In this episode I give listeners a behind-the-scenes look at my call week as a private practice ophthalmologist. With a mix of routine calls and complex cases, I go into unexpected consults for Kaiser-Fleischer rings related to Wilson's disease, diagnosing giant cell arteritis, and managing diplopia with no clear cause. I also share my diagnostic process for distinguishing between common post-surgery floaters and more serious retinal issues. For anyone curious about the daily challenges of eye care on call, this episode offers both humor and insight into the life of an ophthalmologist. Takeaways: Kaiser-Fleischer Rings and Wilson's Disease: Dr. Flanary shares a rare consult for a Kaiser-Fleischer ring to help diagnose possible Wilson’s disease, highlighting the role of ophthalmologists in identifying systemic conditions through eye exams. Floaters After Cataract Surgery: He discusses common post-surgery floaters and the importance of differentiating them from signs of retinal detachment, which may require urgent attention. Giant Cell Arteritis and Vision Loss: A past patient with biopsy-negative giant cell arteritis raises questions on how best to assess for potential vision-threatening conditions and the typical diagnostic approach for such cases. Diagnostic Process for Diplopia: Dr. Flanary walks through his approach to a challenging case of double vision (diplopia), outlining potential causes from cranial nerve palsies to myasthenia gravis and thyroid eye disease. The Life of On-Call Ophthalmology: Balancing sleep disruptions, complex patient calls, and intricate diagnoses, Dr. Flanary shares the ups and downs of ophthalmology on call, giving a humorous and realistic view of the role. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: Anatomy Warehouse Plus for 15% off use code: Glaucomflecken15 Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Join 6,000 physicians nationwide who trust physician-founded PearsonRavitz with their insurance needs. Give yourself peace of mind and go to PearsonRavitz to schedule your free one-on-one consultation with a disability insurance expert. That's http://ww.pearsonravitz.com/knockknock to get more information and take the first step toward protecting your income and future. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

Ask this episode

“What did the council decide on item 42?” — answered with the speaker and the moment.

Transcript

Related