As I See It: Recent Episodes

Dr. Jeff Kegarise

Dr. Jeff Kegarise is an entrepreneur, board certified Optometrist and is the President of Cool Springs Eye Care and Donelson Eye Care. He and his wife, Susan Kegarise, O.D, just published their first book, One Patient At A Time, and it's currently the #1 release of healthcare books on Amazon.

Dr. Kegarise also owns and operates, The Center for Vision Development, Performance Vision Therapy, Center for Professional Development and The Tiger Institute for Cooperative Learning.

This podcast is intended to help patients learn more about eye health and to understand more about their current healthcare experience and why Dr. Jeff says it needs a revolution!

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In this episode, Dr. Jeff and Dr. Susan continue their discussion in their OPAAT series of lessons from their book, One Patient at a Time.

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On this episode, we talk about the 4th key part of our strategic process: the GAP review.

Learn how the GAP review can enhance and improve your management strategies and mission for your workplace.

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In this second episode of our leadership series, we continue our discussion with General Brent Baker on the important aspects of leadership and decision making.

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Is leadership born or made? This and many other questions on leadership and it's application are brought into the light by our special guest, General H. Brent Baker. General Brent Baker is the author of Orders from the General: Leadership Advice from a Two-Star General, and is an approach to leadership from a military perspective. You're not going to want to miss this next installment in our leadership series.

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What does it take to have a great and engaging meeting? In this episode, we talk to Jim Goodloe. Jim is an IAF Certified Professional Facilitator, aiming to bring your company to the next level by facilitating engaging meetings and partnering with leadership to make your meetings more efficient and more effective.

If you would like to contact Jim about whether you could use a professional facilitator in your workplace, you can reach Jim at his website: www.facilitatingci.com.

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In this episode, we talk to our Chief Surgeon Dr. Mark Kroll to discuss the several different kinds of implant options you can request when you get cataract surgery.

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Today on the show, we have our in-house surgeon Dr. Mark Kroll with us. Dr. Kroll is a specialist in cataract surgery and is back in Tennessee and providing our patients with excellent in-house care. Welcome, Dr. Kroll!

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Cataract surgery has come a long way since your parents or grandparents had it done. And it DOES make a difference who does your surgery. Listen as Dr. Keg discusses how surgery is performed with Dr. Mark Kroll.

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Dr. Camille Barberic reviews early clinical experiences from our patients who have been prescribed the new eye drop for reading.

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Dr. Camille Barberic is a new doctor to the practices. Learn more about her, her clinical experience and why she is a dog lover!

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You will be working from home. Sounds great to a lot of us, yet is it really? Dr. Jeff discusses the pros and cons of behavioral and mental health with with Shara Carter., LPC, MHSP, M.A.Ed.

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Dr. Jeff discusses mental health for us, our teens and our friends. Interestingly, there may be a related vision component. Guest: Shara Carter., LPC, MHSP, M.A.Ed.

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Dr. Jeff discusses mental health for us, our teens and our friends. Interestingly, there may be a related vision component. Guest: Shara Carter, LPC, MEd

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Dr. Jeff and patient Julie O. discuss the surprise of being diagnosed with diabetes and making lifestyle adjustments

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Dr. Jeff and Dr. Jacobs discuss current research and questions parents ask about Myopia control.

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Dr. Brady discusses Durysta®, an easily implantable long term release of glaucoma medication that lowers eye pressure

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This week, Dr. Jeff and Dr. Susan talk about the importance of hyping up your staff meetings and how even doctor to staff relationships can play an important role in the morale of your practice.

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Dr. Robin Brady is one of our new doctors. Learn more about him, his clinical experience and why he roots for the wrong football team!

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Does everyone get cataracts? If so, why did my grandma not get them until age 89, but I have been diagnosed at age 55? Dr. Jeff and Susan discuss cataracts, their diagnosis and how we discuss this with patients.

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Thicker, darker, longer has always been the goal. And today, we have many more choices. What’s a girl to do and how do we keep the eyelashes (and eyes) healthy? Dr. Keg discusses some of these questions with aesthetician Renee Turtoro.

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What do time to third appointment (TTT) and Cycle time (cycle) have to do with monitoring and improving patient care? Listen as Dr. Keg, front office, and technical managers discuss both needs as priorities for our practices.

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Recognizing our staff is a key component of every staff meeting. In this episode, we go through the process as well as the different incentives we provide to our high performers!

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Learn how we keep the focus on patients every week. Even when you are not around!

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In this week's episode, we sit down with Dr. Kelley Everman and talk to him about those pesky eyelids— why do they droop, and what can we do about it?

If you have questions about today's episode or would like to reach out to Dr. Everman, you can check out his practice's website at www.eliteoculoplastics.com.

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A direction is not a destination without execution. You as a leader set the direction and destination. The behaviors and beliefs you and your people demonstrate with each interaction connect the big Mission to each person's actions. That is true alignment. In their eye care business, Dr. Susan and Jeff use a BB card to reinforce the key beliefs and behaviors. Do you have a card for your team?

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It is the time of year when we all set goals...or should. Yet where are those goals taking you? What is your Mission and purpose? This is the time to connect what you want to achieve to who you are, what you believe and where you want to be. Your Mission must live and be shared. See how Dr. Keg and his offices make their mission live and the goals they use to lead to Mission Accomplished.

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Friend of the program, Dr. Gary Gerber, (previous episodes on nearsighted control,) talks with Dr. Jeff about a different "key" pursuit. Playing the piano in rock bands with rock legends! 

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Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR (Question, Response, Refer) learn how to understand mental health, recognize the warning signs of a suicide crisis, and how to question, persuade, and refer someone to help. Today we talk to Mindy Tate and Marianne Schroer about the very high suicide rate in Williamson County, and how QPR Training and other strategies can bring those numbers down.

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In today's episode, we sit down and speak with Dr. Jim Patton of Vanderbilt University. Dr. Patton has been researching how certain retinal stem-cells in zebrafish are able to regenerate and repair themselves after being damaged. If this ability can be applied to humans, it could prove to offer eye-saving treatment for many and is an exciting look into the future of optical regeneration and eye care.

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Presbyopia (or farsightedness) is a common condition that eventually happens to everyone's eyes. Thankfully, advancements in technology and medicine have made it easier than ever to have the effects of presbyopia mitigated. In this episode, Dr. Jeff walks through presbyopia and it's subsequent treatments, including technologies that are well on the way to help you see in those dark and dim restaurants again.

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We look forward at our practices to sharing a Thanksgiving lunch with all of the doctors, staff and some of our patients. Patients? Yes, a tradition at Cool Springs and Donelson EyeCare is to invite patients to join our teams for a Thanksgiving lunch on the day before the holiday. It is one way we stress how thankful and lucky we are to provide care for a tremendous community of patients.

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In this encore presentation Dr. Kegarise and Dr. Everton Arrindell of Tennessee Retina discuss the treatment of diabetic retinopathy, both now and in the future.

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In this rerun of episode 24, Dr. Jeff Kegarise discusses diabetes with Dr. Arrindell. Dr. Arrindell grew up in the Virgin Islands, went to college at Michigan State, went to medical school at the University of Iowa, and completed his residency at the University of Michigan. 

Dr. Arrindell and some of his fellow medical professionals founded a practice called Tennessee Retina in 2008. Dr. Arrindell's practice is well known for quality care and advanced high level research into retinal issues and diseases.

November is National Diabetes Awareness Month and Diabetic Eye Awareness Month. Dr. Jeff discusses how there is a lot of talk in the healthcare community about the “diabetic epidemic.”

Dr. Arrindell discusses that there is an increasing volume of patients with diabetes. However, the number of cases he sees with advanced diabetes and advanced diabetic eye issues has decreased. Dr. Arrindell attributes this to catching issues in patients earlier.

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Dr. Keg discusses how diabetes affects the eyes and what eye doctors watch for when examining eyes

in patients with diabetes.

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Dr. Jeff and Stephanie Moore discuss our new optical line AO – The classic and legendary designs worn by JFK, Doug McArthur, Neil Armstrong and others.

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Dr. Jeff and Margie Godfrey, Executive Director & Founder, The Institute for Excellence in Health and Social Systems (IEHSS), talk about her recent work with healthcare improvement. 

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Ep #70 - Will I Get It?

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Ep #69 - Doctor Jeff and Doctor Steve Tuck talk SCOTCH!

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Ep #68 - Stephanie Moore on The Bachelorette...with Dr. Jeff

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Ep #67 - Transferring and Receiving a Call, Rinse and Repeat

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Ep #66 - Back to School, Don't Wait for Your Child to Complain

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Ep #65 - New Patient Cards & Notes, You're Always Welcome Here

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Ep #64 - Our Mutual Pursuit of Improved Healthcare

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Ep #63 - Dr. Kelly Talks About Functional Vision

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Ep 62 - Honesty is the Best Policy

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Ep #61 - Double Take & Doctors Should Make House Calls

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Ep #60 - Current Methods of Treatment for Amblyopia (Lazy Eye) with Dr. Ryan Capouch

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Ep #59 - The Facts About Floaters

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Ep #58 - Onboarding New Team Members with Paige Pantall

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Ep #57 - I Will Show You to the Bathroom and Back + Murphy's Law of Clinical Care

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Ep #56 - Common Questions about Cataracts

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Ep #55 - Myopia Control, Truth about Nearsighted Vision with Dr. Aimee Jacobs

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Studies show that genetics and the environment play a role in the population becoming more “myopic”.

In the next 30 years, 50% of the total population will be myopic.

Your eyeball continues to grow as you age. When the eye is growing faster than it should, we can’t correct it….we can compensate for it. One of the symptoms of being myopic is having distance vision or being nearsighted.

While our devices have been in our hands over the last 13 years or so, this epidemic has been growing for 30+ years.

The larger the eye gets, the higher likelihood of rise for eye disease; like cataracts and glaucoma.

It's very important that you have an annual eye health and wellness exam one time every single year.We can see so much more today, just by looking into your eyes.

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HostDr. Jeff KegarisePresident of Cool Springs Eye Care & Donelson Eye Care

GuestDr. Gary GerberTreehouse Eyes - Myopia Care For Children

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Ep #53 Dr. Kelly - Management of Traumatic Brain Injuries

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Ep #52 - Meet Hannah Nordlund - Office Manager of Donelson Eye Care"

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Ep #51 - Am I a Good Candidate for Lasik Surgery?

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Ep #50 - Sports Vision Protect, Correct, Enhance

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Barometric pressure are some people's worse triggering factors. It's allergy season and Dr. Choi educates us what's she seeing the most of at her practice and gives our listeners big insights on "allergies", in general.

  • Is there a dog out there for your specific allergy profile?
  • Are wearing masks helping with allergenic exposure?
  • Does changing your clothes and taking a shower, really help?
  • Should I drink almond milk?
  • When should my child try peanuts?

Dr. Choi answers so many frequently asked questions and helps Dr. Jeff understand what happens when you are new to the area and what happens when you return "home" after living elsewhere for awhile.

It's very important that you have an annual eye health and wellness exam one time every single year. We can see so much more today, just by looking into your eyes.

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HostDr. Jeff Kegarise President of Cool Springs Eye Care & Donelson Eye Care

Guest Dr. Jane Choi The Allergy, Asthma & Sinus Center

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People do some very interesting things with their contacts and their solution.

In this episode, Paige and Dr. Jeff will educate you all things contacts lenses. We are proud to provide care to thousands of contact lens wearing patients and we strive to educate them on new technologies and advances in contacts.

We hear in this episode that some people.....ok, I can't even type it. Listen and learn the "correct" way to take care of your eyes, while using contacts!

It's very important that you have an annual eye health and wellness visit one time every single year.We can see so much more today, just by looking into your eyes.

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HostDr. Jeff KegarisePresident of Cool Springs Eye Care & Donelson Eye Care

Guest Paige PantallDirector of Culture & Contact Lens Specialist

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Gathering your entire team and going through every element of your business to ensure that there is alignment is so vital. Any organization that wants to grow and have a team that is loyal to their vision must state their vision, set goals that challenge the teams. In our case, we start with patient care. We strive to offer the absolute best healthcare experience for every patient we see.

It's very important that you have a comprehensive eye health and wellness visit one time every single year.We can see so much more today, just by looking into your eyes.

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HostDr. Jeff KegarisePresident of Cool Springs Eye Care & Donelson Eye Care

Co-Host Cole EvansDirector of Marketing

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In this episode, Dr. Jeff shares some of his secret sauce on how to build strong foundations in your organization.

Spoiler alert - it starts with being completely transparent and making sure your team understands your "why" and fully understands the values and mission of the company. When you have alignment, you'll really see the change taking place in your organization and throughout your team.

It's very important that you have an annual eye health and wellness visit one time every single year.We can see so much more today, just by looking into your eyes.

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HostDr. Jeff KegarisePresident of Cool Springs Eye Care & Donelson Eye Care

Co-Host Cole Evans

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Styles change. What people like and don't like, change. But our focus on patient care will never change. Our services must continue past the exam room and we have to meet our patients where they are in their life. That may present itself in green frames or stark white cat-eye frames or they be readers. Regardless, we have over 1,200 pairs of glasses for you to choose from.

Our opticians are styling celebrities, female executives, kids, moms, grandmothers, and everyone in between. It's very important that you have a comprehensive eye health and wellness visit one time every single year.

We can see so much more today, just by looking into your eyes.Make your appointment today and visit Nwa and Ross in our optical departments.Cool Springs Eye Care Donelson Eye Care,

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HostDr. Jeff KegarisePresident of Cool Springs Eye Care & Donelson Eye Care

Guests Nwa Optical Manager of Cool Springs Eye CareRossOptical Manager of Donelson Eye Care

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Ep #44 COVID-19, 12 Months Later

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Ep #43 Dr. Jeff Discusses 2020 & Advances Part 2

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Ep #42 Dr. Keg Discusses 2020 & Advances Part 1

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Ep #41 And I Would Do Anything for You, But I Can't Do That & Meatloaf

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Ep #40 Dr. Jeff & Dr. Tuck Talk COVID-19 - 12 Months Later

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Ep #39 Dr. Keg & Dr. Waymire Discuss Dry Eyes Part 2

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Sponsored by Upneeq - the first and only FDA-approved eye drop for treatment of droppy eyelid (acquired blepharoptosis) in adults

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In this episode, Dr. Jeff and Cole discuss children and their first eye exam.

Why does the eye doctor want to see you child? Doesn't the pediatrician "do all that"?What age should I bring me child in for their exam?How much will this cost me?

Dr. Jeff answers those questions and describes

  • eye health
  • binocularity
  • refractive state

Spoiler - it's free!

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Ep #36 Education Is a Part of Care & Certainty Is More Valued Than Uncertainty

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Ep #35 Introduction to Katie Johnson - Practice Administrator, #BOSS

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Ep #34 Personal Info is as Important as Medical Info

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Ep #33 Glaucoma Treatment & What You Need to Know

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Dr. Jeff & Cole discuss FSA and HSA.

FSA = flexible spending account

HSA = health savings account

FSA are not very flexible - majority of them to term. They will not roll over and when the year is over, your benefits are gone.

Most HSAs will roll over.

People get busier around the holidays and with benefits running out - we are seeing an additional number of patients in the office. Eye care practices see an influx of patients in the last few weeks of the month (December) as ‘some’ people wait until the last minute to get their annual eye exam.

Lesson 12 - A Conjunctivitis Did Not Just Walk In The DoorWe make it a practice of addressing our patients, not the condition, disease or issue. We care for patients, not their disease.

Lesson 13 - I Can Hear - Why Aren’t You Taking Care Of Me?People are busy and no one likes to wait.

We strive to not laugh and banter outside of the exam rooms or around patients - as they are here to be seen and perception is reality. If the patient perceives that you are playing around and not making them a priority - it quickly becomes their new reality.

Don't lose sight of the patient being in the room.

We should never lose when it comes to patient care.

What is DDD?

Door to Doctor, Done (total cycle time)

**every steps of the way, you should be adding value

**minimize “waiting”

We are providing our patients with excellent care in the timeframe ‘they’ deem acceptable.“We are in the care business” - Dr. Jeff Kegarise

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Dr. Jeff and Cole discuss Glaucoma, what signs may be presented when you get Glaucoma.

What’s your cupping?It may not be what you think it is. Dr. Jeff introduces the visual of the doughnut and why your cupping is so important.

Dr. Jeff answers questions that our patients are asking us on a monthly basis.

Can you get Glaucoma from your mom and dad?Yes

Can you get Glaucoma from your neighbor?No

What conversation am I having with my mother / grandmother, that will help us notice signs?Patients, for the most part, don’t have pain. They also won’t have symptoms - it’s less symptomatic for high blood pressure.

What’s happening with your optic nerve?This is what we are looking at every time you come in for an exam.

When you have Glaucoma (garden variety type), it’s bi-lateral (in both eyes) but asymmetric disease - one eye proceeds the other. General, people treat both eyes at the same time.

The invert to Glaucoma is Age-Related Macular Degeneration (ARMD).

Glaucoma loses vision around the circumference of the eye and conversely ARMD loses vision in the center of the eye.

Is my vision going to be full restored?With Glaucoma, when you lose your vision; we can’t bring it back.

We’re looking at millions of nerve wires and seeing if they are thinning to see if you are trending to Glaucoma, over time. We’re watching the nerve, structure and function by the OCT and side-vision test are part of it as well.

12 to 20 is the average eye pressure - it varies day to day and time of day.

4 Types of Glaucoma

  • Congenital Glaucoma
  • Unique to You
  • Closed Angle (painful type, estimate 3%) - very unique - sudden eye pressure rise, blurred vision, comes on very quick. 45-65 years old
  • Open Angle ("Garden Variety" is 85%) majority of Glaucoma patients

You won’t feel pressure in your eyes until it’s in the mid-40s range.

What does Glaucoma suspect mean?

It means you have risk factors (age, African American, Rx, Diabetes, thickness of your cornea, performance of side-vision test) and that we are watching your measurements, pressures and other risk factors.

Does it mean I will get Glaucoma?No.

9 out of 10 people will not get Glaucoma

Will I get Glaucoma because I’m Diabetic?

No.

Having your annual eye exam is so important to consistently watching the health of your optic nerve, watching your high pressure and the general aging and health of your eyes.

We can see so much more today, just by looking into your eyes.

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Ep #30 Dr. Keg and Ginger Colwell Discuss the Difference in Medical Insurance and Vision Benefits

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Ep #29 Stephanie Moore and Dr. Jeff Talk Etnia Barcelona, Styles & Trends

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Ep #28 Help Me Up So I Don't Do Down, Have Someone In Charge of Care & Wait, Don't Walk So Far and So Fast

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Ep #27 You Do A Lot-Make Sure Your Patients Know It & Greeting the Patient IN the Reception Room

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Ep #26 Macular Degeneration & Genetic Testing with Paige Pantall

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Dr. Jeff Kegarise discusses diabetes with Dr. Arrindell. Dr. Arrindell grew up in the Virgin

Islands, went to college at Michigan State, went to medical school at the University of Iowa, as

well as did his residency at the University of Michigan. Dr. Arrindell and some of his fellow

medical professionals founded a practice called Tennessee Retina in 2008. Dr. Arrindell's

practice is well known for quality care and advanced high level research into retinal issues and

diseases.

November is National Diabetes Awareness Month and Diabetic Eye Awareness Month. Dr. Jeff

discusses how there is a lot of talk in the healthcare community about the “diabetic epidemic”.

Dr. Arrindell discusses that there is an increasing volume of patients with diabetes however the

number of cases he sees with advanced diabetes and advanced diabetic eye issues has

decreased. Dr. Arrindell attributes this to catching issues in patients earlier.

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Dr. Jeff Kegarise discusses diabetes with Dr. Arrindell. Dr. Arrindell grew up in the Virgin

Islands, went to college at Michigan State, went to medical school at the University of Iowa, as

well as did his residency at the University of Michigan. Dr. Arrindell and some of his fellow

medical professionals founded a practice called Tennessee Retina in 2008. Dr. Arrindell's

practice is well known for quality care and advanced high level research into retinal issues and

diseases.

November is National Diabetes Awareness Month and Diabetic Eye Awareness Month. Dr. Jeff

discusses how there is a lot of talk in the healthcare community about the “diabetic epidemic”.

Dr. Arrindell discusses that there is an increasing volume of patients with diabetes however the

number of cases he sees with advanced diabetes and advanced diabetic eye issues has

decreased. Dr. Arrindell attributes this to catching issues in patients earlier.

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Ep #23 - We Can See Signs of Diabetes Part I

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Dr. Jeff Kegarise introduces Performance Vision Therapy. Dr. Kegarise introduces Holli Weaver

who works with Performance Vision Therapy at Cool Springs Eye Care and Donelson Eye Care.

Performance Vision Therapy is essentially physical therapy for the eyes.

There are three main areas where a patient would need vision therapy. Those are, lazy eye

issues, muscle or functional issues in the eye, commonly associated with reading, and the eye

brain relationship, which has to do with visual processing.

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Dr. Jeff Kegarise has Ron Kegarise on As I See It. Ron Kegarise is Dr. Jeff’s father. Ron

Kegarise has previously appeared on As I See It to discuss metallurgy in eyecare. Dr. Jeff

Kegarise takes this episode to discuss one of his personal interests with his father, football. Dr.

Jeff discusses with his father the most memorable of the Heisman Trophy winners he has

witnessed throughout his lifetime.

Ron Kegarise discusses some of the younger players throughout his lifetime who have been

more of the memorable Heisman Trophy winners for him. Dr. Jeff and Ron Kegarise are very

fond of the Ohio State Buckeyes football team.

Ron Kegarise discusses how during his high school career in the 1950’s modern day protective

gear such as face masks on helmets were not often worn and even considered taboo.

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Director of Marketing Cole Evans introduces One Patient At a Time Lessons 5 & 6. The novel One Patient At a Time is now available on Amazon. This book is not specifically only for Optometry, this book is applicable to all healthcare fields and professionals.

Lesson 5 is titled “Welcome To The Office”. Dr. Jeff discusses the importance of knowing your patients names, and calling your patients by their name. Dr. Jeff and Cole Evans discuss the importances of personalization with every patient that walks into the practice. This is to make every step of the way feel comfortable and personal for the patient.

Dr. Jeff puts a significant emphasis on the amount of time a patient spends in his offices. He wants to minimize the amount of time patients spend waiting to show them that their time is valued and that the practices will make every effort to not waste the patients time.

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“One Patient At a Time should be required reading for students at every medical, dental, and optometry school” - Dr. Tuck

Dr. Tuck is a hospitalist, he specializes in hospital medicine. He recognizes the concepts discussed in One Patient At a Time are relevant to not only the outpatient sector of healthcare but hospital care and primary care as well. Dr. Tuck appears in a previous episode.

Cole Evans discusses lessons 3 & 4 of One Patient At a Time… “Smile When You Say That” & “Greet Everyone With a Smile and Make Eye Contact”. Dr. Jeff believes in the power of simplicity, this lesson is simple to act upon and implement, yet it can have a large impact on how patients feel about their experience. Dr. Jeff strives for excellence in his eye care practices.

Dr. Jeff and Dr. Susan in their book say “Expect it, Demand It”. This means that the expectation for this must be set with the team, and then adherence to this expectation needs to be demanded to ensure that the level of excellence within the practice is met.

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Cole Evans, Director of Marketing introduces Jeff Kegarise, and discusses the previous episode that introduces Dr. Jeff and Dr. Susan’s book “One Patient At a Time”. Cole and Dr. Jeff begin to discuss relationships within the field and how the provider patient relationship begins from the very first interaction with the patient. Dr. Jeff is passionate about having an impact on patients before they even enter the office.

Cole and Dr. Jeff discuss how important patient reviews are to them at Cool Springs and Donelson Eye Care. Dr. Jeff and Dr. Susan want their patients to know that they come first as a person and Dr. Jeff and Dr. Susan put respect for their patients first and it is the priority of every visit before eye care even begins.

Dr. Jeff discusses his plan of action for what occurs when he deals with dissatisfied patients. He tries to reach out to patients and find out what has happened and what can be done to fix the issue.

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Dr. Kegarise introduces Cole Evans, president of the Evans Company, and director of Marketing

for Cool Springs Eye Care and Donelson Eye Care. Dr. Kegarise brings up the topic of social

media in healthcare with Cole. Dr. Kegarise and Cole discuss the importance of social media

not only to physicians but to medical practices and the field of healthcare as a whole. Social

media for doctors can have a great impact, there are countless channels and platforms for

doctors to reach out and enter the market, engaging with their patients.

Cole Evans discusses the importance especially for doctors, through the channels of social

media, letting people into their businesses and practices, by telling their story. Marketing is

relevant even in the health industry. Media and especially social media are important platforms

for healthcare professionals to be involved in because of the high volume of customers reached

through these channels. Dr. Jeff and Cole discuss the evolution of marketing through social

media and how this process has evolved over the years.

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Cole Evans introduces Dr. Susans and Dr. Jeff's book and new publication, “One Patient at a

Time”. Dr. Jeff discusses why himself and his wife Susan decided to write a book in the midst of

running multiple eye care practices. Dr. Jeff explains that he wanted to share his experiences in

his quest to make every single one of his patients feel special. Dr. Jeff and Dr. Susan have built

their practices on making patients feel as if they are the only patient every time they visit the eye

care practices. Dr. Jeff and Dr. Susan decided to co-author a book to share those experiences,

and share that passion in delivering a great and courteous experience for patients. Dr. Jeff and

Dr. Susan wanted to share how and why they have built and ran their eye care practices the

way that they have, with patients in mind. Dr. Jeff and Dr. Susan’s passions led to the creation

of their book One Patient at a Time.

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Dr. Jeff brings on a special guest, his father Ron Kegarise. Dr. Jeff Kegarise discusses

metallurgy and its uses in the field of eyecare. Dr. Jeff and Ron Kegarise discuss the main

elements and metals used. They discuss the properties of stainless steel and the features that

make stainless steel the material of choice for most.

Dr. Jeff and Ron discuss the different materials used and the transferability of COVID-19 among

these materials. Stainless steel is commonly used in the medical field. Ron informs us of the

unique property that copper possesses, in which COVID-19 has tremendous difficulty surviving

on the surface of this material vs other materials such as stainless steel and aluminum. The

antibacterial properties of copper make it especially attractive to use during a global pandemic.

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Stephanie Moore is the Regional Optical Manager at Cool Springs Eye Care and Donelson Eye Care. Stephanie grew up in Fort Worth Texas, and went to college for a period of time at Texas A & M. Stephanie Moore is the oldest of 3 children. She has one brother and one sister.

Stephanie has made it one of her missions to make sure opticals are calculated accurately and efficiently, while keeping in line with affordability for patients. Stephanie is ABO certified through the American Board of Opticianry.

Dr. Jeff and Stephanie discuss the different styles of frames and designers from different countries around the world and the distinctions of each area with the design of opticals and eyewear.

Dr. Jeff and Stephanie discuss the craftsmanship and creativity that go into creating every frame.

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Dr. Jeff discusses the Neurolens and its dramatic effect on the improvement of headaches and migraines in patients. Dr. Evan Shields discusses his experience with the Neurolens and his own patients. In his experience some of his patients' migraines were completely eliminated. Some patients experience other symptoms aside from headaches such as light sensitivity, dizziness, and neck stiffness. Patients are often surprised that some of these symptoms are due to eye issues and nerve pain.

The Neurolens help alleviate discomfort that comes from the eyes not being properly aligned and focused. The Neurolens helps the eyes interact the same way.

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Dr. Evan Shields practices at both Cool Springs Eye Care and Donelson Eye Care. Dr Shields is the lead doctor over the Neurolens Program. Dr. Evan Shields grew up in Kentucky. Dr. Shields obtained his Bachelor's degree from Middle Tennessee State University. He went to Optometry School in Memphis Tennessee at the Southern College of Optometry. Dr. Shields met his wife in college through mutual friends. Dr. Shields and his wife have three children with one on the way due in December.

Dr. Shields started out in the music business, but decided he wanted to be in optometry during his time shadowing medical professionals in other fields.

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Dr. Amy Jacobs was born and raised in St. Louis Missouri. Dr. Jacobs obtained her

undergraduate degree from Lindenwood University. Dr. Jacobs attended the University of

Missouri for Optometry School. Originally Dr. Jacobs wanted to be a pharmacist and did a lot of

shadowing in different areas which is when she decided she liked optometry. Dr. Jacobs found

her love of eye care because of all the different aspects and areas of practice the field has to

offer. Dr. Jacobs and her husband Jimmy were high school sweethearts. They just recently had

a baby. Dr. Jacobs enjoys home design and do it yourself projects.

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Leaders Mission and Vision

Hierarchy of Service Delivery - borrowed from Disney - when the staff acts like the

owner wants

Alignment is so important - what the owner wants is also demonstrated by the staff -

owner expects staff to act on their behalf when not physically present - ensures the

practice is represented well

The foundation of the service hierarchy is..

Safety

Courtesy

Patient Experience

Efficiency

We are living this concept during COVID - safety is now everyone’s main focus

Keeping things safe - remind patients how we build safety in a particular visit

Courteous staff

Feedback - pos/neg, immediate, and certain

“Picnics” with the team

Training - most important training your managers to be aligned

“When faced with 2 right situations which one do we go with”

…..

Drs. Jeff and Susan Kegarise grew their practices in Nashville and Franklin, Tennessee,

over the last 25+ years. They also co-authored a book One Patient At A Time , which

you can order today. Drs Jeff and Susan take the reader through 8 chapters and 135

lessons that they have learned, created processes for and institute in their practices

every single day.

A Better Way For Doctors & Patients Are you a doctor who wants to give patients the

best care, yet struggle with the demands of managing the clinic and the business? Or

are you a patient who’s tired of poor service, impolite greetings, and providers in a

rush? Doctors Jeff and Susan Kegarise are here to give you hope. There is a better

way―for both patients and doctors. In One Patient At A Time, they open the doors to

their Nashville practice to let patients see how leadership, systems, staff, and doctors

combine to deliver patient-focused, relationship-driven care. And they show doctors how

to provide this kind of care by giving specific, implementable steps that drive a culture of

service to patients―one that patients clearly see as unique, enjoyable, and a better

experience than the typical doctor visit. Read this book and you will never look at your

healthcare experience or your practice the same. And you will be better for it.

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Amy Jacobs - Director of Contact Lens Program at Cool Springs Eye Care and

Donelson Eye Care

Contact Lens Care - COVID particularly has an effect on contact lens care - because

contact lens users touch their face and eyes often - patients cannot be seen for contact

lens appointments b/c practices are only being seen for urgencies

The practice is extending contact prescriptions 6 months and shipping for home delivery

at no charge

Can COVID be transmitted via the tears? - Can contacts be worn normally? - All

concerns for patients wearing contact lenses

Contacts safer for children playing sports

GVSS - type of contact that is a hard lens you sleep in and helps to reshape the cornea

  • it can help slow down the progression of some vision issues - it is different than a daily

lens, typically used for longer periods of time

…..

Drs. Jeff and Susan Kegarise grew their practices in Nashville and Franklin, Tennessee,

over the last 25+ years. They also co-authored a book One Patient At A Time , which

you can order today. Drs Jeff and Susan take the reader through 8 chapters and 135

lessons that they have learned, created processes for and institute in their practices

every single day.

A Better Way For Doctors & Patients Are you a doctor who wants to give patients the

best care, yet struggle with the demands of managing the clinic and the business? Or

are you a patient who’s tired of poor service, impolite greetings, and providers in a

rush? Doctors Jeff and Susan Kegarise are here to give you hope. There is a better

way―for both patients and doctors. In One Patient At A Time, they open the doors to

their Nashville practice to let patients see how leadership, systems, staff, and doctors

combine to deliver patient-focused, relationship-driven care. And they show doctors how

to provide this kind of care by giving specific, implementable steps that drive a culture of

service to patients―one that patients clearly see as unique, enjoyable, and a better

experience than the typical doctor visit. Read this book and you will never look at your

healthcare experience or your practice the same. And you will be better for it.

View Details

Dr. Susan - from Ohio

Graduated from Ohio State - met husband at Ohio State

Importance and value of education gained during residency

3 kids

Originally considered Dentistry then decided to become eye doctor

Farsightedness - many kids don’t realize how hard their eyes are working - leads to

issue of near vision reading - diagnosed through reading speed, comprehension, etc.

Dr. Susan is passionate about helping young children with vision issues

Not just about an eye exam it is about helping children learn when their eyes and vision

could be hindering their ability / protecting kids in their sports etc

…..

Drs. Jeff and Susan Kegarise grew their practices in Nashville and Franklin, Tennessee,

over the last 25+ years. They also co-authored a book One Patient At A Time , which

you can order today. Drs Jeff and Susan take the reader through 8 chapters and 135

lessons that they have learned, created processes for and institute in their practices

every single day.

A Better Way For Doctors & Patients Are you a doctor who wants to give patients the

best care, yet struggle with the demands of managing the clinic and the business? Or

are you a patient who’s tired of poor service, impolite greetings, and providers in a

rush? Doctors Jeff and Susan Kegarise are here to give you hope. There is a better

way―for both patients and doctors. In One Patient At A Time, they open the doors to

their Nashville practice to let patients see how leadership, systems, staff, and doctors

combine to deliver patient-focused, relationship-driven care. And they show doctors how

to provide this kind of care by giving specific, implementable steps that drive a culture of

service to patients―one that patients clearly see as unique, enjoyable, and a better

experience than the typical doctor visit. Read this book and you will never look at your

healthcare experience or your practice the same. And you will be better for it.

View Details

Dr. Wang is a Harvard and MIT graduate (MD, magna cum laude) and one of the few cataract and LASIK eye surgeons in the world today who holds a doctorate degree in laser physics.

Ming grew up during China’s Cultural Revolution – during which millions of innocent youth were deported to remote areas to face a life sentence of poverty and hard labor. Ming had to play the Chinese violin erhu and learned to dance, in order to escape the labor camp.

He eventually made his way to America with only $50 and graduated with the highest honor from Harvard Medical School and MIT. Dr. Wang founded a 501c(3) non-profit organization, the Wang Foundation for Sight Restoration, which to date has helped patients from over 40 states in the U.S. and 55 countries, with all sight restoration surgeries performed free-of-charge.

He was named the Kiwanis Nashvillian of the Year for his lifetime dedication to helping blind orphan children from around the world. Dr. Wang is the co-founder and president of the Tennessee Immigrant and Minority Business Group, and co-founder of the Common Ground Network, a non-profit that focuses on Dr. Wang’s life-long mission to help people find common ground and solutions to our society’s problems.

This episode was recorded on Friday, April 17, 2020.

Dr. Jeff Kegarise is the President of Cool Springs Eye Care, Donelson Eye Care, Center for Professional Development, The Tiger Institute for Cooperative Learning, Performance Vision Therapy and author of One Patient At A Time, which he co-authored with his wife, Dr. Susan Kegarise, OD.

eyehealth #2020 #coolspringseyecare #donelsoneyecare #visiontherapy #drkeg #onepatientatatime #nashvilletn #nasvhille #franklinis #donelsontn #hipdonelson #cataracts #glaucoma #optometry #contacts #sunglasses #frames #williamsoncounty #brentwoodtn#franklintn #asiseeit #tigertalks #keplrvision

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Dr. Wang is a Harvard and MIT graduate (MD, magna cum laude) and one of the few cataract and LASIK eye surgeons in the world today who holds a doctorate degree in laser physics.

Ming grew up during China’s Cultural Revolution – during which millions of innocent youth were deported to remote areas to face a life sentence of poverty and hard labor. Ming had to play the Chinese violin erhu and learned to dance, in order to escape the labor camp.

He eventually made his way to America with only $50 and graduated with the highest honor from Harvard Medical School and MIT. Dr. Wang founded a 501c(3) non-profit organization, the Wang Foundation for Sight Restoration, which to date has helped patients from over 40 states in the U.S. and 55 countries, with all sight restoration surgeries performed free-of-charge.

He was named the Kiwanis Nashvillian of the Year for his lifetime dedication to helping blind orphan children from around the world. Dr. Wang is the co-founder and president of the Tennessee Immigrant and Minority Business Group, and co-founder of the Common Ground Network, a non-profit that focuses on Dr. Wang’s life-long mission to help people find common ground and solutions to our society’s problems.

This episode was recorded on Friday, April 17, 2020.

Dr. Jeff Kegarise is the President of Cool Springs Eye Care, Donelson Eye Care, Center for Professional Development, The Tiger Institute for Cooperative Learning, Performance Vision Therapy and author of One Patient At A Time, which he co-authored with his wife, Dr. Susan Kegarise, OD.

#eyehealth #2020 #coolspringseyecare #donelsoneyecare #visiontherapy #drkeg #onepatientatatime #nashvilletn #nasvhille #franklinis #donelsontn #hipdonelson #cataracts #glaucoma #optometry #contacts #sunglasses #frames #williamsoncounty #brentwoodtn #franklintn #asiseeit #tigertalks #keplrvision

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Dr. David Zimmerman, who works on the frontlines and overseeing our clinics at Cool Springs Eye Care and Donelson Eye Care, talks with Dr. Jeff Kegarise about coronavirus.

This episode was recorded on Saturday, March 28, 2020.

Dr. Jeff Kegarise is the President of Cool Springs Eye Care, Donelson Eye Care, Center for Professional Development, The Tiger Institute for Cooperative Learning, Performance Vision Therapy and author of One Patient At A Time, which he co-authored with his wife, Dr. Susan Kegarise, OD.

#eyehealth #2020 #coolspringseyecare #donelsoneyecare #visiontherapy #drkeg #onepatientatatime #nashvilletn #nasvhille #franklinis #donelsontn #hipdonelson #cataracts #glaucoma #optometry #contacts #sunglasses #frames #williamsoncounty #brentwoodtn #franklintn #asiseeit #tigertalks #keplrvision

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In the first (4) episodes, Dr. Jeff Kegarise speaks with a hospital administrator, pediatric physician, ER doctor and local clinic director about COVID-19. Dr. Christen Kegarise, his daughter, works on the frontlines in emergency care in Indiana.

This episode was recorded on Saturday, March 28, 2020.

Dr. Jeff Kegarise is the President of Cool Springs Eye Care, Donelson Eye Care, Center for Professional Development, The Tiger Institute for Cooperative Learning, Performance Vision Therapy and author of One Patient At A Time, which he co-authored with his wife, Dr. Susan Kegarise, OD.

#eyehealth #2020 #coolspringseyecare #donelsoneyecare #visiontherapy #drkeg #onepatientatatime #nashvilletn #nasvhille #franklinis #donelsontn #hipdonelson #cataracts #glaucoma #optometry #contacts #sunglasses #frames #williamsoncounty #brentwoodtn #franklintn #asiseeit #tigertalks #keplrvision

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In the first (4) episodes, Dr. Jeff Kegarise speaks with a hospital administrator, pediatric physician, ER doctor and local clinic director about COVID-19. Dr. Kelli Davis works on the frontlines in pediatric care in South Carolina.

This episode was recorded on Saturday, March 28, 2020.

Dr. Jeff Kegarise is the President of Cool Springs Eye Care, Donelson Eye Care, Center for Professional Development, The Tiger Institute for Cooperative Learning, Performance Vision Therapy and author of One Patient At A Time, which he co-authored with his wife, Dr. Susan Kegarise, OD.

#eyehealth #2020 #coolspringseyecare #donelsoneyecare #visiontherapy #drkeg #onepatientatatime #nashvilletn #nasvhille #franklinis #donelsontn #hipdonelson #cataracts #glaucoma #optometry #contacts #sunglasses #frames #williamsoncounty #brentwoodtn #franklintn #asiseeit #tigertalks #keplrvision

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In the first (4) episodes, Dr. Jeff Kegarise, OD speaks with a hospital administrator, pediatric physician, ER doctor and local clinic director about COVID-19.

Dr. Steven Tuck, MD is on the frontlines in Macon, Georgia.

This episode was recorded on Saturday, March 28, 2020.

If you like this podcast, please SUBSCRIBE and leave us a comment. Dr. Jeff Kegarise is the President of Cool Springs Eye Care, Donelson Eye Care, Center for Professional Development, The Tiger Institute for Cooperative Learning, Performance Vision Therapy and author of One Patient At A Time, which he co-authored with his wife, Dr. Susan Kegarise, OD.

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