
The 20/20 Podcast
Claim This Podcastby Harbir Sian, OD
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Podcast Overview
<p>Dr. Harbir Sian is an award-winning optometrist based in Vancouver, Canada. In The 20/20, Dr. Sian interviews guests from various backgrounds and industries to share their struggles and successes. Guests include business owners, entrepreneurs, world-class athletes, media personalities, medical professionals, and more. </p><p>Through conversations with these guests, Canada's number 1 optometry podcast brings clarity to business, entrepreneurship, and eyecare. Dr. Sian also shares his personal experiences through his shorter Eye2Eye segment. In these short episodes, Dr. Sian opens up and provides a vulnerable look into the challenges he has faced (and overcome) in his personal and professional life.</p><p>The 20/20 Podcast gives you a look through different lenses and helps you focus on your growth.</p>
Language
🇺🇲
Publishing Since
10/8/2019
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Recent Episodes

July 22, 2026
The Conversation That We Have Been Missing About Women's Eye Health - Dr. Janice Luk
<p>Women experience dry eye at significantly higher rates than men—but the reasons extend far beyond age or screen time. In this episode of The 20/20 Podcast, Dr. Harbir Sian sits down with Dr. Janice Luk to explore the often-overlooked connection between women’s health, hormonal changes, beauty routines, and ocular surface disease. From birth control and pregnancy to perimenopause and menopause, Dr. Luk explains how fluctuations in estrogen, progesterone, and androgens may influence meibomian gland function, tear-film stability, inflammation, and dry-eye symptoms.</p><p>The conversation also examines how optometrists can address makeup, lash extensions, lash lifts, and other beauty treatments without simply telling patients to stop doing the things that matter to them. Dr. Luk shares practical questions clinicians can ask, strategies for maintaining eyelid and lash hygiene, and ways to build trust through collaborative patient education. The episode concludes with a discussion of the evolving TFOS DEWS III approach to dry-eye management, the value of introducing multiple treatment modalities earlier, and the role of immunomodulatory therapies in reducing inflammation and improving patients’ comfort and quality of life.</p><p><br></p><p>3 Key Takeaways</p><p>1. Hormonal health should be part of the dry-eye conversation.</p><p> Hormonal fluctuations throughout a woman’s life—including those associated with oral contraceptives, pregnancy, perimenopause, menopause, and hormone-replacement therapy—may affect the ocular surface. Asking thoughtful questions about hormonal changes can help uncover contributing factors that patients may not realize are connected to their eye symptoms.</p><p><br></p><p>2. Beauty routines should be discussed, not dismissed.</p><p> Rather than simply advising patients to stop wearing makeup or getting lash treatments, optometrists can help them make safer choices. Asking about makeup removal, lash-extension cleaning, product ingredients, and eye discomfort can protect ocular health while respecting the patient’s lifestyle and identity.</p><p><br></p><p>3. Dry-eye treatment is becoming more integrated and proactive.</p><p> The newer TFOS DEWS III framework moves away from a rigid, step-by-step treatment ladder and encourages clinicians to consider the whole patient and introduce complementary therapies earlier. Addressing inflammation promptly—with prescription medications, at-home care, in-office procedures, or other appropriate options—may lead to faster and more meaningful improvement.</p><p><br></p><p><strong>Love the show?</strong> Subscribe, rate, review & share! <a href="http://www.aboutmyeyes.com/podcast/" rel="noopener noreferrer" target="_blank">http://www.aboutmyeyes.com/podcast/</a></p>

July 16, 2026
Effective Beats Efficient: Building a Better Independent Practice - Part 2 with Conor Heaney
<p>In Part 2 of this conversation with Conor Heaney, founder of Optical Success Academy and owner of Jones & Co. in Manchester, Harbir and Conor continue their discussion on what it really takes to grow an independent optometry practice. Picking up from Part 1, they explore the difference between being efficient and being effective, and why some of the most meaningful improvements in a practice come from slowing down, becoming more intentional, and focusing on the experience you actually want to create for patients.</p><p><br></p><p>Harbir shares more of what he has implemented at Clarity Eyecare after a year inside Optical Success Academy, including better team meetings, improved phone conversations, stronger follow-up, more Google reviews, and a clearer focus on attracting the right clientele. Conor explains why practice owners need a “North Star”: a clear understanding of who they want to serve and what kind of practice they want to build. From there, decisions around pricing, service, marketing, team training, and patient experience become much easier to align.</p><p><br></p><p>The conversation also dives into team development, delegation, and the shift from doing the work of the optometrist to doing the work of the business owner. Harbir shares a valuable lesson about putting the right person in the right role, while Conor explains how developing your team can create more freedom, better service, and a stronger business. For practice owners who feel busy, stretched, or stuck in the day-to-day, this episode offers practical insight into how small habits and consistent implementation can create meaningful change.</p><p><br></p><p><strong>Key Takeaways</strong></p><ol><li><strong>Effective beats efficient.</strong></li><li>The fastest or most efficient option is not always the best one. Sometimes slowing down, adding thoughtful service touches, and creating a better patient experience leads to stronger relationships, better word of mouth, and a more successful practice.</li><li><strong>Your ideal client should guide your practice decisions.</strong></li><li>Conor explains that when you are clear on who you want to serve, it becomes easier to make decisions around pricing, service, marketing, appointment flow, and team behaviour.</li><li><strong>Team development creates freedom.</strong></li><li>Harbir and Conor discuss how putting the right people in the right roles, trusting your team, and delegating more effectively can help both the practice and the practice owner grow.</li></ol><p><br></p><p><strong>Free Report from Conor Heaney</strong></p><p>Conor is offering listeners access to his report, <strong>The Nine Keys That Unlock the Hidden Profits in Your Practice</strong>. To request the report or learn more about Optical Success Academy, email <a href="mailto:info@opticalsuccessacademy.com" rel="noopener noreferrer" target="_blank"><strong>info@opticalsuccessacademy.com</strong></a>.</p><p><br></p><p><strong>Love the show?</strong> Subscribe, rate, review & share! <a href="http://www.aboutmyeyes.com/podcast/" rel="noopener noreferrer" target="_blank">http://www.aboutmyeyes.com/podcast/</a></p>

July 8, 2026
From Busy Practice Owner to Better Leader, With Optical Success Academy - Conor Heaney Part 1
<p>In this episode of The 20/20 Podcast, Harbir welcomes back Conor Heaney, founder of Optical Success Academy and owner of Jones & Co., a premium independent optometry and optical boutique in Manchester, UK. This conversation was so packed with value that it has been split into two parts. In Part 1, Harbir and Conor explore what it really takes to move an independent practice forward—not just by working harder, but by stepping back, gaining clarity, developing your team, and implementing changes consistently.</p><p><br></p><p>Harbir shares his own experience after spending the past year inside Optical Success Academy, including the practical changes that have made the biggest difference at Clarity Eyecare. From weekly team meetings and better phone conversations to creating a more intentional patient experience, this episode is full of real-world lessons for practice owners who want to improve their leadership, team culture, and patient journey.</p><p><br></p><p>Conor also breaks down the idea of “critical non-essentials”—the small details that may not seem directly related to optometry, but completely shape how patients feel about your practice. Whether it is the way a patient is greeted, how your space looks and feels, or something as simple as offering a drink, these moments can elevate the entire patient experience.</p><p><br></p><p>This episode is especially valuable for independent practice owners who feel busy, stretched, or stuck in the day-to-day. If you have ever felt like you are trying to “brute force” your way to growth, this conversation offers a more thoughtful path forward: better leadership, stronger implementation, more intentional team development, and a renewed focus on creating an experience patients remember.</p><p><br></p><p><strong>Key Takeaways</strong></p><p><strong>Working harder is not always the answer.</strong></p><p>Many practice owners get stuck trying to solve problems by doing more of the same. Conor explains why growth often requires pausing, reflecting, and making strategic choices instead of simply seeing more patients or putting out more fires.</p><p><br></p><p><strong>Weekly team meetings can transform implementation.</strong></p><p>Harbir shares how blocking dedicated time for team meetings became one of the most impactful changes in his practice. Those meetings created space to discuss challenges, celebrate wins, train the team, follow up on new systems, and keep important ideas from falling through the cracks.</p><p><br></p><p><strong>The patient experience is shaped by more than clinical care.</strong></p><p>Conor introduces the concept of “critical non-essentials”—the non-clinical details that strongly influence how patients perceive your practice. These may include the environment, music, hospitality, drinks, and the overall feeling patients have when they walk through the door.</p><p><br></p><p><strong>Guest Info</strong></p><p>Conor Heaney is an optometrist, practice owner, and founder of Optical Success Academy. He owns Jones & Co. in Manchester, UK, a premium independent optical boutique known for its elevated eyewear experience and strong focus on service, leadership, and practice differentiation.</p><p><br></p><p><strong>Love the show?</strong> Subscribe, rate, review & share! <a href="http://www.aboutmyeyes.com/podcast/" rel="noopener noreferrer" target="_blank">http://www.aboutmyeyes.com/podcast/</a></p>
218 total episodes available
Recent guests on The 20/20 Podcast
Guests from recent episodes — sign up to see every guest that has ever appeared on this show.
Dr Pavan Avinashi
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Dr Cedrick Mah
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Dr Nathalie Trottier
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Dr Evelyn Lo
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Dr Graham Merry
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Dr Darrell Lewis
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Dr Michael Boyd
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Dr. Evelyn Lo
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Dr. Sarah MacIver
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Dr. Sophia Leung
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Dr. Shaina Nensi
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Aldo Zuccaro
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Frequently asked questions
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- What is The 20/20 Podcast?
<p>Dr. Harbir Sian is an award-winning optometrist based in Vancouver, Canada. In The 20/20, Dr. Sian interviews guests from various backgrounds and industries to share their struggles and successes. Guests include business owners, entrepreneurs, world-class athletes, media personalities, medical professionals, and more. </p><p>Through conversations with these guests, Canada's number 1 optometry podcast brings clarity to business, entrepreneurship, and eyecare. Dr. Sian also shares his personal experiences through his shorter Eye2Eye segment. In these short episodes, Dr. Sian opens up and provides a vulnerable look into the challenges he has faced (and overcome) in his personal and professional life.</p><p>The 20/20 Podcast gives you a look through different lenses and helps you focus on your growth.</p> - How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 9 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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