tag:blogger.com,1999:blog-5883634615775822475.post1794486221958860567..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: I'm stumpedGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger68125tag:blogger.com,1999:blog-5883634615775822475.post-92084185671409357842013-05-13T21:20:53.653-04:002013-05-13T21:20:53.653-04:00great case, grumpy.
about peed myself laughing a...great case, grumpy. <br /><br />about peed myself laughing about that one, mostly because i could see myself getting that exact same referral, except in my situation without a shred of accompanying documentation.<br /><br />keep up the great work!<br />-fellow swinger of the hammerAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-37587964084270007872013-05-07T23:09:15.157-04:002013-05-07T23:09:15.157-04:00Her new lenses are probably not the correct ones. ...Her new lenses are probably not the correct ones. In other words, somebody screwed up and inserted the wrong lenses.MAhttps://www.blogger.com/profile/11917985681829130997noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-12896868822359913712013-05-03T08:35:43.328-04:002013-05-03T08:35:43.328-04:00She should go back to the optom, the lenses are wr...She should go back to the optom, the lenses are wrong for her.<br /><br />Will I seem totally rude by saying DUH and WTFREALLY???Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-78519919495813139752013-04-28T23:50:27.166-04:002013-04-28T23:50:27.166-04:00She maybe taking mega narcotics,or got a bad batch...She maybe taking mega narcotics,or got a bad batch of them...wood etoh,Prescribe high doses of Prednisone..... or notAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-84875318125699803812013-04-28T13:57:57.046-04:002013-04-28T13:57:57.046-04:00We had a new onset headache referred to us once. T...We had a new onset headache referred to us once. The word "conversion" even came up. <br /><br />Upon closer questioning, kid's been sick a week with a nasty virus and gastro, as was the rest of the family. Never had headaches before, so he didn't know what was going on. We reassured him he'll feel better when the virus resolves. <br /><br />History is important.<br /><br />For those trying to answer seriously, and perhaps not familiar with sarcasm, the actual answer is "the internist did not take a proper history, and made an inappropriate referral." Aerishttps://www.blogger.com/profile/07617060613448922325noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-67588498850920235432013-04-28T04:47:33.290-04:002013-04-28T04:47:33.290-04:00When the same thing happened to me a different opt...When the same thing happened to me a different optometrist checked and realised the lens wasn't properly centred on the pupil on one side - only a fraction of a mm but enough. Luckily the lenses were large and he simply cut them down to fit smaller frames as spares - wasn't making much money as they were old frames he used. I'd used the glasses and just about got used to them but was never entirely happy. <br />My daughter was talked into sunglasses with photochromic lenses for driving - except they were an older version and useless - with the same problem to boot. The same optometrist spotted they too were made incorrectly - the original company was a chain who would have lost their profit had they corrected the fault. He was a independent practitioner who cared about his clients - and was mostly cheaper than the other lot despite their claims. Eileennoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-59112705965954915642013-04-28T00:41:55.912-04:002013-04-28T00:41:55.912-04:00Nystagmus? and maybe she only notices it when she...Nystagmus? and maybe she only notices it when she has on her new near-vision glasses?<br /><br />(Hey, my guess is as good as the next yak herder's)Charlesnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-51656667996793036412013-04-27T06:21:57.568-04:002013-04-27T06:21:57.568-04:00If she'll just turn the robotic vibrator off, ...If she'll just turn the robotic vibrator off, everything will clear right up.BobFnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-75027637724907614332013-04-27T00:02:58.051-04:002013-04-27T00:02:58.051-04:00Hey, wait, why is the internist involved anyways? ...Hey, wait, why is the internist involved anyways? I feel like this ought to be a discussion between the patient, her caregiver, the optometrist, the lenscrafter, and possibly a salesperson or two.<br /><br />In fact, I feel like the neurologist makes more sense than an internist at this point. You could be asked to judge whether or not she understood what it was she was saying or remembering the difference between up and down. Plus, a visit to your office costs more, so therefore it must be worth more. QED.<br /><br />AbigailAbigail Cashellehttps://www.blogger.com/profile/06250292620460654855noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-86934498605567353352013-04-26T17:42:30.433-04:002013-04-26T17:42:30.433-04:00Anon 6:39
I am convinced that people with RA can&#...Anon 6:39<br />I am convinced that people with RA can't get a good rx for glasses. If inflammation levels affect vision, fluxuations in inflammation will lead to fluxuations in the amount of correction needed. That seems pretty obvious to diagnose, nearly impossible to fix. :(Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-76718035837235143042013-04-26T14:06:58.172-04:002013-04-26T14:06:58.172-04:00Let's hope he was trollling you. That, or the ...Let's hope he was trollling you. That, or the old lady made him write so, while holding a knife around his neck! Be ware of here. She might be dangerous!peacehttps://www.blogger.com/profile/15254289560180340388noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-16994719882750395132013-04-26T13:35:25.279-04:002013-04-26T13:35:25.279-04:00Maybe she had a myopic shift from the recent addit...Maybe she had a myopic shift from the recent addition of an antiepileptic medication? This would make her distance better for close up, and her new reading glasses wouldn't work very wellAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-26989136473226186222013-04-26T13:00:11.875-04:002013-04-26T13:00:11.875-04:00If this resolves with taking them off, that means ...If this resolves with taking them off, that means she doesn't need correction eye glasses for near-vision. Her eyes still see well with the old prescription because they got used to adapt to that correction. <br /><br />Unless she got a beginning of macular degeneration, but that would show on the distance-vision too.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-48642167659502101672013-04-25T23:23:43.463-04:002013-04-25T23:23:43.463-04:00The answer is - make sure that the internist is re...The answer is - make sure that the internist is really a liscenced MD - why would he refer her to you instead of hitting her aside the head and telling her to go back to her optometrist? DUHdaniellehttps://www.blogger.com/profile/04460011312097894940noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-83301934095245102742013-04-25T22:46:52.501-04:002013-04-25T22:46:52.501-04:00The differential should include early dementia, TB...The differential should include early dementia, TBI, and alcohol related impairment.<br /><br /><br /><br /><br />Oh wait, you mean what's wrong with the PATIENT?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-34244518984115086932013-04-25T22:12:49.980-04:002013-04-25T22:12:49.980-04:00The glasses still have the stickers on them that t...The glasses still have the stickers on them that the doc uses to make notations for measuring nose height.Kenhttps://www.blogger.com/profile/02204851957618577121noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-43276073597554385062013-04-25T20:54:06.879-04:002013-04-25T20:54:06.879-04:00I once had glasses that they initially had the rig...I once had glasses that they initially had the right and left lenses switched; so the prescription was right, but I still couldn't see. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-36935089688453236342013-04-25T19:27:48.729-04:002013-04-25T19:27:48.729-04:00Rx: Bifocals. Rx: Bifocals. Dr.Mhttps://www.blogger.com/profile/09895300806555339837noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-85501615631473031862013-04-25T19:26:38.478-04:002013-04-25T19:26:38.478-04:00It is the glasses, not the person. Why on earth w...It is the glasses, not the person. Why on earth would she be referred to you for a neurological problem if she doesn't have the problem when she wears her old glasses?!<br /><br />Her internist needs to be prescribed a vacation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-27429902146870239272013-04-25T18:39:26.434-04:002013-04-25T18:39:26.434-04:00I don't have any answers, but can tell you tha...I don't have any answers, but can tell you that I have had glasses due to nearsightedness for 25 years, and always get fitted for my glasses and contacts at my opthalmologist's office. This this year, for the first time ever, I have had to go back and get the prescription corrected 3 times. And I still can't see as sharply as I used to. I finally gave up because the lens lady at the doctor's office basically told me the problem is me, not them.<br />I do have rheumatoid arthritis and I wonder if that is what is causing my vision problems. I was tested for tear production and was told my eyes are not dry or anything, so I don't really know what's going on. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-61151654866087943232013-04-25T18:16:44.830-04:002013-04-25T18:16:44.830-04:00I haven't read the other comments, but I had t...I haven't read the other comments, but I had that happen with my near-vision glasses. They had made the Rx negative instead of positive. MadMTnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-77430511432754833272013-04-25T18:12:12.588-04:002013-04-25T18:12:12.588-04:00advise her to not use highball glasses when drinki...advise her to not use highball glasses when drinking martinis. and vice versa.was1noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-68906192396324267922013-04-25T17:29:37.325-04:002013-04-25T17:29:37.325-04:00"...quoted verbatim from my chart note."..."...quoted verbatim from my chart note."<br /><br />How was this chart note produced? In handwriting? If so, by whom? And was it written during sleep deprivation? If it was transcribed from a recording, was it done by a tired/underpaid/overworked medical transcriber? Was voice recognition software involved?<br /><br />I'd want to double-check with the originator of the note before going further.Steeny Louhttps://www.blogger.com/profile/11886224738812704532noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-20412714205689666782013-04-25T17:26:14.312-04:002013-04-25T17:26:14.312-04:00Either the new prescription for glasses was wrong ...Either the new prescription for glasses was wrong or the new glasses are not as prescribed.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-58176708611065852122013-04-25T17:21:19.469-04:002013-04-25T17:21:19.469-04:00The glasses didn't by any chance come with tha...The glasses didn't by any chance come with that plastic stuff over then that is found on cell phones and other electronics during transport/delivery? And if so, did she take the plastic shielding off?Rakahahttps://www.blogger.com/profile/01052279140802372756noreply@blogger.com