The San Diego View

Inside this Issue:

• President’s Message
• Retina Corner
• Eye See
• CE Corner
• Ocular Surface Disease
• Shift Administrative Tasks Into Revenue-Generating Activities
• Glaucoma Treatment Is No Longer Just IOP
• Disability Income Insurance:What Every Professional Needs to Know
• Classifieds
• Volunteer Corner
• SDCOS Announcements

President’s Message November 2019

Robert Grazian, O.D.

For my final President’s message, I’ll take a moment to reflect on the year. I’ve greatly enjoyed being your Society president and I’m pleased and proud of all we’ve accomplished together. We’ve had a truly fun and eventful 2019, with so many continuing education meetings and other Society functions. I feel emotionally indebted to the many individuals who have committed themselves to making SDCOS California’s finest optometry society. We are a team of volunteers who create a better professional life for our members through continuing education, service to our community, and optometric leadership. We’ve made a real difference through our positive accomplishments, from giving eye examinations to our community’s homeless veterans to meeting with lawmakers in Sacramento to hosting nine great CE events in our own city for our own OD’s.

I feel very fortunate to have worked with so many good people this year. Our Board of Directors has volunteered much personal time, energy, enthusiasm, and creative commitment. With them, we’ve continued a treasured optometric Society of immeasurable importance to us. Without them, the job of president would be meaningless and our optometric society would cease to exist. I want to sincerely thank each and every Director and Trustee on the 2019 Board of Directors.  Warm ‘thank you’ to Dr. Michelle Biaggi, Dr. Wendy Gross, Dr. Alexandra Scovill, Dr. Michael Morgan, Dr. Amanda Dexter, Dr. Andrew Fasciani, Dr. Anita Koo, Dr. Byron Newman, Dr. David Ardakani, Dr. David Sherman, Dr. David Wong, Dr. Jennifer Chinn, Dr. John Fitzpatrick, Dr. Kathryn Ordonez, Dr. Lucia Millet, Dr. Marcelline Ciuffreda, Dr. Nickolet Boermans, Dr. Paul Lavin, Dr. Richard Skay, Dr. Robert Meisel, Dr. Simona Grosu, and Dr. Stephanie Le.

Our Administrative Director, Nancy-Jo Sinkiewicz, has been a dream to work with—she truly is the conductor of our SDCOS business orchestra. A big ‘thank you’ to Nancy-Jo for all her dedication and talent that made the year a success for all. Her cheerfulness and helpfulness is invaluable to the Board every day of the year.

Our vendor sponsors allow our society to function on the highest level with their financial support and enthusiasm for assisting our members’ success with their products and services. Thank you to all those companies who recognize optometry’s importance. I strongly encourage our members to support those who choose to support us!

Even though 2019 has two months remaining, it’s time to think about our final SDCOS events before the end of the year ramps up with holidays, vacations, and quality time with friends and family. To end the year in style, what better way to enjoy ourselves than a first-class Annual Holiday Party! The entire SDCOS membership, our dedicated team of Sponsors, and all of our guests are cordially invited to our 2019 Holiday Party to be held at Hilton San Diego Resort and Spa on Saturday, December 7th. It will include a cocktail hour followed by a banquet dinner, photo booth, raffle, music, and dance floor. Tickets are now on sale, and I’m looking forward to your company and enjoying a great dinner with you.

As I pass the microphone to our 2020 President, Dr. Wendy Gross, I’m confident she is an amazing OD who will be a great leader for our Optometric Society. I wish her the very best in her term as SDCOS President. Again, 2019 has been a wonderful year for me, and I thank the membership for giving me the opportunity to serve them.

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Retina Corner Retina Risk App for Diabetic Retinopathy

By Nikolas J.S. London, MD FACSDirector of Clinical Research, Retina Consultants San DiegoChief of Ophthalmology, Scripps Memorial Hospital La Jolla

Hard to believe fall is almost over and the holidays are upon us again. 2019 has been another wonderful year despite what sometimes feels like an endless cycle of political turmoil. I continue to be extremely impressed with all of my colleagues, and as Thanksgiving is approaching I wanted to thank all of you for your excellent care for our patients and for trusting us to care for yours. We have a wonderful eye community in San Diego.

Perhaps fitting for the season of overeating, this month I wanted to focus on diabetic retinopathy (DR), and in particular, an interesting new phone app that might help to empower our patients to understand more about the effect of diabetes on the eyes as well as how several modifiable risk factors perpetuate diabetic retinopathy.

As we know, DR is the leading cause of blindness in working-aged adults, with diabetic macular edema the leading cause of vision loss in patients with DR. This problem is endemic in some parts of the country and looks to only get worse. By 2030 many states will see 20% of their population diagnosed with diabetes, with nearly 30% of these patients affected by DR. Fortunately we have something to offer patients as antiVEGF injections can have a profound effect on slowing and even reversing DR. Overall, 40% of patients will have a significant regression in DR with antiVEGF treatment, and up to 80% of patients with severe non-proliferative DR will have a significant regression. This is wonderful, but even better would be empowering our patients to not have significant DR in the first place! The risk factors for DR are relatively simple, and include uncontrolled hypertension, duration of diabetes, and poor glycemic control. While patients can do nothing about the duration of their disease, they can about the other two, and a free new tool called Retina Risk App from Risk Medical Solutions may help. The app allows users to input their data to get an evidence-based calculation of their risk of developing sight-threatening retinopathy over the subsequent 5 years. Users can then modify those risk factors to see the effect on their calculations – bump the A1c from 6.0 to 13.0, and the risk will skyrocket. The app is very easy to use and the results are impactful.

The app was developed through a collaboration of ophthalmologists and endocrinologists out of Reykjavic, Iceland. It uses a proprietary algorithm that was clinically validated in a Northern European cohort of patients with diabetes – nearly 20,000 patients of different races and ethnicities – and published in peer-reviewed journals. The developers plan to validate in more populations as well incorporate other potential risk factors such as obesity, obstructive sleep apnea, smoking, and a history of other diabetes complications. In addition to calculating the risk of developing sight-threatening retinopathy, the app includes pages of educational information for patients to understand the pathophysiology of the disease.

We all see patients with diabetes, and I would encourage you all to download and check out this app for yourselves. Consider showing it to your patients, or using it as a springboard for discussing their risk of developing retinopathy. Information about the app can be found at www.retinarisk.com.

Thanks again for reading. Please don’t ever hesitate to contact me.

Best wishes, and until next time,
Nik

Nikolas London, MD
Retina Consultants San Diego, Poway, La Jolla, and Coronado
www.retinaconsultantssd.com
858-451-1911 (office)
415-341-5456 (cell)
nik.london@gmail.com (personal email)
retinaconsultantssd@gmail.com (RCSD email)

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By: Angela Nahl, MD Ocular Surface Disease

Ocular Surface Disease (OSD) can be a challenge and frustration for optometrists and ophthalmologists alike. With over twenty percent of the U.S. population diagnosed with dry eyes, the difficulty in the treatment is that every patient is different with varying symptoms and causes. There is no magical algorithm for the treatment of the condition so a multi-pronged approach is often necessary. With our recent 7% humidity in San Diego, hydrating patients’ eyes prior to refractive surgery becomes even more important.

The main causes of dry eye diseases are aqueous tear deficiency, evaporative eye disease (dry air, wind), mucin deficiency, tear drainage issues, and mixed disease. OSD involves increase
osmolarity of the tear film, inflammation in the ocular surface and dysfunction of one or more tear film components. The condition results in tear film instability, damage to the ocular surface, discomfort and pain, and visual disturbance. The conditions are real and can become debilitating for the patient.

A healthy ocular surface is a key component for surgical success. An unhealthy ocular surface can reduce the accuracy of pre-operative measurements and can reduce visual quality and quantity pre- and post-operatively. The challenges in dry eyes are that patients often present with conflicting signs and symptoms alone may not be diagnosed and are insufficient to determine severity.

Each patient considering refractive surgery should be evaluated for ocular surface disease by slit lamp evaluation, tear production and volume testing, ocular surface stains, and tear break-up time. The patient’s medical and ocular history should also be considered. Patients should be educated on OSD and treated pre-operatively as well as post-operatively. It is also important that patients who have no signs of OSD are also educated on dry eyes and post-operative therapy to reduce dry eye symptoms post-operatively. Treatments will vary based on consideration of all aspects of the patients evaluation and findings.

The algorithm below is a guide for assessing patients for dry eyes and the course of action that should be followed.

As mentioned treatments will vary based on symptoms. Many patients respond well with palliative therapy such as artificial tears, gels/ointments and lid scrubs and making simple environmental changes such as turning off fans, increasing humidity and making dietary changes or adding omega-3FA supplementation. Other patients may need a treatment of corticosteroids. The more recent drops, Restasis and Xiidra have shown great results but are not always covered by insurance and are very expensive for the patient. Other therapies that are used are topical and oral antibiotics such as Azithromycin and Doxycycline. Autologous Serum has been very effective but requires a collaboration with a phlebotomy lab and compounding pharmacy to produce a consistent, sterile autologous serum product.

One of the oldest device based therapies and many times the first line of treatment are punctal plugs. There are also a number of newer treatment devices such as the microblepharon exfoliation, thermal pulsation therapy, intense pulsed light (IPL), nasal neurostimulation to name a few. The bottom line is that OSD is multifactorial and practitioners need more than one treatment option. Develop your personal algorithm for testing and treatment. The results are better outcomes and happier patients.

Angela Nahl, MD specializes in refractive surgery and ocular surface disease. For more information, contact Dr. Nahl, ​drnahl@lajollalasik.com​.

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By: ABB Optical Group Shift Administrative Tasks Into Revenue-Generating Activities

Consolidation can be a bit of a scary word in health care today. It often implies large companies getting larger, potentially losing some of the focus on individual practitioners and maybe even on the patients themselves. But ABB Optical Group looks at consolidation in a practical and completely unintimidating way; a way that can help your eye care business grow. That’s in the area of consolidating your purchasing and services with ABB Optical Group.

Annual contact lens administration costs can add up to thousands of dollars for an average practice. But by consolidating purchases, ABB Optical can help reduce a practice owner’s administrative time by taking on tasks and services so that the doctors and staff can focus on delivering a greater level of care to their patients.

Four Benefits, One Source – The Value of Distribution

ABB Optical Group provides eye care practitioners with these four benefits, each of which enhances some aspect of the eye care professional’s product offerings or administrative efficiency.

Single-Source Convenience:  This benefit falls squarely in the greater efficiency category. With one call, one order and one bill, this single-source convenience offers easy online ordering, available 24/7, with live customer service and consultant chat features. This benefit also simplifies trial management

Access and Choice:  ABB Optical Group offers the widest portfolio of optical products and works with its accounts to tailor solutions for that practice’s specific needs. We offer more than 135,000 SKUs stocked, with access to more than 700,000 SKUs. The extensive soft lens, specialty contact lens and ophthalmic lens portfolios gives practitioners the power of choice.

Data and Business Insights:  Eye care professionals can make well-informed business decisions with ABB Optical Group’s impartial and comprehensive practice analytics. It’s not just about saving money but it’s important to maximize the money you do have by making smart decisions. ABB Optical can help with our wealth of statistics and guidance in interpreting those numbers through a Business Review, industry benchmarking data analysis, the ABB Analyze, powered by Glimpse, performance dashboard and a new digital Retail Price Monitor.

Enhanced Services:  Through fast delivery, practices can enhance patient satisfaction by delivering products where and when patients want them. In fact, 40 percent of ABB Optical Group’s transactions are shipped directly to patients’ homes on behalf of the eye care provider. With industry-leading inventory levels and fill rates, we help strengthen our customers’ competitive edge and maximize their patient retention. Our account managers can also help provide your staff with training on how to sell daily disposable contact lenses and annual supplies of contact lenses easily.

The average practice today spends about $12,000 on contact lens administration costs per year. But by consolidating ordering and gaining the professional consultative assistance from ABB Optical Group account, a practice can turn money-burning administrative tasks into time that staff members can spend with patients, providing quality care, making connections, recommending products and increasing revenue.

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Glaucoma Treatment Is No Longer Just IOP Reversing Mitochondrial Dysfunction With Glaucocetin

Is Glaucoma a Disease of High IOP?

Elevated intraocular pressure (IOP) is the most common known risk factor for glaucoma. Standard treatments are directed at lowering IOP. Until now, IOP reduction has been thought to be the only proven modifiable risk factor for reducing progression of the disease.

This concept, however, is finally beginning to change. Current studies suggest that Glaucoma is not one disease, but the final common pathway of many different disorders originating at the genetic, mechanistic, and pathophysiologic levels. IOP may not only be a cause of damage, but also a symptom of mitochondrial dysfunction in ocular tissues.

This article describes mitochondrial dysfunction and how it is related to the progression of glaucoma and other neurodegenerative disorders. And, the article outlines new targeted approaches to stave off and reverse mitochondrial dysfunction – which ultimately can slow down the onset of glaucoma and glaucomatous progression.

What is Mitochondrial Dysfunction?

Mitochondria form the energy-producing “batteries” of cells, including neurons, which have high energy requirements and are packed with mitochondria. Mitochondria die before the nerve cells die in glaucoma. If the mitochondria can be protected, then the nerve cells will maintain their function for a longer period and the disease’s onset, progression and vision loss will slow. Treatment with natural compounds, that offset the mitochondrial dysfunction, and the associated oxidative damage and inflammation, can reverse the course of the underlying disease.

Glaucoma is a Neurodegenerative Disease

At the cellular level, neurodegenerative diseases, including not only glaucoma but Alzheimer’s, Parkinson’s, and ALS, have many features in common. These include low-grade inflammation, oxidative damage, mitochondrial dysfunction and death. . It is these characteristic components of neural degeneration that must be addressed with new treatment modalities.

Mitochondria is Present Throughout the Nerve Cells Due to the High Energy Needs

Nutritional Neuroprotection with GlaucoCetin

GlaucoCetin is the first regulated vision-specific Medical Food designed to support and protect the mitochondrial function of optic nerve cells in patients with glaucoma. GlaucoCetin combines a unique set of ingredients, specifically designed to stop or reverse the underlying cause of optic nerve loss, and ultimately vision loss, in glaucoma.

The GlaucoCetin formula has been under development for a decade and is based on years of research showing the importance of natural ingredients for protecting nerve cells. The precursor compound of GlaucoCetin (Glaucohealth™)* has been used for many years with glaucoma patients and has now been proven in clinical studies to reverse mitochondrial damage in glaucoma patients. In an IRB-approved study conducted at the New York Eye and Ear Infirmary, GlaucoHealth™* which was designed, tested and developed by Dr Robert Ritch, reversed mitochondrial metabolic dysfunction as determined by the retinal metabolic analyzer, which measures retinal flavoprotein activity, a direct measure of mitochondrial activity. Results of this study were presented at the annual 2018 meeting of the American Glaucoma Society.

Contact Guardion Health Sciences to Learn More About Glaucocetin and this break-through therapy.

www.guardionhealth.com
800 – 873 – 5141

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By James Rossi Disability Income Insurance:What Every Professional Needs to Know

Most people know they need to insure their life, their car, and their home but they often overlook insuring their most important asset – their ability to earn income.  Your income is the primary source of funding for a lifetime of things, from basic necessities to the hopes and dreams you have for yourself and those you love.  The $3-9 million or more you’ll likely earn over the course of your career is surely an asset worth insuring.

What would happen if your income stopped because you were too sick or injured to work? Without a paycheck, how long could you pay your rent, buy groceries, make student loan payments, etc.?  In all likelihood, your life would be thrown significantly off course.

Before you say this could never happen to you, consider the fact that 1 in 4 of today’s 20-year-olds will become disabled before they retire.1 If you’re thinking that most disabilities are the result of freak accidents, you’re in for a surprise. The vast majority of disabilities, about 90%, are caused by various forms of illness including cancer, mental disorders such as anxiety and depression, muscle and back problems, and heart disease.2

What to Look for in a Disability Income Policy

Disability income insurance (DI) can help replace your income if you become too sick or hurt to work. It provides a buffer against the unexpected.  Should disability strike, DI provides income that can be used to keep your household running as well as to help you adjust to your changed circumstances.

But before you go shopping for a DI policy, you need to know what features to look for to get income protection you can count on:

How Disability is Defined

The definition of Total Disability outlines what constitutes being totally disabled.

• If a policy defines Total Disability as inability to return to work in any occupation, then it would typically pay benefits only if you were unable to perform any job, either your own or a job in a new field or occupation.
• If the policy defines Total Disability as an inability to work in your own occupation, it typically pays benefits if you cannot perform the duties of the occupation you were engaged in prior to becoming ill or injured.

Coverage for a Partial Disability and/or Recovery

Not all disabilities will result in a total disability. Sometimes an injury or sickness will result in a partial disability.

• Partial benefits are typically paid in an amount that is proportionate to the loss of income you suffer due to partial disability
• Recovery benefits support your financial recovery even after you have physically recovered
• These benefits are not available with most group plans.

Flexibility to Tailor Coverage to Your Specific Needs3

Optional features (also called “riders”) can offer you additional coverage base on your specific needs. Riders can let you:

• Increase coverage as your income grows with no medical insurability requirement.4
• Adjust benefits to help keep pace with the cost of living.
• Safeguard retirement contributions.
• Protect student loan payments.

Portability

Most professionals expect to employers multiple times during their career.

• You can take individual DI coverage with you when you change jobs.
• Group Long-Term Disability (Group LTD) plans typically are not portable.

Cancellability

To avoid the possibility of losing your coverage just when you need it most, choose a policy that’s both non-cancellable and guaranteed renewable to age 65— your policy cannot be cancelled by the insurance company and premium cannot be increased.

• With group or association group coverage, you run the risk of being dropped and left unprotected at a time in your life when, due to your age or to a change in your health, it would be very difficult to qualify for coverage from another provider.

Timing

It’s important to note that the cost of individual disability income protection is age-based, so you can lock in a lower rate by buying now while you’re young and healthy.

You’ve made a significant investment of time and money to build your career with the promise of financial security and the other rewards your profession provides. But should you become too ill or injured to work, that promise evaporates. Contact a reputable DI insurance agent to ensure you have adequate protection for your greatest asset.

Registered Representative and Financial Advisor of Park Avenue Securities LLC (PAS). OSJ: 4275 Executive Square #800 La Jolla, CA 92037 619.684.6400. Securities products and advisory services offered through PAS, member FINRA, SIPC. Financial Representative of The Guardian Life Insurance Company of America® (Guardian), New York, NY. PAS is an indirect, wholly-owned subsidiary of Guardian. WestPac Wealth Partners, LLC is not an affiliate or subsidiary of PAS or Guardian. Insurance products offered through WestPac Wealth Partners and Insurance Services, Inc., a DBA of WestPac Wealth Partners, LLC. | CA Insurance License #0L92136

1 U.S. Social Security Administration Fact Sheet, June 2017.

2 Council for Disability Awareness 2014 Long-Term Disability Claims Review.

3Product provisions and availability may vary by state. Optional riders are available for an additional premium.

4Restrictions and limitations apply. The amount of additional coverage available will be financially underwritten based on the amount of disability insurance you have or are eligible to receive, as well as your income at the time you apply.

Prepared by Berkshire Life Insurance Company of America, Pittsfield, MA, a wholly owned stock subsidiary of The Guardian Life Insurance Company of America, New York, NY.

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Eye See written by Dr. Byron Y. Newman WATER, WATER, ALL AROUND

Although we’ve all been told that the U.S. has the safest water supply of anywhere in the world, except in some parts of Michigan, and that the earth is over 70% water, there is still a shortage of palatable water. Even though we are lucky here in San Diego County for good water, and plenty of places you can buy bottled water, there’s also a shortage here, requiring the admonition to conserve water.

We have plenty of good water to drink, fortunately, and its value to good health could fill volumes. Water makes up more than two-thirds of the weight of the human body, and without it humans would die in a few days. In addition to the daily maintenance of our bodies, water plays an important role in the prevention of disease.

Most professionals suggest that 8 glasses of water a day is optimal. Some say yes, and more, to that while others say less. In any event, those 8 glasses should be enough to decrease the risk of colon cancer by 45%, bladder cancer by 50%, and potentially even reduce the risk of breast cancer.

Asking about water consumption among dry eye patients always brings a few answers like “not much.” But, it should be pointed out to those patients that the lacrimal system cannot work without water. In fact, all the cells and organ functions depend on water for their functioning.

The human brain is 95% water; blood is 82% water, and lungs 90%. In fact, says the reliable report I found on the internet, a mere 2% drop in our body’s water supply can trigger signs of dehydration: fuzzy short term memory, trouble with basic math and difficulty focusing. It is also the cause of daytime fatigue and it is estimated that 75% of Americans have chronic dehydration. Discussions may apply here

Pointing out that water is the #2 nutritional requirement it is important for the following:

1.  Water serves as a lubricant
2. Water forms the base for saliva.
3. Water forms the fluids that surround the joints.
4. Water regulates the body temperature.
5. Water helps to alleviate constipation
6. Water regulates metabolism
7. It also improves breath.

So, obviously water is important for more than just keeping the eyes moist.

Check out Dr. Newman’s website, www.thehumorfactory.com!!!

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CE Corner We are committed to helping you fulfill your CE requirements through our local meeting with the support of our sponsors!

Featured Annual Sponsors

November 14, 2019, 2-HOUR CE – MGD, Demodex, and Dry Eye Technology

Speaker: Dr. Justin Kwan

Topic: MGD, Demodex, and Dry Eye Technology

See 2020 CE schedule

All 2020 CE meetings are located at the Handlery Hotel, 950 Hotel Circle North, San Diego, 92108.

2 Hour CE

• SDCOS Members: Free if reserved 4 days in advance*
• COA/AOA Members: $35
• Non-members: $130
• Registration 6:00 pm, lecture at 7 pm. Dinner included.

5 Hour CE

• SDCOS Members: $90 if reserved 4 days in advance*
• COA/AOA Members: $90*
• Non-members: $325
• Registration 7:00 am, lecture at 8 am. Breakfast included.

*Late registration and no-shows will result in an additional fee of $35 to cover the cost of food.*

Members need to make sure they sign out at the end of all CE meetings. Even though they receive a letter of Validation and COA is notified, if audited, the sign in and out sheet is the document that will be considered.

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Classifieds

CLASSIFIED ADVERTISEMENT

Practice for sale: North County Carlsbad “Upscale” Practice established in 1982. Great opportunity to buy a practice in a well-desired location with great visibility and walk-in traffic. Only two miles to the ocean! The owner is interested in an immediate sale or will consider a buy-in or possibly merge with another practice. I am looking to retire but will consider a part-time position to make the transition easier. The center is well-established with Vons market and Movie theatres as anchors. Don’t miss this opportunity to own your dream practice! Email: Scott@practiceconcepts.com or call 877-778-2020 or cell 949-887-9602 (12/19)

Seeking Associate Optometrist for our private practices in San Diego.  Enjoy a comfortable pace with our all-digital equipment.  The staff performs full workup and all billing.  Saturdays required.  Please email resumes/questions to  MichelleKingOD@gmail.com (12/19)

A part-time position is available for an associate optometrist. The practice is in the San Diego/La Mesa area. Two to three days per week. No weekends in the foreseeable future. I am looking for someone reliable, with the ability to communicate and provide excellent patient care. If interested please send your CV to Dr. Robert Gonzalez at drg@visionsource-drg.com (12/19)

A full-time position is available for an Associate Optometrist with a strong medical background. Large group practice includes 3 Optometrists, 3 Ophthalmologists, full-sized optical, and state-of-the-art equipment in a brand new clinic in Downtown  Chula  Vista. Job duties include medical co-management of ocular pathology patients along with routine eye care. Requirements include prior residency or minimum 1-year experience in a medical eye care setting, current CA Licensure, and Professional Liability Insurance. Basic Spanish language skills preferred. Competitive Salary. If interested please email a cover letter and CV to Olga Ramirez at  castillejoseyeinstitute@hotmail.com  (12/19)

Full-Time Optometrist – East County La Mesa Full-time position to start immediately, Some Saturday mornings and early evenings. A competitive salary, commensurate with experience with a full benefits package and potential productivity bonuses. This position requires the ability to perform routine eye exams, implement new technology- medical software, complete contact lens, and specialty lens exams and frame fitting.  Please send CV to drvidal@2020lamesa.com (12/19)

Optometric Practice for Sale East County in the city of El Cajon 40+ years Optometry Practice for sale By Dr. Robert L. Evans and Dr. Marilyn A. Carter. Many long-time, loyal patients and excellent staff. Please call Dr. Evans at 619-444-9012 (El Cajon) Or 619-422-5361 (Chula Vista) Or 619-479-5070 (Home) (12/19)

 

Dr. John Fitzpatrick, the Society Optometrist Relations Liaison, offers a unique service to the San Diego Optometric community. Several lists are kept on file for doctors seeking the following, or any combination: • full-time work • part-time work • fill-in work • purchase a practice • sell a practice • partner in a practice. There is no charge for this service. To put your name on the list, please contact Dr. John Fitzpatrick at jpfod@aol.com

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Volunteer Corner

Monarch School Screening

• Details coming soon for Spring 2020 Screenings and Exams

Contact Dr. Bob Meisel for more information at rmeisel@netscape.net ; www.monarchschools.org

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Lion’s Optometric Vision Clinic

ALL DOCTORS WILL RECEIVE A FREE 5 HOUR CE FOR EVERY SHIFT FOR WHICH THEY VOLUNTEER

VOLUNTEER DOCTORS needed for flexible shifts throughout the year. 9-1:00 pm. Monday -Friday 1805 Upas St San Diego, CA 92103.  Can’t volunteer at the clinic? See patients in your office. Call 619-298-5273.

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DONATE GLASSES
Please bring to a CE meeting or contact the society office at 619-663-8439 for arrangements to pick up.

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SDCOS keeps a list of all doctors willing to speak in front of groups about various topics, do home visits for patients, and assist in student mentoring. ODs interested in the Speakers Bureau, Home Visits, Student mentoring, and Low Vision OD’s, please contact the society office at 619-663-8439 or email sdcos@sdcos.org

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Spring 2020 school screening to be determined

SDCOS Announcements

• Click here for most recent SDCOS Board Meeting Minutes
• Click here for the 2020 CE schedule!
• Click here for COA membership benefits!

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Welcome, new members!!

• Tatyana Budarina
• Movelea Makor
• Ilya Volk

Please update your information on www.eyehelp.org