Anterior chamber paracentesis can be performed safely as an outpatient procedure at the slit lamp following adequate aseptic precaution, and appropriate counselling.
In this small series of patients with optic disc pits or colobomas, it was possible to identify a membrane spanning the optic disc cup, and it is speculated that this may protect against the development of maculopathy. Schisis-like separation of retinal layers can be associated with normal visual function.
In the dissatisfied patients, expectation was significantly higher, and subjective assessment of vision after surgery was lower than in satisfied patients, although they had similar improvement in BCVA. Visual acuity and patient satisfaction are not always directly correlated. An important factor in patient satisfaction is expectation.
It is often said that: ‘One is a born leader and leaders cannot be made’, but to what extent is this statement true? What did Mahatma Gandhi and Adolf Hitler have in common that made them effective leaders, despite being very different individuals?
In the first part of this article (Trivedi and Hooke, 2008), we looked at the reasons people complain and how to prevent complaints. In this part, we look at how to deal with a complaint involving you when it actually occurs.
Assertiveness (Lindsay, 2002) is an important tool if used appropriately at the right time and in the right manner. It is an aspect of communication that reflects confidence, faith and leadership attitude. Being assertive is a skill attained with time, experience and technique. Quite often, what you may think of as being assertive could be misinterpreted by others as being aggressive – there is a very thin demarcation between the two. Frequently, people expect foundation doctors beginning their careers to be passive and submissive, lacking experience and confidence.
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