Eyeworld

MAR 2013

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

Issue link: https://digital.eyeworld.org/i/115557

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That was then, this is now by John B. Pinto Seven approaches to the challenging times ahead "I don't think of the past. The only thing that matters is the everlasting present." W. Somerset Maugham "Bring the past only if you are going to build from it." Doménico Cieri Estrada T his month's column is written in response to a surgeon who wrote to me recently, saying, "I became an ophthalmologist 20 years ago. It seemed so easy back then. Sure, fees were falling and technology was changing and our charts were being audited, but things felt manageable, even in our two-surgeon office. Even our "Even though we've grown to an eight-surgeon practice, I'm having a hard time seeing how the last third of my career is going to be as much fun or as secure as the first two-thirds." 16 Ophthalmology Business • April 2013 retirement investments were growing nicely. Now it seems like we're in this perfect storm. Fees are certainly going to be heading down, regulations are going up, it's hard to know what technology to adopt, and my retirement investments are going sideways. Even though we've grown to an eight-surgeon practice, I'm having a hard time seeing how the last third of my career is going to be

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