General Medical Information

Laser In The Clinic

James A. Duncavage
John R. Coleman, Jr.

The use of lasers in the clinic has many advantages. In addition to the reduction in cost and the convenience to both the patient and the surgeon, the laser can facilitate growth of the physician’s practice into new and varied areas. Although laser physics and the advantages and disadvantages of each type of laser are beyond the scope of this chapter, we give a few basics on deciding whether to buy a laser. In the end it all comes down to economics: Does the income generated by the laser justify the cost of the equipment, the training of personnel, and the dedication of space? The first point to consider is the type of practice and the additions to that practice the laser could bring. Lasers can be used for a variety of cosmetic, oral cavity, nasal, and myringotomy procedures. More specifically, would current patients benefit from a laser procedure over a conventional procedure? The second issue is the training of personnel to service the laser. The safety guidelines that should be followed are quite extensive, and dedicated personnel make the use of the laser safer and more efficient. A complete description of the necessary safety requirements can be found in the American National Standards Institute guidelines for the safe use of lasers. Finally, is space available for the laser? The laser must occupy a room that can be partitioned off from the office so that strict eye protection can be enforced.