Treating Cataracts with Jessica Boeckmann, MD of Orange County’s Acuity Eye Group

Treating Cataracts with Jessica Boeckmann, MD of Orange County’s Acuity Eye Group


– [Randy] You’re watching The Wellness
Hour, news that makes you healthier. I’m Randy Alvarez. Today’s topic, what you need to know if
you’re considering cataract surgery. We’re talking about the
latest advancements. Today in studio, we have an expert
on this topic, Dr. Jessica Boeckmann. Dr. Boeckmann, welcome to the program. – [Dr. Boeckmann] Thanks, Randy. – Now, before we get into today’s topic,
for people that don’t know Acuity Eye Group, I guess you’re the third
largest ophthalmology group in the U.S., so what’s your role there and
tell us a little bit about who the typical patient is? – Okay, well, great. Acuity Eye Group, like you said,
is the third largest eye group in the country. We’re a multi-specialty eye group,
which means we have retina specialist, glaucoma specialist, cataract surgeons,
optometrists all rolled into one package so we can give you the
best eye care available. – So, what is your role specifically? I mean, all you do is cataracts? – No. I do a lot of different things. I treat dry eyes, I treat glaucoma,
I monitor patients for diabetic retinopathy,
I take care of dry macular degeneration, but my specialty is cataract surgery.
– Okay, you’re one of the busiest surgeons in Orange County, if not the busiest.
– I am. I am. I’m not the busiest, but I’m in the top. I am one of the busiest. – But you do about 600
plus of these a year, cataract surgeries?
– Yes, I do. I do about 600 a year, very busy
practice, very rewarding surgery. And I’m glad I get to offer
help to these patients. – Okay, good. What’s new? Has a lot changed? – Oh, yeah. A lot has changed. I have a lot of patients who’ve come in
to me and their father had cataract surgery years and years ago and they’re
like, “He had to stay at hospital for a week,” and I tell them,
“Cataract surgery today is nothing like your dad had before.” It’s straightforward. You get to go home that same day. The surgery itself only takes
15 minutes, recovery is pretty easy and straightforward,
and a lot of patients will see better the next day. – So, let’s start from the very beginning. What is a cataract? If you live long enough,
does everybody get them? – Yes, everyone will get one cataract
in each eye if they live long enough, and some people find this very scary, but
the good news is that cataract is such a treatable disease that if you’ve lived
long enough to get cataract surgery, your vision is actually going
to be better after you have it. So, it’s so rewarding that you have a
patient who doesn’t see very well and then they leave your office with better vision
than when they…or they leave the surgery with better vision than
what they came in with. – So, your eye, the lens…
– Yes, so, the lens… – …so as you get older, what, it develops wrinkles
or what’s going on? – No, so the lens is nice and small when
you’re born, it’s about a millimeter. And that lens continues to change shape
and change color as you get older. So, the average age of cataract
surgery in United States is 65…or 69, and at that time, instead of
being a millimeter in thickness, the lens is about 4 to 5
millimeters in thickness. So, because it’s thicker and yellow
in color, it actually blocks light from passing to the back of the eye. So in some cases, you can think of
it as looking out of a dirty window. Like, everything on the outside is very
dim and cloudy and you can’t see until you either replace that window,
which is the case in cataract surgery. – So, these people don’t even
know what’s really going on, right, because it’s so slow. – Very, very slow.
– Is that right? And most people who have cataracts,
they don’t even realize how… They know that their vision’s worse but it
happens so gradually that some people don’t even really realize it. – And insurance covers it, right? – It does. It covers it. – So, if you’re over the age of 70,
is it fair to say, “You have a little bit of cataract,” or, “you have some cataracts going?”
– You do. I would say yes, 100% of people over
70 have a cataract, if they haven’t had cataract surgery. But insurance determines cataract surgery
medically necessary when your vision can no longer be corrected to 20/40 or
better. So, most patients at age 69 will need cataract surgery…
– Is your challenge, I guess as a group or as a individual physician,
to getting people to get checked out early? Is that the problem? – I think that that is a fair statement
because whenever you’re older, cataract surgery is technically more
difficult because the lens is thicker. And then, obviously, the older you are,
in most cases, it takes you longer to heal so I prefer to do cataract surgery
right when they’re ready. I don’t like people to wait too long
because their outcomes may not be as good. That being said, they’ll
still heal, just slower. – Now, you say, for many
people, it is life-changing. – It is. Cataract surgery is truly
life-changing for many reasons. Oftentime, people don’t realize how much
vision they don’t have until after I do the cataract surgery. So, I have several patients who are
golfers, who love to golf every day but for some reason, after they tee off,
they can’t see the ball when it’s far away. And I’ll do cataract surgery and they’re
like, “Doctor, I can see when the ball gets on the green,” and it’s wonderful for
them because they’re able to participate more fully in their passions. And other people don’t notice… It’s the funniest thing. Women always tell me after cataract
surgery, “I didn’t realize how dusty my house was,” and then the men always tell
me how well they can see the score on the TV, on the football game.
– Is that right? – Yeah. – Everything’s clear?
– It’s so funny because women always are like,
“I can’t believe how dusty my house was,” or things like that, and then,
the men, it’s always about sports. I had this one patient, for example,
who came into my office, I did both cataracts on both her eyes,
and she told me that before she had the cataract surgery done, that she
always thought she had painted her ceiling a shade of yellow and she
thought in her head why she would, why anyone would
paint their ceiling yellow. But then, after she removed the cataracts,
she realized her ceiling wasn’t yellow, it was just because everything
looked yellow with her cataracts. Same thing with another patient I had. She made her husband change all the lights
in her bathroom because she thought all the lights were too yellow and too dim,
and her husband kept telling her, “No, the lights aren’t yellow. The lights aren’t yellow,” and
she kept insisting they were. And then, she had her cataracts out and
she realized her husband was right and she was wrong. And I have other patients who say,
“I didn’t realize how many wrinkles I had on my face.” – Well, you know, I think…
– So, all sorts of things. – …we were talking on the phone,
like a woman in her 70s putting on makeup. – Exactly.
– Now, she could see and before, she couldn’t. Yeah. So, it’s so nice… Well, with women seeing in the
mirror with makeup, that’s, you know, a lot of women wear makeup and you have
to have very fine vision to be able to put on your makeup. And a lot of people have trouble putting
on makeup, or threading needles, things that require a lot of fine vision,
and once you take out the cataract, you’re able to do those things easier. – We’ve been doing the program here for
the last 20 years on television and I try not to endorse any of the doctors that
come on the show but I have to endorse you because you took care of my father. – I did. – I have an 82-year-old father who had all
of these, like, limiting beliefs, “Well, Randy, my cataract, I was told by the VA,
it’s not like mature enough or it’s not ready to do anything,” but he’s like
stumbling around, can’t see when he drives, can’t read at all,
and literally, after the surgery, he’s seeing the next day. – Yes, yes. – And now, I think it’s been,
you know, about a month out. He says he could drive. He said it’s like the
lights had been turned on. Okay, let’s talk about
these premium lenses. – Okay. – Okay. And we’ve had a discussion about this. My father, all of his friends, he says… You know, he’s a social guy. He’s 82, he plays tennis and gives trumpet
lessons, but he was saying that all of his friends, none of
them could see up close. They all have reading glasses. Now, and I asked you a little bit about it
in the green room but because of the premium lens, that’s why he doesn’t need readers.
– Reading glasses, yes. So, basically, when it comes to picking
a lens and they’re either…there are many different choices. For simplicity, there’s a choice
that is covered by insurance. In some patients, that’s a very good
choice especially if you have any other diseases in the back of the eye like
macular degeneration, glaucoma, diabetic retinopathy,
that lens is a great choice. But for people with really healthy
eyes, there are more options. And then, there’s some options which,
they’re called premium lenses, extended depth of focus lenses,
or multifocal lenses is commonly known to the public, and these lenses give
you a little bit more range of vision. So, not only do they give you distance
vision, but they give you some computer vision, and also in some cases,
you can see really well without glasses to read up close. – Now, my father says it’s like HD. He’s telling me, he goes,
“You know what HD television is?” I go, “Yeah, I think I do,” he goes,
“Well, that’s the way it is now.” – It is. – He goes, “And they
didn’t even tell me this.” You probably told him
but he didn’t hear it. But I guess it takes a lot
of them by surprise. So, a premium lens, so if he didn’t get a
premium lens, he’d be like everybody else wearing glass, right? – Because your father had
astigmatism too, which means his eye, instead of being perfectly round,
is shaped more like an oval instead of a nice ball, he would have had to have
progressive lenses if he chose the standard lens because he would have to see
lenses…he would have to have glasses to see far away, he’d have to
have glasses to see the computer, and then he’d have to have
a pair of glasses to read. So, he would be pretty much dependent
on trifocal lenses for most every activity to have the crispest, clearest vision. But what we did with him, is we combined a
laser-assisted cataract surgery with one of the newer premium lenses to give him
more of that natural range of vision that only young people have. – Okay, good. Now, so, insurance covers… So, if somebody has cataracts,
pretty much all insurance covers… – Yes, yes.
– …that? Okay. They do. They do. – And if they spend a little bit more,
I mean, just literally a little bit more cash out of pocket, now they can
get a lens that has like a bifocal? Am I saying the wrong thing? – It’s like a bifocal. It’s not exactly, in optical terms,
it’s not called a bifocal but for… – Reading? – Reading, it, kind of, is correlatable with that.
– Because he can completely see now. He couldn’t read a book
before, now he can. – Yes, exactly.
– Yeah. He couldn’t read music
before but now, he can. We talked and most patients will
come in and, correct me if I’m wrong, and they just want the type of cataract
surgery that is covered by insurance. They don’t want any out-of-pocket. Okay, but let’s talk about the options and
why the patients should probably take a closer look at these premium lenses, how much better they are. Let’s talk about that. – Premium lenses have come so far in
recent years and we’re lucky that we have this technology to give to our patients. And a lot of patients will say,
“I don’t mind wearing glasses,” but if you throw in the converse and say, “Well,
wouldn’t you be happier if you didn’t have to be as reliant on glasses?”
that may improve their life even more, and especially, nowadays, where
most people are on their cell phones all the time. My parents are in their 60s,
they’ll need cataract surgery soon. Right now, my mom has to put on reading
glasses to see her cell phone, but these lenses now can get you out of glasses
where you don’t have to put something on and off your head all the time or keep
reading glasses around your house, in your pocket,
in your car, in your purse. And so, the newer technology that we have
today really does just give you that extra advantage in the vision department
that if something happened, you didn’t need your glasses. – So, for a very little amount out of
your pocket, you can lose your glasses. I guess if you’re over
50, I guess 45 plus, you start wearing readers. – Exactly. – You’re at the restaurant,
you have to do a flashlight to see the menu.
– Menu. My father recently went out,
and if you’re just tuning in now, my father just had this procedure on both
of his eyes, he’s 82, but he says, “I don’t even have to use a light.” For him now, it’s a big deal.
– No, he doesn’t. – You don’t need a light to look at the…
– It’s a big deal. – …menu. And he’s saying, “Geez. I wish I would have
done this at about 72.” He feels like he lost 10 good years. – Well, luckily, he waited till the
technology is as good as it is now. It wasn’t as good 10 years ago, so we were
able to really get your father a really good vision with these premium lenses. – Now, many people that weren’t even
really wearing glasses before they’re 69 years old. You said that’s the average. They get what’s covered by
insurance and then they regret it. What do you mean by that? – They regret it because everyone’s lens
has a natural range of focusing power and over time, around 45,
you start to lose your near vision. About 55, you start to lose your computer
vision, and 65 to 69, you lose all range of vision. So, you’re pretty much
dependent on trifocals. What happens in some of my
younger patients who get cataract surgery…
– Younger meaning 69? – Probably more around 60 to 65. – Okay, okay. – Their lens still have some accommodative
power which means they can still, they don’t need glasses
for quite everything. But when we do cataract surgery,
we put in a lens that doesn’t have any accommodation. And so, they lose their intermediate
range of vision, and intermediate range of vision is very important because
that’s your dashboard, that’s your computer screen, that’s your cell phone,
when you’re having a conversation with someone, that’s their face. And so, when you abruptly lose
that intermediate range of vision, you’re very unhappy and it makes you
very frustrated that you’re so dependent on glasses to see so clearly. So, especially in the younger patients,
they really do benefit from these upgraded lenses because it’s a quality of
life issue, and their quality of life is just better. – So, for people 65 plus,
they get what’s covered by insurance, the standard cataract surgery like
a new lens, right, standard lens. They’re now, for sure,
going to be dependent on glasses for up close vision? – Well, it depends. You can either put the standard lens in
for up close, but then you’d be dependent on glasses for distance or… – So you’ll get one or the other? – You get one or the other. And some people do well with what’s called
a monovision, but monovision means one eye is for close and one eye is for far,
and I never recommend that in people who haven’t had monovision before. – But certain people’s lifestyles
jump out at you like, “Oh boy, they would be an ideal candidate for a
premium lens,” people that play golf, people that play tennis people,
people that are bowling, people that are playing cards and
they have to hold and look…you know. – And you’d be surprised, 60 now is not
what 60 used to be, or 70 now isn’t what… – It’s young.
– …70 used to be. It’s young. And the baby boomers who are retiring
now, they’re going out traveling across the world, playing golf,
have, you know, RVs they travel around the country in, go to
baseball games, go to their grandkid’s sporting events, they
just have a lot of fun. And so, the premium lenses, I like to say,
are more of a lifestyle-type lens, like they just help you
enjoy these activities more. – You think if they knew how good
it could be, that they would all do it, they would all opt for taking a little bit
of cash out of their pocket and getting the premium lens? – I think so. I think the majority of people would
rather have a premium lens than the lens that’s covered by insurance. That being said, there are some people
who aren’t candidates for premium lenses. – Now, let’s talk about downtime
for a moment because… So my father goes in, he gets it done,
he walks out, I guess he’s just wearing some glasses, one eye is covered…
– There’s a patch. – Just one eye patch, but the next day,
he’s able to take off the patch and go about his business, and then I think like
about a month later or maybe even less than a month, he goes in,
gets the other eye done. – He went, I think his eyes
were two weeks apart. – He had two weeks? – Two weeks. – And it’s done. – It’s done. – And he says he’s been a little obnoxious
to all of his friends because they are the ones that have the non-premium lenses. – And he just picks up the
newspaper and can read it. – Yeah, he said they
didn’t even believe it. They were saying, “Let me see.” He was reading in front of them and
they go, “Come on,” and they had to check to see. – They had to put their
glasses on to check. – They had to put their
glasses on to check. We’re going to take a quick break. When we come back, more about the
lasers and why people should pick laser in this process. You’re watchingThe
Wellness Hour
, I’m Randy Alvarez. We’ll be right back. – [Joe] I hang around with a bunch of old
guys and when I told them my problem, that I couldn’t see very
good, couldn’t see the color, couldn’t see very good, and the
grass did look brown instead of green, but it’s been accepted
because it happens to everybody. However, my son told me that’s not true,
so he set up and he got me cataract surgery with the premium lens and now,
I can read without glasses and he opened up a whole new world. Everything is bright. I can see perfect again. So, I’ve told all my friends. What else can I say? It’s a whole new world. It’s like if you go watching a movie
and it’s in black and white, and all of a sudden it turns color. That’s exactly what happened. That’s the best I can explain it. All the doctors are great at Acuity. In fact, everybody is. If I want something, all I do is
text them and ask the question and they get back to me within
five minutes, no problem. – You’re watchingThe Wellness
Hour
, news that makes you healthier. I’m Randy Alvarez. Today’s topic, what you need to know if
you’re considering cataract surgery and specifically, why you should ask
your doctor for a premium lens. With us, we have Jessica Boeckmann. So Dr. Boeckmann, so,
the laser, why the laser? Why does somebody want the laser
involved in this cataract surgery? – Well, the laser is important because you
can get a better result with the laser. The laser adds an extra layer of precision
and accuracy that can’t be done by hand. It’s reproducible the same way every
single time and more importantly, it can fix the astigmatism of the eye
and give you a better result. – Is there a noticeable difference when
you use the laser and when you don’t use the laser as far as outcome?
– Yes, for outcome. Especially in patients who have
astigmatism because I can use the laser to fix your astigmatism and get
you out of glasses for distance. If I don’t use the laser to fix the
astigmatism, you’ll still have to have glasses to see. – So, insurance does not cover this laser? – No, insurance does not.
– But this is very inexpensive… – It’s not very expensive… – …to do this.
– …to do the laser. The good thing about the laser too is it,
especially in sick patients who have really big cataracts or have had diabetes
for a long time, the laser just helps give you the better outcome because it helps
the surgeon do his or her job easier and whenever they can get their job
done better, you’re going to have a better result. – And this takes you about
9 minutes, is that right? Because you do 15 in a day.
– Yeah. So the laser itself takes about 3
minutes and then we’ll go to the surgery, and the surgery takes about 10 minutes. – And what about pain? What do people tell you? – There is some pressure on the eye,
but most patients don’t complain at all. They’ll say, “Oh, that was…I felt a
little pressure but it’s not painful.” – Do you see a lot of husbands
and wives doing this together? – Yes, I’ve done husbands and wives on the
same day, and it’s so cute because they’ll be there together and I’ll do the
husband first and the wife second, and the child takes both
their mom and dad home. It’s like just a little tune-up. I love doing husbands and wives
on the same day, I think it’s cute. – Okay, so when a patient goes into one of
your centers, and I guess you’re the third largest ophthalmology group in the country
with this consistent care wherever they go, do they actually say, you
know, “I have a cataract and tell me about these premium lenses?” – Most of the time, they don’t know about it.
– I mean, is that the lingo? They’re called premium lenses? – They are called premium lenses. Most of the time, people don’t know
much about them and a lot of times, they’ll see me, “I can’t see very well. I just don’t feel
comfortable driving at night. There’s lots of glare
and halos around headlights. I have to have really bright lights
to read my book,” and I explain to them, like, “Well, actually,
all those symptoms are related to your cataracts. And so, what we do is we do cataract
surgery which is the lens replacement surgery.” And they’re like, “Oh, a
lens replacement,” and then you throw in the extra layer of, “You have choices,”
and which type of lens you want to put in their eye. And oftentimes, they’re a little bit
confused because that’s a lot of information all at once,
“You mean I have to make the choice? What does that mean?” you know. And so, then you’ll see them that time and
you’ll talk to them and counsel them, and I like to give them some reading
material and then bring them back in a week, and I also tell them to talk to
their friends to see what type of lens that their neighbor got because I don’t
want them to think that if their neighbor got the standard one and that was her
result, that doesn’t mean I can’t get them better vision than their
neighbor may have had, which… They’re always talking. They’re comparing. – They’re always going,
“My neighbor had this, that’s what I want.”
– Yes, yes. “My neighbor had this,
this is what I want. My neighbor had this, this is what I want. My neighbor said not to get the laser. My neighbor said to get the multifocal.” – Is that right? Well, people are googling everything now. – They are, they are. – So, they come in, and do they
ever have somewhat wrong information and you have to…
– They do. – …to take a deep breath
and, kind of, explain? And I’m like, “This is not… This is comparing apples to oranges. I can’t comment on what Susie had
but I can tell you what would be best for your eye.” – So, the premium lenses,
really just help you see better. – They do. – Period? – Yes. – Up close, you could see up…
– They have to be more of a range of
vision without glasses. – Now, we are just about out of time but
when should somebody…what are the signs or symptoms when somebody
should see somebody? – Well, most oftenly, patients
will just start noticing that their vision is just not as good as it
used to be and they’re having trouble doing things that they
normally did without problems. These things include driving at night,
reading, trouble with glare and halos around headlights, and overall,
just, things just aren’t as crisp, and when these things start to happen,
I really think that you should start to get evaluated because you don’t know
how big the cataract is because you can’t see it and we can evaluate it for you. – So now, do you see the optometrist? Do you see the ophthalmologist? What is it? – If you’re over the age of 65,
I would think that it would be best just to go see an ophthalmologist because there
are a lot of different eye diseases that can start to occur at that age,
younger patients, it’s, you need to have cataracts before 60… you need to have cataract
surgery before 65. That being said, there are some instances
where younger people do need cataract surgery but for the most part, at the
age of 65, I would recommend going to see an ophthalmologist.
– Now are you of the opinion that people wait too long? – Some people, yes. – I mean, overall? – Overall? – Across the country, that people
are waiting too long for their cataracts to really get in the way of
their life and then they finally do something about them?
– No, I don’t think so. I think most patients who are
healthy take care of their cataracts at appropriate times. There are occasionally patients who aren’t
as healthy, who have really bad diabetes, you know, who have undergone chemotherapy
who will develop cataracts earlier and could potentially have benefited
from surgery at an earlier age. – So, those people with advanced or
controllable diabetes, it’s okay, you could do the surgery? – Yeah. – There must be a guide. The insurance says, “Look, they
have to have a certain amount… – Of cataracts.
– …of cataracts in order to get it covered.” – So, first of all, insurance covers it
when the vision’s 20/40 or worse but there are some cases where your vision will be
actually better than 20/40 but you’ll have a lot of glare and halos at night. – You can’t drive at night. – You can’t drive at night. So, because that’s interfering
with your activities of daily living, so if that happens, then
insurance will cover it. – So, insurance will usually cover
it if you’re saying, “Hey, look. I can’t drive at night anymore. It’s dangerous.”
– Exactly. Exactly.
– It’s covered. It’s covered.
– Good. Now, so Medicare, or Medicaid,
or whatever, those also you accept? – Yes, yes. – So, they can get that done? – They can get that done. – And so, people… But there are still a lot of people
that are afraid to get this done. – They are because it’s their eyeball,
but the good news is, I mean, it’s a very, a relatively low-risk surgery
and the recovery time’s so low and the benefits outweigh the risks. – Okay. And they should definitely ask,
“Tell me about these premium lenses.” – They definitely should because the thing
with cataract surgery is once you get it done, whichever lens you choose,
you have to keep the rest of your life. So, if you get the premium lens,
you get to keep that for another 20 to 30 years. If you get the standard lens,
you also keep that for 20 or 30 years. – Have you had two friends, one opted
to not do a premium lense, one did? – And husbands and wives
who choose one and another. And I had a husband, actually
I think I’m operating on the wife the coming up week, the husband got the
premium lens and the wife was like, “Oh, I don’t think I want it,” and I asked her,
I’m like, “Well, if your husband had it, why wouldn’t you do
the same for yourself?” – Well, what’d she say? – She said, “Well, I’ll think about it,”
but she’s getting the premium. – She’s going to get the premium?
– She is, yeah. I mean, look. I mean, if you have an
option not to wear glasses… And like you said, some
people like the glasses. – They do. – They could hide bags in the eyes,
things like that, but for that close-up vision, I mean, that’s great… – I would like it.
– …if you can get that. I would be very sad to lose my near
vision and I know that’s something that’ll happen to me, you know, as I get
older, but to be able to give that back to someone is also a very big reward. – Now, on this program, we’ve done
fall prevention shows and eyes are really never talked about, but if you’re 75, 80…
– And they should be. – …and people are getting injured
all the time from falling down. And the first thing my dad told me is…
– He can see. – …he didn’t anticipate this, is that he
could see things on the floor now. He’s not bumping into things. – There’s a recent study that was actually
published in the Journal of American Medical Association that said that having
cataract surgery prolongs someone’s life and that’s because…
– That’s one of the reasons. – Yeah. If decreased risk of falls,
it stimulates you so you’re less inclined to get dementia. And so, it has lots of other
benefits just besides seeing better. – Okay, good. So, just about every time people are
better off with these premium lenses? – Not every time.
– Because not everyone’s a candidate. – Not everyone’s a candidate.
– Would you say 70% of the time? – Yeah, I’d say 70%. – Seventy percent of the time? – Yeah, with realistic expectations that
you will have some glare at night around lights, sometimes you
won’t get all the smallest print, you won’t be able to see with the premium
lenses but I like to say they’re more of a lifestyle lens that you go to
the store and you can read labels, and you go to a restaurant,
you can read the menu, but for that tiny, tiny print in newspapers, you’re
still going to have to put on a pair of cheaters. So active people, those are the best
candidates, people that are traveling, people that do water sports… – Yes.
– …golf, whatever? But even if you think about it,
even if you were, say, like you’re a wheelchair-bound
patient who lives in a nursing home, there are still benefits to having a
premium lens as long as your eye is healthy because those are the people who
forget to wear reading glasses and now you have glasses, they’ll still be able to
have near vision with them even if there are limitations in their normal
activities of daily living such as walking or running. They can’t do those things, but at least
they could see up close without glasses, if they can’t get to them. – We are completely out of time, but if
somebody’s watching this and they’ve heard what you had to say,
maybe they’re the 65 or 69 plus that probably have cataracts, but they’re
putting it off, or they’re skeptical, or they’re afraid, what do you say to them? – I’d say, come in and get
checked out, I’d love to see them, take a look at their cataracts,
and we can talk about options of whether they need surgery right now
or maybe it’s okay to wait. – Now, I know you have offices all over
Orange County but people see you? You do your own consults?
– Yes, I do. – And you also see them after as well?
– Yes, I see my post-op patients as well. – Okay, good. I want to thank you for
coming on the show. – Thank you. – Very good. You’ve been watching
The Wellness Hour, I’m Randy Alvarez. For now, I wish you good health. – [Announcer] Thanks for watchingThe
Wellness Hour
, the leader in medical news with your host, Randy Alvarez,
the authority on health issues. ♪ [music] ♪

Leave a Reply

Leave a Reply

Your email address will not be published. Required fields are marked *