Fit Louisville

2013

Greater Louisville Health Guide is a directory and resource guide to health providers and services in Louisville, Kentucky. Includes listings of area doctors and dentists, hospitals, nursing homes and emergency care.

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Jeremy Clark Resident in the Department of Ophthalmology and Visual Sciences Why ophthalmology? Ophthalmology is a progressive meld where change is constant. Even during my residency, treatment of most major eye diseases has changed dramatically. I enjoy the physical and mental challenges that come with microsurgical technique and also appreciate how interconnected ophthalmology is with diagnosis of systemic disease. No other specialty allows you to see microvascular changes with your own eyes — no pun intended. Are you going to sub-specialize? I hope to complete a fellowship in oculofacial plastic and orbital surgery. What was your worst day/grossest moment? I can't say I have had a worst day, but the craziest/grossest moment would likely be when I assisted on a case where a gentleman had managed to poke a pair of industrial scissors through his eye socket and into his sphenoid sinus. Miraculously, his vision was spared and the scissors did not hit any vital ocular structures. Best day? My best day was performing my mrst cataract surgery. There was much anxiety at mrst; however, our residency director, Dr. Soltau, guided me through step by step and afterward I felt such a sense of accomplishment and pride. My patient did excellently and I was extremely happy. How did you react to your Àrst cadaver? Seeing a cadaver wasn't such a shock, but 40 cadavers in a room during gross (anatomy) lab — with preservation nuids, organs and bone nying everywhere — forces you to question how you are ever going to make it to graduation. Is the Affordable Care Act good or bad for doctors? The ACA will increase access to patient care (Medicaid reimbursement to physicians practicing in rural areas, etc.). However, it will likely force subspecialty services into joining larger groups or working for hospitals in hopes to have more lobbying strength against insurance carriers. Also, the act limits itself in addressing the sustainable growth rate and plans are to cut reimbursement rates to physicians by 20 percent. I think the most angst physicians carry in regard to the ACA is how it will affect their clinical decision-making. Guidelines that limit a physician in treating a patient make medicine more like an algorithm and less personalized and may ultimately take decision-making out the physician's hands altogether. Overall, I believe the ACA is bad for physicians. However, it will be the charge of this generation of physicians to be optimistic and help maintain a high standard of quality care for our patients no matter our specialty. Did med school make you a hypochondriac? No, but I have a very poor habit of diagnosing random people in public with different pathology. How bad is the med-school sleep deprivation? Medical school was demnitely a challenge. However, the sleep deprivation really hits you as an intern, when it seems like your pager goes off every mve minutes between 11 p.m. and 6 a.m. Who or what made you want to become a doctor? I had an orbital blowout fracture when I was just a teenager and had to have surgical repair of my orbit. Thankfully, excellent surgeons helped restore my sight and from that moment on I wanted to be an ophthalmologist. 14 GREATER LOUISVILLE HEALTH GUIDE 2013-14 Stuart Bertsch Resident in the Department of Anesthesiology Why anesthesiology? Anesthesia provided an opportunity to practice all facets of medicine, from pediatrics to OB/GYN to geriatrics in an acutecare setting. The fast-paced intensity keeps you engaged and stimulated throughout the day and you must maintain focus during that time frame. Also, we often perform multiple procedures throughout the day, utilizing both motor and intellectual skills. Furthermore, although most people feel we only put people to sleep and don't want to talk to anyone, that is far from the truth, as you need to develop signimcant rapport with patients in a very short time frame. What was your worst day/grossest moment? My worst day started with an early-morning phone call while I was in the intensive-care unit. I learned that the sister of a good friend was in a motor vehicle accident and needed an emergency operation to relieve some bleeding from within her brain. I had to help stabilize her in the operating room and also take care of her during the next few weeks in the ICU. Dealing with the signimcant tragedy of a close friend proved the hardest thing to accomplish in medicine. Thankfully, she has made an amazing recovery and we are very grateful for all the participants in her medical care. Best day? Most all days are good days, but the best will probably be the last day of residency. How did you do with your Àrst cadaver? I remember a few people throwing up and feeling nauseated, but overall I did mne. We were all very grateful for the contributions those individuals made toward medical education. What specialty would you never do? I would not want to be an ophthalmologist, because the eyes make me feel nauseous and uneasy. Touching eyes and dealing with swollen eyes seem to make my own eyes hurt.  How bad is the med-school sleep deprivation? Medical school sleep deprivation was nonexistent because you are shielded from the workweek. However, residency frequently tests the limits of your body and mind. Ironically, I could stay awake all night working but can't stay out past midnight for social functions. Who or what made you want to become a doctor? Throughout high school I was involved with Boy Scouts and completed several service projects to help those less fortunate — whether it was building homes or working in soup kitchens. Then in college I volunteered around the hospital, helping to take care of patients of all types. My focus during that time was volunteering around the operating room. Most of my desire to become a physician stemmed from helping those in need. 

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