Fireside Chat: What I Learned as an Expert Witness in a Malpractice Suit

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The Floater Doctor (Vitreous Floater Solutions Inc.)

Жыл бұрын

I was retained as an expert witness in a laser vitreolysis case where a patient had a complication that could have been treated promptly and without consequence. Instead and because of the surgeon's lack of experience, the patient had severe consequences. A long video, but some valuable information for those thinking about laser treatment, or even if you had treatment with your local doctor and had unimpressive results.
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The Floater Doctor, James H. Johnson M.D. is Medical Director of the only medical practice in the world specializing in, and exclusively treating eye floaters, the bothersome spots, shadows, and clouds that affect your vision. Although common, especially changes such as posterior vitreous detachment (PVDs) as we age, these vitreous eye floaters are rarely offered treatment by your local and well qualified eye care providers, even at top specialty institutions. Dr. Johnson uses a specialized FDA-approved YAG laser to vaporize and destroy the proteins in the vitreous that are responsible for your spots, shadows, and moving blurred areas in your vision. He has been doing so since 2007 making him one of, if not the most experienced in this very specialty niche area in ophthalmology, a pioneer in this field.
Links you may be interested in:
► MAIN WEBSITE INTRO: www.TheFloaterDoctor.com/prac...
► TREATMENT OPTIONS: www.TheFloaterDoctor.com/trea...
► THE YAG LASER: : www.TheFloaterDoctor.com/the-...
► WHY AREN'T MORE DOCTORS TREATING EYE FLOATERS www.thefloaterdoctor.com/why-...
►CHOOSE YOUR DOCTOR CAREFULLY www.thefloaterdoctor.com/choo...
►YOUNGER PERSON WITH FLOATER? www.thefloaterdoctor.com/youn...
MEDICAL ADVICE DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading or otherwise using this content does NOT create a physician-patient relationship between you and it’s author. Providing personal or medical information to the Dr. Johnson does not create a physician-patient relationship between you and the Dr. Johnson. Nothing contained in this video or it’s description is intended to establish a physician-patient relationship, to replace the services of a trained physician or healthcare professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed healthcare worker in your community in all matters relating to your health.

Пікірлер: 72

@getgranza Жыл бұрын

This guy is the absolute best. Helped me big time.

@hawaiiansoulrebel Жыл бұрын

Very reassuring to see a doctor with integrity. I’m dreaming of the day I’m able to make it out to Texas to hopefully have my Weiss ring resolved. Hopefully I’m a candidate!

@winstondight Жыл бұрын

It's good to see your videos back after such a long break! Looking forward to more of these in the weeks and months ahead.

@Thefloaterdoctor1 Жыл бұрын

Hi thanks for the feedback. It's a long video and most will miss where the cat bites me (@ 10:44), but aside from that there are some important take home messages especially for those doing their research trying to find someone to treat their eye floaters

@niecielask9542 Жыл бұрын

Prayers are out to this patient who experienced this traumatic situation. So awful. 😮

@xaaboopinkly Жыл бұрын

Sir, you’re really number one in the world, thanks for all the valuable information in this video 🙏

@Thefloaterdoctor1 Жыл бұрын

Thank for your your appreciative comments

@orienkateam9887 Жыл бұрын

The most compétant, handsome eye doctor , ever lol im doctor too but not eye doctor , i will consult him soon i've a lot of floaters just to relax my mind that my eyes health!

@kristophervanvarenberg526 Жыл бұрын

I am traveling to North Texas to receive your treatment. God Bless You.

@Thefloaterdoctor1 Жыл бұрын

I'll look forward to it.

@tinaerniemycatsnotfromhell3603 Ай бұрын

You are amazing!! You did the right thing !! How many doctors could do what he’s doing ?? Thanks 🙏 🙏🙏🙏

@Thefloaterdoctor1 Ай бұрын

Thank you.

@bernibrown6863 Жыл бұрын

I’m so grateful you removed my irritating floaters! I know I was a challenging case that strained your neck! But after multiple treatments, it was worth it! However, one never knows when I may come see you again…in Texas!

@Thefloaterdoctor1 Жыл бұрын

Thanks Berni. Good to hear from you again.

@LizardMane Жыл бұрын

How old are you?

@chuffa1130 Жыл бұрын

Thank you for sharing definitely very helpful and informative, I live in the Northeast Boston area looking for an excellent doctor for this and I'm sure there must be quite a few

@Thefloaterdoctor1 Жыл бұрын

There are lot of excellent doctors in your area, but laser vitreolysis is a very specific skill set that is not taught anywhere so caveat emptor.

@chuffa1130 Жыл бұрын

@@Thefloaterdoctor1 I agree I think your expertise and experience is unmatched probably within the United States, My doctor made no mention of your process but I'm sure she's aware of it, I don't think I'd be comfortable with anyone doing this unless they had the similar amount of hours like you do performing this procedure used to be extremely careful

@NoScratchLifestyle Жыл бұрын

Nice Video!

@Thefloaterdoctor1 Жыл бұрын

Thanks!

@windgemini66 Жыл бұрын

that's a very nice fireside. 10/10 for cat

@Thefloaterdoctor1 Жыл бұрын

I'll let the cat know she's KZfaq famous

@dkoxperiakoziukov3808 Жыл бұрын

I see you understood what I'm about )))))))))))

@mikkiduf 9 ай бұрын

Beautiful cat! I can see him clearly in spite of the floaters in my right eye 😭

@Thefloaterdoctor1 7 ай бұрын

The cat is a chimera. Two individually fertilized eggs that combine a few cell divisions later. Two sets of DNA. That slit of color right down the middle of the face is a tell-tale sign.

@kristophervanvarenberg526 Жыл бұрын

I am booking my appointment.

@ActionElectronics Жыл бұрын

I had cataract surgery on both eyes a couple of months ago (at my local ophthalmologist). The results were GREAT, but recently I experienced a PVD with a Weiss Ring in my right eye. The ring appears in the upper right quadrant of my vision most of the time, but if I pan my vision from right to center, the ring appears in the middle of the macula momentarily. It is then followed by a cloud or loss of contrast as the ring returns to the upper right. The cloud eventually clears if I continue to stare straight ahead. I realize it has only been a couple weeks since the PVD, but I am afraid this loss of vision in my right eye will not resolve any better. What would be your recommendation as far as floater treatment now, or waiting for several months to see if it gets better. Thank you Bob Hibbard

@Thefloaterdoctor1 Жыл бұрын

If you are not experiencing peripheral flashes, then the PVD is likely completed. Generally I suggest waiting at least month after the abrupt onset of PVD and longer if still getting flashes. Other than that, there is not advantage, or disadvantage to waiting longer.

@niecielask9542 Жыл бұрын

Very great question! My situation is very similar. Dr Johnson answered my question through yours.

@GarySchiltz 10 ай бұрын

I listened all the way through 🙂and enjoyed your story. I live in Ecuador, but fortunatly I have family in the DFW area, so you may be seeing me one day. Out of curiosity, relatively speaking, how much does the presence of a multifocal IOL toric lens affect your ability to treat floaters? I'm 65 and recently had a Tecnis Synergy toric IOL implanted, and have enough floaters to be rather annoyed, although I could live with them if I had to.

@Thefloaterdoctor1 9 ай бұрын

I treat through these lenses all the time. I think I just like to complain about them mostly. They might decrease the efficiency a bit, but would not add risk to the procedure.

@GarySchiltz 9 ай бұрын

@@Thefloaterdoctor1 Thanks! That's what I was hoping to hear.

@christinedarnell3520 Жыл бұрын

Made an appt hoping for good news.

@winstondight Жыл бұрын

Hello again, Interesting story you don't in the video. When I was watching it I thought you were going to say that that doctor hit the retina with his laser causing blindness not that he made a miscalculation with the patient's eye pressure. I didn't realise there were other causes of damage to the eye when using the laser other than it striking the retina or the lens.

@Thefloaterdoctor1 Жыл бұрын

If the laser were to hit the retina it could leave a very small damage area, like losing a few pixels on your screen or in your camera's sensor. In this case it was much much much worse because it damaged the optic nerve affecting all vision.

@DaveG-qd6ug 6 ай бұрын

I am also a CA refugee. Sadly my floaters came too.😂

@DaveG-qd6ug 6 ай бұрын

Are outcomes with higher pressures correlated with patients who got more shots or is it more of just their eye being more sensitive to the energy?

@Thefloaterdoctor1 6 ай бұрын

It is related to the type of floater, anterior location, previous cataract surgery, baseline higher or high-normal pressure which tends to be the main risk factors. It at higher risk, then, 'yes., a high shot count aggressive treatment likely pushed this person over the edge of safety.

@mikel27180 Жыл бұрын

Is there any new treatments on the horizon for floaters?

@Thefloaterdoctor1 Жыл бұрын

Possibly, using gold nanoparticles could increase the efficiency of treatment. It would, though, require an injection into the eye and would not likely allow us to treat close to the retina which is the main concern with younger sufferers.

@marig2332 8 ай бұрын

Does it not cause oxidation when using any lasers for Eye Floaters in the Eyes and causes Cataracts then you lose the natural lens of the eyes, which eventually you will need a new lens replacement?

@Thefloaterdoctor1 7 ай бұрын

Laser? No. Surgical vitrectomy though removes the native antioxidants present in the vitreous and causes cataracts very commonly.

@vickitaylor7525 Жыл бұрын

I enjoyed your video Dr. Johnson. You are just the same in person. If any of you people think he's not telling the truth about not charging that lady it's true because he did the same for me. I had 3 treatments and a pesky floater that kept moving around and the Dr couldn't pin point my little artistic shard (Dr. Named it that) so since he couldn't get it he didn't charge me. I will go back maybe next year and try it again. My shard is still floating around and bugging me but my other floaters are mostly gone. Thanks again Doc. Vicki. P.S. loved the cat 🙀

@Thefloaterdoctor1 Жыл бұрын

Hi Vicky. Thanks for the comment. I've always been reluctant to talk about the situations where I have refused payment or deeply discounted, because I didn't want it to seem like a marketing gimmick, or risk someone taking advantage of my. I can't guarantee results, but I can guarantee my best effort and best advice and an honest transaction.

@LizardMane Жыл бұрын

How old are you

@vickitaylor7525 Жыл бұрын

@seanholmes7482 Жыл бұрын

If I live where you use to live, what doctor besides you should I seek YAG Vitreolysis treatment from?

@Thefloaterdoctor1 Жыл бұрын

In Southern California? You can find many with a laser, but I don't think there are any that have significant experience, unfortunately.

@wlemejr Жыл бұрын

My name is Waldimir, I live in São Paulo, the largest city of Brazil. Last month I got a vitreous detachment and now I am with a huge weiss ring in my left eye, it is very bothersome and unfortunatelly the Ophthalmologists in Brazil dont care about floaters. I will start to save money in order to treat my huge eye floater with you. Regards

@Thefloaterdoctor1 Жыл бұрын

I know it is a big leap of faith to fly all the way to see me, but the good news is that weiss ring floaters in particular are typically the most successful to treat.

@MarkyMark81 Жыл бұрын

I am 41. I have had the exact same floaters for almost 10 years. I have a hard time reading because of them. Is 41 too young or old enough for lazer treatment?

@Thefloaterdoctor1 Жыл бұрын

It is impossible to say without an examination. You are at that in-between age for laser treatment.

@karamhamouche9405 Жыл бұрын

Hello dr.johnson do you recommend a dr in lebanon middle east that treat floaters via yag laser cz i cannot afford traveling to usa to consult you

@Thefloaterdoctor1 Жыл бұрын

I am not aware of anyone in your region of the world. Sorry.

@masuodgh5572 Жыл бұрын

Hello doctor, good time Can atropine drops be used for those who have ICL lenses? Thanks

@Thefloaterdoctor1 Жыл бұрын

Yes, absolutely

@masuodgh5572 Жыл бұрын

Thank you very much, is it available in Iran?

@benjaloun2012 Жыл бұрын

Hello doctor, I have a question please. I m 31 years old. How do we know if the floater is close to the retina? In the first time I sow it in my right eye, it was sharp and small, after 2 months, it become more big, blurry, hairy and transparent with lot of filaments.

@Thefloaterdoctor1 Жыл бұрын

Based on your age, they are likely to be close to the retina. If the floaters have very distinct borders and edges and look like crystal worms, then likely close to the retina.

@benjaloun2012 Жыл бұрын

@@Thefloaterdoctor1 Thanks, doctor, for your reply. it was started like a circular collapse ball with very defined borders. Now it has become blurry, bigger, more transparent, and like a cloud. olso I started to see a lot of filaments like crystal worms connected to this main floater. perhaps it moved.

@naughtydog9843 8 ай бұрын

Mine are round cloudy type. Age 33 here.

@benjaloun2012 7 ай бұрын

@@naughtydog9843 did you do the resina exanination

@saniyashaheen5051 5 ай бұрын

Anybody who is here taken laser treatment to remove eye floaters. I am just 19 nd i have eye floater in my right eye and it is not avoidable ... Please suggest some treatment

@Thefloaterdoctor1 5 ай бұрын

Younger people are rarely good candidates for laser treatment. Consider the use of low dose atropine. Read more here: ATROPINE PAGE: www.thefloaterdoctor.com/pupil-dilating-agents

@riziamisu2240 Жыл бұрын

Actually what is the treatment of eye floaters, ?????? Are you Recomemding laser????

@Thefloaterdoctor1 Жыл бұрын

My entire medical practice has been based on the treatment of eye floaters mostly with a laser. For good candidates it can be very safe and effective. Younger patients are not usually good candidates because of where the floaters are located (too close to the retina) and for them I have low dose atropine eye drops.

@riziamisu2240 Жыл бұрын

thank you for your kind reply. I am at my 9 month of lasik Suffering from double vision, Starburst, halos , Do you treat this types of problems????@@Thefloaterdoctor1 thank you

@Thefloaterdoctor1 Жыл бұрын

Hi Rizia. These symptoms do not sound like classic eye floaters. Floaters cause 'moving' shadows, clouds, and densities. Double vision, glare etc., are more optical issues from the cornea or lens. Get back to the treating LASIK doctor, or get a second, independent opinion if you are not getting straight explanations. "Give it more time" would not be acceptable to me.