We Don’t Speak the Same Language!

I live and work around Washington, D.C.  I've heard that we have the 2nd worse traffic in America.  There are lots of people here.  Lots of different people here.  Sometimes I can't get my message across.  Is it the culture or language? Two weeks ago, a doctor referred a patient to for sudden loss of vision.  The doctor and patient are from Korea.  My patient … [Read more...]

Blood in a Baby’s Eye

I have to cover the emergency room and hospital consults periodically at the hospital.  It's really a pain.  Most consults aren't really "emergency," but that's how it goes.  When it comes to kids, though, the findings are usually pretty grave and I am only too happy to see them. I saw a young baby yesterday at the request of the pediatric service.  There were … [Read more...]

What is Standard of Care?

Believe it or not, doctors are highly regulated.  Insurance companies tell us what and how much we can charge, government tells us everything from patient confidentiality to how to clean our dishwashers and we (with the help of lawyers) regulate ourselves by following the "standard of care." The standard of care is the preferred treatment that any other  prudent … [Read more...]

What is Informed Consent?

Ever have a doctor recommend surgery or a test in the office?  Did he (proper grammar, not being prejudiced) take the time to explain the reasons for the test, possible complications and the risks? Informed consent is more than just signing your name to a piece of paper.  Proper informed consent should include a discussion of; the reason for the procedure and its … [Read more...]

AREDS Database is Open to Public

The data, including patient records, from the largest prospective study of macular degeneration is now "open source."  The Age Related Eye Disease Study (AREDS) was completed in 2001.  It followed over 4000 patients for at least five years looking at factors that influence the development of macular degeneration and cataract.  This study proved conclusively that certain … [Read more...]

What About Vitamins?

What vitamins help macular degeneration?  I am asked this daily.  What should I take?  What should I eat?  What can I do?  The answer is simply...........I don't really know.  The information about supplements, be they vitamins or foods, is really scarce.  I usually tell patients that my job is to report the hard data to you and not to promote remedies or pills … [Read more...]

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