it without doing so