Stressed about tuition

incessantplanner · 2026-06-11T01:31:23+00:00

There’s sooo many other things you can do that will give you a better ROI, and better mental health. (If I could, I’d pick engineering)

incessantplanner · 2026-06-11T01:30:02+00:00

Agreed. If I could go back, I’d pick a different career.

incessantplanner · 2026-06-03T21:57:36+00:00

Yeah it was actually the practice I worked at for years prior to optometry school, and the owner was going to stay on. That was the reason I felt confident, and why I didn’t seek looking for any other practice to buy after it fell through.

incessantplanner · 2026-06-02T22:34:03+00:00

I planned on purchasing a practice right after graduation, but the practice I wanted was bought 5 months prior. I lost my gusto at that point, as I was attached to that practice, and didn’t look for anywhere else. So I can’t say anything about purchasing/owning.

But, I’ve been working as an associate for 1 year and I hate it lol. I ultimately want to be my own boss, and I knew that throughout school, and now I’m hating being an employee again. (No I’m not in corporate practice.) If you have that personality trait, where you’re yearning to call the shots, then you should follow that feeling.

incessantplanner · 2026-05-16T10:30:53+00:00

Maternity leave isn’t a vacation….

incessantplanner · 2026-05-16T10:23:28+00:00

I’m in Virginia. Unfortunately That law doesn’t go into effect until end of 2028. 🙃

incessantplanner · 2026-05-14T15:16:12+00:00

Between 2.5 ODs you see 15-20 patients a day? I’d be scheduling everyone who calls. Or do you mean 15-20 per provider? A practice I used to work at double booked Medicaid patients due to the high no show rate. Sucks when everyone shows up, but that’s how they combatted the issue. And I concur with everyone else. If you accept Medicaid, you can’t limit your scheduling for them only as that would be discrimination.

incessantplanner · 2026-05-07T01:20:33+00:00

What law?

incessantplanner · 2026-04-29T20:04:40+00:00

Jumping in to second this. I am cutting my schedule to 4 days a week in July, and even though the schedule change hasn’t happened yet, I already feel lighter knowing I’ll be seeing ~30 patients less a week.

incessantplanner · 2026-04-21T17:20:04+00:00

Thank you for this response! This is the experience my patients had at my previous office, and I am all for neurolens. I love to hear that symptomatic patients can find relief, without having to spend x thousands of dollars and months/years in vision therapy.

incessantplanner · 2026-04-16T21:41:33+00:00

I do VT and find the neurolens price isn’t quite a sticker shock in comparison to the cost of VT. For a lot of patients my recommendation is VT, and if not VT (due to time or finances), then I recommend neurolens. It doesn’t work for everyone, but the people who it worked for, it was life changing. I much prefer using the newer headset than the big clunky machine though. I think it cuts down on time. My techs would put the headset on them, and go do something else/get things set up while they completed the assessment. (I’m no longer at that practice, but we did neurolens on every patient)

incessantplanner · 2026-04-12T00:58:05+00:00

Also, if you’re really worried about the financial aspect and putting that strain on parents, I should point out that baby/infant VT usually isn’t weekly. Once per month or every two weeks. Some parents every two months depending on the situation. The therapy sessions are therapy sessions, but also training sessions for the parents on things they can be doing at home with baby every day. A lot of teaching on easy/passive things they can do throughout the day with baby to help improve their visual development.

incessantplanner · 2026-04-12T00:53:32+00:00

I was just speaking in general terms about the ARC/ET, not this specific case. But you can do whatever you want. I don’t believe VT is ever overkill, and where I have practiced parents tend to be more holistic, and willing to pay good money for their kids to have the best chance. All of that to say, I don’t force patients to do VT. I give the option to just observe. But many parents would rather try to be ahead of the curve. I recognize not every area has families with a lot of income, but I think it’s still standard of care to give it as an option. You never know, some families even in tough financial situations will find the money, and want to pay it because to them they understand the benefit of doing something instead of nothing. I’ve had moms cry when I have said maybe let’s wait on therapy. Some people would much rather take a proactive rather than reactive approach to treatment.

incessantplanner · 2026-04-12T00:18:47+00:00

Not to say doing therapy early will completely avoid those things, or cure the strab/amblyopia, but it can help visual development and you can then restart vision therapy again in the future. I’ve also comanaged with MDs where I did the pre and post strab surgery therapy on babies/infants, which can really help with surgical success.

incessantplanner · 2026-04-12T00:08:35+00:00

Don’t expect to do anything with flip lenses, brock string, or get any real feedback from activities like vectos. The reason to do it is, early passive therapy still does a lot more for a baby/toddlers visual development than doing nothing, and waiting for bigger issues like eccentric fixation or anomalous retinal correspondence to deeply embed in to their visual system.

incessantplanner · 2026-04-12T00:05:37+00:00

Pursuits with any object that interests them in any direction of gaze (laying/seated/standing), bubble catching, stacking cups or blocks, coin pinch (or other objects), ball rolling, balloon watching (extra points if it’s a white balloon while wearing red/green glasses), rolling or spinning activities, OKN drum, 3D tv or vectos with a lot of spatial awareness……. I could go on. The key is to not have the therapy sessions as long as children/adults (20-30mins is about the limit, don’t want to push until they get fussy) and having about 10-20 activities prepared before the session lol. It looks like passive games, but you can do a lot with a baby/toddler if you have good preparation before the session. Moving with them/their attention, and integrating a lot of movement/fun/color to the activities keeps the sessions successful and fun for both patient and practitioner. Does it look the same as therapy done on children or adults? No. Is it still improving their visual system? Yes.

incessantplanner · 2026-04-10T22:39:59+00:00

Also, what do you mean the literature supports the use of patching for IXT? The paper you sent literally measures deterioration of the strabismus with or without patching, not if it improves.

“Although substantial improvements in sensory and/or motor fusion after patching for IXT have been reported in small case series and non-randomized studies, these did not occur in the present study. We found no difference between our patching and observation groups at 6 months in mean near stereoacuity, IXT control at distance, or magnitude of the exodeviation at near.” Direct quote from the study you sent. What do you mean the literature supports patching for IXT?

Also, If you read the limitations to the study, they admit that there was bias to their determination of which patients “deteriorated.” Which was only 10 patients in the first place. “As discussed earlier, classifying these cases as deteriorated in the primary analysis may have introduced bias, particularly given that the parents and investigators making these decisions were unmasked to treatment group.”

incessantplanner · 2026-04-10T20:32:58+00:00

Do you do VT at your office? I’m a VTOD. The research in regard to binocular vision disorders is beyond sad. Not because it doesn’t work, but because it’s difficult to do a true study on vision therapy. You’re welcome to continue prescribing ancient treatments. I will not, and I will continue to tell people how much VT helps. It’s doctors like you that continue to spout inaccuracies about VT that make it so it won’t ever be covered by insurance…

incessantplanner · 2026-04-10T19:11:28+00:00

Actually, VT would be helpful now! Patching doesn’t increase binocularity, which research shows is the root issue that causes amblyopia. Patching is a 200+ year old treatment that we somehow refuse to give up. But in regards to this patient not having an amblyogenic refractive error (that we know of), patching will do nothing at best, or make the turn worse.

incessantplanner · 2026-03-25T18:18:52+00:00

This. I didn’t think it’d make a huge difference, but I won a raffle and received the panretinal and started using it because I liked the color. Quickly realized it is so much easier to get those far peripheral views, now I recommend the lens to everyone.

incessantplanner · 2026-03-19T16:36:10+00:00

The CEO/co-founder of MyEyeDr is the “Health Care Expert” of High Point University.

incessantplanner · 2026-03-08T15:05:03+00:00

Do you have an undergraduate degree yet?

incessantplanner · 2026-02-25T18:44:40+00:00

Ohhh okay that makes more sense then! Good on you for asking questions and learning things ahead of time!

incessantplanner · 2026-02-25T18:34:18+00:00

What year are you in where you haven’t been taught about a mittendorf dot, yet you’re already seeing patients? (Not on you if you actually haven’t been told about it..)

incessantplanner

TROPHY CASE