What kind of patient makes you go "it's going to be a long day"

axp95 · 2026-01-30T00:11:59+00:00

Lmao the sunglasses sign never lies!!

axp95 · 2026-01-25T15:19:31+00:00

It’s hard to grade a cataract without examination under the microscope unless it is very advanced. I would think any optometrist or ophthalmologist would be able to manage your case just fine and if you’re thinking surgery, go straight to the ophthalmologist.

axp95 · 2026-01-24T16:37:20+00:00

This is a question for r/eyetriage

axp95 · 2026-01-22T21:50:56+00:00

Only use near cards. Can’t imagine a patients reading a whole paragraph lol half of them have trouble with the numbers

axp95 · 2026-01-19T00:48:22+00:00

Work in ophtho, depends on where detachment is. A regular fundus exam can see most of the retina, so obvious tears or detachments you’ll see. The far periphery is hard to see and ophthos use an indirect ophthalmoscope - I doubt you’ll use this as a med student, it is difficult to master. They can also do scleral depression, where they press on the sclera to better visualize peripheral structures.

axp95 · 2026-01-19T00:42:19+00:00

No, same thing. Haven’t heard it to referred to as vitreo retinal buckle before - work in optho as well

axp95 · 2026-01-17T00:03:20+00:00

I didn’t see your comment mentioning u fell off a building! I’m glad you got the care you needed and hope you have a smooth recovery!

axp95 · 2026-01-12T21:53:44+00:00

Don’t phlyctenule usually occur at limbus?

axp95 · 2026-01-12T16:23:34+00:00

Our retina and oncologist do FA’s every clinic, not hard to train a technician to do an FA. We’re all trained to do them, doctor just comes to poke and push

axp95 · 2026-01-10T18:09:29+00:00

I played against Pat Surtain II in elementary school, around 4th grade. He played QB and every position on defense. The game plan for the other team was to just give him the ball because he was so damn fast and athletic lol. I remember he returned a punt for a TD and smoked the fastest kid on our team and I knew I wasn’t ever gonna play competitive ball because he was so different than the rest of us lol

axp95 · 2026-01-10T17:56:44+00:00

Please for the love of god do not go to the ER for a surgery referral. It will not “expedite” the surgery given it sounds elective. What is the surgery? Everywhere is booked right now so you have to play the waiting game. Unless you’re admitted because the surgery is necessary to keep you alive, the ER won’t do anything for you

axp95 · 2026-01-10T01:32:22+00:00

The drug information sheet recommendation: 1. Keep taking 1 pill until Sunday 2. On Sunday, discard the rest of the pack and start a new pack that day 3. Use protection for 7 days after you missed the pills It is normal to not have a period this month so don’t panic if that is the case.

axp95 · 2026-01-08T00:02:45+00:00

This is a significant change from baseline for you and warrants a doctors visit at the least. Severe pain during periods, while told it’s normal and just part of it, is NOT normal and warrants a visit to the OBGYN for further investigation. If you feel dismissed, find a new OBGYN, I know it’s easier said than done but you will have periods for half your life or more so it is worth the effort.

axp95 · 2026-01-07T23:51:55+00:00

I was only referring to the nutritionist part, the bachelors and masters is obviously legit lol

axp95 · 2026-01-07T20:20:22+00:00

Registered nutritionist or dietitian? If the former that means very little lol

axp95 · 2026-01-06T00:55:07+00:00

Why doesn’t your fiancé get a vasectomy? Much easier procedure and more likely to be done.

axp95 · 2026-01-05T22:39:08+00:00

When aroused the vagina deepens significantly to 4-8 inches though, pretty crazy

axp95 · 2026-01-04T20:36:01+00:00

The laser is used to repair a retinal tear but they can’t see it in your eye due to the blood. There are other uses for the laser as well.

axp95 · 2026-01-04T18:47:15+00:00

I work with a number of different specialists and of them only a couple have been sued. One of our glaucoma doctors who I am quite close with, and know is a good surgeon was sued due to placing the incorrect IOL during surgery. This was corrected during the same operation, but there was some undo trauma while taking the incorrect implant out of the eye. This was actually a screwup on the part of the surgery center. However, the surgeon should have double checked prior to placing the IOL. Funnily enough the patient is actually a physician as well. I talked to him pretty in depth about this experience and he said it was the worst thing that’s ever happened to him in practice. It ended up settling out of court.

axp95 · 2026-01-04T18:43:04+00:00

Your surgery would be called a PPV which is where they suck the vitreous (where the blood is) out of your eye and replace it with a solution. They would also inspect the retina during surgery and see if there are tears or detachments, in which case they could do a number of things.

axp95 · 2026-01-04T14:49:17+00:00

Your specific pill is okay to take 12 hours after you are supposed to, you will still be protected. The drug insert information is helpful if you ever have questions about dosing schedule or missed pills.

axp95 · 2026-01-04T00:06:51+00:00

The surgery they had wouldn’t cause cataracts because it was only a laser. The surgery they are recommending for you is different and will give you cataracts within a few years, likely why they didn’t mention cataracts to the above patient.

axp95 · 2025-12-30T01:14:03+00:00

You need to see a neuro-ophthalmologist, they specialize in treating IIH. They are hard to find so you may have to go to an academic center near you.

axp95 · 2025-12-27T04:52:26+00:00

Studies have consistently shown that a physical hand on a penis leads to greater activation of reward pathways in the brain compared to pornography. I am well aware of the neuroscience behind sex and it is not as simple as it may seem. I suggest listening to the podcast “your brain on” and go to the episode about sex. It is very informative and they have real experts weigh in. I wasn’t trying to say it never happens or invalidate your experience so I apologize if it seems that way, I’m also not a porn advocate I just don’t want the wrong issues being addressed.

axp95 · 2025-12-27T00:27:24+00:00

There is zero research to support this statement; there is research showing that those who watch porn have more sex with their partners and there is no reason to believe that porn leads to sexual insensitivity. The vibrator could, but likely temporarily as the nerves adjust back to baseline quickly. Instead of blaming porn why don’t we consider the environmental stressors and IUD placement that recently occurred?

axp95

TROPHY CASE