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Dr. Glaucomflecken Profile picture
@DGlaucomflecken
Sep 12, 2020 • 5 tweets • 2 min read • Read on X
Roughly 100% of people on the west coast are dealing with burning eyes from wildfire smoke, so here are a few eye care tips...
First, invest in some artificial tears. No redness relievers. If you use visine, you might as well just waft smoke directly into your face while screaming “why is this not helping?!”
Don’t rub your eyes or at least wash your hands before rubbing your eyes. You don’t want dirt, ash, or gender reveal party residue to be transferred from your hand to your eye.
Finally, stay indoors and keep the smoke out. Avoid using fireplaces, change air filters, surround yourself with fans, wear a hazmat suit, buy an air purifier if you can find one.
Any eye doctor will tell you all these things. There’s nothing else to do but try to get away from the smoke. My eyes burn just as much as everybody else’s. There’s no magic remedy, and by that I mean there’s none left. I am hoarding all of it for myself. Stay safe.

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More from @DGlaucomflecken

Dr. Glaucomflecken Profile picture
May 12, 2023
This is a common argument I hear from the pro private equity crowd. I’m trying to reconcile this argument with the business model of PE. Somebody help me. As far as I know, the only ways to generate profit is by cutting costs and/or increasing revenue. (Thread) Image
Medical practices generate revenue by seeing patients, so one option for increasing profit would be telling physicians to work more days, see more patients, bill higher codes, push cash services, all of which I would consider, “interfering with patient care.”
According to my dissenters, this isn’t happening, so PE is just cutting costs because that’s the only other way to generate profit. So they cut costs (laying off staff, hiring cheaper staff, 1-ply toilet paper, whatever). Then the PE firm, having shown an increase in profit…
Read 6 tweets
Dr. Glaucomflecken Profile picture
Mar 23, 2023
PE thread:

One of the challenges with fighting private equity in medicine is the lack of data. We need to look at costs, outcomes, burnout, etc pre/post PE acquisition. We all know pushing medicine further into for profit territory is bad, but we need data to show how bad it is
Of course, PE will never let it happen. In the era of “evidence based medicine” we have this massive intervention (PE acquisitions) happening everywhere with no ability to study its effects on patient care bc it will almost certainly make PE look really bad
So where are the physician/specialty organizations in all this? They are supposed to be the biggest advocates for physicians AND patients. This seems right up their alley. They should be salivating to find out if PE is good or bad for their members.
Read 6 tweets
Dr. Glaucomflecken Profile picture
Feb 16, 2023
This is the selling point of private equity. We have the cash to grow your practice and give you more negotiating power with insurance companies, which is better for doctors and patients. Everybody wins, right?
Until you remember the goal of PE is to increase profitability as quickly as possible, so once the deal is signed, they begin reducing costs. It’s a hard transition, but the practice is full of excellent docs who can still make it work with fewer technicians & 1-ply toilet paper
Then 5 years later, the practice is more profitable, so the PE owners sell to another PE company, which results in more cost cutting to achieve profitability. Makes sense, this is how business acquisitions work, except we’re not selling office supplies, it’s patient care
Read 10 tweets
Dr. Glaucomflecken Profile picture
Jan 13, 2023
Couple things about vision insurance. It’s mostly used for glasses/contacts and routine exams for people with perfectly healthy eyes. Also, it’s dumb. Why would the most important disability accommodation in human history not be covered by medical insurance? Makes no sense…
But if you have a medical ophthalmic diagnosis, then you don’t need vision insurance for routine eye exams. Everybody over 65 has cataracts. That is a medical diagnosis. You can get a routine eye exam covered by Medicare.
I see too many people suckered by health insurance companies into thinking they need vision insurance to see an eye doctor. Not true.
Read 4 tweets
Dr. Glaucomflecken Profile picture
Apr 10, 2022
Man next to me on this flight has done nothing but stare at the map on the screen in front of him. That’s it. 5 hours watching a tiny clip art airplane move across the country.
Guys I’m not being critical. I’m impressed. No way I could just exist undistracted with my own thoughts.
Ok he just took a picture of the airplane route and is now scrolling through other pictures he’s taken of airplane routes which is actually kind of a cool thing to collect. I bet he has good stories.
Read 5 tweets
Dr. Glaucomflecken Profile picture
Jun 28, 2021
I get asked a lot about how to use humor in medicine without getting yourself into trouble. Let me show you an example…
First, watch this video
You can understand why this has almost a million likes. His set up, editing, and delivery are all really good (he’s an actor, btw). You get the joke and it’s a joke that is easily understood by the general public. However…
Read 8 tweets

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