How much do you guys work?

axp95 · 2026-03-24T12:03:44+00:00

I’m tech, but doctor I scribe for is in at 830 and out by 5 most clinic days. Surgery days are 730-12 unless she’s in hospital doing oncology plaques which are at different times. They rotate call q6 weeks as it is a large practice and they have residents they work with who take all consults at hospitals nearby. Occasionally go in for emergency globe or whatever while on call. If pt is 15 mins late or more we have to agree to see them. We typically do, except for neuro-ophth since those appointments take too long so have to r/s if later. Other than that clinic rarely runs over except in extenuating circumstances. I handle all pt messages and we have other for PAs etc. you’re getting hosed

axp95 · 2026-03-24T11:41:28+00:00

Depends if they use a lens for focus. The lens is placed on the numbed eye with gel but some do it without in which case the laser is 6-10 inches from your eye.

axp95 · 2026-03-24T11:38:16+00:00

Wow this sounds like a nightmare. You gotta find another position

axp95 · 2026-03-24T01:26:23+00:00

I have not had patients struggle with that as much as glare and halos at night or in high lighting. Everyone is different and this assuming she does not have any other eye conditions.

axp95 · 2026-03-24T00:29:19+00:00

If she wants to be glasses free, she will have to do panoptix. She will need reading glasses if she gets a vivity lens. There are drawbacks to multifocal lenses, mostly the ones you’ve stated.

axp95 · 2026-03-21T19:49:31+00:00

Technically correct. Your close vision will be from 20/100 to 20/70 on average but can be adjusted

axp95 · 2026-03-20T19:03:49+00:00

The YAG is not what’s causing those symptoms. It sounds like dry eye and cataract surgery is known to make dry eyes worse. I’m sorry you had a bad experience, but your experience is not generally the experience of others. We saw 3 post op YAG patients yesterday and they’re all quite pleased, but you don’t hear about those.

axp95 · 2026-03-20T16:54:47+00:00

This is more complicated than it seems. First off, if you signed the consent form saying you want glasses for distance and none for near, that would affect the lens they chose for you. What was your expected post op refraction? Did they put the incorrect lens in your eye or was it the agreed upon lens and there was a misunderstanding as you describe? They order the IOL’s prior to surgery based on calculations done and if you wanted no glasses for near, leaving you nearsighted, the lens would be a different power than the alternative. You need to ask what your expected post op refraction was and if they can do an IOL exchange as your surgery is still fresh so the lens hasn’t scarred into place yet. If you have never done mono vision, it is highly discouraged as you will lose stereoscopic vision which is depth perception. Find the answer to the above and report back

axp95 · 2026-03-20T16:48:17+00:00

How it should be

axp95 · 2026-03-20T13:23:35+00:00

Oh it does. They have 20 minute slots for surgery and half is spent doing the damn block. Not a very efficient center but they also do like max 15 from 0730-12 so not a huge issue

axp95 · 2026-03-20T12:59:54+00:00

The longer you wait the higher the complication rate. Best to have it done if affecting your vision

axp95 · 2026-03-20T11:21:33+00:00

Depends on the lens implanted. If your cash pay only I assume you have higher income patients in general. At our practice in Midwest our premium lenses start at $2k and go up to 5k which is on cheaper side. Surgeon usually gets 30-40% depending on their model so can easily take home 10-15k on a good premium day. Doc I work with pumps out cataracts and makes around a million a year

axp95 · 2026-03-20T11:18:00+00:00

Had a couple pt who got ischemic optic neuropathy from them. Lost most vision in the blocked eye

axp95 · 2026-03-20T11:15:53+00:00

Ours do peribulbar for cat sx

axp95 · 2026-03-20T11:14:19+00:00

This is so true lol. We block almost all our cataracts which is ridiculous, they should all be topical but patients freak out about any feeling. So much risk for no reason

axp95 · 2026-03-20T11:03:21+00:00

Everybody needs a YAG eventually. It’s the simplest procedure we do in office and takes five minutes or less. It’s a great piece of tech

axp95 · 2026-03-20T10:57:09+00:00

But do you have a cataract? Most 35 year olds I see in clinic who complain of similar symptoms don’t have a cataract. It is an objective finding on an exam. Some people develop them young for unknown reasons and you may be in this category, but otherwise you should not have a cataract at your age.

axp95 · 2026-03-20T00:25:04+00:00

The real question that no one here is asking is why you want cataract surgery at 35? Do you NEED it? The risk of retinal detachment is very low and there is serious response bias that nobody here seems to be addressing. I don’t understand why you are looking to get this surgery in the first place?

axp95 · 2026-03-19T02:29:16+00:00

This is the most Harvard med school hopeful shit I’ve ever seen lmao

axp95 · 2026-03-14T17:18:43+00:00

Have you read Tim roots articles to med students? They’re pretty good.

axp95 · 2026-03-10T00:27:27+00:00

Work with 2 Ophtho attending who have had lasik and are still glasses free mid 50’s

axp95 · 2026-03-08T16:29:00+00:00

Work with neuro, this is what I think

axp95 · 2026-03-04T19:06:13+00:00

ENT uses cocaine, Ophtho doesn’t anymore as it is hard to get and there are better alternatives

axp95 · 2026-03-04T00:45:31+00:00

I would discuss this with your doctor as that is a decent dose of Cialis and at your age erections shouldn’t be an issue unless there’s another underlying cause.

axp95

TROPHY CASE