Author Archives for admin

Why is collaboration missing in health care?

November 21, 2022 2:41 pm Published by Comments Off on Why is collaboration missing in health care?

An essay posted by Fareeha Kahn, MD (“A hospitalist’s struggle to find teamwork in academic medicine“), raises an important issue. The problem of lack of collaboration is not unique to academic medicine. The problem is the result of misaligned incentives. Having read the work of Harvard Business School professor Michael E. Porter, I better understand [...]


Open-angle glaucoma: To screen or not to screen? [PODCAST]

July 6, 2022 2:43 pm Published by Comments Off on Open-angle glaucoma: To screen or not to screen? [PODCAST]

“My take on the Task Force statement is that clinical judgment should rule as to whether or not screening is indicated for glaucoma. Family history, race, diabetes, and other risk factors should be considered for such screening, especially in the face of potential asymptomatic damage. How often have doctors said, ‘If you had only come [...]


Open-angle glaucoma: To screen or not to screen?

June 24, 2022 3:09 pm Published by Comments Off on Open-angle glaucoma: To screen or not to screen?

In a published statement in JAMA Network on May 24/31, 2022, the U.S. Preventive Services Task Force found that there was insufficient evidence for screening for primary open-angle glaucoma in adults. They could not find a way to balance harms versus benefits for screening in general. But is this reasoning faulty? It is well known [...]


The dichotomy of patient needs and patient wants

May 2, 2022 4:14 pm Published by Comments Off on The dichotomy of patient needs and patient wants

As a practicing ophthalmologist, I saw many patients who had developed blurred vision, glare, or trouble reading. These patients needed to understand that cataracts were the cause of their vision problems and how the cataracts developed and how they should be treated. I would begin the explanation by using a large, plastic eye model to [...]


Advocacy and Resources

February 16, 2022 2:25 pm Published by Comments Off on Advocacy and Resources

For senior services, especially the vision impaired, consider caring.com. Those caring for older relatives will appreciate the links provided by this organization. Positive reviews; people who help with difficult situations that require assisted living alternatives. American Academy of Ophthalmology


Playing the hand you are dealt

January 25, 2022 5:06 pm Published by Comments Off on Playing the hand you are dealt

Anyone can win at poker when dealt a royal flush. But what can you do when the cards you are dealt don’t appear winning at all? My answer: Make the best of what you have. Recently I learned of a colleague who sustained a broken back in an accident. He continues to work, wearing a [...]


Thank You!

December 16, 2021 4:57 pm Published by Comments Off on Thank You!

The holidays are a time for sharing gifts and for hopes of a brighter year ahead. I want to thank those people who follow me on social media and who have taken the time to write to me. Your reaching out has been a real gift to me in my retirement from clinical practice. One [...]


“Take it or leave it” is not negotiation but coercion [PODCAST]

December 13, 2021 3:01 pm Published by Comments Off on “Take it or leave it” is not negotiation but coercion [PODCAST]

“Physicians can exert their influence in a health care environment to put the patient-physician relationship at the center of the enterprise. Working with middle-market employers (between 200-2,000 employees), some companies pair bold doctors with innovative employers to bring exceptional value to employee health benefits. There are no pre-authorizations for medical decisions, but doctors are held [...]


“Take it or leave it” is not negotiation but coercion

November 23, 2021 6:42 pm Published by Comments Off on “Take it or leave it” is not negotiation but coercion

“Take it or leave it” is not negotiation but coercion. Physicians have been subject to this tactic for much too long. As an ophthalmologist in clinical practice for nearly four decades, I experienced too often what a recent author on KevinMD described as a one-sided arrangement with a health insurance company. “Here is the fee [...]


Crowdfunding Vxtra Health: Reasons why I invest my energy (and money!)

October 17, 2021 9:47 pm Published by Comments Off on Crowdfunding Vxtra Health: Reasons why I invest my energy (and money!)

https://www.startengine.com/vxtra-health My threefold reasons are what drive me. Help Rebuild Trust I want to help rebuild trust in healthcare, starting with the patient-physician relationship. I believe that any model for healthcare reform should begin there. Unfortunately, health insurance companies have highjacked healthcare, making it very difficult for doctors and nurses to do what they do [...]