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Discussion/ Message Board

In this section OPD members can start a Discussion on Practice management topic or Post a Message to get feedback from colleagues here. Examples of discussions/ Messages.

1) Requesting feedback of users Regarding an Equipment
2) Buying/Selling a Used Equipment
3) Buying/Selling a Practice
4) Seeking a Job.
5) Discussion regarding Practice issues.
6) Attending conferences.

...or any other Discussion/ Messages related to practice development


Sirius Pentacam for Sale

Two  CSO Sirius Pentacam with original table , Mac computer , meibomian gland analysis and non invasive TBUT available for sale in Chennai 

Device one is  8 years old - selling price 13 Lakhs 

 Second Device 3 years old selling price 18 lakhs  . Anyone interested please post your message in comments box with your contact number 

Is COVID test Necessary before all elective surgeries?

IS A COVID TEST NECESSARY BEFORE A CATARACT SURGERY AS PER PROTOCOLS?


Dr D P Prakash FRCS

AMERICAN EYE CARE & LASIK CENTRES 


*Lives are more important than protocols *


Protocols aren’t necessarily made to protect lives but to create a process.


*Protocols keep changing but everyone has only one life.*...


So to answer the question whether it would be prudent to do a COVID test before ANY SURGERY ???? *My answer would be a definitive YES!!*


If you don’t have the facilities or patients don’t want to do it due to financial issues then TRUST IN GOD and do the surgery if you want to.

Otherwise since it’s an elective surgery plan it accordingly  

keeping the safety of yourself, your staff and your valuable patients in mind. 


*When would you do the test ?*

Do it as close to the surgery as possible. I’m aware of a chip based RT PCR test for covid that can give results in just 40 minutes. That would be the ideal. But if you do not have access to it inform the patient and his attendees to socially quarantine themselves after giving the samples until after the surgery is done. 


It would also be prudent to do periodic covid testing of ourselves and OUR OT Staffs in the interest of everyone’s safety .

Cataract Surgery Pricing based on Surgical Skills and Not based on lenses Implanted

There is a trend to price our cataract surgery based on the lenses Implanted- This undervalues the skill of the surgeon, why not seek a alternative way to price the surgery based on skill and expertise of the surgeon.

Hospitals have to sell skills sets not lenses or equipment.

Create your packages in the following manner..

1. Cataract surgery (RCS) by Phaco.

2. Cataract surgery(RCS) with better contrast & night vision

3. Cataract surgery with Astigmatism reduction.

4. Cataract Surgery with autofocus near vision.

MANUAL SICS : If you are doing manual SICS have a separate Low cost package for that. Offer this if you feel pt is poor and will not be able to afford your phaco packages..

Advanced Cataract Surgery: Sometimes you will come across difficult cases like a small pupil, unhealthy corneas, hard cataracts, shallow AC, Have a package where you charge 50% more for difficult cases.. 

COMBINED RCS: Charge 75% of the second or 3rd procedure if you r combining 2 or more procedures.. like pterygium, trab, etc. If you r combining with Vitrectomy or VR surgery, charge 100% for the combined procedure..

Advanced cataract surgery WITH Laser  NUCLEUS MANAGEMENT: If you have access to femto laser cataract surgery, and pt has a very hard cataract,  you can offer another package..

RCS with nucleus softening/management.

Advanced cataract surgery  WITH Laser ASTIGMATISM CONTROL & Nucleus Management: if you r using femto to make in addition corneal incisions, and soften the nucleus...

Please post your views in the comments so we can finalise on the terminology to base the cataract surgery on Surgical skill and not on Lenses

Shared Yag Laser Model

I am looking to invest in a YAG laser that can be shared with other single practitioners. I am at a place where I am aware of atleast 15 practitioners who would benefit from a YAG laser but yet don't have one of their own. I am looking at a model where I retain the primary ownership i.e I invest in it fully and at the same time also invest in a mobile service that takes the laser on need basis to the respective doctors. I know there are groups in the ophthal fraternity that are providing similar service in other cities/regions. How feasible is this model and what should be the operational procedure and costs involved in this? Would be great if someone can share their insights.

Please post below if you would like to participate in this model with your name 

Has Water Entered my Ship?

Has Water Entered my Ship?

In 1923, nine of the wealthiest people in the world met at Chicago's Edge Water Beach Hotel.

Their combined wealth, it is estimated, exceeded the wealth of the Government of the United States at that time. These men certainly knew how to make a living and accumulate wealth. Attending the meeting were the following men:

1. The president of the largest steel company,

2. The president of the largest utility company,

3. The president of the largest gas company,

4. The president of the New York Stock Exchange,

5. The president of the Bank of International Settlements,

6. The greatest wheat speculator,

7. The greatest bear on Wall Street,

8. The head of the World's greatest monopoly &

9. A member of President Harding's cabinet.

That's a pretty impressive line-up of people by anyone's yardstick.

Yet, 25 years later, where were those nine industrial giants?

Let’s examine what happened to them 25 years later. 

1. The President of the then largest steel company (Bethlehem Steel Corp), Charles M Schwab, lived on borrowed capital for five years before he died bankrupt.

2. The President of the then largest gas company, Howard Hubson, went insane.

3. One of the greatest commodity traders (Wheat Speculator), Arthur Cutten, died insolvent.

4. The then President of the New York Stock Exchange, Richard Whitney, was sent to jail.

5. The member of the US President’s Cabinet (the member of President Harding's cabinet), Albert Fall, was pardoned from jail just to be able to go home and die in peace.

6. The greatest “bear” on Wall Street, Jesse Livermore committed suicide.

7. The President of the then world’s greatest monopoly, Ivar Krueger, committed suicide.

8. The President of the Bank of International Settlement, Leon Fraser, committed Suicide.

9. The president of the largest utility company, Samuel Insull, died penniless.

What they forgot was how to "make" life while they got busy making money!

Money in itself is not evil; it provides food for the hungry, medicine for the sick, clothes for the needy. Money is only a medium of exchange.

We need two kinds of education:

a) One that teaches us how to make a living,

and

b) One that teaches us how to live.

Without water, a ship cannot move. The ship needs water, but if the water gets into the ship, the ship will face existential problems. What was once a means of living for the ship will now become a means of destruction.

Similarly, we live in a time where earning is a necessity but let not the earning enter our hearts. 

So take a moment and ask yourself, "Has the water entered my ship?"


I hope not!


Hope the above story will drive all of us in a better direction in life.

 Disclaimer- this story was received from whats app

Post your comments below

General Message Board

Dear OPD Members- This will be a general Discussion thread or a Message Board- wherein you can post messages related to Equipments you want to buy or sell, or ask regarding any Practice Management topic , or Practice for sale, Refurbished equipment - Please do post your message in the comments section so it can be visible for other members.

Paying Salaries during the Lockdown.

This question to Hospital owners, how are they going to pay salaries to salaried consultants if the lockdown continues for more than 15 days. Any precedence set for such events. Naturally, if elective surgeries are blocked for 2 months most hospitals won't be able to pay salaries. 

Dr.D.P. For small clinics, it’s going to be difficult to pay salaries if the lockdown is going to be for more than 15 days. Until then we can afford.... beyond that everyone has to share the burden..employer and employee. But I hope ???? things don’t go that level. Only when an establishment can generate revenue can it pay. With zero revenue for a prolonged period no establishment can survive and keep paying salaries, taxes, rent, bills etc. It’s time for the government to chip in


How to handle patients who feel Consultation Fee is High

A general question to all. how to handle patients who question the consultation fees, refuse to pay and try to dictate charges at the hospital? Should one oblige them in fear of them bad-mouthing or stay firm and refuse to see them if they refuse to pay Also should consultation fees be charged prior to consultation or after consultation is done? Since many a times they get away without paying once consultation is done.

How to Maintain Hospital Inventory

Good morning sir, can you guide young ophthalmologist in maintaining hospital inventory specially IOL and ot medication, visco and other essential. Do we have any software which can track them - in form of excel sheet seperate category - date wise entry and exit - bar code and automatic entry - alarm system for expiring and less product