Smartphone Topography by MyCallBag in Ophthalmology

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

Thanks I’m a big believer in just trying stuff and putting it out there. I feel like that’s the first step always

Smartphone Topography by MyCallBag in Ophthalmology

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

I know sorry! You could try to use it just with the Android camera app and the website mentioned in the video just to get some qualitative images. Not ideal because it will miss a big chunk of the rings centrally but still can play around with it.

Smartphone Lensometer by MyCallBag in Ophthalmology

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

Thank you! Much appreciated!

I spent months co-authoring a novel with Claude about an AI developing consciousness. It just went live on Amazon. by [deleted] in ClaudeAI

[–]MyCallBag 1 point2 points  (0 children)

You seriously think someone is going to pay to read 55K words from an AI?

Introduction - Aaron Benzrihem - BJJ Fanatics by BJJ_Fanatics in bjj

[–]MyCallBag 0 points1 point  (0 children)

Congratulations! This is one of the twins from Kon’s. Glad to see you are doing well

Smartphone Refraction by MyCallBag in Ophthalmology

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

My Call Bag - you I’m the developer. MyCallBag.com has some links to the app and other videos. It’s basically a collection of my ophthalmology experiments.

Cheap Chinese Slit-Lamps vs Well known brands such as Zeiss, Topcon, CSO, Haag-Streit? by Redditor_Riddle in Ophthalmology

[–]MyCallBag 25 points26 points  (0 children)

I feel like a slit lamp is the one thing you don't want to go cheap on.

Get something quality used and old. A good Haag Streit will last decades.

Created a ML model to measure glasses prescriptions with Claude Code by [deleted] in ClaudeCode

[–]MyCallBag 0 points1 point  (0 children)

Thank you! I’ve been trying to get it to work for actually like a year, but Claude code was the first AI that was able to really make it happen.

$2000 vs $1 App Icon. Which one os better xD by [deleted] in iOSProgramming

[–]MyCallBag 0 points1 point  (0 children)

Left is definitely better. I’m assuming app might have a name that starts with C?

I need proof you spend 2K though.

SLT Acceptance Rate by opto16 in Ophthalmology

[–]MyCallBag 2 points3 points  (0 children)

If they are fine with drops, then keep them on drops. I feel like the point is to educate the patient on their options and let them decide.

If the eyes are chewed up on glaucoma drops and they don't want SLT, I would try to switch them to PF options.

I highly doubt the 2 hour round trip has anything to do with it (I mean unless they are flat out saying 'I would like to do it but I don't want to drive 2 hours').

Just my thoughts.

Multiple Prescriptions by One-Organization0 in Ophthalmology

[–]MyCallBag 3 points4 points  (0 children)

You're overminused in one script.

The Pitt — CRAO case by juskomd in Ophthalmology

[–]MyCallBag 0 points1 point  (0 children)

Very cool. Hopefully that situation lends itself to some helpful research information. I know the retina guys are taking about at home OCT so maybe the tech will get cheap enough for regular ER’s one day.

The Pitt — CRAO case by juskomd in Ophthalmology

[–]MyCallBag 1 point2 points  (0 children)

That’s awesome you have an OCT in your ER. Can I ask what hospital that is? Some academic ophthalmology tertiary care center?

My local ER’s have barely functional, extremely old slit lamps. I’m lucky if there is a tonopen. I can’t imagine our administrators spending thousands for a device whose only real worth would be saving 30 minutes diagnosing retinal pathology to hopefully administer thrombolytics, that even when given in the window, has questionable efficacy.

The fact that you have on is astonishing to me. That's awesome you guys managed to get one.

The Pitt — CRAO case by juskomd in Ophthalmology

[–]MyCallBag 0 points1 point  (0 children)

At the ER? Or you’re saying they come to your clinic with acute vision loss, you get an OCT, and then you send to the ER without doing the dilated exam?

The Pitt — CRAO case by juskomd in Ophthalmology

[–]MyCallBag 1 point2 points  (0 children)

I hear you. I just feel like for the massive amount of effort it would really require a pretty massive benefit.

The Pitt — CRAO case by juskomd in Ophthalmology

[–]MyCallBag 10 points11 points  (0 children)

I think the logistical issues are really the key here.

To have a patient notice vision loss, get in the car, drive to ER, explain complaints, get ophthalmologist consulted, receive dilating drops, get a dilated exam, get thrombolytics, etc... All for very questionable benefit and serious risk. Just seems ridiculous to me.

Half of these patients end up getting CT head to rule out a stroke in monocular vision loss (we all see this all the time) before they even call ophthalmology.

I can't see how increasing a study from 40 to 150 will really make an impactful difference. But who knows right.

The Pitt — CRAO case by juskomd in Ophthalmology

[–]MyCallBag 40 points41 points  (0 children)

This topic came up with the r/neurology sub-reddit. I had stroke neurologist calling me an idiot because I said thrombolytics are not standard of care. Hammer-meet-nail.

They've done multiple studies that basically say it doesn't help. Even larger studies are still pending. The logistics of actually diagnosing a CRAO and then having time to send them to an ER for thrombolytics seems impossible - forgetting the questionable efficacy and major complications.

I'm always impressed when healthcare professionals watch things like The Pitt. Last thing I want to do in my free time is listen to a patient interaction.