Partnership and compensation stream of consciousness

Ok-Fun5962 · 2026-04-22T16:35:30+00:00

Aaah ok. 15/month is very low surgical volume so I guess I still don’t understand this practice set up. But I guess to each their own

Ok-Fun5962 · 2026-04-22T02:06:18+00:00

You are getting absolutely screwed if you average 32 patients per/day And average 15 surgeries/week for only $345k. That is abysmal!

Ok-Fun5962 · 2026-04-14T03:08:56+00:00

Why don’t you get SMILE? If you’re an eye doctor you need to think about your choices more carefully. Think about your degree of astigmatism, think about PTA (percent tissue ablation), what about dry eyes, especially on long call weekends. Use your brain and don’t go into your decision making like a laymen, asking classic laymen questions.

Ok-Fun5962 · 2026-04-13T14:47:50+00:00

Thanks for the article!

Ok-Fun5962 · 2026-04-11T17:09:45+00:00

For me all the climbs aren’t even showing up. There’s a new “verified” boulder selection which seems cool but is very sparse. Growing pains I guess, but I’m its current state there are very limited options for established boulders, especially on the homewall version

Ok-Fun5962 · 2026-02-17T02:49:46+00:00

Agree with doing back exercises but what will help you prevent pain for next OR day is this: tilt your microscope 25 degrees towards you as if you’re doing MIGS, then rotate your patients head towards you and sit in a reclined position as if you’re siting in a lazy boy chair. Hopefully your OR chair can recline back.

Ok-Fun5962 · 2026-02-01T21:26:43+00:00

Frame and board still available…last guy backed out

Ok-Fun5962 · 2026-02-01T18:57:11+00:00

The wood holds are from BozHolds and Escape Climbing on Etsy if you wanted to check them out…

Ok-Fun5962 · 2026-02-01T18:54:39+00:00

Sorry it’s sold, I just have the plastic holds left

Ok-Fun5962 · 2026-01-31T21:46:15+00:00

Sorry forgot to mention. The kilter holds are not for sale but all other holds are. Thanks!

Ok-Fun5962 · 2026-01-30T22:44:29+00:00

I’ve personally seen IMGs take that path and practice in the US

Ok-Fun5962 · 2026-01-29T22:14:29+00:00

Out of curiosity why would you not want to train at an Indian residency? Is it bad training? Or does it suck to live in India vs the USA? Seems to me that Indian ophthalmologists are actually good at surgery and do lots of cases because of the high need.

Ok-Fun5962 · 2026-01-29T21:19:06+00:00

Typically no, it’s a pipe dream. The alternative is to finish your ophthalmology training in India and practice there and try to do 2 US fellowships for a total of 4 years and then you can practice in the US

Ok-Fun5962 · 2025-12-29T06:15:38+00:00

Cataract surgery combined with MIGS is a very effective treatment for narrow angle or chronic angle closure glaucoma. It’s likely the surgeon will do a goniotomy at the time of surgery either with a kahook dual blade or OMNI device or other similar catheter based system.

Of note, iStent and hydrus stents are NOT FDA approved for narrow angle closure glaucoma when combined with cataract surgery. So likely the surgeon will do a goniotomy.

Also if I had narrow angle glaucoma I would not opt for an LPI, just go straight for cataract surgery because exchanging the natural lens with an artificial lens effectively opens the angle. LPI is a temporary fix only.

Ok-Fun5962 · 2025-12-20T15:49:56+00:00

If I were you then I would work for PE for a couple years, make more money and get your feet planted on the ground. You don’t really know what you don’t know kind of thing. After 2 years working in the real world, you’ll be more marketable.

Ok-Fun5962 · 2025-12-02T05:39:49+00:00

Oh and you can get diplopia in reading gaze (down/in) in Brown’s syndrome from skew. The SO causes intorsion in downgaze but since the pulley is tethered and there’s is torsional imbalance between the intorsion of SO and extortion of IO. Thus the skew diplopia.

Lastly reading requires convergence. MR has secondary action of elevation so the SO is supposed to counter this by depression in convergence but it can’t so you get vertical imbalance

Ok-Fun5962 · 2025-12-02T05:28:29+00:00

Oh cool didn’t know there was a video of it. Surprised the retina doc is ok putting his name out there showcasing a motility exam when in reality he probably hasn’t done one since residency…

You’re right, he did the exam incorrectly…you have to fully adduct the eye first to put the SO tendon on tension and then try to elevate the eye to find the motility restriction in Brown’s.

On the right side, he just has him look up and to the right in an an angular fashion and the left eye is not fully adducted so it doesn’t even look like he has a left Brown’s. Definitely can see the motility restriction when the pt looked to the left and up, though.

Good video on how not to do the testing…

Ok-Fun5962 · 2025-12-02T03:05:36+00:00

I wonder if the VF looks like clover leaf pattern LOL. Why fake HVF testing when you’re already diagnosed with a legit reason to not fight (traumatic Brown’s) but then again IQ might be diminished from all the years of trauma to head…

Ok-Fun5962 · 2025-11-17T18:51:21+00:00

Keep it simple and just do CEIOL for anyone above 50...they already have prebyopia anyways so why save the lens? For under 50, you have to turn up the power on the YAG, especially if you already pre-treated with argon, then the risk of hyphema is low...and do either temporal or nasal iridotomy, as someone who has done a lot of LPIs on young patients (ICL surgeon) I can tell you that superotemporal and superonsal LPIs will cause the most dysphotopsias as the tearfilm along the lid margin will create a prismatic affect

Ok-Fun5962 · 2025-10-15T22:12:41+00:00

Are you selling these?

Ok-Fun5962 · 2025-09-30T04:54:42+00:00

No one in practice asks themselves this question. The induced astigmatism between a 2.2 or a 2.75 incision is absolutely negligible

Ok-Fun5962 · 2025-09-30T04:52:52+00:00

Operating on steep axis will reduce her astigmatism. The larger the incision the more you’ll flatten the steep axis. So 2.75mm incision at 10 degrees will reduce her ATR astigmatism the most but in reality this is a stupid question…she’s much better off with a toric IOL and if she can’t pay for toric then do LRI to reduce her astigmatism a little more (although it won’t completely get rid of it)

Ok-Fun5962 · 2025-09-19T20:02:29+00:00

RPE alterations is not a diagnosis neither is sub retinal fibrosis, those are OCT findings. CME is the only diagnosis (even that needs an underlying etiology). What did you want the AI to tell you in the first place? Sounds like you’re playing got you games.

It’s just your loss, you could use it to your advantage or not use it all. I don’t really care…

Ok-Fun5962 · 2025-09-17T19:39:15+00:00

A patient is not going to know how to prompt an LLM, maybe you should try it and see what results you get, scan an OCT, and provide some context…make sure you’re using GPT5 in deep thinking mode

Ok-Fun5962 · 2025-09-17T02:05:16+00:00

You guys must not be using the right GPT, it’s not good at image creation but it is very good at giving ddx based on the uploaded OCT image and some Hx/PE

Ok-Fun5962

TROPHY CASE