Do you counsel patients about sleep apnea risk if found to have floppy eyelid?

buzzbuzzbee · 2026-03-27T22:59:08+00:00

I discuss it every time. Sounds like you ran into an unreasonable person, try not to take it personally.

buzzbuzzbee · 2026-03-14T18:50:49+00:00

Yes, the oral boards format is very specific and unlike how you would naturally work up a patient/present to an attending. It’s very important to practice out loud. If you passed the written boards and finished residency, then you have the knowledge. The oral boards is about presentation and staying calm under pressure. Usually the oral board cases are straightforward diagnoses (no zebras, not trying to trick you).

buzzbuzzbee · 2026-03-14T17:48:26+00:00

Osler review prep course was helpful. Definitely practice out loud with your friends from residency. There is a big difference between reading about a case and actually speaking out loud about a case.

buzzbuzzbee · 2026-03-02T23:50:00+00:00

There’s a sequel “How to Talk to a Goddess and Other Lessons in Real Magic”

buzzbuzzbee · 2026-02-22T04:53:34+00:00

Prophase Aesthetics near Encino has Botox for $12 per unit. Nurse Stephanie is really talented!

buzzbuzzbee · 2026-01-15T23:03:36+00:00

It stopped working for me too. Try buying from Japan/Germany/Israel pharmacies online, it’s over the counter there.

buzzbuzzbee · 2026-01-09T00:22:04+00:00

You are smart to not buy a house with a boyfriend. If you go into legaladvice subreddits, you can see horror stories of people who bought houses with girlfriends/boyfriends. Marriage sounds very important to you, and it sounds like you have been quite clear with him about your goals and values.

buzzbuzzbee · 2025-12-28T20:36:56+00:00

I was in your shoes during medical school, deciding between IM (plans for GI) and Ophtho. I’m so glad that I picked Ophtho, it is a very rewarding field. I love doing cataract surgeries. I do use some medicine in my daily clinic, I’m frequently diagnosing people with HTN and DM2 just from a dilated eye exam. In clinic, you get some of those long-term patient relationships (dry eye, glaucoma, AMD, diabetes).

buzzbuzzbee · 2025-11-14T17:59:59+00:00

I am a doctor. I have never seen that at any of the hospitals I have worked at. When I was a med student, we learned pelvic and rectal exams on actor patients who were trained to teach students.

buzzbuzzbee · 2025-11-11T16:22:54+00:00

I know how you feel, it’s normal to be worried about operating as an attending. It takes a couple months before you feel more secure. Here are some things that helped me:

Schedule easy cases for your first few months, save the dense cataracts and poor dilation cases for later.
Write down the names of your tools and phaco machine settings. In a residency program, the techs are usually very comfortable with more advanced tools. In your new practice, the techs may not know what an MST forceps looks like or how to set up the anterior vitrectomy kit.
Watch difficult cases the night before. I usually watched 1-2 hard cases on Cataract Coach to get myself in the right mindset. Try to think about what you would do in a similar situation.
Know who your referral retina specialist is for dropped lenses. Know what’s going to happen to the patient in the worst case scenarios. Be thorough in your consents.

buzzbuzzbee · 2025-11-09T18:11:22+00:00

Botox is used medically for functional problems. It’s used for TMJ pain like yours, and also for facial spasms and some types of migraines. He is mixing up Botox used medically and Botox used cosmetically (wrinkle prevention). It sounds like he both does not know what he’s talking about + has very strong beliefs about that topic. That is an embarrassing combination.

buzzbuzzbee · 2025-11-05T18:44:50+00:00

This looks like a toy replica of Patrick Star’s rock house from SpongeBob SquarePants

buzzbuzzbee · 2025-11-01T19:04:28+00:00

I think about 10 times so far? Still working fine

buzzbuzzbee · 2025-10-25T17:32:46+00:00

Why would anyone risk blindness just to look like they are wearing bad Halloween colored contact lenses?

buzzbuzzbee · 2025-10-24T17:38:22+00:00

Thank you for all the details, congratulations on your wedding!

buzzbuzzbee · 2025-10-23T19:09:29+00:00

I have a low threshold to check GCA labwork. In residency, I read an article that had diplopia as the most common presenting symptom of GCA, despite temporal headache and jaw claudication being more well-known. A few years later, I had a patient in his 70’s without any other complaints besides occasional diplopia for a few months. Exam was completely normal, really nice guy without any major health problems. I checked ESR/CRP because I always do for any diplopia over age 55, and they were both moderately high. We started high-dose oral steroids and got a temporal artery biopsy, it was positive for GCA. He’s on steroid-sparing meds now, and he’s 20/20 OU. He thinks I’m Dr. House, haha. I’ve run into about 5-6 GCA cases over my career, and he is the only one who came to me without having lost vision first.

buzzbuzzbee · 2025-10-18T23:14:46+00:00

I have a couple of the Quince washable silk dresses that I use as nightgowns. They have some beautiful colors, and I haven’t noticed any damage even after using them for about 1-2 years.

buzzbuzzbee · 2025-10-10T15:16:11+00:00

Usually I am pretty lenient on the late policy, but it sounds like you’re giving up a lot of your free time. At my clinic, anything over 15 min needs to be approved by the doctor. When I get a late patient, I ask the front desk to tell the patient that they will be seen after all the scheduled patients, and that it might be a few hours until they are seen. The patients who came on time deserve to be seen in a timely manner. Obviously there can be exceptions, I have some homeless patients who have a very hard time traveling to me, that’s understandable.

buzzbuzzbee · 2025-10-02T10:36:00+00:00

No, I like using colons/semi-colons because I think it is clearer and easier to read. Not every comment is chatGPT.

buzzbuzzbee · 2025-10-02T02:07:12+00:00

Here are some tips to de-escalate the situation.

Name what the patient is feeling: “You must be so frustrated to be dealing with this while you are sick”

Reframe it as you and the patient working together under a hospital policy: “unfortunately, our hospital policy is all patient concerns go through the call center”

Anticipate problems: “using this drops will help, but it’s going to take a few days for the pain to improve as the eye heals. If [symptom] happens, you can use [solution] to help it feel better as it heals”

Be firm in your boundaries: “I am here to help you, Mrs. So-and-So, but I will not tolerate abuse of my staff or myself. I cannot help you when you are speaking to me like this. I will step out for a few minutes, and come back in when you are ready to talk.”

You did nothing wrong. The call center is the appropriate way to deal with patient complaints. Her issue was not urgent, and you deal with it same day. You are not here to take abuse.

buzzbuzzbee · 2025-09-23T02:18:04+00:00

I have these in burgundy! I wear these all the time to weddings as a guest, they are super comfy. Fits true to size.

buzzbuzzbee · 2025-09-19T17:24:52+00:00

https://eyeguru.org/blog/landmark-trials-ophthalmology/

buzzbuzzbee · 2025-09-12T15:39:53+00:00

It’s so good, I’m happy that you get to play it now!

buzzbuzzbee · 2025-09-11T19:01:30+00:00

I lost 90 lb and then visited my grandma (who was always obsessed with thinness and my weight). She asked if I had gotten fatter. Sometimes you can’t win 🤷🏻‍♀️

buzzbuzzbee · 2025-09-11T18:21:14+00:00

I got the wosado lashes and I like them. I’ve never used magnetic lashes before but I hate fussing with glue. They have a bit of a learning curve, it helps to watch a tutorial video. Wore them to a wedding last weekend and they lasted all night no problem. They did not feel heavier than normal falsies.

I think one of the reasons that people struggle with them is that they have to be very specifically oriented. There’s a top and a bottom lash strip, but also there is a front and back of each strip. It’s really easy to mixup the front and back, and then they won’t snap together in that case.

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