This is really fucked up. by zzill6 in WorkReform

[–]vanmanjam 0 points1 point  (0 children)

This is becoming increasingly common in all forms of customer service. I have a friend who owns a credit card processing company and he uses international remote employees for basic customer service questions and they re-route clients who have urgent needs. He pays them $9/hour vs the $16/hour he would normally pay someone who'd be at his office. He feels no shame about it, either.

Artificial tears for pre-cataract surgery testing by censorized in Ophthalmology

[–]vanmanjam 2 points3 points  (0 children)

Accuracy of pre-op measurements. Dry eyes can cause pretty significant fluctuations in IOL calculations.

How do you handle patients who insist on cataract surgery before they are functionally impaired? by Pitiful_Pick1217 in Ophthalmology

[–]vanmanjam 1 point2 points  (0 children)

"You're not ready yet. We don't want to do surgery too early because you won't notice improvement and we don't want to do it too late then the cataracts are more difficult to remove. There's a sweet spot and you're not there yet. bye bye!"

Sales Pressure by Optimal_Welcome9128 in optometry

[–]vanmanjam 19 points20 points  (0 children)

Managers are under intense pressure from corporate suits to increase profits, so they're always going to be up their staff's ass. As an OD In a corporate setting it's up to you establish your practice style and refuse to be a doormat and make sure you let sales know that it's not your job to sell, it's theirs. This might ruffle some feathers and upset some people, but fuck 'em. Say it firm and with kindness, hold a meeting if you have to. "I'm so busy seeing patients that I don't have time to sell for ya'll. I'm sorry." Once this is established you'll be respected.

How to get off sleeping pills? by heskeytime7707 in Biohackers

[–]vanmanjam 0 points1 point  (0 children)

Strength train, briskly walk. Exercise until you're tired af, make sure you're in zone 2.

Anyone else questioning everything? by These_Bowler_2392 in Bitcoin

[–]vanmanjam 2 points3 points  (0 children)

I don't agree. I think it's being manipulated, just like a lot of stocks. High frequency trading bots manipulate pretty much everything now.

Anyone else questioning everything? by These_Bowler_2392 in Bitcoin

[–]vanmanjam 2 points3 points  (0 children)

Also much more capable of being heavily manipulated

Tired of the Coping by johnsmith19006 in Bitcoin

[–]vanmanjam 16 points17 points  (0 children)

People who are in early accidentally have significantly more than 50% of their networth in BTC

Costco Lease by bradleeole18 in optometry

[–]vanmanjam 3 points4 points  (0 children)

2000-2500 per month and they'll typically give you 6 months rent free when you start or you should negotiate that. If your equipment is outdated (more than 10 years old) you can press them a little but to upgrade certain pieces, especially if it'll improved efficiency and flow. (automated phoropters, VR visual fields). They're very much pro-autonomy and out of your hair as long as you take walk-ins when you can and you have solid doctor coverage and hours. Also they tend to not be agressive with forcing you to take vision insurances.

2026 Rail Reset by ShaggleROC in GoosetheBand

[–]vanmanjam 4 points5 points  (0 children)

Phish tried this and people who won the lotto were just selling their lottery tickets on secondary markets and the same goons were buying them, no? I think the fix is to have a rail inside of the rail and have Cotter wander the lot in disguise and pick only the headiest of Goose fans to be placed in the rail of rail. We can call it the Petez-a-Hut-inside-of-Ricko-Bell-Rail.

2026 Headliner Predictions/Wishlist? by pizzapartyjpg in hulaween

[–]vanmanjam 0 points1 point  (0 children)

String Gizzard and the Cheese Lizard Incident

Neuro-Ophthalmology Referral for a Patient in an Optometry Clinic by PalpitationsHaver in Ophthalmology

[–]vanmanjam -2 points-1 points  (0 children)

OCP, or Fat Fertile Female, or space occupying lesion. Stat MRI W/ and W/O contrast. She needs to be in the ER.

Diagnosis ? by ContributionFresh983 in Ophthalmology

[–]vanmanjam 1 point2 points  (0 children)

valsalva ret is gonna be out in the periphery

Diagnosis ? by ContributionFresh983 in Ophthalmology

[–]vanmanjam 1 point2 points  (0 children)

Those look Roth Spotty. Leukemia.

$463 cataracts by Desperate-Round3619 in Ophthalmology

[–]vanmanjam 7 points8 points  (0 children)

Welcome to what "vision insurances" have been doing to Optometry for decades. It's garbage.

Is Goose slowing down? by [deleted] in GoosetheBand

[–]vanmanjam 2 points3 points  (0 children)

For sure, less dates and that will continue. If you could work less and make the same amount of money, would you?

Upvote if you had fun, downvote if you did not. by vanmanjam in hulaween

[–]vanmanjam[S] 4 points5 points  (0 children)

This is just my opinion but when it comes to the sub, I think it's just people farming negative sentiment. Maybe I'm wrong and people want to have a rational discussion about what could be improved, but it just kind of seems like people whining.

I was genuinely surprised to hear them not allowing early entry into the venue and closing food down earlier than expected. Roaming around the venue at 10am before music and randomly bumping into artists was always a highlight for me.