Knock Knock Eye: Can Oregon Stop this Corporate Takeover?

Knock Knock Eye: Can Oregon Stop this Corporate Takeover?

Usually, I’m teaching you about the finer points of ophthalmology, but today we’re looking at a real-world case study in "how to tank a hospital’s morale". We are heading to my home state of Oregon to discuss the PeaceHealth system and their decision to fire a group of 41 local emergency physicians who have served the community for 35 years. I’m breaking down why this isn’t about money or performance, since the CEO admits those are fine, but looks a lot like retaliation for doctors who dared to speak up for their patients. We'll look at the "contract management groups" moving in, why they smell a lot like private equity, and how the Oregon Corporate Practice of Medicine Act might be the only thing standing in their way. After we finish our lesson on hospital politics, we’ll move to the clinic for a new series: "Eye Conditions I Hate". First up is Pseudoexfoliation Syndrome, a "snow globe" disease that turns a standard cataract surgery into a high-stakes obstacle course. Takeaways: The Retaliation Curriculum: Why a 98% "no confidence" vote from nursing staff is the ultimate red flag for hospital leadership. Decoding the "Med-Corp" Loophole: How out-of-state companies use "dummy corporations" to bypass local regulations and push out local doctors. The Oregon Precedent: Why a 2025 state law might be the secret weapon doctors across the country need to fight corporate takeovers. The "Snow Globe" Anatomy: A look at the fibrillar white flakes of Pseudoexfoliation and why they make your eye’s drainage system fail. Pseudo vs. True Exfoliation: The rare history of "glassblower’s eye" and why we gave a common age-related disease such a confusing name. 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! knockknockhi@human-content.com 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: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://anatomywarehouse.com/?aff=14⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to cozyearth.com they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

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Episoder(373)

Knock Knock Eye: Federal Student Loan Caps and the Future of Medical School Access

Knock Knock Eye: Federal Student Loan Caps and the Future of Medical School Access

I’m just back from receiving an early career achievement award at the University of Iowa. The hard conversation while I was there was about pediatric ophthalmology, which is in trouble. There are only...

5 Nov 37min

What Medicine Gets Wrong About Disability with Ashira Greenberg & Shauna Ikahihifo

What Medicine Gets Wrong About Disability with Ashira Greenberg & Shauna Ikahihifo

I failed my very first standardized patient encounter in medical school because I saw a 49-year-old woman with abdominal pain and did not order a pregnancy test — immediate fail, well-earned shame, le...

3 Nov 1h 11min

 Knock Knock Eye: Over-the-Counter Redness Relievers: An Ophthalmologist’s Guide

Knock Knock Eye: Over-the-Counter Redness Relievers: An Ophthalmologist’s Guide

Halloween is around the corner, so here is a little housekeeping. I open with the saga of my HOA fining me for window units during a 117°F Portland heat wave, including the time I taped a photo of Bra...

29 Okt 30min

What Medicine Gets Wrong About Pain with Dr. Rachel Zoffness

What Medicine Gets Wrong About Pain with Dr. Rachel Zoffness

Dr. Rachel Zoffness is a pain psychologist and assistant clinical professor at UCSF and Stanford, and she came on to do something I desperately needed, explain what I actually did not learn in medical...

27 Okt 1h 12min

Knock Knock Eye: Breaking down the American Diabetes Association Boycott

Knock Knock Eye: Breaking down the American Diabetes Association Boycott

This week I get into the No Surprises Act, starting with my own $20,000 out-of-network bill after my cardiac arrest and the nine-month fight to resolve it. The law was supposed to prevent exactly that...

22 Okt 41min

What the 19th Century Teaches Us About Medicine Right Now with Dr. Lindsey Fitzharris

What the 19th Century Teaches Us About Medicine Right Now with Dr. Lindsey Fitzharris

Dr. Lindsey Fitzharris is back and she brought her best book yet. Sleuth Hound: The Case of the Real Sherlock Holmes, out October 20th, which tells the story of Joseph Bell, the Edinburgh surgeon who ...

20 Okt 1h 11min

Knock Knock Eye: Why This Nobel Prize Could Change How We Treat Blindness

Knock Knock Eye: Why This Nobel Prize Could Change How We Treat Blindness

The weight of the healthcare system has been sitting heavy. Our practice officially dropped UnitedHealthcare after they offered a 0.8% rate increase, and I’m feeling genuine empathy fatigue for the fi...

15 Okt 35min

Glauc Talk: When AI Claims Credit for Human Research

Glauc Talk: When AI Claims Credit for Human Research

We did back-to-school night for our ninth grader and I came away wanting to re-enroll myself. The CS teacher (28 years in the classroom) convinced me that what computer programming really teaches is a...

13 Okt 34min

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