Eye Surgeon and Avid Crossfitter, Founder Skyvision Centers
Cleveland Ohio
Joined April 2009
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RP to evaluate for use. Thanks @psufka!
I’ve been trying Handy (handy.computer/), a free dictation app that turns speech into text and pastes it into whatever app I’m using.
My setup uses Whisper Large v3 for transcription and Qwen3 8B through LM Studio for cleanup—medical spelling, punctuation, and number formatting. Both run locally on my Mac, with no subscription or per-minute fees.
I’m using an M3 Pro MacBook Pro with 18 GB RAM. For this combination, 16–18 GB is workable, while 24–32 GB gives more breathing room alongside an EHR, browser tabs, and other apps.
You can have Codex use Computer Use to work through the setup screens. Try asking: “Use Computer Use to install and configure Handy, select Whisper Large v3, and set up a 4-bit Qwen3 8B model through LM Studio for local cleanup. Connect them and test that cleanup preserves medication names, doses, and negations.”
Then have Codex build and enter a medical dictionary through Handy’s interface: “Make a list of common generic and brand-name medications for my specialty, including biosimilars. Show me the list, then use Computer Use to add the approved names to Handy’s custom dictionary.” Mine currently contains 543 medication names and aliases.
Darrell White retweeted
I despise academic medicine.
I enjoy the research. I enjoy the teaching.
I despise the merging of academia and bureaucracy, and the aggressive misinterpretation of research that follows.
The worst example is using evidence for multidisciplinary care to justify consolidation and institutional control. Physicians working together and physicians working under one corporate owner are two different things.
Thoughts while looking at my ballot:
"If pigs could vote, the man with the slop bucket
would be elected swineherd every time,
no matter how much slaughtering he did on the side."
-- Orson Scott Card (Author of Ender's Game)
Darrell White retweeted
“The only thing surprising about this announcement is the timing.”
@DarrellWhite predicts what recent changes at Bausch + Lomb may suggest about the future of the company.
Full article:🔗
vist.ly/5qnbb
Darrell White retweeted
Probably my paranoia but…
The more of these I see, the more I think there is an agenda in the framing.
Yes, they mention hospital ownership in the expanded post. But they keep leading with “doctor’s office.”
It is a very purposeful misdirection
Ayn Rand in the voice of the"Esteemed Doctor" predicts the steady drip of doctors who opt out of doctoring in this Midweek Memory: drdarrellwhite.com/the-estee…
DEWS3 could have been adequately handled in 2 or 3 10 page position papers, not the hundreds of pages of mission bloat it became. My take in this month's column: healio.com/news/ophthalmolog…
Darrell White retweeted
The key was the patient - doctor RELATIONSHIP! Dr Roy was YOUR doctor. He knew you and your family. He was not a PROVIDER of a service and fungible to be replaced by whomever the system chose. You trusted him because he cared about you and not RVUs.
Darrell White retweeted
NEW👀
"Perhaps we ought not abandon the framework of DEWS II and the determination of DED subtype as the first step in choosing the therapeutic plan for an individual patient."
@DarrellWhite shares his thoughts on the Dry Eye Workshop III report: 🔗
vist.ly/5py2a
Remember what it was like to be treated by a doctor who owned a private practice? I sure do. I've been thinking about that this week in "Sunday musings..." drdarrellwhite.com/the-slow-…
Darrell White retweeted
Let me start with screw the @washingtonpost they are crap journalists.
These are hospital-owned clinics. The hospital controls the billing and collects the facility fee.
Yet the Washington Post puts “doctors’ offices” in the headline, leaving readers with the impression that their physician is behind the markup.
Misleading BS
Patients deserve to know who sets these charges and who collects the money.
If the hospital is charging the fee, put the hospital in the headline. Physicians shouldn’t have to answer for a billing policy their employer controls.
washingtonpost.com/business/…
These doctors' offices ARE the hospital once they've been acquired. The doctors have no say in fees once they've been acquired; they are cubicled just like every other employee of the hospital. This is purposely misleading.
Doctors’ offices are charging patients 10 times more by claiming to be hospitals
Even when patients never step into a hospital, they may be charged hospital “facility fees,” and their care may be billed at higher rates.
washingtonpost.com/business/…
Did you want to keep your doctor in 2008? Only you, the patient, can bring back private practice medicine. "Sunday musings..." is now on the blog: drdarrellwhite.com/the-slow-…
Darrell White retweeted
This is not mentioned often, but Kurt Thomas got screwed more than any American athlete by the 1980 Moscow Olympic boycott. 6 medals at the 1979 World Championship and a silver in the all-around. I doubt he would have beaten Aleksandr Dityatin in all-around in 1980 (and in the Soviet Union), but he had a chance to make an historic impact on USA Men's gymnastics.
I got to know Kurt in 1995-96 when we did some TV spots for Jefferson-Pilot before the Atlanta 1996 Olympics. Very nice guy. Somewhat quiet. He just got never the big break.
A truly basic healthcare policy addresses cost and quality alone as my brilliant wife and I discuss in this Midweek Memory: drdarrellwhite.com/beef-well…
Darrell White retweeted
Bausch + Lomb named Thomas J. Appio interim CEO, replacing Brent Saunders.
@DarrellWhite provides commentary on what the move may suggest about Bausch + Lomb’s future.
Read more on @GoHealio: 🔗
vist.ly/5ntnc
Got news that may not read positive? Most release it late Friday, preferably on a holiday weekend. Not Bausch&Lomb which announced its separation with CEO/ex-Chairman Brent Saunders during biggest annual eye mtg. Here's what I think: healio.com/news/ophthalmolog…
If you are making the choice for yourself please read @anish_koka's post. If you are helping an older loved one make this decision please read Anish's post.
If you don’t lock in Original Medicare + a Medigap supplement during your one-time 6-month window when you first become eligible, you may never be able to get it later. Choose Medicare Advantage instead and, in most states, Medigap insurers can reject you for preexisting conditions (or ones you develop) if you try to switch back.
Seniors I talk to almost universally don’t understand this and are enticed into Medicare Advantage plans with lower monthly premium sales pitch.
They also don’t realize Advantage plans typically have higher medical copays than Original Medicare + Medigap Plan G. MA plans also apply much tighter management (prior auth + step therapy) to Part B drugs like chemo and infusions.
Darrell White retweeted
If you don’t lock in Original Medicare + a Medigap supplement during your one-time 6-month window when you first become eligible, you may never be able to get it later. Choose Medicare Advantage instead and, in most states, Medigap insurers can reject you for preexisting conditions (or ones you develop) if you try to switch back.
Seniors I talk to almost universally don’t understand this and are enticed into Medicare Advantage plans with lower monthly premium sales pitch.
They also don’t realize Advantage plans typically have higher medical copays than Original Medicare + Medigap Plan G. MA plans also apply much tighter management (prior auth + step therapy) to Part B drugs like chemo and infusions.
Every year I'm on this app I remind my readers about Medicare open enrollment. It's often a very confusing process for many. Please be informed. Read the attached for more information.
kff.org/medicare/medicare-op…
