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Management of patients with age-related cataract.

The majority of patients referred because of age-related cataract should be referred when their ability to function in their desired lifestyle is reduced due to poor vision. Generally the decision to refer should not be based on visual acuity, and the referral letter should reflect this. Patients who are not referred should not just be monitored until referral. There are several simple strategies for improving their vision which should be discussed with the patient, such as broad-brimmed hats or caps, typoscopes, anti-reflection coats and UV-blocking tints. There are also several strategies which may delay the progress of their cataract, which include reducing UV exposure and cigarette smoking and taking anti-oxidant vitamin supplements. These could also be discussed with the patient.

Aged↗

Ophthalmic findings in the geriatric horse.

Ophthalmic conditions of the older horse are becoming increasingly common as geriatric care advances. The close relation between the eye and other structures of the head exposes the globe to direct expansion of clinical disease and raises management issues. Integrating an ophthalmic and fundic examination into the annual evaluation should reward the investment, permit enhanced patient care, and potentially provide early identification of systemic conditions. Surgical and medical management of neoplastic conditions is most successful with early identification and therapy. It is hoped that this article prompts the further identification and description of ophthalmic conditions as equine geriatric care increases in importance.

Aging↗

Authorship.

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Authorship↗

What veterinary practice managers can learn from other health care professions.

Joel Barker, a noted futurist, points out that the best ideas usually come from outside an industry or profession. As a management consultant, I often get new ideas from industries completely unrelated to my clients' industry. For example, companies interested in offering outstanding customer service might study Nordstrom's, L.L. Bean, or Lexus. Those interested in world class distribution might research Federal Express or United Parcel Service. Airlines, trying to minimize downtime of jets at the terminal, learn secrets from Indianapolis 500 pit crews. Similarly, in observing optometrists and dentists, there are valuable lessons for veterinarians. Dentists identified a business model or organizational structure that generates healthy profits. Independent optometrists experienced the onslaught of intense competition from huge corporate players and weathered the storm. The veterinary profession is not so unique. By studying other professions, we need not recreate the wheel.

Animals↗

Other people's money.

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Deductibles and Coinsurance↗

TRICARE.

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Health Benefit Plans, Employee↗

Practice management.

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Administrative Personnel↗