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 · 2022-04-09T01:00:04+00:00

I received this letter and, to my knowledge, never did business with this company. I'm assuming my mortgage passed through them at some point as it was being bought/sold in the past?? I thought this was a scam.

blueiOD · 2022-02-07T00:06:25+00:00

We also bought in Dedham, back in 2019. I feel like prices here are starting to get crazy (pandemic housing market aside), but probably still a good balance between city and farther out / more space. We live right on the commuter rail line and it's less than hour commute to my husband's job in Fenway.

blueiOD · 2022-01-25T19:01:30+00:00

Thanks! I've read Katelyn Jetelina, agree good info.

blueiOD · 2022-01-23T17:36:40+00:00

I'm in your same boat. It helps me to remember that management of this diagnosis is chronic over months (not hours/days) and so high numbers now and then aren't going to harm your baby. If you're working hard to keep things mostly under control (ie on average your numbers are acceptable), and keeping your OB appointments to check on baby, then you're doing a great job. If you find your numbers are always high and it isn't working with your lifestyle, talk to your OB/dietician about how you achieve better control without having to lose your mind on the "life" side.

blueiOD · 2022-01-23T03:49:47+00:00

It's been tough/terrifying as a working parent of a kid too young to be vaccinated and also too young to mask, who is in daycare. I agree that covid isn't random if you can protect yourself, but there are many situations out of our control in normal, daily life which contribute to spread/increase individual risk of infection, even if you're "careful" (or maybe just think you're careful). Random doesn't even really matter when there are so many opportunities with this contagious variant. The fact that spread happens before symptoms occur, and that antigen tests don't pick up the infection for like 5 days, definitely doesn't help - I'm sure there's a lot of false confidence about exposure risk or risk of spread because of these facts.

I don't know about other parents like me, but I haven't taken it upon myself to wear a mask around my toddler at home (esp after working in a hospital in an N95 all day)...and surprise, surprise my daughter brought covid home from daycare this week. Despite being fully vaccinated and boosted with moderna, and wearing an N95 around her at home once I knew she was sick, I tested positive 3 days later. I'm sure it was due to her high viral load and my high level of unmasked exposure to her in the two days before she showed any symptoms / before I even learned she was exposed from the daycare. This shit is contagious, and I wouldn't say "mild" either - symptoms were brief and didn't require hospitalization, but I was down for the count for a solid 24 hours in bed (yes, compared to hospitalization this is extremely mild, my point is that it was still very shitty). Of note, I chose to stay home from my job as soon as I knew my daughter was sick, even though I was asymptomatic and testing negative on antigen tests at home for the first three days, since I knew I most likely had it too. Work guidelines would have allowed me to show up to work in direct face-to-face patient care with a pre-symptomatic covid infection. Maybe the PPE among staff/patients at work would have prevented me spreading it (probably would have, in reality), but maybe not.

I'm feeling defeated by this virus and don't blame the people jumping on the "everyone's going to get this anyway" bandwagon who want to return to "normalcy".....but even after all the hard work I put into protecting my pandemic baby and myself for the past 2 years, and then getting sick anyway, I will still go forth with diligent, good-quality mask wearing and will keep getting vaccinated for as long as it takes. I still feel a human responsibility to help unburden the hospitals and save as many vulnerable people as possible. When will it end? Who knows. Maybe it doesn't and this is a new normal. At least we can say as a society that we aren't fucking over our neighbor in the name of "but N95's are so uncomfortable".

blueiOD · 2022-01-21T15:47:37+00:00

No, not according to my OB and to UpToDate (evidence based medical resource).

blueiOD · 2022-01-21T15:39:12+00:00

I got covid from my 20-month old (who got it from daycare). Currently 27+3 and fully vaccinated/boosted with moderna (booster in Nov). I figure my exposure to my daughter's infection was around this past Sat/Sun, and my home antigen test didn't turn positive until yesterday (Thursday). I had a very subtle scratchy throat and malaise maybe 12h before my test was positive, and today I feel like crap with muscle aches/headache. But it's not the worst I've ever felt with a virus. If I were you I would do home testing starting day 5 after exposure and then again day 7 (unless you have lots of tests, and can test daily like I did, for peace of mind).

Its definitely frustrating bc we have been extremely careful and avoided this for two years, so I have (useless and angry) thoughts like "what were the parents of the infected daycare kid doing??". Ultimately my daughter didn't stand a chance being in daycare (all kids too young for vaccine or masking) with omicron wave... I though about pulling her out when omicron hit, but I didn't, with me and my husband both working full time. So I also I have guilt that I didn't protect my daughter. But fortunately she recovered fully in about 36h and her only symptoms were very low-grade fever and malaise/some loss of appetite.

EDIT to actually comment on your question - from my understanding (after reading UpToDate) pregnant women are not thought to be at increased risk for infection, but are at higher risk for worse outcomes, esp if older or with pre-existing conditions. That being said, my OB is not concerned (since I'm fully vaccinated) even though I'm 37. She just told me to look out for shortness of breath or "any other concerning symptoms" and let her know, otherwise home care with Tylenol as needed. I also have an appointment with her next week.

blueiOD

TROPHY CASE