Recent content by johnbl

  1. J

    Having problems with phaco ??

    One pearl I can give newbie phaco surgeons when they are having a difficult case is to stop and analyze why the case is tough. Sounds elementary, but in the OR under stress it often isnt that obvious. Is the pt moving around?? If under topical, is the pt not cooperating and moving the eye as...
  2. J

    Having problems with phaco ??

    i am at about 26,000 cumulative phaco procedures and can tell you I am a better phaco surgeon now than I was at 10k or 20k cases. I have more "situational awareness" and enough experience to have a sixth sense of where the case will potentially go if I use different techniques. The technique...
  3. J

    Having problems with phaco ??

    For an experienced phaco surgeon, a PC breakage of 0.5%or < , dropped crystalline lens< .2%.. Endophthalmitis rates will be less if you are using intracameral antibiotics, but there is a trade-off with improperly prepared compounding pharmacy or OR staff reconstitution of antibiotics. I work...
  4. J

    Having problems with phaco ??

    Very busy experienced phaco surgeon happy to help ophthalmologists with high complication rates, problems with different parts of the procedure, desiring to take their phaco to the next level or whatever. This is for real. Contact me through SDN.
  5. J

    Cataract surgery really hard

    i am a 59 yr old high volume cataract surgeon . I came to the site tonight because my daughter bombed her mcats for the fourth time despite 2 prep courses and lots of studying...3.8 gpa out of UVA with great recs and extracurriculars...rejected last yr and reapplying again...it is very painful...
  6. J

    would you perform vitrectomy on?

    I tell pseudophakic pts with floaters to leave them alone. If they are really bothered and it is affecting the way they want to live their life...then give them a full and fair informed consent regarding PPV surgery. Just as a 20/60 cataract may not be bothersome to some folks, a 20/25...
  7. J

    University of California (San Diego)

    Dr. Brown is probably in his late 70s i would guess..I agree,.time for new blood. Dr. Weinreb is an impressive guy and will take your program to new heights,for sure..
  8. J

    University of California (San Diego)

    I was sorry to see Stuart Brown MD leave Pittsburgh as Chairman of the Ophthalmology Dept 2/3 of the way through my residency in 1983. I liked him alot.
  9. J

    would you perform vitrectomy on?

    im sure they do..do you really believe they work?? if you do..i have some property in florida you may be interested in buying
  10. J

    So who's the greatest neurosurgeon? Do your research and let's talk!!

    jeez louize...really amazing!!
  11. J

    i am optimist about Ophthalmology

    Visionary's vision requirements are all that is needed for a drivers license in VA. The "central planners" will need to in some way ration care in the future. The age where medicare will kick in, will be raised, it will be means tested (you wont get it or you will be taxed on the benefit if...
  12. J

    University of California (San Diego)

    this place is SOLID folks..incredible faculty..
  13. J

    would you perform vitrectomy on?

    problem with doing a PPV for floaters is..the patient is going to get a cataract..not the end of the day as long as they have been properly informed preoperatively..However, in a clear lens normal accommodating younger patient, removing a cataract induced by a PPV is not good. No IOL...
  14. J

    what if you don't know the answer to a clinical interview question

    there should be message to you, the applicant when an interviewer pulls some off the wall bs..Personally i would try to avoid such mentors as they will manifest more of their weirdness if you work under them. WHen i applied for a retina fellowship at Bascom in the mid eighties..i was warned...
  15. J

    what if you don't know the answer to a clinical interview question

    other possibility is the guy was a "fossil" , old like me and forgot what a medical student may know and a resident may know?? I have seen it happen..If an attending is a "fossil" and is say 65-70 yrs old, a resident and a medical student both look young and their knowledge base could be...
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