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Showing posts from September, 2022

A&P Referral for peds exam - children's hospital

Edu parent that full ocular examination (examining anterior and posterior segment) was not able to be performed today d/t poor patient cooperation. Refer pt to Children's Health Pediatric Ophthalmologist for further evaluation & to assess comprehensive ocular health.  Provided pt with clinic name & contact information. Edu parent to schedule apt with them asap. Edu parent on importance of following up with Children's to ensure ocular health is WNL. Unreliable spectacle rx findings today d/t poor pt cooperation (did not finalize today's manifest rx). Edu pt to follow up with Children's Health pediatric OMD for further evaluation. For other places (not Children's): Refer to pediatric ophthalmologist for second opinion to determine if pt has amblyopia. Poor pt cooperation with obtaining BCVAs - likely reduction in VAs are due to poor pt cooperation rather than amblyopia, but follow up with specialist to confirm.  Unable to view anterior & posterior segment

Trichiasis / Epiblepharon Referral A&P

Edu on condition & exam findings. Edu on importance of following up with oculoplastics for an evaluation/consultation to explore further treatment options for condition. Provided contact information to oculoplastics to schedule an appointment. All of the above information was provided to the pt/parent/guardian. All instructions were understood by pt/parent/guardian.

Peds referral A&P

Edu on condition & findings. Edu on importance of monitoring. Unable to assess ocular health (anterior & posterior seg) in office today due to very poor pt cooperation. Edu to follow up with pediatric ophthalmologist for anterior & posterior seg evaluation to assess comprehensive ocular health. Edu to follow up with specialist for amblyopia evaluation as well. Provided parent/guardian with contact information to specialist via email & also provided in person. Edu on importance of following up with specialist to ensure ocular health is WNL. Patient/parent/guardian understood all instructions provided today and importance of following up with specialist. Edu pt/parent/guardian on all of the above information. 

Growth on eye - anterior seg

Growth has very low risk of malignant transformation. Edu pt on importance of self-monitoring condition for changes & to RTC if any changes are observed in color, texture, dimension, and size. Monitor condition yearly at annual eye exam. Reviewed condition & exam findings with patient and emphasized the need for yearly monitoring (or earlier if symptoms arise) to rule out malignant transformation. Pt understood all instructions & importance of monitoring. PARENT: Growth has very low risk of malignant transformation. Edu pt/parent/guardian & parent on importance of self-monitoring condition for changes & to RTC if any changes are observed in color, texture, dimension, and size. Monitor condition yearly at annual eye exam. Reviewed condition & exam findings with patient & parent/guardian and emphasized the need for yearly monitoring (or earlier if symptoms arise) to rule out malignant transformation. Pt/parent/guardian understood all instructions & importa

Referral Network DFW

Referral Network: David Sacco MD  1. Dr David Sacco -  PEDIATRIC NEURO-SURGEON  - good for papilledema cases  on forest lane they said this place could be good for adults possibly: Dallas Brain, Spine, and Skull Base Surgery 7777 Forest Ln Building A, Suite A-307, Dallas, TX 75230 Dr. Suarez Referral Document (your copy of it): https://docs.google.com/document/d/1_VBJjJrr0bwoowPU-iWVeJ_-QlxC9wZFuv8-l6DnecA/edit?usp=sharing  Retinal sp accepting all insurances: Dr. Elshatorry except for ambetter value CEDAR SP RINGS EYE CLINIC FAX NUMBER:     214-528-7387 PEDIATRIC OMD: Pediatric Ophthalmology Clinic at UT Southwestern Group in Plano phone number:  469-497-2503 Pediatric Ophthalmology - UT Southwestern 7609 Preston Rd 2nd Floor, Suite P2200, Plano, TX 75024 not sure what insurances they accept - call to ask Children's Health Ophthalmology - Dallas   2350 N Stemmons Fwy f6500, Dallas, TX 75207 Ph:  (214) 456-794 7   - they accept ALL insurances but are booked out usually PUPIL ISSUE