Home > Archive > Lasik Eyes Surgery > November 2005 > Some lasik humor about a truthful seminar





You are viewing an archived Text-only version of the thread. To view this thread in it's original format and/or if you want to reply to this thread please [click here]

Author Some lasik humor about a truthful seminar
Ace

2005-11-22, 5:58 pm

http://lasikdisaster.com/seminar.htm


"Good evening ladies and gentlemen. On the day of your surgery, I will
first stretch your eye open with a metal device that has the potential
for causing nerve and goblet cell damage. Your goblet cells make
proteins that keep your eyes lubricated. Ladies, remember how you were
always told to be very gentle with the tissue around your eyes? Forget
that, I will stretch the daylights out of it. You may have a sagging
lid or eyes that don't close all the way when I'm done.

Then I'll apply a huge amount of suction to pull up floaters and
potentially damage your retina and optic nerve! Next I will sever your
corneal nerves with a knife that often leaves metal debris behind in
your eye for the rest of your life. You will also have permanent nerve
loss with the potential of painful dry eye. I usually tell people this
is temporary, if I tell them about dry eye at all - but that's sure not
true for everybody and I know it. It is just so hard to tell who will
have dry eye problems, and if I were honest about the risks nobody
would have surgery. Sometimes even really young males who are not in
what we surgeons consider a high-risk group get it. I don't understand
this at all, but it doesn't slow me down! You will experience some dry
eye for sure, and perhaps permanent dry eye. If not now, maybe later in
life when you get older, or go through menopause if you're female.
Females are at higher risk for dry eye anyway. I should probably tell
them all this, but that's bad for business too.

Oh, by the way...lots of junk gets left behind inside your flap. You
can get inflammation from this junk called DLK that could make you go
blind! After I have cut your corneal nerves, I will fry some more of
them with an imperfect, fluctuating laser device that isn't really
designed to treat something round like an eye. Your corrected area will
be smaller usually than I had hoped, especially if you have astigmatism
and/or a high correction. But hey - they are your eyes and not mine.
Corrected area too small? Kiss your night vision goodbye! Whenever it
is dark, you will have some seriously bad vision.

Prominent doctors have stopped doing LASIK because they realized it has
problems, but I don't know what else to do with myself right now and I
like the money. I REALLY started pushing LASIK hard when medicare
drastically cut the reimbursement I would receive to do cataract
surgery!

Where was I.... OH! After I fry your eyeball with the laser, I'll put
the flap back down and that's where random chance takes over. Sure, ALL
patients end up with a wrinkled flap that's sort of like a Ruffles
potato chip. But some people have VERY irregular healing that screws up
their vision a lot. It is impossible to tell with my lame tools (an
aberrometer at best) if your problem is underneath the flap or in the
flap itself... so some people are made WORSE in retreatment. For this
and other reasons.

Hey, did I tell you that LASIK creates imperfections in your eye called
higher order aberrations? We don't really understand their impact on
visual quality fully, aside from the fact that many of you do have poor
vision that is associated with these larger higher order aberrations.
Especially at night. We give you those starbursts and halos that rob
you of your enjoyment of evening forever, right here in our clinic! If
I tell you that wavefront or custom wavefront doesn't increase these
aberrations, on average - I'm LYING! Shame on me! Yes, I know all about
LASIK-induced aberrations, and was just keeping it to myself because I
know you would RUN SCREAMING if YOU knew!

You won't be hearing me tell you about loss of contrast sensitivity
(everything is sort of dimmer and less distinct) but there are experts
out there who say that all patients have this after LASIK. I don't
measure your contrast sensitivity so that I can pretend it's not an
issue. Good luck finding things in dark drawers and closets. Also, your
vision may be less 'crisp' after LASIK than before with your glasses.
For life. We think this is from the higher order aberrations, but we
like to keep this quiet, too. Shhhhhhhh.

If you have large pupils, thin corneas, a large correction ... watch
out. You are at higher risk for a poor outcome. You deserve to have all
of this explained to you clearly. But I may not warn you about your
personal risk profile because I want as much money as possible. Again,
the truth just seems to scare the customers away.

What I call an enhancement is really another surgery I sometimes have
to do because LASIK is imprecise and I'm just guessing what kind of
correction you will get. I have very little control over the situation,
but you'd never know it by my confident demeanor! I don't have the guts
to call a second surgery an 'enhancement' when I'm with my colleagues
because they know better. It's a special euphemism just for patients,
who don't.

Are you near 40? You may already be experiencing difficulty with your
close reading. Being nearsighted gives you the ability to see close
things later into life if you just take your glasses off, or look under
them. This late life 'gift' of myopia is something I will take away.
LASIK corrects your distance vision at the expense of your close vision
if you are over 40. Which do you do more, read and look at the
computer, and work with things that are close to you... or do you spend
most of your time golfing (someone else will have to keep score) or in
a tower looking off into the distance for forest fires?

Remember me telling you that LASIK is imprecise? Even a slight
overcorrection can take years of comfortable close reading away from
you! Imagine suddenly not being able to read your watch, your cell
phone, even trim your nails or see your food clearly without finding
those darned reading glasses. This is why people over 40 are more
likely to be dissatisfied with their LASIK. I know this, and I could
easily demonstrate what it is like to lose your near vision with a
trial contact lens to help you make an informed decision, but 10
minutes of my time vs. a lifetime of regret for you? Well, my time is
valuable.

Since there is often some regression after LASIK (reversal of the
treatment) I sometimes overcorrect my patients slightly. If they can't
read their computer screen clearly for several months it doesn't affect
me! Your vision could take 6 months to stabilize, and you will have to
deal with whatever vision you end up with and the changes that happen,
perhaps with multiple pairs of glasses, usually at your expense. If you
end up having an (ahem) 'enhancement' later, your changing vision could
keep you busy, head-achy, bothered by eye strain and broke from buying
glasses for a couple of years. Maybe longer. Does LASIK simplify your
life? Maybe not.

I usually keep the post-op instructions away from you until it's too
late because they might scare you off. Also sometimes I may give you
your consent forms immediately before your surgery so that you will
feel rushed, pressured, and go through with a surgery you may decline
if you had proper time to study your materials.

If you are myopic, your cornea will be lumpy but flattened after
surgery, and it will be harder to keep your corneal surface healthy and
moist as a result. A healthy eye has a smooth, round surface. Yours
won't be like that. And forget about wearing regular soft or hard
contact lenses if you have a higher correction. Your corneal surface
will be WAY too flattened and oddly shaped for those. You will have to
really do some hard work with an experienced hard lense fitter to get
specially shaped hard lenses and you may not be able to tolerate the
lenses anyway because, hey - I cut your nerves and fried more of them.
Remember? Those nerves control the comfortable wetting of your eye. So
you may be too dry. Just live with your bad vision in this case, and
don't expect any sympathy from me. I will brush you off, abandon your
continued care...even try to paint you as irrational - I'll do anything
I can to make you go away so that I won't be bothered.

Oh, you say you are hyperopic? Your surgeries are much more complicated
and prone to failure. If you're not happy with your vision and need to
wear hard contact lenses to get back some visual quality - bad news...
the lens fitting process for you is even harder than for former myopes.

Your cornea is not like a piece of skin that will heal back together
when it is cut. Your LASIK flap will only heal around the edges a bit,
and be covered over by a thin layer of epithelium. So it can easily be
lifted years later by a surgeon with a simple tool, or be amputated
accidentally by a finger poke, air bag, tree branch, or sports
accident. At any time, for the rest of your life. You will always have
a split cornea after LASIK!

Speaking of flaps, and vulnerable weak corneas... did I tell you about
the bulging part? Oh, this is priceless. You are going to lose about
1/3 of the mechanical strength of your cornea with this surgery! We
surgeons disagree about how much tissue you need to retain to be safe
from eye bulging, or ectasia. We usually keep this disagreement to
ourselves, however, because again, we don't want to scare the
customers. Some people need a corneal transplant when we're finished
with them because their corneas are just too weak to support the
pressure from inside their eyes after surgery. Almost all of us who
have done a lot of surgery have patients like this, but you can see by
the lack of LASIK surgeon suicides in the media.... that we can STILL
LIVE WITH OURSELVES! Isn't that remarkable???

Federal trade commission regulations specify that when we advertise a
medical procedure we must also list possible complications and side
effects. We ignore this rule because nobody is enforcing it.

Call us for an appointment!"

Ragnar

2005-11-23, 1:00 am

Why on earth are you re-posting that garbage from lasikdisaster?




On 22 Nov 2005 14:50:17 -0800, "Ace" <acemanvx@yahoo.com> wrote:

>http://lasikdisaster.com/seminar.htm
>
>
>"Good evening ladies and gentlemen. On the day of your surgery, I will
>first stretch your eye open with a metal device that has the potential
>for causing nerve and goblet cell damage. Your goblet cells make

Eye

2005-11-26, 12:59 am

ACE, that was a TERRIFIC post, thanks for finding that and sharing it.
Patients who put up websites WANT the information to be widely read.
Thanks for finding something cool and passing it along!

P.S. Don't listen to Ragnar, aka Christopher Roiland. He's not here to
learn anything or to help patients.

Keep up the good work! This gave me a really good laugh (and some
insight) and both are appreciated!

Eye

2005-11-26, 12:55 pm

ACE,

Thanks SO much for finding this essay and sharing it here! Patients who
operate bulletin boards WANT the information they post to be seen by as
many people as possible. By finding something really cool and reposting
it you are helping more people to be informed.

I needed a good laugh (and the extra insight you provided). Thanks ACE!
I hope you keep digging and uncover lots more good stuff!

RT

2005-11-26, 12:55 pm

In article <1133015394.393627.310000@g47g2000cwa.googlegroups.com>,
"Eye" <eyetooamdamaged@yahoo.com> wrote:

> ACE,
>
> Thanks SO much for finding this essay and sharing it here! Patients who
> operate bulletin boards WANT the information they post to be seen by as
> many people as possible. By finding something really cool and reposting
> it you are helping more people to be informed.
>
> I needed a good laugh (and the extra insight you provided). Thanks ACE!
> I hope you keep digging and uncover lots more good stuff!


Ace, of course you understand why Eye is so happy you are reposting.
S/he has been doing it all by her/himself under many aliases. You are
saving him/her a lot of work. Although, you can be assured that
everything has been posted on this NG already, repeatedly at that. Do a
search on this NG for this "truthful seminar" and it'll come up MANY
times. Eye was probably the person who originally wrote it.

Eye, why don't you help Ace out and just send all the posts to Ace to
repost. That way s/he doesn't have to waste time going to other sites or
doing a search on this one in order to repost these posts which you have
already posted repeatedly.

--
~RT

serebel

2005-11-27, 12:59 am

Eye has made a stooge out of Ace. Sooner or later Ace should figure it
out.

doctor_my_eye@msn.com

2005-11-27, 10:59 am

While we are on the subject:
from www.doctormyeye.com





Posted: Sat Apr 03, 2004 3:19 pm
Post subject: A LASIK Consent Form we would like to see:

--------------------------------------------------------------------------------

A LASIK Form we'd like to see.....

Hi, I'm Doctor Jones, and welcome to my LASIK treatment center. I think
you people are idiots for doing this, but....what the heck. I don't get
very much money for doing cataract surgery anymore, so I'm "flappin'
and zappin'" to make up for that lost income.

The first thing I'm going to do is I'm gonna put drops on your eye so
you don't feel anything, because it would hurt like hell if we did this
to an eye that wasn't dead as a tree stump.

Then, this is the fun part...I'm gonna drive a little mechanical
go-kart across the front of your eye, and if it doesn't fall of its
tracks its gonna take a slice off of your eye. The bottom of my go kart
has a really expensive diamond razor blade on the bottom, but we try to
have a sharp one on there most of the time.

After I make the slice, I'm gonna try to keep it hangin' on your eye,
and just put it over here on the side, because later on through the
rest of your life you hafta see through that part I almost sliced off.
Thats called your flap. Remember that name, because you will talk about
your flap for the rest of your life.

Next I'm gonna point my laser beam under that flap and burn off about
80% of your cornea. That smell is the smell of burning flesh, but don't
let that bother you. After we have our little flesh fry, I'm gonna take
that little bed sheet we called the flap and try to lay it down over
this open wound we just made.

We call that LASIK.

Any questions?!?!
P.S.
Oh yeah, if this comes out great, tell all your friends. If that
bedsheet doesn't fit anymore, or I burned too much, or your sorry you
did this...get over it. If your bummed enough to consider taking your
own life, please see that our charges are paid in full.


Quote:
Quoting gerielkins:

addendum to consent form

the consent form needs to have a place where they can fill in the
blanks....this will cover those messy little situations where they now
have to say"oh, didn't we mention that could happen?"


Quote:
Quoting Gail Keziah:

A little mechanical go-kart

Cute description of the microkeratome!

Dr. Minarik - You might enjoy reading what I posted on SE over 2 years
ago. It was written to me by Franette Armstrong, who is the author of a
now out of print book, Beyond Glasses! I give her credit for warning me
to stay away from LASIK and stick with the safer PRK if I was to have
refractive surgery. I believe as a high myope, she spared me from a
scary list of complications that LASIK can certainly create.

A doctor sways a patient with the data he presents. Which would you
choose if a doctor said this: "Gail, I could blast off the front of
your cornea with a laser and you will have intense pain for three days
plus a 10X greater risk of infection after, OR I could gently lift a
flap, reshape your cornea, and you will have 20/20 vision immediately
without any pain or discomfort. If you need a second treatment, all we
have to do is go in and lift up the flap again!"

This is why patients "choose" LASIK.

Doctors like Dr. Don Johnson of Vancouver,BC tell it a different way:
"Gail, you could have LASIK, but they will put a strong suction on your
eye which could cause the retina to detach. Then they will cut a flap
from your cornea using a vibrating razor blade that travels on a track.
At any point during this process the blade could go sideways and cut
all the way through your eye, causing the lens to explode outward. Or,
the flap can have jagged edges or get completely detached or torn
during the cutting process. Then they will use instruments to try to
manipulate the flap backward and perform a PRK on the remaining cornea.
This treatment is riskier because the laser beams will come closer to
the back of your eye, where cells responsible for generating new tissue
can be damaged. Further, your cornea might become too thin to withstand
the internal pressure of your eye and it might begin bulging after the
procedure so that your vision ends up much, much worse than it was
before and you might need a corneal transplant. After the treatment
they will try to lay the flap back down exactly the way it was before,
where it will seal from internal pressure, but never heal because there
are no cells in the cornea itself that can heal. After the procedure
you might feel nothing, or feel a burning stabbing pain that can last
several weeks. You might have persistent dry eye for months to the
extent that you will not be comfortable without constantly using eye
drops. You will have to wear goggles over your eyes at night for at
least 3-4 days to prevent accidentally rubbing off the flap before it
seals. If they didn't do a good job cutting or replacing the flap, you
will have irregular astigmatism and blurred vision which might not be
resolvable. When the outside of your cornea begins to regrow around the
edges of the flap, it can grow under the flap and cause the edges of
the flap to disintegrate. While the edges are sealing you are at risk
of infection. If you need a retreatment, which is usual in about 25% of
cases, the flap once again has to be detached, more laser pulses are
placed inside the cornea, and you once again have the healing period
with the attendant risks to the flap and the eye.

Or, Gail, you can have PRK, where we gently dust away just a few
microns of tissue from the front surface of your cornea. You'll feel
nothing in the procedure, which takes only a minute or so, and then a
scratchy, burny feel for a day or two while the eye heals. After that
the risk of infection is over and you just have to use eye drops for a
few weeks to make sure the treatment works. If you need a retreatment,
we just do the same thing over again. The risk of infection or haze is
less than one in a hundred."

Which procedure would you pick?


Quote:
Quoting Dr. Minarik

Here's My Paragraph About Informed Consent

Hi. Its Doctor Jones again. This piece of paper that you are reading is
a legal document that is called an informed consent. That means that
this is an explanation of some of the thinks that can go wrong with
your surgery, but I'll use some big words and some flowery language to
keep you from being too scared. Besides, a consent form is kind of like
a marriage license you took out with your ex-wife. (You still got the
papers home in the drawer, but they don't mean a darn thing.)
O.K. Here's the honest truth....I don't know if you are going to be
happy with what I'm going to do to your eyes. You might like it. You
might get halos around lights, see double all the time, have eyes drier
than the Sahara Desert, and have some pain around the side of your face
from the nerves that I'm gonna slice open. Remember, this is voluntary
surgery, so this is your own damn fault.
Oh, by the way, if I made you a pair of eyeglasses that gave you halos,
dry eyes, double vision and pain....they would not be best sellers.
But then, you could always bring THOSE back and throw them at me, or
throw them away and get new ones. In about an hour.


Quote:
Quoting Serasota

Ken, well said.

If only, before having surgery, we had been told what you suggest --
which is far more honest and accurate than the consent forms we all
signed.


Quote:
Quoting Ken Minarik, OD

Hi...its "Doctor Jones" Again....

Many of you have asked for more information about the possible side
effects of your surgery. Here is how our honest consent form might
read:

Please note that when I run my little go-kart across your eye, I'm
gonna cut into something called your corneal nerves. Those nerves tell
you when to make tears and to cry, but we don't really think thats very
important anyway.
You might also get something called trigeminal neuralgia, which is a
chronic pain in the nerve that comes over the side of your face. It
helps to take some aspirin if you get those kinda headaches.
We will attempt to correct your surgery as long as the company that
made our laser is still in business. I just bought a hundred shares of
their stock with my money left over from lunch.
Please forgive my condescending attitude when I talk to you before this
surgery, but please remember that I ALREADY KNOW everything that can go
wrong with this surgery, and that's why I am likely to treat you like
an idiot for buying into this.
Have a nice day.



Quote:
Quoting pizzo

quote:
--------------------------------------------------------------------------------

Every day will become an EYE DAY. Your life will revolve around the
condition of the patients' eyes and vision. Bad eye day - good eye day,
but every day for the rest of the patient's life will be an EYE DAY of
some sort.
--------------------------------------------------------------------------------


This is so true. Every day will become an EYE DAY.

Well said!

pizzo

Ragnar

2005-11-27, 6:00 pm

Here is Minarik making an even bigger XXX of himself than he already
is with this ridiculous garbage below.

There are some completely outrageous statements below. It implies
that a surgeon makes more money doing LASIK than cataracts. Baloney.
Cataract surgery is usually paid for by the federal goverment, no
billing problems, and patients at that age generally don't live long
after, so once the cash register rings on a cataract patient, the
surgeon doesn't have to spend much more time with that patient.

The anesthetic drops are not necessary, they are just used to make the
procedure more comfortable. The blade of the microkeratome is so
sharp that the cells just split apart with no pressure applied like a
hot knife going through butter.

That little mechanical go-kart is a $60,000.00+ go-kart with blades
that are used only once and cost $50 each.

There is no reason to talk about the flap at all after surgery unless
having an enhancement.

Ablating 80%? Hardly, 25% is the number you are looking for.

You should really be ashamed of yourself Minarik. In fact, since you
are a practicing physician, your misinformation is actually criminal
and you could be sued for posting it if someone had the urge to make
some money off a mentally unstable doctor who doesn't know when he
should hang up his phoropter and retire.



On 27 Nov 2005 05:52:41 -0800, "doctor_my_eye@msn.com"
<doctor_my_eye@msn.com> wrote:

>While we are on the subject:
>from www.doctormyeye.com
>
>
>
>
>
> Posted: Sat Apr 03, 2004 3:19 pm
>Post subject: A LASIK Consent Form we would like to see:
>
>--------------------------------------------------------------------------------
>
>A LASIK Form we'd like to see.....
>
>Hi, I'm Doctor Jones, and welcome to my LASIK treatment center. I think
>you people are idiots for doing this, but....what the heck. I don't get
>very much money for doing cataract surgery anymore, so I'm "flappin'
>and zappin'" to make up for that lost income.
>
>The first thing I'm going to do is I'm gonna put drops on your eye so
>you don't feel anything, because it would hurt like hell if we did this
>to an eye that wasn't dead as a tree stump.
>
>Then, this is the fun part...I'm gonna drive a little mechanical
>go-kart across the front of your eye, and if it doesn't fall of its
>tracks its gonna take a slice off of your eye. The bottom of my go kart
>has a really expensive diamond razor blade on the bottom, but we try to
>have a sharp one on there most of the time.
>
>After I make the slice, I'm gonna try to keep it hangin' on your eye,
>and just put it over here on the side, because later on through the
>rest of your life you hafta see through that part I almost sliced off.
>Thats called your flap. Remember that name, because you will talk about
>your flap for the rest of your life.
>
>Next I'm gonna point my laser beam under that flap and burn off about
>80% of your cornea. That smell is the smell of burning flesh, but don't
>let that bother you. After we have our little flesh fry, I'm gonna take
>that little bed sheet we called the flap and try to lay it down over
>this open wound we just made.
>
>We call that LASIK.
>
>Any questions?!?!
>P.S.
>Oh yeah, if this comes out great, tell all your friends. If that
>bedsheet doesn't fit anymore, or I burned too much, or your sorry you
>did this...get over it. If your bummed enough to consider taking your
>own life, please see that our charges are paid in full.
>
>
>Quote:
>Quoting gerielkins:
>
>addendum to consent form
>
>the consent form needs to have a place where they can fill in the
>blanks....this will cover those messy little situations where they now
>have to say"oh, didn't we mention that could happen?"
>
>
>Quote:
>Quoting Gail Keziah:
>
>A little mechanical go-kart
>
>Cute description of the microkeratome!
>
>Dr. Minarik - You might enjoy reading what I posted on SE over 2 years
>ago. It was written to me by Franette Armstrong, who is the author of a
>now out of print book, Beyond Glasses! I give her credit for warning me
>to stay away from LASIK and stick with the safer PRK if I was to have
>refractive surgery. I believe as a high myope, she spared me from a
>scary list of complications that LASIK can certainly create.
>
>A doctor sways a patient with the data he presents. Which would you
>choose if a doctor said this: "Gail, I could blast off the front of
>your cornea with a laser and you will have intense pain for three days
>plus a 10X greater risk of infection after, OR I could gently lift a
>flap, reshape your cornea, and you will have 20/20 vision immediately
>without any pain or discomfort. If you need a second treatment, all we
>have to do is go in and lift up the flap again!"
>
>This is why patients "choose" LASIK.
>
>Doctors like Dr. Don Johnson of Vancouver,BC tell it a different way:
>"Gail, you could have LASIK, but they will put a strong suction on your
>eye which could cause the retina to detach. Then they will cut a flap
>from your cornea using a vibrating razor blade that travels on a track.
>At any point during this process the blade could go sideways and cut
>all the way through your eye, causing the lens to explode outward. Or,
>the flap can have jagged edges or get completely detached or torn
>during the cutting process. Then they will use instruments to try to
>manipulate the flap backward and perform a PRK on the remaining cornea.
>This treatment is riskier because the laser beams will come closer to
>the back of your eye, where cells responsible for generating new tissue
>can be damaged. Further, your cornea might become too thin to withstand
>the internal pressure of your eye and it might begin bulging after the
>procedure so that your vision ends up much, much worse than it was
>before and you might need a corneal transplant. After the treatment
>they will try to lay the flap back down exactly the way it was before,
>where it will seal from internal pressure, but never heal because there
>are no cells in the cornea itself that can heal. After the procedure
>you might feel nothing, or feel a burning stabbing pain that can last
>several weeks. You might have persistent dry eye for months to the
>extent that you will not be comfortable without constantly using eye
>drops. You will have to wear goggles over your eyes at night for at
>least 3-4 days to prevent accidentally rubbing off the flap before it
>seals. If they didn't do a good job cutting or replacing the flap, you
>will have irregular astigmatism and blurred vision which might not be
>resolvable. When the outside of your cornea begins to regrow around the
>edges of the flap, it can grow under the flap and cause the edges of
>the flap to disintegrate. While the edges are sealing you are at risk
>of infection. If you need a retreatment, which is usual in about 25% of
>cases, the flap once again has to be detached, more laser pulses are
>placed inside the cornea, and you once again have the healing period
>with the attendant risks to the flap and the eye.
>
>Or, Gail, you can have PRK, where we gently dust away just a few
>microns of tissue from the front surface of your cornea. You'll feel
>nothing in the procedure, which takes only a minute or so, and then a
>scratchy, burny feel for a day or two while the eye heals. After that
>the risk of infection is over and you just have to use eye drops for a
>few weeks to make sure the treatment works. If you need a retreatment,
>we just do the same thing over again. The risk of infection or haze is
>less than one in a hundred."
>
>Which procedure would you pick?
>
>
>Quote:
>Quoting Dr. Minarik
>
>Here's My Paragraph About Informed Consent
>
>Hi. Its Doctor Jones again. This piece of paper that you are reading is
>a legal document that is called an informed consent. That means that
>this is an explanation of some of the thinks that can go wrong with
>your surgery, but I'll use some big words and some flowery language to
>keep you from being too scared. Besides, a consent form is kind of like
>a marriage license you took out with your ex-wife. (You still got the
>papers home in the drawer, but they don't mean a darn thing.)
>O.K. Here's the honest truth....I don't know if you are going to be
>happy with what I'm going to do to your eyes. You might like it. You
>might get halos around lights, see double all the time, have eyes drier
>than the Sahara Desert, and have some pain around the side of your face
>from the nerves that I'm gonna slice open. Remember, this is voluntary
>surgery, so this is your own damn fault.
>Oh, by the way, if I made you a pair of eyeglasses that gave you halos,
>dry eyes, double vision and pain....they would not be best sellers.
>But then, you could always bring THOSE back and throw them at me, or
>throw them away and get new ones. In about an hour.
>
>
>Quote:
>Quoting Serasota
>
>Ken, well said.
>
>If only, before having surgery, we had been told what you suggest --
>which is far more honest and accurate than the consent forms we all
>signed.
>
>
>Quote:
>Quoting Ken Minarik, OD
>
>Hi...its "Doctor Jones" Again....
>
>Many of you have asked for more information about the possible side
>effects of your surgery. Here is how our honest consent form might
>read:
>
>Please note that when I run my little go-kart across your eye, I'm
>gonna cut into something called your corneal nerves. Those nerves tell
>you when to make tears and to cry, but we don't really think thats very
>important anyway.
>You might also get something called trigeminal neuralgia, which is a
>chronic pain in the nerve that comes over the side of your face. It
>helps to take some aspirin if you get those kinda headaches.
>We will attempt to correct your surgery as long as the company that
>made our laser is still in business. I just bought a hundred shares of
>their stock with my money left over from lunch.
>Please forgive my condescending attitude when I talk to you before this
>surgery, but please remember that I ALREADY KNOW everything that can go
>wrong with this surgery, and that's why I am likely to treat you like
>an idiot for buying into this.
>Have a nice day.
>
>
>
>Quote:
>Quoting pizzo
>
>quote:
>--------------------------------------------------------------------------------
>
>Every day will become an EYE DAY. Your life will revolve around the
>condition of the patients' eyes and vision. Bad eye day - good eye day,
>but every day for the rest of the patient's life will be an EYE DAY of
>some sort.
>--------------------------------------------------------------------------------
>
>
>This is so true. Every day will become an EYE DAY.
>
>Well said!
>
>pizzo

doctor_my_eye@msn.com

2005-11-27, 6:00 pm

Well, Raghead...you never seem to run out of lies or insults. First,
the Medicare reimbursement for cataract surgery has dropped steadily
for the past 6 years. One of the "gifts" Bill Clinton gave to
ophthalmology was a feeble attempt to balance the Medicare budget on
the backs of cataract surgeons. LASIK is not only lucrative, but it is
almost always paid for in cash or by credit card. So, tell my
Raggamuffin...is it easier to underreport your cash income or lie to
the IRS when the government knows exactly how much it paid you last
year? Duh.
"The anesthetics aren't necessary." DUH. When you cut your cornea, it
hurts like hell! The cornea has a direct relationship with the pain
receptors in the brain, and no area of the body or the face responds to
pain more readily than your eye. When Fodorov invented RK and the
anesthesia was more primitive, I had a patient tell me that she spent
three days in a dark room crying after her RK.

The comment that cataract patients don't live long after is rude,
ignorant and ageist.
I sincerely hope you rot in hell for your ignorance.
Have a nice day.
Ragnar wrote:[vbcol=seagreen]
> Here is Minarik making an even bigger XXX of himself than he already
> is with this ridiculous garbage below.
>
> There are some completely outrageous statements below. It implies
> that a surgeon makes more money doing LASIK than cataracts. Baloney.
> Cataract surgery is usually paid for by the federal goverment, no
> billing problems, and patients at that age generally don't live long
> after, so once the cash register rings on a cataract patient, the
> surgeon doesn't have to spend much more time with that patient.
>
> The anesthetic drops are not necessary, they are just used to make the
> procedure more comfortable. The blade of the microkeratome is so
> sharp that the cells just split apart with no pressure applied like a
> hot knife going through butter.
>
> That little mechanical go-kart is a $60,000.00+ go-kart with blades
> that are used only once and cost $50 each.
>
> There is no reason to talk about the flap at all after surgery unless
> having an enhancement.
>
> Ablating 80%? Hardly, 25% is the number you are looking for.
>
> You should really be ashamed of yourself Minarik. In fact, since you
> are a practicing physician, your misinformation is actually criminal
> and you could be sued for posting it if someone had the urge to make
> some money off a mentally unstable doctor who doesn't know when he
> should hang up his phoropter and retire.
>
>
>
> On 27 Nov 2005 05:52:41 -0800, "doctor_my_eye@msn.com"
> <doctor_my_eye@msn.com> wrote:
>

serebel

2005-11-28, 1:00 am

Now Minarik is quoting that idiot Pizzo. He's a SE nut from way back.
You may as well post your garbage here since no one reads your site
there chubbs.

Ragnar

2005-11-28, 12:57 pm

Are you retarded? That would be a legitimate excuse for you.
Once again, it is obvious that you base your thinking upon monetary
considerations. The money involved should be irrelevant. We are
talking EYES here.. Think about how much money is spent on cars,
insurance, food, housing, etc. Oh I'm sorry.. I asked you to think.

Fyordov didn't invent RK. He was the first to "market" it which is
all you care about. The trick with RK is that it must penetrate to a
depth of 95 to 98% of the cornea. Any less and it's ineffective, any
more and it's a disaster. A japanese surgeon during WW2 had many
unsuccessful RK experiments.

Cutting the cornea hurts like hell? That is false... the one drop of
anesthetic certainly takes care of any pain. And there is no surgeon
making flaps without that drop. What isn't comfortable is the
applanation plate. That feels like when one closes their eye.. and
pushes against it with their finger. It is not a pleasant sensation
at all.

To be blunt, you have no business posting messages about refractive
surgery as a doctor. While you are a doctor, you are not a doctor in
that field. You are essentially a layman and should not be implying
that you are a LASIK doctor.

I am not aware of the current medicare payout on a cataract procedure.
I would like to know.



On 27 Nov 2005 15:29:43 -0800, "doctor_my_eye@msn.com"
<doctor_my_eye@msn.com> wrote:
[vbcol=seagreen]
>Well, Raghead...you never seem to run out of lies or insults. First,
>the Medicare reimbursement for cataract surgery has dropped steadily
>for the past 6 years. One of the "gifts" Bill Clinton gave to
>ophthalmology was a feeble attempt to balance the Medicare budget on
>the backs of cataract surgeons. LASIK is not only lucrative, but it is
>almost always paid for in cash or by credit card. So, tell my
>Raggamuffin...is it easier to underreport your cash income or lie to
>the IRS when the government knows exactly how much it paid you last
>year? Duh.
>"The anesthetics aren't necessary." DUH. When you cut your cornea, it
>hurts like hell! The cornea has a direct relationship with the pain
>receptors in the brain, and no area of the body or the face responds to
>pain more readily than your eye. When Fodorov invented RK and the
>anesthesia was more primitive, I had a patient tell me that she spent
>three days in a dark room crying after her RK.
>
>The comment that cataract patients don't live long after is rude,
>ignorant and ageist.
>I sincerely hope you rot in hell for your ignorance.
>Have a nice day.
>Ragnar wrote:
ycdbsoya

2005-11-28, 5:59 pm

I am laughing so damn hard at Raggie's attempts to sound intelligent
and knowledgeable on RS issues, and disagreeing with optometrists and
opthalmologists along the way. I am going to bust a gut, so please,
please stop!

Raggie...a fool's fool. Followed closely, of course, by his
sphincter-hugging compadre, serebel.

No, it's a tie.

serebel

2005-11-29, 1:01 am

Frankie, the drugstore is still holding your little blue pills, try to
have your mommy drive you.

ycdbsoya

2005-11-29, 5:59 pm

Hey, Tweedledum, I was wondering when you would chime in to defend your
butt buddy, Tweedledee. You are Raggie's fool.

serebel

2005-11-30, 1:02 am

Nope Frankie babes, I've always been my own fool.

Copyright 2003 - 2008 pahealthsystems.com