
Stop Asking Insurance for Permission: The Refractive Mindset
From Real World Ophthalmology by Real World Ophthalmology
June 10, 2026 · 41 min · Season 4 · Episode 4
About this episode
Dr. Greg Parkhurst discusses refractive surgery and the role of insurance in patient care.
What if every cataract patient is actually a refractive patient? And why are we letting insurance companies decide how patients get to see? Dr. Greg Parkhurst — cataract and refractive surgeon, founder of Parkhurst NuVision in San Antonio, and Army veteran — joins Dr. Lisa Nijm and co-host Dr. Grayson Armstrong to challenge how ophthalmologists think and talk about refractive surgery. He makes the case that the most common refractive procedure today is cataract surgery, walks through exactly how his practice scripts the premium IOL conversation (including the "magic words" that eliminate sticker shock), and explains why patients — not insurance companies — should decide how they want to see. Plus, learn how his high-volume fellowship gives trainees 5–10 years of surgical experience in one year, how to get started in clinical research at any career stage, and the mission behind the Visual Freedom Foundation.
People in this episode
Hosts: Dr. Lisa Nijm, Dr. Grayson Armstrong
Guest: Dr. Greg Parkhurst
Topics covered
- refractive surgery
- cataract surgery
- patient autonomy
- insurance companies
- surgical training
- clinical research
Keywords
- refractive mindset
- cataract patients
- premium IOL
- surgical experience
- clinical research
- patient decision
Mentioned in this episode
Organizations: Parkhurst NuVision, Visual Freedom Foundation
Places: San Antonio
More episodes of Real World Ophthalmology
- Move Where You Excel · May 26, 2026 · 37 min
- Updates in Neuro-Ophthalmology and Reflections on Mentorship in Medicine · May 19, 2026 · 36 min
- Building Your Practice Step-by-Step · November 26, 2025 · 58 min
- New Horizons in Retina · November 12, 2025 · 24 min
- New Horizons in Glaucoma: Part 2 · March 5, 2025 · 23 min
- New Horizons in Glaucoma: Part 1 · March 5, 2025 · 37 min
Explore listener stats, chart rankings, contacts and more on the Real World Ophthalmology podcast page.