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Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
So you just talked about active engagement within the case. And I think a big question that often comes up in sustainable investing more generally is whether divesting is a solution. If a company, for example, is exposed to coal, should portfolio managers divest or is an active engagement strategy preferable to push co...
And certainly as these forces reach a tipping point and environmental pressures become, the environmental crisis becomes so critical as we're seeing. But even if the company is in a field where the human rights issues are so germane, those things are going to be clearly rationally related. If you're in a crisis managem...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
Definitely. And that's why I emphasized before I used that word average a lot, right? The average carbon grid intensity in the US. So Norway, Switzerland, France, also because of nuclear power, which is unproblematic, at least from a greenhouse gas perspective. New York State, too, interestingly, has quite a low grid c...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
So I started working with a venture capital firm called Hatsume Most Libby. They're based out of New York and I still work with them today. So going on about seven years, which is really crazy to have such an incredible partnership. And they opened my eyes to the world of impact investing and impact growth strategy, wh...
And like sort And what was the catalyst for it? Sure. So when I moved to Australia in 2019, I wanted to get closer to the ocean because I didn't have the chance to really do that when I was living in New York. New York was very much about working in the city and being part of the city experiences, which occasionally we...
And then now today, since completing Divemaster, while we're on this expedition, we're working quite a bit on other specialty courses like altitude diving and ice diving, cave and cavern diving, hopefully soon. But to answer the question of where are some of my favorite places to dive, it really is so hard to answer th...
So this is the rock and the hard place because to your point, on one hand hand tourism is so helpful to some of these coastal communities and just communities in general that we visited but on the other hand getting there traveling to these certain destinations especially when they're quite remote what that experience ...
And these sea nomads, the Moken people have historically for 4,000 years traversed up and down Thailand and Myanmar water living off of the sea on houseboats. And there was a tsunami that hit Thailand and that tsunami then forced the Moken people to become land-based by government order. And so they were no longer allo...
So we do not write in the same capacity as a journalist would. We are very much on growth strategy, content creation, design. And the reason why we put that forward is we work with the local communities and the teams that we meet to tell their story from their lens. So we are not coming in and reporting from a journali...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
And you are interviewed extensively on environmental topics, whether it be from policy to disasters to green solutions. And let me tell you, if you don't know what you're talking about, the entire world will know. So you have to be well-read and really be able to project that confidence within your presentations as wel...
And the closer you can get to the community is the more crystal clear it becomes, you know. Yeah, I completely agree with you. And yeah, even within our own backyard, there is a lot of suffering going on. And yeah, especially within California too, the droughts are heavy. And it was even shocking that rainwater harvest...
But ultimately, with the advent, and also we're on the precipice of one of the largest wealth transfer in the history of humanity with values driven as it relates to their purchasing power. So I think these couple of sort of shifts are positive indicators when it comes to sustainability and social impact or, you know, ...
You know, when I first started this work, that's the day of the year where we've used up all of Earth's resources in a sustainable manner, right? And every year it gets earlier and earlier in the calendar year because we're not evolving rapidly enough to really use our resources in a mindful way that's sustainable for ...
That companies made by 2025, they would be recyclable, compostable, refillable. All packaging would be da-da-da. Well, guess what? There's not a lot of suppliers out there. When they made those commitments, there weren't a ton of suppliers out there that could help them achieve those goals. And so we do, it does take t...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
But could there be a light at the end of the tunnel? And what's your thought process on when we would likely see that? Obviously, with the caveat that there's pretty minimal visibility as we stand now. Let me rephrase your question in some respect through my answer. While transition, we have not yet the world has agree...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
We started actually sewing home products and working on all different types of programs in different countries where we'd never been. Sri Lanka, I mentioned India, and then also Malaysia. So it was really amazing. It was an amazing time in the company, but it was also an amazing time in the industry because back in 199...
The combing and cleaning process is part of the spinning process. So the raw bales of cotton get shipped to the spinner along with the paperwork that represents where that cotton is actually from. There is a global cotton bale numbering system, but I'm not sure how effective it is. YES was working on training cotton sp...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
Thanks so much. And we're definitely going to jump back into the idea of global plastic waste. But I wanted to just reiterate some of the things you said for the consumers. So number one, get acquainted with the state, local state recycling regulation. I think you said when in doubt, leave it out. And not to focus too ...
Then there's also using recycled content, as I already mentioned. I think that's, again, going to continue to be key. And hopefully we can move all of these things together in parallel. What's been a very interesting transition that I've seen happen, you know, being in this field now for over 20 years is companies are ...
Hello and welcome to Sustainability in Progress, a podcast focused on exploring the most topical themes in sustainability. In this series, we will be inviting guest speakers and industry experts to discuss the most challenging issues facing our world today. But more importantly, the opportunities to address these chall...
And if it's a good day, if it's a bad day, it can be like closer to four. Okay, awesome. I'm sipping on one right now and this will be probably one of three. So we're kind of around the same range, but that's a perfect segue into our first set of real questions. We're going to dive into some of the work that you're cur...
There are a lot of potential benefits. In addition to that, the farmers benefit as well from a diversity of crops that they can grow within the coffee farms. I work in Puerto Rico as well. And in Puerto Rico, a lot of the farms, the coffee farms are shaded, but a lot of the shade consists of fruit trees and trees that ...
There's been more and more talk about regenerative agriculture. I'm a little confused about what it means. I think there's a lot of different definitions out there right now, kind of like sustainability. So I think in the coffee industry, it seems like we're trying to define that a little bit better. But I do think tha...
It'll be interesting to see what happens. Yeah, I think there could be a lot of negative impacts on, I mean, if something like that picks up and it displays, let's say, some of the coffee that is being produced, I think it's going to have potentially a negative impact on farmers in the global south. But like you say, I...
Welcome to On The Wards. It's Chris Elliott here. And today we're talking about patient design thinking with Rebecca James, who's a paediatric rheumatologist. This podcast is produced in collaboration with Avant, who's a proud partner of On The Wards. I'm really excited to tell you about Rebecca today and introduce you...
And we're really, all of us, we're trying our best. It's not for want of goodwill. It's not for want of effort. It's not for want of energy. But change in healthcare, sustainable and change in healthcare is extremely difficult. And it just seems a no-brainer to me that, of course, if we're not talking to patients about...
It's a substitution at a really achievable level that produces a materially better outcome. And to me, I think that's one of the most exciting things about the work that you're doing and the whole field is that this doesn't have to be yet another time sink, mandatory orientation, drain on your resources. And again, not...
Welcome to Key Lime. This is a special down under edition of Key Lime, and it's also a conjoint podcast with the On The Wards podcast, which we highly recommend to you. It's Jason Frank speaking. I'm here in beautiful Sydney in a very small closet-like room, very cozy with two of my MedEd guru colleagues. I'd like to i...
It was simply, I think, presenting in a descriptive way what the milestone ratings were across PTY 1, 2, and 3. And I think to the goal of their paper, which was to see actually what level do people achieve at the point of graduation. And so I think to that extent that it was fine. Appropriate design. What do you think...
Welcome to On The Wards, it's James Edwards here today. We're talking about some common emergency medicine orthopaedic presentations and we'd like to welcome back Dr to welcome back Dr. Nick Maluga. Welcome back, Nick. Thank you very much. Nick is currently an orthopaedic registrar working in Sydney and we've gone thro...
If the hand is going purple, probably wrapped too tight. Molding is very important. It's probably the most skill-based part of the plaster application, knowing where and how to mold, but also the one that makes the biggest difference long-term in terms of outcomes. So essentially, you want to mold in the direction oppo...
Welcome to On The Wallwards, it's James Edwards and today we're going to be talking about something that I know very little about, although I think I've seen many of these patients, and it is medically unexplained symptoms, or MUPS. And we have back Dr. Joanne Ferguson. Dr. Ferguson is a psychiatrist and addiction medi...
Welcome to On The Ward, it's James Edwards and today we're talking about acute limb ischemia and I have Dr. Shannon Thomas with me. Welcome Shannon. Thanks for having me James. Shannon Thomas is a trained vascular, endovascular and renal transplant surgeon who works at Prince of Wales Hospital in Sydney and today we're...
Okay welcome to On The Wards, it's James Edwards and today we're talking about clinical pathways. These clinical pathways are a bit different to what junior doctors may be used to and we're going to talk about clinical pathways in the community. And I'd like to welcome today Dr Kate George and Kate is a general practit...
Welcome to On The Wards, it's James Edwards and today we're talking about improving cardiovascular health in remote central Australia through new technologies with Associate Professor Chris Wong. Welcome Chris. This podcast is produced in collaboration with Avant, a proud partner of On The Wards. Chris is an academic c...
Welcome to On The Wards, it's Dr. Alison Hempinstall and today we're talking about a career in rural and remote medicine with Dr. Rebecca Lettingham. Welcome, Rebecca. Rebecca is a rural generalist at Broome Hospital in Western Australia and also a senior lecturer at the University of Western Australia. Bec, thanks so ...
Yes, definitely. I think that some of the changes that come out of this pandemic will be definitely for the better. There's a lot of unnecessary travel because we're stuck in the 1980s in terms of the way we do things. So I think, you know, if somebody's considering, say, having an operation in a tertiary centre, their...
Welcome to On The Wards, it's James Edwards and today we're talking about health but not the health of doctors but health of bones and to talk about bone health we have Dr. Curtin Gander. Welcome Curtin. Thank you. Who's an endocrinologist based in Concord here in Sydney. So bone health it's an interesting topic one we...
So sex drive is a very sensitive indicator of low testosterone. So certainly those would be, and in females, menopause age is important. Premature menopause, menopause less than 45 years of age, and a history of oligomenorrhea, that history needs to be listed. Then we have non-modifiable factors, particularly family hi...
The indications, I'll talk about PBS more than anything because that's sort of a more practical aspect of it. So if you sustain a minimal trauma fracture, that means you have osteoporosis, and the PBS recognizes that, in that if you've had a minimal trauma fracture, you can get PBS subsidized therapy. It's a matter of ...
Okay, welcome to On The Wards, it's James Edwards and I'm speaking to Dr. Ed Aberdeer, a haematology registrar at RPA and Concord Hospital, in part three of our session on anal coagulation. Welcome, Ed. Thank you. We've spoken about warfarin, we've spoken about the heparins. Now I want to speak about the NOACs or DOACs...
Okay, welcome to On The Wards, it's James Edwards and today we're talking about a sore ear and we have the pleasure of having Dr. Joel Hardman. Welcome Joel. Thank you. Joel is currently in TSMO here at Royal Prince Edward Hospital. We're going to be talking about the sore ear in general but especially trying to work o...
Now, I guess we see otitis externa is often called swimmer's ear. It seems really benign. Are there any risk factors for having a more significant or malignant otitis externa? Yeah, so untreated otitis externa can extend, and you can get periorricular spread of the infection. And the most serious sort of complication t...
Welcome to On The Wards, it's Jules Wilcox here. Today we're continuing the theme of financial wellness and we're talking about investing with Jeremy Kalman. Welcome, Jeremy. G'day, Jules. It's great to be here. Yeah. So just an introduction to Jeremy. Jeremy's worked in the financial markets and traded and invested fo...
So there's a couple of things that we definitely base all our thoughts and processes and approach around. The first thing I think that is probably really important is people to understand the idea of what we would term the effortless advantage. Typical economics calls it the economic rent, but it's not rent as in a lan...
You can't have a hospital without land. You can't go surfing without land. You can't go for a swim without access to, you know, land. You know, the pool's going to take up a certain amount of space, et cetera. And so land, whether we like it or not, you know, we might not live in an agrarian society where, you know the...
Okay, welcome to On The Wards, it's James Edwards and today we're talking about delirium and I'd like to welcome back Dr. Scott Murray. Welcome, Scott. Thank you, James. Scott is a geriatrician at RPA and is also the Director of Pre-Vacational Education and Training and has previously spoken on this topic. So it's a re...
You can certainly initiate a simple conversation. Most people who are not delirious or confused should be able to identify where they are. Simple orientation questions. Certainly be able to respond to simple questions such as strength and command type questions and then a very focused neurological examination looking f...
So it's my great pleasure to introduce an exceptional panel today to talk about you know navigating this career and and getting through it. So here we've got, starting from the far, we've got Dr Belinda Gray, General Practitioner with an interest in women's health working in rural New South Wales. Dr Claire Richman, wh...
And then a few, maybe like a year later, he admitted that he had ignored my email. He actually at the time told me that he had not seen it. But he thought I was spam. He didn't really remember you from the email. No, he just remembered that he'd received an email from an eager physician trainee through the portal. Who ...
It meant that I spent lots of time in ICU doing the things that I thought would make me a better emergency physician and I spent time learning other skills that I thought would apply knowing that when I started going down the training pathway I would start to specialise more and more in those particular areas. So I wan...
And usually if you just ask, do you have a minute or a spare moment to have coffee or have wine or whatever, and the rest really takes care of itself if you've picked the right person. So everyone on the panel would mentor your own people, is that fair to say? I think this is something very opaque to junior staff, the ...
Starting being a consultant is really the beginning of the next part. I really want to come back to that. That's how we're going to end about where you are now. Ken, what about coming back? What was your experience of coming back? So the other way to approach fellowship is often you would have talked to your mentor who...
Welcome to On The Wards. My name's Steph. I'm one of the junior doctors working at RPA and I'd like to welcome Dr Paul Hamer, our RPA-D pet and sleep physician, to today podcast. Thanks for having me, glad to be here. So our scenario for today would be that you're a junior doctor starting a relief term in a busy tertia...
But caffeine is useful when used appropriately. It's not useful if you're drinking super energy drinks the whole night and then you can't sleep at the end of your shift. I think that's wrong. And sometimes too much caffeine will actually interfere with the quality of your sleep at the end of a shift. So it is important...
Welcome to Underwards, it's Jay and Deb, and today we're talking about an underappreciated complication of invasive procedures, chronic post-surgical pain. I'd like to welcome back Dr. Jane Stanton. Welcome Jane. Thank you for having me. Jane's a consultant anaesthetist and also an interventional pain specialist and we...
Welcome to On The Wards. perhaps contribute. So I might send this to them or I might delete it forever. Sounds good. I am sort of wondering how I got the courage to ask you to do this at the end. I'll start by introducing myself for anyone who's listening. My name's Emily Buckley. I'm a first year medical student at AN...
So there was me and another doctor and 90 other people who included medics who are... Graham is in the audience somewhere, he's been a medic in the army, who are people who are basically trained like ambos, they're very sophisticated first responders. And there are nurses, there were only a couple of nurses there with ...
Welcome to On The Wards, it's James Edwards, the host of our podcast series. Today we're speaking about bleeding in early pregnancy with Dr Neil Campbell, an obstetrician and gynaecologist here at RPA. Yeah matey thanks for asking me to come along. So again we'll start with a case and we I think most junior doctors wou...
And what's the dose? Because there's a lower dose in early pregnancy. So we usually, so under 12 weeks, I think we use 250 units intramuscularly, and then we use 625 if they're over 12 weeks. Okay, and so look, usually we've done some blood tests, and usually it's the ultrasound, the next test. I just want to chat abou...
Welcome everyone to On The Wards. Today we've got Dr. Rob Heslop back. Many remember Rob's podcast on oligour. Currently our highest rating podcast. Welcome, Rob. Hi, James. Good to hear it. Look, Rob's an intensivist at RPA and head of the department of the Mater Hospital. The clinical lecturer at the University of Sy...
And so I guess taking from that what I'm advocating is in patients who are particularly elevated and particularly delirious and particularly difficult to manage and violent, I don't think it's unreasonable for such patients to be reviewed by intensive care doctors with a view to admitting them to intensive care to prov...
I guess that leads in some ways, one of the big questions for junior doctors, which one of these needs a CAT scan? Absolutely. And this is something we see very commonly in intensive care is that patients get scanned all the time for altered level of consciousness. And, I mean, it's not unreasonable, but a better way t...
Welcome to On The Wards, it's James Edwards and today we're talking about preventing and resolving trainee disputes and I have the pleasure of welcoming Penny Brown. Welcome, Penny. Thank you. Penny is a general practitioner and work extensively with general practice education and is currently a senior staff specialist...
There's supervisors who are working in a stressed, busy system, often under-trained, often the junior person, and you probably know from your own department, often the junior person is the last person to put their hand up who may have very little skills or aptitude or interest. And depending on the college, they get va...
You know, Mrs Jones didn't go so well what do you think happened what do you think went wrong what would if you could rewind the clock what would you do differently and often they'll tell me in which case my a my jobs done for me so be it's helping them because even if they get halfway there and I can help them go the ...
Hello and welcome to On The Wards. I'm Sarah Dalton and today we're talking to Angelina Chakwajira about malignant spinal cord compression. Welcome, Angelina. Thank you very much, Sarah. It's lovely to be here. Angelina is currently a medical oncology clinical trials fellow at St George Hospital in Sydney. And today we...
Welcome to On The Wards, it's James Edwards, I'm here again speaking to the junior doctors out there. Today we're talking about something that most junior doctors do get a tiny bit concerned about and it's inter-reporting and RCA's or root cause analyses and speak with me today I've got Andrew Baker. Andrew is the Dire...
Hi, it's James Edwards, welcome to On The Voice. It's February 2015 and today we're talking about assessment. So assessment's not one of our usual clinical topics but there's a lot of interest in assessment of junior doctors at the moment with some changes in Australia with our national intern assessment. And rather th...
So they'll often under-mark themselves. Some junior doctors will kind of try and game things by marking themselves up in an attempt to get a better score from the supervisor. But I think the self-rating section should be a means for reflecting on your performance, and it's not so much about the number that you give you...
Welcome to On The Wards, Jules Wilcox here, and today we're talking about peer mentoring with Rob Perlman and Sonia Chanchalani. This podcast is produced in collaboration with MedApps, a proud sponsor of On The Wards. So welcome Rob and Sonia. I'll give you a quick background. Rob taught himself to code whilst he was a...
It doesn't matter what your level of seniority is. Mentoring is still good. And I think a lot of us as seniors often have our sort of informal mentoring groups and things. But I think that second point that you were saying about the leadership and the governance and having a structure to it is just so important, you kn...
What would you say if you had people wanting to uh set it up or or thinking of i was divided into two um people who wanting to be mentored maybe there isn't a formal program in their hospital as a way that they can start to access or that to set it up at an individual basis, do you think? Or it's quite hard for people ...
Welcome to On The Wards. It's James Edwards and today we're speaking about a topic very close to my heart, headache in the emergency department and we have with us Dr. Catherine Spira. Welcome Catherine. Thanks very much. Catherine's a close friend of On The Ward and is a neurologist who works privately also at Prince ...
So vital signs are important and also neck stiffness goes along with that and potential infective signs. You need to do a full neurological examination on anyone with headache because you do not want to miss problems with the neurology plus headache is actually also very concerning for a secondary headache. So those ar...
Welcome to On The Wards, it's James Jensen and I'm here today speaking to Jo Ringleton who's a Senior Pharmacist for Education and training in the South East Sydney Local Health District. Welcome, Jo. Hi, how are you going? We're going to talk about opioids today, which is a really big topic. So we probably would like ...
50 milligrams of morphine. It's pretty much, yeah. So just remember that, you know, that they aren't the same. It's really important. It's been linked to lots of incidents, hydromorphone, as I said. Tramadol probably isn't used so much nowadays unless it's pretty much for minor procedures. Tramadol is a pretty weak opi...
I don't even know if they use it in maternity anymore, to tell you the truth. I don't work in maternity. So, yeah, there's too many issues with it. So it's very, very rarely used now. But, yeah, you do need to be careful if you're combining, say, one of those drugs with something like an SSRI or you would have to be ve...
They're pretty much only licensed for use in cancer pain at the moment. People do use intranasal fentanyl, and I know in the US there is a formulation of intranasal fentanyl. I'm not quite sure how they use it here. But it's an off-label use. It's not an indicated use. So often those patients with renal failure, really...
Welcome to On The Wards. It's James Edwards today. I'm speaking to Associate Professor Amanda Walker in regard to the National Safety and Quality Health Services Standards and what it means for you as a junior doctor. We've asked Amanda to speak to us today because of her important role as a Senior Clinical Advisor at ...
And it is how we do it and how we continue to get better at doing it. So all you have to do is pick something. Pick something that's important to you and then start. So measure how you're going and then have a look at how you might do better. And there's a whole lot of information about clinical practice improvement. T...
Welcome to On The Wards, it's James Edwards and today we're talking about upper GI bleeding, one of my favourite topics. Now we've got Dr Anastasia Volovets who's a gastroenterologist and hepatologist from Royal Prince Alfred Hospital. Welcome Anastasia. Thanks James. Upper GI bleeding is one of my favourite topics too...
Whereas patients who have had maybe one small episode of melina, they've dropped their hemoglobin a little bit, but it's not terrible. They've responded to fluids and their ops have stabilised. They're patients that can be scoped within the next 24 hours. You really emphasise the importance of knowing where they've got...
I sometimes get asked, although rarely these days, about whether we should put in a nasogastric tube if someone's, you know, have active hematemesis because we're concerned about aspiration. The answer is categorically no. If you're really concerned the patient's vomiting up so much blood that they're going to aspirate...
Welcome to On The Wards. As James said today, we're part two of our discussion with Dr. Sean Lau in the assessment and management of heart failure. Just going back into one of my original thoughts is from a clinical, before you have an echo, can you tell the difference between heart failure with reduced ejection fracti...
But I think in this context, absolutely, if you see that, then you're thinking about, is this heart failure? When you send a patient, it's kind of 7.30 p.m. on a Friday, a roll of an echo. Yes. You know, when does an echo need to be, I guess, done that night, done as an inpatient, done as an outpatient? Yeah, absolutel...
Welcome to On The Wards, it's James Edwards and today we're continuing on our focus on domestic violence and injury. In our first podcast, we talked about recognising and responding to domestic violence with Dr Rosemary Isaacs and today we're continuing the theme and looking at the more severe end of strangulation and ...
Because did he strangle you? The patient might think, oh, I'd be dead if he strangled me and say no. But did you have difficulty breathing? Oh, his hands were on my neck and I was struggling to breathe is a really relevant thing. So if you can find out what happened and actually write that down in two or three sentence...
Welcome to On The Wards. It's James Edmonds today. I have the pleasure of speaking to Dr. Alice Gray, who's an immunology and allergy advanced trainee. Welcome, Alice. Thanks, James. Now, Alice, you were once my intern. That's correct. But now I'm asking you the hard questions. Ask about antibiotic allergy. Now, this i...
Because if they do, then you're probably not going to want to give them related medications. So in this situation, look, the history is not particularly sort of suggestive of either an immediate reaction or a severe reaction. So I would say that it would probably be reasonable to administer a keflosporin because you ri...
Welcome to On The Warts, it's Tom Aitman. Today we're talking about corneal foreign body removal. The presentation of a patient with a corneal foreign body is not uncommon in the emergency department. Junior doctors should attempt to become competent in removing an uncomplicated corneal foreign body by the end of their...
Okay. And what equipment do you need to remove the object? So clearly it's easier with a slit lamp, anesthesia, and then of course the fluorothene. We use the 2% fluorothene, and I'll explain the reason for that in a minute. I always, removing a foreign body is kind of a stepwise process, and you should only ever remov...