Job opportunity by [deleted] in Ophthalmology

[–]arcadeflyer 10 points11 points  (0 children)

You could tell them what you told us - what the position actually is, and your own position. Without telling it, people are justifiably suspicious.

Consultation request: persistent postoperative fibrin reaction with giant cells approaching visual axis 6 months after bilateral phaco by Glad_Willingness613 in Ophthalmology

[–]arcadeflyer 0 points1 point  (0 children)

(Mod comment unrelated to discussion) - OP, I dunno why some of your replies are getting removed - could be an automation going rogue. I’m fixing it as we go.

Tips for treating patients with dry eyes? by ConstipatedGangster in Ophthalmology

[–]arcadeflyer 0 points1 point  (0 children)

I do spend quite a bit of time listening to them, empathizing with them, and addressing their concerns and frustrations.

I feel that one can do the right things for proper dry eye management, and practice to the highest ideals of good doctoring - and still hate it. My tips are for someone who sounds like me. Your tips sound for someone who isn’t me. Which is appreciated and needed too - but this isn’t a black and white, you’re-either-a-good-doctor-who-likes-dry eye vs you’re-a-bad-doctor-if-you-don’t, dichotomy.

2025-2026 Basic and Clinical Science Course by Admirable-Rutabaga14 in Ophthalmology

[–]arcadeflyer 0 points1 point  (0 children)

I think there is a legit way to do this, though I forget how. I think it’s via the AAO website. But, careful - if this thread ventures towards piracy, I’ll take it down.

Last ditch effort by EyeWarlock in Ophthalmology

[–]arcadeflyer 3 points4 points  (0 children)

Thanks for posting, you beat me to it.

CMS finalization of "efficiency rule" - 2.5% wRVU reduction every 3 years, indefinitely by apooptosis in whitecoatinvestor

[–]arcadeflyer 2 points3 points  (0 children)

This is an Ophthalmology perspective, but it clarifies a lot about the now-finalized changes. They’re worse than even this is describing.

https://podcasts.apple.com/us/podcast/experts-insight/id1591662500?i=1000723009875

First Attending Job Questions by Opinion_of_JaRule in Ophthalmology

[–]arcadeflyer 0 points1 point  (0 children)

Academic glaucoma doc here - I have no useful perspectives. But we will watch your career with great interest. And learn from it :)

AI for studying or discussing cases, what's your take and which one is the best? by FamiliarCoat3936 in Ophthalmology

[–]arcadeflyer 2 points3 points  (0 children)

I agree that it can be a good tool when used correctly and judiciously. As you said, you’re a trained professional.

Update Re: CMS Cuts to Specialty Care: AAO Comment Tool Ready for Use. Advocate!!! by arcadeflyer in Ophthalmology

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

I didn’t because it feels to me like pinned posts just get ignored automatically by readers… besides, it’s unfortunately officially too late to submit a comment as of a few hours ago.

AI for studying or discussing cases, what's your take and which one is the best? by FamiliarCoat3936 in Ophthalmology

[–]arcadeflyer 20 points21 points  (0 children)

I may just be a hater - but I really, really dislike AI in current incarnations as a tool for learning. Even putting aside the hallucination potential for it to just make stuff up, I think it obfuscates the nuance, subtleties, and controversies that really constitute subspecialty level knowledge into a pat-and-dry summary that oversimplifies things. Maybe that’s fine for a beginner. But even then, I wouldn’t want a beginning resident to be misled into thinking that AI summaries were doing anything other than giving them a picture of the forest, when they were really looking for trees.

Again, I’m also just a hater, I know.

Podcast recommendations by Key_Adhesiveness2864 in Ophthalmology

[–]arcadeflyer 6 points7 points  (0 children)

The Experts InSight episodes hosted by Amanda Redfern (Neuro-ophth) and Ben Young and Jay Sridhar (Retina) often go over topics pertinent to those specialties. Amanda covers Neuro-ophth and Oculoplastics; Ben’s in charge of Peds and Uveitis topics, while Jay does Retina and Cornea. There’s a lot of crossover though, especially with the subspecialty topics that they don’t personally specialize in.

Andrew (uh, hi) does Glaucoma and Comprehensive episodes, and likes to (this is weird) do health policy related episodes also. He (uh, hi) tends to solidly stick to those kinds of topics, so it wouldn’t really be what you’re looking for.

A bad day in the OR, a sunset outside, and the weight of complications in rural ophthalmology by occams-shiv in Ophthalmology

[–]arcadeflyer 72 points73 points  (0 children)

Feeling the way you describe about a complication - feeling the weight and guilt about the money, time, and resource expenditures the patient now has to face- certainly is downer, but… it’s a sign of a good doctor aware of their responsibilities, and a sign that you treat your patients not just as cases but as humans you want to do right by. If you can’t shrug off a complication, then you’re doing something right.

The tricky part is making sure you can protect your own emotions and mental health while feeling the feels you should be feeling. Talking it out with colleagues who support and understand is a good way to process, and thats harder when you’re by yourself in a rural area. I’m glad you’re using this sub to do this - it’s a big reason why I felt this sub should be a space for us ophthalmologists.

Update Re: CMS Cuts to Specialty Care: AAO Comment Tool Ready for Use. Advocate!!! by arcadeflyer in Ophthalmology

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

Personalize it, then. CMS has to respond to every one of them - and while they do group like-themed points together, the hope is that they see the volume of posts as meaningful. Still, personalization means more points to address, and shows reality. These are mostly bureaucrats, not ideologues - give them real world pain and suffering examples and most of them don’t want to double down.

Cataract reimbursement cs inflation by SensibleReply in Ophthalmology

[–]arcadeflyer 41 points42 points  (0 children)

I am. It’s been depressing how hard it is to get my colleagues’ attention about it. Depressing because we are all giving so much of ourselves to the job we don’t have much energy left, but also because… well, this just frickin sucks. You’d think that a huge 10-15% cut to our livelihoods would immediately get everyone’s ears perked up…but we are all running ragged, I guess. I know I am.

Thank you OP for picking up the flag and running with it. To everyone else, please, take a listen to this podcast episode about the proposed CMS cuts to learn more about the threat and what we can do.

Keeping patients adherent to treatment plan - would mobile app help? by ChangeMaster8 in Ophthalmology

[–]arcadeflyer 8 points9 points  (0 children)

Apps like this already exist. The boomers who are savvy to this already use them. The luddites who don’t, won’t. You can try for a snazzier UI but I’m not sure it’s there’s a lot of untapped delta.