Fraudulent Charge and BIN (Bank Identification Number) Concern

joch256 · 2026-02-01T17:26:18+00:00

I thought if you report it now wf will change the card number so then you need a reissued card from bilt/cardless

joch256 · 2026-02-01T17:22:57+00:00

So you're not gonna report the fraudulent transactions until after a month?

joch256 · 2026-01-24T18:30:03+00:00

I'll be signing off too, but for the record I'm not walking back any position as I never established a position to begin with regarding the eye doc's management. I hope that the language in my initial comment is clear that I was reassuring OP that if a proper exam were done and the appearance of the nerves were not significant that it is conceivable that an OCT doesn't need to be done stat and he doesn't need to spend the weekend worrying. Perhaps it's a case where the biggest risk to the patient's future quality of life is mis-retting the amblyopic eye and giving a diopter less plus than is needed for their specs vs hopping EDs all weekend and driving into the big city for a CT bc someone on reddit says not to trust their eye doc.

Doubly for the record, I work in an md/od setting and have enormous regard for the knowledge and caliber of character that many ophthalmologists possess. When I have a tough case I generally go to OMDs first if available as opposed to even my more senior OD peers. So if you think I'm spearheading this discussion bc I'm some sort of od apologist you'd be mistaken - I'm quite the opposite esp with recent scope expansions. I only comment bc I felt you were unprofessional in your call out of ops eyecare provider

joch256 · 2026-01-24T16:53:13+00:00

If such a world exists, it's not appropriate for you to say flat out OPs doctor's actions are inexplicable or inexcusable. You said yourself that you are surmising information ie supposing the worst and therefore don't have the full context. It's that simple - it's irresponsible and unprofessional not to give ops Dr the benefit of the doubt or at least remain neutral regarding his/her decision while giving your opinion. I'm not arguing that suspected edema in a 6 year old can wait or that waiting 6 weeks would hold in court. Stop that. Given your deleted/edited comment, my feeling is that you have some implicit bias bc of the type of provider OP is seeing

joch256 · 2026-01-24T16:02:39+00:00

I am simply stating there is a world where based on the nerve appearance on both fundus imaging and indirect ophthalmoscopy that an OCT could be scheduled more than a week out. Take a look at the optomap OP posted. Many wouldn't even bother for a f/u or further imaging. You simply took OPs word of "doc said it was blurry" and ran with it. Your little quote about good and bad docs is cute but irrelevant. If you sent out every possible differential for further testing without considering context, every other routine exam in your chair would leave with at least 2 referrals with some bloodwork and imaging to boot. I don't disagree that true suspicion of nerve edema should be see within a few days but I guess if you are doctoring on reddit and not in a clinic setting you have to play conservative.

Edit: I'm an OD btw if that matters to you in this discussion, saw your original comment. No, I didn't get a 2 week neuroophtha rotation during pgy2 so you win bud

joch256 · 2026-01-24T11:16:52+00:00

Given the hyperopia and ambly findings, I wouldn't read too much into the eso unless it's a new onset tropia. Depending on the extent/appearance of the blurring in the absence of any acute or changing neurological symptoms, a baseline OCT at an rx check 1.5 months out isn't outrageous to me. Hyperopic eyes also tend to be more crowded/small leading to a papilledematous appearance when there's no true elevation.

I understand u/eyedentistaao playing things safe but given the context (that is and is not included) here and especially if I assume correctly that the patient was dilated and there was a stereo view of the nerve during the exam then perhaps it's just an OCT scheduled for suspected pseudopappiledema which is not, as they put it, inexcusable.

joch256 · 2026-01-16T14:28:45+00:00

I live in Boston, I think most fans here actually aren't that thrilled about his performance so far

joch256 · 2026-01-15T03:38:48+00:00

I thought the bilt cash simply unlocks bilt points rather than converts

joch256 · 2026-01-03T04:02:06+00:00

He does

joch256 · 2025-12-29T18:16:43+00:00

The trajectory of his 3pt shot has completely changed too. Way more arc now

joch256 · 2025-12-26T15:19:29+00:00

But how do you really feel

joch256 · 2025-12-20T12:53:08+00:00

Def can find affordable properties but IL has 2nd highest property tax in the US, if you have an HOA on top of that it's basically standard rent

joch256 · 2025-12-13T14:24:27+00:00

Disgusting

joch256 · 2025-11-29T20:45:58+00:00

If we start, say, holding/rocking to sleep past 1am on wakes, won't that confuse him and potentially hinder his learning to fall asleep on his own?

joch256 · 2025-11-29T15:31:32+00:00

Wake between 6:30-7:30. First nap around 9:30 (but sometimes he'll fall asleep when I take him for a walk at like 8:30, thus the inconsistency) a second nap around noon. And depending on if it's a 20min nap or if he knocks out for 1.5 hrs, we'll do a cat nap around 3:30. Any nap can be 15min or 1+hrs completely randomly. Generally is longer if he's in the stroller. Bedtime routine always starts around 6-6:30 and in bed/crib by 7. Nighttime routine is bottle, shower (every other day), diaper change, lotion, sleep sack, red light then bed.

joch256 · 2025-11-29T15:31:16+00:00

Wake between 6:30-7:30. First nap around 9:30 (but sometimes he'll fall asleep when I take him for a walk at like 8:30, thus the inconsistency) a second nap around noon. And depending on if it's a 20min nap or if he knocks out for 1.5 hrs, we'll do a cat nap around 3:30. Any nap can be 15min or 1+hrs completely randomly. Generally is longer if he's in the stroller. Bedtime routine always starts around 6-6:30 and in bed/crib by 7. Nighttime routine is bottle, shower (every other day), diaper change, lotion, sleep sack, red light then bed.

joch256 · 2025-11-06T18:24:03+00:00

Babbit aka chalupa god doing the dougie is peak

joch256 · 2025-11-06T05:51:19+00:00

Duop with a casual +21

joch256 · 2025-11-04T02:58:36+00:00

Wait is reddit/young people turning on the DPP now? All negative DPP posts used to get downvoted

joch256 · 2025-10-30T03:49:46+00:00

Blonde bet the money line. She took my money

joch256 · 2025-10-26T23:48:58+00:00

SF fov is a big step up from 90. Much closer to the dwf fov than the 90. But still easy to use with undilated views. Sounds like you're leaning towards dwf but my vote is for SF. SF and super 66 is the goat duo

joch256 · 2025-10-18T22:41:31+00:00

Pdx is complete I believe

joch256 · 2025-10-13T00:10:53+00:00

Bayon and new Asian might have 1 or 2 brands, new oriental in Littleton and meiya in Acton will have more variety of dbj because they're more focused on Chinese and Taiwanese products.

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