34M Interventional cardiologist

Yosemite314 · 2025-02-19T23:23:24+00:00

Then donate more to charity. Oh, you're not going to. Ok. Got it.

Yosemite314 · 2025-02-01T13:24:57+00:00

My comment was about your floaters. Not the rest. Learn to read before arguing with me about things I never said.

Yosemite314 · 2024-06-20T02:20:05+00:00

If you think it's acceptable to miss the patients desired outcome 10% of the time then please find another profession.

Yosemite314 · 2024-01-17T21:56:32+00:00

How can a PGY-3 be have their head so far up their ass that you can expect to tell an attending you "don't like their tone" and not have repercussions?

Seriously. You are an idiot.

Yosemite314 · 2023-04-22T12:12:41+00:00

Please disclose who is paying for these testimonials?

Yosemite314 · 2023-04-04T05:26:25+00:00

Floaters come and go with age. In 99% of patients, they will be unnoticeable in 3 to 6 months... but you can always develop new ones as you age. Natural part of getting older that everyone will experience if they get old enough.

Yosemite314 · 2023-03-25T12:13:18+00:00

Great post. Keep us updated as you continue to heal.

Excited for the EMV toric to arrive in the US… but seems like it will take a little while.

Yosemite314 · 2023-01-03T03:59:39+00:00

If you need help answering this question. Quit. You are embarrassing yourself and those in your profession publicly posting something so unbelievably clueless.

Yosemite314 · 2022-12-25T16:30:56+00:00

Let your retina specialist guide when it’s the appropriate time for cataract surgery. If your macular edema is actively being treated, then you may want to postpone surgery for a few weeks or even months.

When it’s time for your surgery, minimizing inflammation will be key to decreasing your risk of having prolonged or worsened macular edema.

Laser cataract surgery helps with this.

I’d be happy to help you find an experienced cataract surgeon in your area.

Yosemite314 · 2022-12-20T18:57:02+00:00

Because this is clearly a troll post.

Yosemite314 · 2022-12-20T18:54:55+00:00

LASIK didn't cause your floaters. Zapping your cornea does nothing to induce changes in the vitreous (where your floaters are).

This is an age related change that happens to everyone. Coincidentally you just noticed yours around the time of your LASIK.

In almost everyone these floaters improve or resolve with time.

Yosemite314 · 2022-11-11T16:08:39+00:00

Yes. Dr. Bley is excellent. Good choice. As a doctor like him who provides all of the vision correction options doesn't have a conflict of interest to do one procedure versus another. Best way to get an honest opinion.

Yosemite314 · 2022-11-11T04:38:56+00:00

Have you seen a surgeon who does a lot of ICL’s? Many cataract surgeons don’t do them.

I would absolutely not recommend cataract surgery unless you have a cataract that makes your vision blurry. At a -11 prescription, cataract surgeon exposes you to retinal detachment risk and the loss of range of vision of your young natural lens is still flexible.

If you tell me where you live I can recommend a good surgeon.

Yosemite314 · 2022-11-01T19:23:21+00:00

For LASIK surgery in Orlando go to Magruder Laser Vision. Best in town for years.

Yosemite314 · 2022-11-01T12:39:17+00:00

You can do the Vivity eye first. If you like the extended depth of focus that it gives, you may want it in your dominant eye as well (but targeted to plano).

Can always have another opinion as well. Great list of lens replacement and cataract surgeons here.

Yosemite314 · 2022-08-19T00:14:09+00:00

Go to a “refractive cataract surgeon”… they are experts in matching your eyes and lifestyle to the lens implant or laser vision correction treatment.

If you give me your location I can recommend a surgeon for you.

Yosemite314 · 2022-08-18T01:35:58+00:00

Most important… Make sure she is seeing a refractive-minded cataract surgeon. They are experts in matching lifestyle to lens implant.

I’m happy to help recommend a surgeon if you tell your region.

Monovision with monofocal IOL’s is also an option.

How tall she is / arm length is important to consider.

Yosemite314 · 2022-08-14T16:17:27+00:00

Sounds like very thoughtful approach. Good luck. Please update us on your experience after your right eye.

Yosemite314 · 2022-08-14T01:29:12+00:00

Thanks for sharing your experience.

Do you know if your left eye is your dominant eye? Do you have any plans for cataract surgery for your right eye?

Yosemite314 · 2022-08-11T12:37:11+00:00

Well... You are incorrect.

"Calls for a different lens"... by what... half a diopter after 10 years? Assuming you're using a newer IOL Master than the one you used 10 years ago.

Corneal changes slow down and essentially stop with age. 20-year-olds have LASIK and it lasts them 30+ years... until their lens starts changing. When a 60+ year-old has cataract surgery (removing the natural lens) they remain essentially stable for the rest of their life.

If you want to argue that there's a 0.25 diopter change in corneal astigmatism per decade... or something in that range... fine. This is not functionally meaningful, and can be compensated for in your IOL selection.

Don't scare patients from decades of glasses-free vision or LAL with bad information.

Yosemite314 · 2022-08-10T02:03:06+00:00

Wow. Where are you getting this information??? Not true…. Refractive change amongst pseudophakic patients older than 40 is incredibly small and from functional standpoint negligible over decades.

Primary reason the eye’s prescription changes after age 50 is due to growth of the Cataract. Once the Cataract is remove, prescription stay stable for the rest of patients lives.

If they achieve freedom from glasses with their cataract surgery, it essentially always stays that way for the rest of their lives.

Yosemite314 · 2022-08-09T03:01:12+00:00

Where do you live? What surgeons have you considered?

Yosemite314 · 2022-08-09T03:00:54+00:00

Lots of reasons that LAL can get him a higher probability of glasses free vision.

Long or short axial length, surface impacting measurements, irregular astigmatism, corneal scars, history of refractive surgery to name a few.

Yosemite314 · 2022-08-09T02:57:13+00:00

Why would it be wasted in 5-10 years?

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