The LASIK industry & the FDA have conspired since LASIK's inception to purposely withhold information vital to the public in making a truly informed LASIK decision. With Lasikdecision.com, The hope is to show you what the industry and FDA would not and did not even think of doing until LASIK casualties started speaking out, and yet, they still did NOTHING.
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Does The AMA APPLY TO Refractive Surgery? PDF Print E-mail

The American Medical Association’s Code of Medical Ethics addresses conflicts of interest and has four main guidelines:

  • Reward or financial gain must be subordinate to service to humanity;
  • physicians may not put financial interests ahead of patient welfare;
  • it is unethical for a physician to needlessly hospitalize a patient, prescribe drugs or conduct diagnostic tests for financial gain;
  • any conflict between a physician’s financial interest and obligations to a patient must be resolved in favor of the patient’s well-being.
  • AMA policy on co-management

    E-8.043 Ethical Implications of Surgical Co-Management

    For the purpose of this report, the term "surgical co-management" refers to the practice of allotting specific responsibilities of patient care to designated caregivers. The following guidelines stem from this understanding:
    (1) Physicians should engage in co-management arrangements only to assure the highest quality of care.
    (2) When surgical co-management arrangements are made between duly licensed physicians, their responsibilities should be delineated according to the scope of the physicians’ expertise. Likewise, when physicians enter into surgical co-management arrangements with allied health professionals, each caregiver’s responsibility should correspond to his or her qualifications.
    (3) Even though different caregivers will be responsible for rendering specific portions of the patient’s care, a single physician should be ultimately responsible for ensuring that the care is delivered in a coordinated and appropriate manner. Other caregivers should support this obligation by communicating with this physician.
    (4) The treating physicians are responsible for ensuring that the patient has consented not only to take part in the surgical co-management arrangement but also to the services that will be provided within the arrangement. In addition to disclosing medical facts to the patient, the patient should also be informed of other significant aspects of the surgical co-management arrangement such as the credentials of the other caregivers, the specific services each will provide, and the billing arrangement.
    (5) Physicians should ensure that their surgical co-management arrangements do not violate the ethical or legal restrictions on self-referral.
    (6) Referrals to another caregiver should be based only on that caregiver’s skill and ability to meet the patient’s needs and not on expected further referrals or other self-serving bases. Physicians who participate in surgical co-management arrangements must avoid such financial agreements as fee-splitting, which are both unethical and illegal.

    Physicians who participate in surgical co-management arrangements should employ appropriate safeguards to ensure that confidential information is protected. (I, II, IV, V, VI) Issued June 2000 based on the report "Ethical Implications of Surgical Co-Management," adopted December 1999.

    AMA policy on medical error and patient harm

    E-8.121 Ethical Responsibility to Study and Prevent Error and Harm

    In the context of health care, an error is an unintended act or omission, or a flawed system or plan, that harms or has the potential to harm a patient. Patient safety can be enhanced by studying the circumstances surrounding health care errors. This can best be achieved through a legally protected review process, which is essential for reducing health care errors and preventing patient harm.
    (1) Because they are uniquely positioned to have a comprehensive view of the care patients receive, physicians must strive to ensure patient safety and should play a central role in identifying, reducing, and preventing health care errors. This responsibility exists even in the absence of a patient-physician relationship.
    (2) Physicians should participate in the development of reporting mechanisms that emphasize education and systems change, thereby providing a substantive opportunity for all members of the health care team to learn. Specifically, physicians should work with other relevant health care professionals to:
    (a) Establish and participate fully in an effective, confidential, and protected error-reporting mechanism
    (b) Develop means for objective review and analysis of reports regarding errors, and to conduct appropriate investigations into the causes of harm to a patient
    (c) Ensure that the investigation of causes of harm, and the review and study of error reports result in preventive measures that are conveyed to all relevant individuals
    (d) Identify and promptly report impaired and/or incompetent colleagues so that rehabilitation, retraining or disciplinary action can occur in order to prevent harm to patients
    (3) Physicians must offer professional and compassionate concern toward patients who have been harmed, regardless of whether the harm was caused by a health care error. An expression of concern need not be an admission of responsibility. When patient harm has been caused by an error, physicians should offer a general explanation regarding the nature of the error and the measures being taken to prevent similar occurrences in the future. Such communication is fundamental to the trust that underlies the patient-physician relationship, and may help reduce the risk of liability.
    (4) Physicians have a responsibility to provide for continuity of care to patients who may have been harmed during the course of their health care. If, because of the harm suffered under the care of a physician, a patient loses trust in that physician, the obligation may best be fulfilled by facilitating the transfer of the patient to the care of another physician.
    (5) Physicians should seek changes to the current legal system to ensure that all errors in health care can be safely and securely reported and studied as a learning experience for all participants in the health care system, without threat of discoverability, legal liability, or punitive action. (I, II, III, IV, VIII) Issued December 2003 based on the report "Ethical Responsibility to Study and Prevent Error and Harm in the Provision of Health Care,' adopted June 2003.

    AMA policy on incompetent, corrupt, dishonest, unethical MDs

    E-9.04 Discipline and Medicine

    Incompetence, corruption, or dishonest or unethical conduct on the part of members of the medical profession is reprehensible. In addition to posing a real or potential threat to patients, such conduct undermines the public’s confidence in the profession. A physician should expose, without fear or loss of favor, incompetent or corrupt, dishonest, or unethical conduct on the part of members of the profession. Questions of such conduct should be reported and reviewed in accordance with Opinion 9.031, "Reporting Impaired, Incompetent, or Unethical Colleagues."
    Violation of governmental laws may subject the physician to civil or criminal liability. Expulsion from membership is the maximum penalty that may be imposed by a medical society upon a physician who violates the ethical standards involving a breach of moral duty or principle. However, medical societies have a civic and professional obligation to report to the appropriate governmental body or state board of medical examiners credible evidence that may come to their attention involving the alleged criminal conduct of any physician relating to the practice of medicine.
    Although a physician charged with allegedly illegal conduct may be acquitted or exonerated in civil or criminal proceedings, this does not discharge a medical society from its obligation to initiate a disciplinary proceeding against a member with reference to the same conduct where there is credible evidence tending to establish unethical conduct.
    The Council cannot pass judgment in advance on a situation that may later come before it on appeal. The Council cannot be an attorney for a society or a member thereof and later judge in the same factual situation. The local medical society has the initial obligation of determining all the facts and whether or not disciplinary action is indicated. Questions asking for a review of a proposed course of action or an evaluation of an existing factual situation should be presented to the appropriate official of the physician’s local society. (II, III, VII) Issued prior to April 1977; Updated June 1994.

    AMA policy on reporting negative outcomes

    E-9.08 New Medical Procedures

    In the ethical tradition expressed by Hippocrates and continuously affirmed thereafter, the role of the physician has been that of a healer who serves patients, a teacher who imparts knowledge of skills and techniques to colleagues, and a student who constantly seeks to keep abreast of new medical knowledge.
    Physicians have an obligation to share their knowledge and skills and to report the results of clinical and laboratory research. Both positive and negative studies should be included even though they may not support the author’s hypothesis. This tradition enhances patient care, leads to the early evaluation of new technologies, and permits the rapid dissemination of improved techniques.
    The intentional withholding of new medical knowledge, skills, and techniques from colleagues for reasons of personal gain is detrimental to the medical profession and to society and is to be condemned.
    Prompt presentation before scientific organizations and timely publication of clinical and laboratory research in scientific journals are essential elements in the foundation of good medical care. (I, II, V, VII) Issued December 1984; Updated June 1994.

    AMA policy on dishonest expert witnesses

    E-9.07 Medical Testimony

    In various legal and administrative proceedings, medical evidence is critical. As citizens and as professionals with specialized knowledge and experience, physicians have an obligation to assist in the administration of justice.

    When a legal claim pertains to a patient the physician has treated, the physician must hold the patient’s medical interests paramount, including the confidentiality of the patient’s health information, unless the physician is authorized or legally compelled to disclose the information.

    Physicians who serve as fact witnesses must deliver honest testimony. This requires that they engage in continuous self-examination to ensure that their testimony represents the facts of the case. When treating physicians are called upon to testify in matters that could adversely impact their patients’ medical interests, they should decline to testify unless the patient consents or unless ordered to do so by legally constituted authority. If, as a result of legal proceedings, the patient and the physician are placed in adversarial positions it may be appropriate for a treating physician to transfer the care of the patient to another physician.

    When physicians choose to provide expert testimony, they should have recent and substantive experience or knowledge in the area in which they testify, and be committed to evaluating cases objectively and to providing an independent opinion. Their testimony should reflect current scientific thought and standards of care that have gained acceptance among peers in the relevant field. If a medical witness knowingly provides testimony based on a theory not widely accepted in the profession, the witness should characterize the theory as such. Also, testimony pertinent to a standard of care must consider standards that prevailed at the time the event under review occurred.

    All physicians must accurately represent their qualifications and must testify honestly. Physician testimony must not be influenced by financial compensation; for example, it is unethical for a physician to accept compensation that is contingent upon the outcome of litigation.

    Organized medicine, including state and specialty societies, and medical licensing boards can help maintain high standards for medical witnesses by assessing claims of false or misleading testimony and issuing disciplinary sanctions as appropriate. (II, IV, V, VII) Issued December 2004 based on the report "Medical Testimony," adopted June 2004.

     
    MEDICAL HELP PDF Print E-mail
    Tuesday, 30 January 2007 04:06

    These doctors/facilities have been noted or offered to help those with complications from Refractive Surgery.

    A

    B


    Barnes-Jewish Hospital
    One Barnes-Jewish Hospital Plaza
    St. Louis, Missouri 63110
    1-314-747-3000

    Dr. Ed Boshnick
    Westchester Shopping Center
    8479 Coral Way
    Miami, FL 33155
    Tel: (305) 264-4400
    Website: www.eyefreedom.com
    Email:
    ed@boshnick.com

    Boston Foundation For Sight
    1244 Boylston St., Suite 202
    Chestnut Hill, MA 02467
    617-735-8698 phone
    617-735-8814 fax
    Website: http://www.bostonsight.org/
    Email: info@bostonsight.org

    C

    D

    John D. Dugan (Eye Physicians) 
    1140 White Horse Road
    Suite 1
    Vorhees, NJ 08043
    856-784-3366
    856-784-4388 fax
    Website:
    http://www.eye-physicians.com/

    E


    Emory University Hospital (Emory Eye Center)
    The Emory Clinic, Building A & B
    1365 Clifton Road, NE
    Atlanta, GA 30322
    1-404-778-7777


    F

    G

    H

    Dr Richard Handwerger

    Attending Surgeon,
    Cedars Sinai Medical Center
    Los Angeles, California

    Office Address:
    240 S. La Cienega Blvd.
    Suite 250
    Beverly Hills, CA 90211


    Mailing Address
    :
    10390 Wilshire Blvd.
    Suite 910
    Los Angeles, CA 90024
    Main office tel: 310 276 3937 / 310 360-0609

    I

    J


    Johns Hopkins Hospital (Wilmer Eye Institute)
    The Wilmer Eye Institute, Johns Hopkins Hospital,
    600 N. Wolfe St.
    Baltimore, MD 21287
    1-410-955-5080


    K

    L


    Lions Eye Institute
    35 Hackett Blvd.
    Albany, NY 12208
    Tel: (518) 262-2575
    Fax: (518) 262-2576


    M


    Mayo Clinic
    200 First St. S.W.
    Rochester, MN 55905
    1-507-284-2744

    Methodist Hospital (Cullen Eye Institute)
    Houston, TX
    1-713-790-3333

    Ming Wang, M.D.,Ph.D.
    Clinical Associate Professor of Ophthalmology of University of Tennessee
    Attending Surgeon, Saint Thomas Hospital
    Director, Wang Vision Institute
    1801 West End Ave, Ste 1150, Nashville, TN, 37203, USA
    Tel: (615)321-8881
    Fax: (615)321-8874
    Email: drwang@wangvisioninstitute.com
    Webmail: http://www.drmingwang.com


    N


    New York Eye and Ear Infirmary
    The New York Eye and Ear Infirmary
    310 East 14th Street
    New York City, New York 10003
    1-212-979-4000

    O

    P

    Q

    R


    Dan Reinstein, MD MA
    (Cantab) FRCSC DABO
    London Vision Clinic
    8 Devonshire Place, London, W1G 6HP, UK
    email: dzr@londonvisionclinic.com
    work: http://www.londonvisionclinic.com
    Tel : +44 (0)20 7224 1005
    Fax : +44 (0)20 7681 1233
    (omit (0) if calling from outside UK)


    S


    James J.Salz, M. D.
    email jjsalzeye@aol.com
    Web Page www.drsalz.com
    Assistant, Donna Jones
    Email donna@drsalz.com
    444 S. San Vicente, Suite 704
    Mark Goodson Building at Cedars-Sinai Medical Center
    Los Angeles, CA 90049
    Phone 323 653-3800 Fax 323 653-3898

    Schepens Eye Institute
    20 Staniford Street, Boston, MA 02114
    617-912-0100 phone
    geninfo@vision.eri.harvard.edu

    Aleksandar Stojanovic, M.D.
    Email: aleks@online.no
    In charge of refractive surgery,
    Eye dpt., University Hospital of North Norway and
    Medical director, SynsLaser Clinic, Tromsoe and Oslo, Norway
    Tel: 47-906-93319


    T


    Dr. William Trattler
    Corneal/Post Lasik Specialist
    8940 N. Kendall Drive,
    Suite 400E Miami, FL 33176
    Tel: (305) 598-2020
    Fax:(305) 274-0426
    Email: wtrattler@earthlink.net

    Dr. Gary Tylock
    Tylock Eye Care & Laser Center
    3100 N. MacArthur Blvd.
    Irving, Texas 75062
    Tel: (214) 717-4027
    Website: http://www.tylock.com/




    U


    University of Iowa Hospitals and Clinics
    200 Hawkins Drive
    Iowa City, IA 52242
    1-319-356-2852

    University of Miami (Bascom Palmer Eye Institute)
    Bascom Palmer Eye Institute
    900 N.W. 17th Street
    Miami, Florida 33136
    1-305-326-6000

    University of Minnesota Department of Ophthalmology
    420 Delaware St. SE
    MMC 493
    Minneapolis, MN 55455
    (612)625-5625 (Univ. of Minn.)

    University of Wisconsin Hospital and Clinics  
    UW Hospital and Clinics
    600 Highland Ave.
    Madison, WI 53792
    1-608-263-6400


    V

    W


    Wills Eye Hospital
    900 Walnut Street
    Philadelphia, PA 19107
    1-877-AT-WILLS

    X

    Y

    Z

    Trusted LASIK Surgeons Launches Revolutionary LASIK Surgeons Directory Service to Help Consumers Find the Best LASIK Surgeons in America

    Preferred Doctors Network, Inc. d/b/a Trusted LASIK Surgeons (Trusted LASIK Surgeons) announced today that it has launched its revolutionary Trusted LASIK Surgeons directory service for consumers at http://www.TrustedLASIKSurgeons.com What sets the Trusted LASIK Surgeons directory service apart is a unique screening process ensuring that only the best LASIK surgeons in the United States are included. The qualifications and standards used by Trusted LASIK Surgeons include the following:

    1. Participation in FDA refractive vision correction studies.

    2. Publication of a research article involving refractive eye surgery in a major peer-reviewed eye journal.

    3. Presentation about a refractive surgery topic (such as LASIK) at a major meeting of eye doctors.

    4. Board certification by the American Board of Ophthalmology.

    5. A minimum of 10 years experience in refractive surgery and at least 2000 procedures.

    6. Managing complications from LASIK and other vision correction surgeries of patients who were first operated on by another surgeon.

    7. Well-rounded refractive surgeons who perform not just LASIK but lens implants and other refractive surgery procedures.

    8. Have performed surgery on other eye surgeons, optometrists, opticians, and employees of companies that specialize in refractive surgery instrumentation or their families.

    9. Membership in American Academy of Ophthalmology and at least one other major refractive society.

    10. Certified in the use of IntraLase for "all-laser" LASIK and Wavefront-based ("Customized") LASIK and PRK.

    11. Academic Appointments in the Ophthalmology departments at major universities.

    Less than 1 percent of all LASIK Surgeons in the United States meet all of the above criteria.

    The Trusted LASIK Surgeons directory will include some surgeons who meet most but not all of the above qualifications in order to help consumers find the best LASIK Surgeons in smaller cities. These areas often do not have major universities with ophthalmology departments, so the LASIK surgeon does not have an opportunity to secure a faculty appointment. FDA studies for approval of lasers and other refractive surgery devices are typically conducted by a very small number of surgeons. Although many of the surgeons listed in the Trusted LASIK Surgeons directory have conducted FDA studies, many well-qualified surgeons have not had this opportunity. A LASIK Surgeon meeting 8 of the above qualifications will typically be more qualified than most other LASIK doctors in that surgeon's local area.  

    The refractive surgeons listed in the Trusted LASIK Surgeons directory are among the true pioneers of LASIK and refractive surgery since many of them participated in the first FDA studies leading to the approval of the excimer laser for laser vision correction. These surgeons are inventors, software developers and they train other LASIK Surgeons in the use of new equipment. Nearly all LASIK surgeons currently listed in the Trusted LASIK Surgeons directory are leading experts in vision correction procedures, not just LASIK, and are the most respected authorities in their field as rated by their peers.

    Trusted LASIK Surgeons invites surgeons who meet the standards for inclusion in the directory to apply. Already over 35 of the most qualified LASIK surgeons in the world have committed to the Trusted LASIK Surgeons directory service. All of them have the reputations and qualifications that put them in the top 1 percent of all LASIK Surgeons in the United States.

    The Trusted LASIK Surgeons directory currently lists surgeons in the following cities: Atlanta, Boston, Charleston, Chicago, Dallas, Fayetteville (AR), Greensboro, Houston, Kansas City, Louisville, Miami, Mobile, New Orleans, New York City, Omaha Philadelphia, Long Beach, Los Angeles (from the South Bay to the San Fernando valley to the San Gabriel valley), Louisville, Orange County (including Irvine, Newport Beach, and Orange), Sacramento, San Diego, San Francisco, San Jose, Sioux Falls and will add surgeons in new cities on a regular basis.

    "We began this service as a way to help consumers find the best LASIK Surgeons in their local area. In less than one month since launching a beta version of the Trusted LASIK Surgeons website we have coverage in many of the major cities in the United States," stated James J. Salz, M.D., Chief Executive Officer of Trusted LASIK Surgeons. "We are thrilled that so many of the top LASIK Surgeons in the world have committed to our concept at such an early time. Clearly, the time has come for a LASIK directory service that can give the average consumer confidence in finding the most qualified LASIK Surgeons in their local area for their vision correction procedures."

    For more on why consumers should contact the surgeons listed in the Trusted LASIK Surgeons directory for their vision correction needs, please visit: Why Use a Trusted LASIK Surgeon The screening process and standards used by Trusted LASIK Surgeons is located at How are LASIK Surgeons Qualified with Trusted LASIK Surgeons To find a LASIK and refractive specialist who has qualified to be listed at Trusted LASIK surgeons in your local area, please visit: Find a Trusted LASIK Surgeon About Trusted LASIK Surgeons, Inc.

    Trusted LASIK Surgeons, Inc. is a premier marketing LASIK and refractive surgery directory service whose primary mission is to assist consumers in finding the best and most qualified LASIK and vision correction surgeons in their local area in the United States. All refractive surgeons listed at Trusted LASIK Surgeons have qualified, been accepted, and have subscribed to our services. For more information on why we believe consumers interested in LASIK should see a surgeon listed in the Trusted LASIK Surgeon's directory, please visit our website at www.TrustedLASIKSurgeons.com.

    SOURCE