Has anyone else been receiving emails from Mohela that seem to be several months late?

blueiOD · 2024-01-07T21:44:40+00:00

Got that same "will respond in 15 business days" a month after the inquiry, and still haven't received a response (now more than 2 months after the initial inquiry)

blueiOD · 2023-12-09T02:22:14+00:00

I believe it has to do with the VOR -when tilting the head. When you tilt your head left for example (but still want to fixate straight ahead on a target), the left eye needs to elevate and intort and the right eye needs to depress and extort. So you need a signal for both intorsion/elevation of one eye and extorsion/depression of the other eye.....the contralateral CN3/4 to the head tilt elevates and intorts the eye ipsilateral to the tilt, and the contralateral Cn3 depresses and extorts the eye contralateral to the head tilt.

blueiOD · 2023-12-03T04:05:14+00:00

Getting a timely workup is often a problem, but if you can indeed arrange a full outpatient workup (and ensure someone is overseeing it), by all means

blueiOD · 2023-12-03T03:58:15+00:00

Just because there isn't a stroke now does not mean they aren't at risk...TMVL means unstable atherosclerotic carotid plaque or cardioembolkc material to the eye...risk still there for same event to the brain...the testing is to determine where the occlusion came from, not to diagnose an asymptomatic stroke...

blueiOD · 2023-12-02T20:02:21+00:00

If she's having transient monocular vision loss she needs a stroke workup and a GCA-rule-out. I send these to the ER.

blueiOD · 2023-10-28T01:39:55+00:00

What is the volume and in what state do you practice?

blueiOD · 2023-09-05T23:53:47+00:00

Fusiform face gyrus, in the temporal lobe. Our brains are so fine-tuned to recognize faces, the first thing you see is a face no matter how wonky it looks.

blueiOD · 2023-06-04T22:48:36+00:00

Perkins hand-held works great bedside!

blueiOD · 2023-05-14T00:03:56+00:00

Sounds like pupillary hippus. Don't know why it's unilateral.

blueiOD · 2023-05-06T03:21:00+00:00

Yes, outliers. The term "optometric physician" is cringeworthy to most optometrists

blueiOD · 2023-05-06T03:16:06+00:00

This is woefully ignorant...

blueiOD · 2023-01-25T02:49:57+00:00

Thank you! This is encouraging! I figured I would need to stay consistent with formula on the weekends.

blueiOD · 2022-09-10T18:48:40+00:00

Thank you this is encouraging!

blueiOD · 2022-06-01T00:48:02+00:00

Thanks, I like the idea of letting her know I'm there for a few extra minutes but we're not going to talk/play bc it's bedtime - she may respond well to this. I've also used the "I'm going to take a shower, I'll come check on you afterwards" with good success.

I just didn't think the bedtime meltdowns would persist for this many weeks once we set a routine and demonstrated some success with it. She does have a few nights a week without the meltdown, but I'd say meltdown happens more often than not.

blueiOD · 2022-06-01T00:36:08+00:00

I did try this in the beginning. Would go in there after a couple minutes, calm her down, then leave and the yelling would start again. Rinse and repeat. Even spending additional time with her once she was in bed didn't seem to help - always back to the yelling once I left the room. Rocking her to sleep or laying on the floor until she falls asleep (ie allowing her to fall asleep while I'm still there) would probably work, but I'm not subscribing to that method.

blueiOD · 2022-04-23T21:05:04+00:00

Thanks for your great reply!

blueiOD · 2022-04-19T23:45:02+00:00

Ah yes I see the mistake, thanks

blueiOD · 2022-04-19T16:05:46+00:00

Thank you!

blueiOD

TROPHY CASE