Denise - you couldn't have said it better. Unfortunately, in this sue-happy society, families don't understand the concept of a 97 year old, 'it has been a good run, but there isn't anything to be gained by extensive testing and aggressive treatment.' Leave well enough along. And Docs don't want to be sued if they didn't do everything to get a letter or two better on the 20/200 va. Lori Lori Guerette, COA Consulting Ophthalmologists, PC Glastonbury, CT 06033 860-304-4703 -----Original Message----- From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of CPMC Ophthalmic Diagnostic Center Sent: Monday, March 26, 2012 5:06 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Workload Demands My chief complaint? The RNFL scan on said 97 year old. At what rate of progression is the thinning supposed to happen. As I always tell my mom. After 80, Whiskey and chocolates every day. Don't let anyone do ANYTHING on you without talking with me irst.... 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 -----Original Message----- From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Anton Drew Sent: Monday, March 26, 2012 2:50 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Workload Demands They get too much for Avastin and Lucentis treatments........ On 27/03/2012, at 12:04 AM, robert santora wrote: > Workload vs reimbursement? seems 97 yo end stage ARMD with CF4' should > be left alone.