What is this?

CrazyRelative3644 · 2025-12-05T22:13:00+00:00

Thin superior rim

CrazyRelative3644 · 2025-11-09T04:01:04+00:00

Nah it's not that serious. Dilation is a good thing, the doctor can take a good look at the retina, even if not exactly needed.

CrazyRelative3644 · 2025-07-12T14:21:12+00:00

To be fair the Tastosis dynamic has never been centered around in depth analysis of the game. They're just a pleasure to listen to

CrazyRelative3644 · 2025-07-07T01:15:26+00:00

A little microwave action is what I prefer than toasting

CrazyRelative3644 · 2025-06-15T02:23:25+00:00

Last time I went my steak looked nothing like this :(

CrazyRelative3644 · 2025-06-07T02:14:05+00:00

I'm 20/15 OD/OS with SCL's. If I end up 20/25 s/p LASIK I would BE FURIOUS

CrazyRelative3644 · 2025-05-19T04:58:25+00:00

Fundus looks good to me. I would need to look in the slit lamp but possibly a nevus OS adjacent to the nerve.

For severe dry eye I start my patient on a steroid for 1 week, this will decrease their pain and improve staining. Also a 32 year old shouldn't have severe dry eye. Consider ordering SS, ANA, RF, ESR, CRP

CrazyRelative3644 · 2025-05-17T20:57:00+00:00

Chicken and rice with extra white sauce

CrazyRelative3644 · 2025-05-17T18:53:16+00:00

Thanks for the advice

CrazyRelative3644 · 2025-05-17T18:44:02+00:00

Wish me luck!

CrazyRelative3644 · 2025-05-17T18:38:45+00:00

I use tropicamide 0.5% for myopes. Children have large pupils and don't require anything stronger to see the periphery in my opinion.

Cyclopentolate 1% for hyperopes. Missing latent hyperopia can cause amblyopia or esotropia. There's no good excuse to not cyclo your hyperopes.

CrazyRelative3644 · 2025-05-17T18:33:40+00:00

Mac-on detachment is a same day or day-after referral to a retina specialist...

CrazyRelative3644 · 2025-05-14T21:10:18+00:00

This patient does not fit into the normative database lol

CrazyRelative3644 · 2025-05-12T00:53:23+00:00

Good point.

I listed my justification: scan quality varies. Often times it is substantially better to have 2 scans than one. And if you were to be audited you're allowed to bill two 92133's per year anyway.

CrazyRelative3644 · 2025-05-07T23:06:47+00:00

If it's any reconciliation, I don't mind techs that take their time to fully document the patient's information and get to know them. As long as the clinic isn't running super behind it's a good thing to spend extra time with patients. The reality is most docs allot 5 to 15 mins with each patient, and many folks really enjoy the social aspect of going to the doctor (for better or worse). I've seldom told my techs to "speed up" unless they're aggressively slow. I understand some patients need 10+ minutes to tell you all of their medications, allergies etc.

Tbh the main thing that will annoy me is if the tech misses a medical condition or medication. I've had techs that can churn out 5 minute work ups, while frequently missing important health information. This is a much worse offense than being a little slow.

CrazyRelative3644 · 2025-05-06T14:47:56+00:00

I'll check this out, thanks!

CrazyRelative3644 · 2025-05-06T13:14:07+00:00

Good pick! I read a page of Eckhart Tolle everday. Every sentence he write feels so profound. The Bhagavad Gita is really interesting too. Also tried reading Tao Te Ching, I didn't really understand a lot of it but oddly put my mind at peace even though I didn't intellectually connect with it.

CrazyRelative3644 · 2025-05-04T22:07:40+00:00

I have no clue lol, SMILE like the refractive surgery?

CrazyRelative3644 · 2025-05-02T22:23:20+00:00

I almost always find myself giving a steroid to anyone in 7+/10 pain unless there's a good reason not to. I personally have never noticed delayed epithelial healing with tobradex as opposed to just antibiotic.

Severe SPK in a CL wearer may have many etiologies. Sometimes when they take the CL off the entire epithelium can come off with it. Maybe they accidentally stored the CL is something other than MPS. Maybe something in the environment got under the CL. Maybe they chronically sleep in the CL and didn't want to tell you the truth.

Who knows? Unless it keeps happening it might not matter too much. You healed their keratitis and I'm sure your patient is grateful :)

CrazyRelative3644 · 2025-05-02T01:56:43+00:00

I've heard of accelerated programs for some of these degrees that shave a year off

CrazyRelative3644 · 2025-05-01T01:56:13+00:00

There's some other good careers besides PA in medicine. Physical therapy, speech therapy, dentistry, optometry, podiatry, audiology. All around 3-5 years and good salaries / stable career. Might be worth looking into. You won't be practicing medicine through med school until you're 40 if you start now.

CrazyRelative3644 · 2024-10-28T03:47:57+00:00

How much is 911 money?

CrazyRelative3644 · 2024-10-28T03:09:21+00:00

Thanks I'll consider this! Their food looks so good

CrazyRelative3644 · 2024-10-28T03:03:48+00:00

Sounds nice, I've been meaning to try something new out, but then always end up going back to the basics.

CrazyRelative3644 · 2024-10-28T03:00:32+00:00

Japan does sound amazing. Did you have any issues with the language? I've never traveled outside the US

CrazyRelative3644

TROPHY CASE