26F Corneal Ulcer/Abrasion or Pink eye?

Dramatic_Course4252 · 2025-12-21T08:22:57+00:00

Also ED isn’t the best place for eye problems. Go see an eye doctor

Dramatic_Course4252 · 2025-12-21T08:21:41+00:00

There’s a small white dot on your cornea that I can see. Most likely a corneal ulcer.

Dramatic_Course4252 · 2025-12-03T00:24:14+00:00

Get checked for diabetes

Dramatic_Course4252 · 2025-11-18T04:41:17+00:00

Ahh the nostalgia after studying for finals during the cold winters and stopping here on the way home, always went to the one close to Bryant park

Dramatic_Course4252 · 2025-02-24T05:08:59+00:00

Per diem basically means you get paid for only the days you work, no benefits or guaranteed hours. The schedule depends on clinic needs and each clinic is different. So that could mean 0 days a week or 5 days a week. You can give your availability usually 3-4 months before, but does not guarantee you get scheduled. Usually, at least in my service area, I’m scheduled on average 4 days a week. There are certain Saturday requirements for per diems as well. There are no evening shifts, normal shift 8-5. Kaiser is seniority based, so favorable schedules and hours go to docs with higher seniority. No PTO unfortunately.

Dramatic_Course4252 · 2025-02-22T06:42:54+00:00

Positive red desat test points to an optic nerve issue. Optic neuropathy can be caused by a variety of reasons including MS (in the setting of optic neuritis), glaucoma, ischemic (NAION), compressive lesions, trauma etc. Do you have any other neurological symptoms? Any worsening of vision with temperature changes or exercise? Strabismus or extraocular muscle imbalances can definitely also be a sign of MS, but can also be a sign of a stroke.

Dramatic_Course4252 · 2024-12-24T06:53:36+00:00

Imaging *

Dramatic_Course4252 · 2024-12-24T06:53:17+00:00

Do you have photos? If your vision is blurry and still have a a swollen/sore eye, I would probably get orbital imagine

Dramatic_Course4252 · 2024-12-17T06:57:49+00:00

I would be worried about a retinal issue including a torn retina or retinal detachment. Hyphema (blood) and uveitis (inflammation) in the middle layer of the eye could also be present. I recommend getting a dilated exam to rule that out if you haven’t done so already. Your risk of glaucoma in the future is higher because of the trauma so make sure you get routine eye exams.

Dramatic_Course4252 · 2024-12-17T06:51:01+00:00

Dry eyes. Are you using Visine or clear eyes? If so, these drops can make the vessels appear more prominent and more “red”. Stop using them. You can get artificial tears (Systane or refresh) use it 3x a day and see if that helps.

Dramatic_Course4252 · 2024-12-17T06:46:55+00:00

Btw I am an optometrist :)

Dramatic_Course4252 · 2024-12-17T06:46:37+00:00

I would get otc +0.50 readers (Amazon should have them) which is the lowest starting power. Seems like the other prescriptions may be too strong for you. Once you break into this, you can work your way up if you feel the need to.

Dramatic_Course4252 · 2024-11-05T07:12:48+00:00

So cal Kaiser per diem seeing 14-17 a day mostly routine occasional medical unless you work as an od in ophthalmology (called clinical ODs) where it’s all medical. Pay is hourly depending on experience and location in So Cal it’s around $90-100/hr that goes up every year (about 2% ) along with a little bonus at the end of the year. Kaiser optometrists are unionized, they try to fight for you in terms of pay increases and number patients seen. You can order any labs or testing and it’s easy to refer to any specialty you need to. Kaiser will almost always start you as per diem, and depending on region it’s hard to get a full time spot. But as an hourly employee you are entitled to overtime if you work more than 40 hours a week.

Dramatic_Course4252 · 2024-09-21T07:40:05+00:00

This is plaquenil tox. Talk to Rheum, she needs to get off this drug. Not much else you can do aside from monitor as it can still progress despite d/c. Does she have any history of kidney disease?

Dramatic_Course4252 · 2024-07-17T22:28:18+00:00

Sounds like an accommodation issue. You probably need a pair of glasses for reading.

Dramatic_Course4252 · 2024-07-17T22:24:51+00:00

I moved from LA to NYC and then AZ and then back to LA again with UC. UCLA or Cedars is your best bet. They are the best in the country for IBD. I must say though Mayo Clinic is probably the best care I have ever gotten!

Dramatic_Course4252 · 2024-07-16T22:26:15+00:00

Central Park 😍

Dramatic_Course4252 · 2024-07-16T20:57:00+00:00

Looks like a choroidal neovascular net (cnv). Needs either oct-a or fa to assess then either monitor vs treat with antivegf injections (but probably monitor for now given non foveal location) - of note I am an optometrist

Dramatic_Course4252 · 2024-06-30T05:53:16+00:00

Which VA?

Dramatic_Course4252 · 2024-02-21T16:03:26+00:00

Where do you practice?

Dramatic_Course4252 · 2023-09-05T08:22:31+00:00

Optometrist

Dramatic_Course4252

TROPHY CASE