Pupillometer Technology Is Working Hard To Eliminate Physical Exam.

I recently came upon this new hospital medical device.  It's called a pupillometer.  What does this pupillometer do?  It  measures subtle changes in the light reflex of the pupil to help take the physical exam to the next level of precision or eliminate it, depending on your perspective.  What used to be a basic physical exam skill is now being replaced by a $6000 piece of medical technology that can distinguish tiny changes in pupil size.  Now the real questions remain.  Has this pupillometer device gone through the rigors of randomized trials in the ICU to define whether a  $6000 flashlight changes outcomes or mortality?   If not, how do we allow medications to require such testing but not the technology that often changes nothing and simply makes health care more expensive.  The way I see things, if I'm trying to decide whether someone's pupils constrict 1% vs 3% vs 10%, I'm getting a palliative care consult instead and putting the pupillometer back in my holster.  First the light to find veins.  Now the pupillomter.   And I thought the super bright LED pen light was all the rage.

This post is for entertainment purposes only and likely contains humor only understood by those in a health care profession. Read at your own risk. 






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