All In A Day's Work: Pediatric Ophthalmologist

"Every patient I have is really two: the child and the parent. Parents are the ones who are going to carry out most of what we prescribe." Evan A. Ballard, MD, a pediatric ophthalmologist with Associated Eye Care in St. Paul, talks about his work. He discusses why he became an opthalmologist, what a typical workday is like, and how his role fits into the bigger picture of healthcare.

March 26, 2009 at 9:26PM
(Barb Parks/The Minnesota Star Tribune)

Q: What's a typical workday like for you?

A: I see about 35 patients in the clinic on a typical day, mostly with eye disorders such as lazy eye, crossed eyes, tear drainage problems or eyelid lumps. I look at everything in the eye - from how the muscles work to how the eye focuses. Other days I start in surgery. I also treat adults who have eye muscle disorders resulting from strokes.

Q: How does your role fit into the bigger healthcare picture?

A: A lot of what I do comes by referral from pediatricians and other primary care providers and optometrists. All specialties kind of fit like the rim of a wheel, where the spokes lead back to the hub, or the primary care provider.

Q: Who do you interact with during the course of the day?

A: Every patient I have is really two: the child and the parent. Parents are the ones who are going to carry out most of what we prescribe. I also interact with support staff, including an orthopist, who is a technician trained to do eye muscle measurements, and a certified ophthalmic medical technologist, who takes preliminary measurements and determines the patients' glasses needs. I also interact with our reception staff and colleagues.

Q: Why did you become a pediatric ophthalmologist?

A: My father was an orthopedic surgeon. I had a pretty good idea when I was really young that I wanted to be a doctor. In medical school, I thought about what I really liked to do. I like precision, rather than doing big surgeries. I like the surgical specialty and neurology, physics and other aspects of vision. I also wanted a specialty that has some primary care in it so people can refer themselves.

Q: What do you like about your work?

A: I really love to see my patients, the kids and the adults. I also like that I don't have to rely on laboratory tests in most of what I'm treating and diagnosing. We don't have to wait years for results and the results are generally happy.

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