Good Morning All. Wed 5.29.13, 6:12 am est New York. Karen at Akorn, and Collin at Accutome, $4.50 for 10%. 2.5 cc of 10%, 5 sec push Maculra Studies, and 3.0 cc of 10%, 5 sec push for Proliferative Disease. Only dialed 911 once, in 14 years. Nice thread everyone! Jim Soque Chief of Photography Island Retina Shirley, NY 6:16 am > Date: Wed, 29 May 2013 01:13:12 -0400 > From: ecartis@xxxxxxxxxxxxx > To: ecartis@xxxxxxxxxxxxx > Subject: optimal Digest V4 #100 > > optimal Digest Tue, 28 May 2013 Volume: 04 Issue: 100 > > In This Issue: > [optimal] Re: fluorescein reactions? 10% vs 25% > [optimal] Fa suppliers > [optimal] Re: Fa suppliers > [optimal] Re: Fa suppliers > [optimal] Re: Fa suppliers > [optimal] Re: Fa suppliers > > ---------------------------------------------------------------------- > > From: "Tom Steele" <TSteele@xxxxxxxxxxxxxx> > Subject: [optimal] Re: fluorescein reactions? 10% vs 25% > Date: Tue, 28 May 2013 08:53:37 -0400 > > 25% rocks, I’ve had more problems with the bulk of 10% being the cause. Plus > with those very sensitive patients, I can inject .5 ml of 25% and get a great > FA with the HRA. > > > Thank You, > > > > Tom Steele, CRA > > > Midwest Eye Institute > > 200 West 103rd Street > > Indianapolis, Indiana 46290 > > 317.817.1018 > > tsteele@xxxxxxxxxxxxxx > > > > > > CONFIDENTIALITY NOTICE: > > > > This message is intended only for the use of the individual or entity to > which it is addressed and may contain information that is confidential and/or > privileged. If the reader of this message is not the intended recipient, you > are hereby notified that any dissemination, distribution or copying of this > communication is strictly prohibited. If you have received this > communication in error, please notify us immediately by telephone and return > the original message to us at the above email address > > > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On > Behalf Of Breit, Peter > Sent: Tuesday, May 21, 2013 11:47 AM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] fluorescein reactions? 10% vs 25% > > > > I use AKORN 25% and have no problems with nausea unless the room is very warm > and the patient is African-American or Indian. Dark or light FlSd makes no > difference. > > 10% slower injection I use only very occasionally when I have to shoot lots > of peripheral shoots (BDR) on both eyes. > > If you inject 5cc very fast you will get nausea almost every time, just my > opinion after my 45 years of experience with this stuff. > > Time to retire …. > > > > Thank you friends > > Peter > > > > Peter L. Breit, CRA. > > Director Ophthalmic Services > > The Lankenau Hospital & Bryn Mawr Hospital > > 484-476-3338 > > 484-476-8206 fax > > 484-437-3262 mobile > > page 3707 > > > > > > > > > > > > _____ > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On > Behalf Of CPMC Ophthalmic Diagnostic Center > Sent: Friday, May 17, 2013 4:45 PM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Re: fluorescein reactions? > > > > Anecdotally, our incident of reaction is too low to statistically track. We > almost never see nausea either. > > > > Personally, I’m convinced it speaks to volume of solution, and/or good > patient management. > > > > Denice > > > > Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS > > Ophthalmic Diagnostic Center > > CPMC Department of Ophthalmology > > 2100 Webster Street Suite 212 > > San Francisco CA 94115 > > (415) 600-3937 FAX (415) 600-6563 > > > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On > Behalf Of copcphotography@xxxxxxxxxxxxxxxxx > Sent: Friday, May 17, 2013 12:46 PM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] fluorescein reactions? > > > > just an unscientific survey please > > > > which has less reactions? 10% or 25% fluorescein? > > > > I'm guessing that I have about one patient everyother year will have more > than just nausea. And its been about four years since I've called an > ambulance for a reaction. > > > > And only a few per year that will be more than just nauseated, but full out > vomiting. (those aren't fun) > > > > Just curious. > > > > Lori > > > > > > Lori Guerette, CRA COA > > Consulting Ophthalmologists, PC > > 704 Hebron Ave, Ste 200 > > Glastonbury, CT 06030 > > 860-678-0202 > > 860-304-4703 > > copcphotography@xxxxxxxxxxxxxxxxx > > justhitanykey@xxxxxxxxxxx > > > > > > ------------------------------ > > From: "Tom Steele" <TSteele@xxxxxxxxxxxxxx> > Subject: [optimal] Fa suppliers > Date: Tue, 28 May 2013 16:05:46 -0400 > > Content-Type: text/plain; > charset="us-ascii" > Content-Transfer-Encoding: 7bit > > > Everyone, > > > > With the sudden increase in the price of 25% fluorescein, I've got 1 retina > doc wanting a cheap supplier. So besides Justice Ophthalmics, who else are > the suppliers for fluorescein within optimal? > > > > > > Thank You, > > > > Tom Steele, CRA > > > Midwest Eye Institute > > 200 West 103rd Street > > Indianapolis, Indiana 46290 > > 317.817.1018 > > tsteele@xxxxxxxxxxxxxx > > > > > > CONFIDENTIALITY NOTICE: > > > > This message is intended only for the use of the individual or entity to > which it is addressed and may contain information that is confidential > and/or privileged. If the reader of this message is not the intended > recipient, you are hereby notified that any dissemination, distribution or > copying of this communication is strictly prohibited. If you have received > this communication in error, please notify us immediately by telephone and > return the original message to us at the above email address > > > > > > > > ------------------------------ > > From: "Breit, Peter" <BreitP@xxxxxxxx> > Date: Tue, 28 May 2013 16:32:44 -0400 > Subject: [optimal] Re: Fa suppliers > > We switched to AKORN 25% much cheaper �. > > Peter Breit > > Peter L. Breit, CRA. > Director Ophthalmic Services > The Lankenau Hospital & Bryn Mawr Hospital > 484-476-3338 > 484-476-8206 fax > 484-437-3262 mobile > page 3707 > > > > > > ________________________________ > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On > Behalf Of Tom Steele > Sent: Tuesday, May 28, 2013 4:06 PM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Fa suppliers > > Everyone, > > With the sudden increase in the price of 25% fluorescein, I�ve got 1 retina > doc wanting a cheap supplier. So besides Justice Ophthalmics, who else are > the suppliers for fluorescein within optimal? > > > Thank You, > > Tom Steele, CRA > Midwest Eye Institute > 200 West 103rd Street > Indianapolis, Indiana 46290 > 317.817.1018 > tsteele@xxxxxxxxxxxxxx > > > CONFIDENTIALITY NOTICE: > > This message is intended only for the use of the individual or entity to > which it is addressed and may contain information that is confidential and/or > privileged. If the reader of this message is not the intended recipient, you > are hereby notified that any dissemination, distribution or copying of this > communication is strictly prohibited. If you have received this > communication in error, please notify us immediately by telephone and return > the original message to us at the above email address > > > > > ------------------------------ > > Date: Tue, 28 May 2013 14:17:22 -0700 > From: Hugo_Hur@xxxxxxxxx > Subject: [optimal] Re: Fa suppliers > > Akron, Accutome, Dynamic Diagnostics Inc > > Sincerely, > > Hugo Hur > Regional Sales Manager | NIDEK INCORPORATED > 484.318.6891 | hugo_hur@xxxxxxxxx | http://usa.nidek.com > > > > > > On May 28, 2013, at 4:01 PM, "Tom Steele" <TSteele@xxxxxxxxxxxxxx> wrote: > > > <image001.gif> > > Everyone, > > > > > > > > With the sudden increase in the price of 25% fluorescein, I’ve got 1 retina > > doc wanting a cheap supplier. So besides Justice Ophthalmics, who else are > > the suppliers for fluorescein within optimal? > > > > > > > > > > > > Thank You, > > > > > > > > Tom Steele, CRA > > > > > > Midwest Eye Institute > > > > 200 West 103rd Street > > > > Indianapolis, Indiana 46290 > > > > 317.817.1018 > > > > tsteele@xxxxxxxxxxxxxx > > > > > > > > > > > > CONFIDENTIALITY NOTICE: > > > > > > > > This message is intended only for the use of the individual or entity to > > which it is addressed and may contain information that is confidential > > and/or privileged. If the reader of this message is not the intended > > recipient, you are hereby notified that any dissemination, distribution or > > copying of this communication is strictly prohibited. If you have received > > this communication in error, please notify us immediately by telephone and > > return the original message to us at the above email address > > > > > > > ------------------------------ > > From: "Barbara McCalley" <ops@xxxxxxxxxx> > Subject: [optimal] Re: Fa suppliers > Date: Tue, 28 May 2013 16:32:54 -0500 > > You might also try Apollo Ophthalmics – one of the Sustaining members of the > OPS. > > > -- > > Barbara McCalley > > Executive Director > > Ophthalmic Photographers' Society > > 1887 W. Ranch Rd. > > Nixa, MO 65714 > > 1-800-403-1677 or 417-725-0181 > > FAX: 417-724-8450 > > ops@xxxxxxxxxx > > > > > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On > Behalf Of Hugo_Hur@xxxxxxxxx > Sent: Tuesday, May 28, 2013 4:17 PM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Re: Fa suppliers > > > > Akron, Accutome, Dynamic Diagnostics Inc > > > > Sincerely, > > > > Hugo Hur > > Regional Sales Manager | NIDEK INCORPORATED > > 484.318.6891 | hugo_hur@xxxxxxxxx | http://usa.nidek.com > > > > > > > > > > > > > On May 28, 2013, at 4:01 PM, "Tom Steele" <TSteele@xxxxxxxxxxxxxx> wrote: > > <image001.gif> > > Everyone, > > > > With the sudden increase in the price of 25% fluorescein, I’ve got 1 retina > doc wanting a cheap supplier. So besides Justice Ophthalmics, who else are > the suppliers for fluorescein within optimal? > > > > > > Thank You, > > > > Tom Steele, CRA > > > Midwest Eye Institute > > 200 West 103rd Street > > Indianapolis, Indiana 46290 > > 317.817.1018 > > tsteele@xxxxxxxxxxxxxx > > > > > > CONFIDENTIALITY NOTICE: > > > > This message is intended only for the use of the individual or entity to > which it is addressed and may contain information that is confidential and/or > privileged. If the reader of this message is not the intended recipient, you > are hereby notified that any dissemination, distribution or copying of this > communication is strictly prohibited. If you have received this > communication in error, please notify us immediately by telephone and return > the original message to us at the above email address > > > > > > ------------------------------ > > From: "Hoare, Alan (Health)" <Alan.Hoare@xxxxxxxxxxxxxxxx> > Date: Wed, 29 May 2013 10:35:25 +0930 > Subject: [optimal] Re: Fa suppliers > > Good morning all, > > Angela, Anton and I use 'Retinofluor', made in Austarlia by Phebra > www.phebra.com.au/<http://www.phebra.com.au/> > > I don't know the cost of their fluorescein nor if they sell into the USA > > Worth an enquiry? > > Alan Hoare > Adelaide > > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On > Behalf Of Tom Steele > Sent: Wednesday, 29 May 2013 5:36 AM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Fa suppliers > > Everyone, > > With the sudden increase in the price of 25% fluorescein, I've got 1 retina > doc wanting a cheap supplier. So besides Justice Ophthalmics, who else are > the suppliers for fluorescein within optimal? > > > Thank You, > > Tom Steele, CRA > Midwest Eye Institute > 200 West 103rd Street > Indianapolis, Indiana 46290 > 317.817.1018 > tsteele@xxxxxxxxxxxxxx<mailto:tsteele@xxxxxxxxxxxxxx> > > > CONFIDENTIALITY NOTICE: > > This message is intended only for the use of the individual or entity to > which it is addressed and may contain information that is confidential and/or > privileged. If the reader of this message is not the intended recipient, you > are hereby notified that any dissemination, distribution or copying of this > communication is strictly prohibited. If you have received this > communication in error, please notify us immediately by telephone and return > the original message to us at the above email address > > > > > ------------------------------ > > End of optimal Digest V4 #100 > ***************************** >