Talking About Glaucoma podcast

Talking About Glaucoma (TAG) AAC
TAG Episode 31 - 6Jun2019 LEWIS Rick Rho Kinase Inhibitors: a new class of drugs (AAC)

The goal of the late Dave Epstein was to find a drug that treats the cause of glaucoma by improving trabecular meshwork outflow. After many years of research, Aerie Pharmaceuticals was formed and refined a Rho Kinase inhibitor called Netarsudil. In April 2018 this came to market as Rhopressa and March 2019, combined with latanoprost, as Roclatan. Today I’m talking with Rick Lewis, a glaucoma colleague based in Sacramento and Chief Medical Officer for Aerie Pharmaceuticals…and we’re Talking About Glaucoma.

TAG Episode 30 - 5Nov2018 JOHNSTONE Murray Pulsatile Flow (AAC)

In this episode, I talk with Murray Johnstone from Seattle about pulsatile flow through the Trabecular Meshwork and collector channels. We discuss the imaging improvements over the years that have made this possible including the latest phase-based OCT scans that result in nanometre resolution instead of the micrometre resolution of spectral domain scans that most of us are using  in clinical practice.

TAG Episode 29 - 29Jan2018 FELLMAN Fluid Wave (AAC enhanced)

In this episode, I’m talking with Ron Fellman from Glaucoma Associates of Texas about the Fellman Fluid Wave and its clinical implications in glaucoma surgery.

EMR
No matter how well you think you know your EMR, there is more to learn

It was a classroom of over 30 students attending a course on learning the Kaleidoscope - the Ophthalmology module within Epic's EMR system. Three of us are Ophthalmologists; everyone else is involved in IT at their respective hospitals - trainers and data analysts. The day started by running through a typical patient exam to benefit the majority in the room who never examined patients with eye problems. Biggest surprise? ....

The EMR we want vs the one we are stuck with

The journey continues. Now it's time to continue the process of optimizing a dog of an EMR program. It is not the EMR anyone actually wanted but it's the one we are stuck with...

Glaucoma
Deductible: a burden of the US Healthcare System

The US Healthcare system is the most expensive per capita in the entire world yet the Global Burden of Disease 2015 of study of healthcare ranked Canada 9th and the United States well behind at 28th based on the UN General Assembly's Sustainable Development Goals. As if the cost of the premiums isn't bad enough, patients have to pay up front at the beginning of each year until they reach their deductible...an amount that in other countries could cover the full cost of healthcare for a family for the entire year...

The decline and decline of the US Healthcare System Part 1 (E pluribus unum)

You would think that a developed country like the United would have the best access to medical care in the world. Sadly though it's a failure and getting worse. This from my perspective of having practiced in Canada and the United States. There are fundamental flaws in healthcare here...

Technology
Why isn't mobile technology seamless everywhere? I'm talking to you Greyhound!

We've come a long way with technology but aside from healthcare, there are other places that have not yet caught up to our mobile world. I'm talking buses! Greyhound specifically and this is going to end up being a bit of a rant. 

Review and unboxing Mophie Juice Pack for HTC One

It's brand new! Mophie, the makers of external battery packs for iPhones and a few other devices, has created a Juice Pack for the current best phone ever, the HTC One. I pre-ordered it and this is the unboxing. There is a serious flaw making at least the one I received unusable but Mophie will replace it.