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One of My Most Challenging Patients

When in business, it is said that your friends and family members can be the most challenging.  My mom who is 92 poses one of those challenges.  First of all she’s in remarkably good health.  Her eyes are also reasonably healthy.  Part of her situation is that she has a significant difference in prescription between the two eyes.  The second condition is that they don’t team well together.  After examining her recently, I noted one significant change in her prescription and prescribed for it.  It took her about a day to get use to the change but afterwards, she was extremely happy with the prescription.  This is the best she’s seen for quite a while.  Believe me, this was a good feeling for both her and me.

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A Human Factor

I so enjoy optometry.  For me, it’s great being in my own practice.  One of the most enjoyable parts is that I could get to know many of my patients.  They’re not just another set of eyeballs.  I have seen many of the patients who started as primary school age individuals reach college and adulthood.  I have also seen patients who have retired and they relate to what they’re doing.  Many times these patients will tell me what’s going on with their family or friends.  I really feel good that they’ve entrusted me with such a vital part of their life, their vision.

We, as optometrists, play a very important part in our patients’ lives.  In certain cases, the care we render could be life saving.  Also, more common, is that we can improve their quality of life through our care visit this website.  When a number of my patients state that they love coming into the office, I really feel great.  It so makes me feel that I’ve chosen a great profession.  This is even more to the point as I knew I wanted to be an optometrist as early as my junior year in high school.

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There’s More To Vision Than Just 20/20

When examining patients for glasses and contact lenses, being able to have those patients see clearly with the prescription is of course very important.  I recently prescribed a pair of glasses for a patient whose comment was, “I feel like my jaw is unclenching when I put these on.”  This is because the eyes did not work well together and when I prescribed a lens called “prism,” it helped the eyes to work better with each other.  In another case, I was doing vision training with a college football player.  His comment was “that everything looked as it was unfolding a lot more slowly implying that he was able to react to a situation on the field more quickly.

 

Making sure the patient receives a pair of glasses that takes care of the task is important.  So many patients older than 45 need bifocal lenses so they can see distance and near.  If they’re working a desktop computer with the screen at eye level as well at a different distance than their normal reading, could lead to a lot of neck, shoulder or eyestrain.  Usually a separate pair of glasses needs to prescribed for this situation. The same thing goes for an electrician who often times has to look at close up detail above his head.  In this case, we have to put a bifocal lens both below the center and above the center of straight away vision.  Even though these glasses don’t look pretty, for some patients who have this demand, they’re very functional.

Also, many times a child will have 20/20 vision at distance and near but still have a learning problem that’s visually related.  Sometimes glasses alone will help remedy the problem and sometimes you also need vision training.  This is sometimes overlooked by the practitioner.

 

These are just a few examples of  patients who may have 20/20 either with glasses or without who still may have vision problems.

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“It’s A Wonderful Life”

I believe most people have seen the movie “It’s A Wonderful Life.”  It’s about a story about how each of us impacts the lives of many individuals even if we don’t realize it at the time.  I am thankful that I’m in a profession which gives me an opportunity to do that in an extremely positive way..

 

I look at the testimonial letters I’ve gotten from patients and feel so proud of being given the chance to help.  I also look at the contacts I’ve made through my patients and I, myself, have benefitted greatly from them.

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Vision Training Case

I started working with a young individual in his freshman year in college.  His main complaint was that he was having trouble taking in the whole playing field when he was looking at one particular player.  Even though the patient suffered from an eye injury two years ago, there was no organic problem with the eye.

 

I started doing vision training on him.  Yesterday, he related that all the action on the football field looked as if it were slower.  In other words, his reaction time was a look quicker.  Also, he said his receptions (ability to catch the ball) from the quarterback improved markedly.  Needless to say, he was very happy.

 

Vision training has so many applications.  These include individuals who have problems keeping their place reading or get headaches while doing near tasks including reading from text, desktops, laptops, or mobile devices.  It also includes people who have poor depth perception or poor hand-eye coordination.

For more information you can view our video on YouTube under our YouTube channel, robertrothbardod.

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Passion For The Profession

A business associate of mine said “nothing happens until someone gets excited.”  That’s so true.  I was at an optometric society meeting yesterday.  There were optometrists as well as optometric students there.  I was talking with the first year students how important it is to be passionate about what you’re doing.  I am fortunate that I’m in a profession that I feel that way about.  I work with very interesting cases where we have had a positive, profound effect on patients’ lives by our diagnoses and treatment.  These includes relieving headaches, making individuals (especially students)  more efficient readers and patients seeing depth perception for the first time and actually referring a 41-year-old patient to the appropriate doctor (after our examination) which ultimately saved her life.  She was diagnosed with an aneurysm which the doctor said could have killed the patient in the “not too distant future.”  They operated on her immediately and the aneurysm broke on the operating table where the patient lost that eye but her life was saved.  It was really rewarding when she came back to the office with a letter thanking me for saving her life.  You can see this letter in earlier blogs that appear on the website.

 

This is why I feel so excited about practicing, even after 32 years.

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Pain In The Neck and Shoulders

What does neck and shoulder pain have to do with an optometric blog?  The answer deals with individuals wearing bifocals who work with desk top computers.  When bifocals are prescribed, they’re usually for reading through the bottom part at lap level and looking at the distance through the top part.  If a person is viewing a computer that’s at eye level, in order to use the bifocal, they’ll have to tilt their head back and generally lean into the screen.  Hence the neck and back pain.  Also it’s critical that the eye doctor ask the patient about their work station.  That includes if there are multiple monitors and what distance the user is from the monitor and what the monitor’s height is..  Also the age factor is important. Check http://hughesairco.com/.  There’s a big difference in prescribing for the first time bifocal wearer who is 43 years old vs the bifocal wearer who is in their 50s or older .

 

Here’s just one example Let’s say we have a 55 year old individual who is looking at a monitor about 22 inches away and at eye level and viewing text at 16 inches. Read here more about buildings with water intrusion problems. I will often times prescribe a bifocal (or no line progressive lens) with the top part of the  prescription for 22 inches and the bottom part of the prescription for reading.  The patient needs to know that this pair of glasses is only for work and that it will blur out distance.  The patient here could sit back and view the monitor with out having to alter their posture.

In future blogs we’ll discuss contact lenses and viewing a monitor.

 

 

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Networking

I was at an event yesterday at The Radisson Hotel in Ontario, CA.  They had sponsored a party for many of the businesses in the area.  I belong to three chambers of commerce in the area as well as enjoy getting on line and discussing my  profession.  There’s nothing like personal contact.  There were quite a few individuals whom I haven’t met before, one of which was a young unassuming man who turned out be a co-owner of Fully-Verified, a company doing identity verification over the internet.  I had an interesting conversation with the man which thought me a lot about online safety while conducting business.

As usual, many of the people I had conversations with had questions regarding their own vision.  They included questions, about contacts, garage door repair San Diego, computers and vision and vision as pertaining to their family.  I sincerely enjoy answering these questions.  Of course, えっくすびでお finding out about the individuals who are there is wonderful.

A frequently asked question is whether we take their insurance.  I usually tell them to call the office and we could find out online what their status is.  We do take most vision plans.

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Personal Development

In business as in life, personal development teamed with persistence and passion help to develop a more fulfilling life.  There is such great material on YouTube including videos of Jim Rohn, Darren Hardy, Napolean Hill, Andy Andrews and others.  You can learn so much and feel great after viewing some of these individuals.  I, personally, love sharing adl embedded solutions inc and what I’ve viewed with some of my patients (only if they’re receptive to it).  It makes for great conversation.

 

On most Thursdays at 7:00 P.M. at my office we have a Mastermind Group discussing various ideas of self improvement.  Most of the individuals including myself feel energized after the meeting.  If you’re interested in joining us, please give us a call at (909) 980-3535.

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Personal Development

Over the last several years I’ve gotten so involved in my own personal development.  A good part of that is the immense amount of material presenting itself in the form of books, cds and videos.  Books from authors like Jim Rohn, Darren Hardy, Napolean Hill, Andy Andrews, Tony Robbins and  are such a great source of information.  There are so many other authors also to choose from.  In addition to the books, there are cds and videos that appear on Youtube that are immense in content.  In my opinion, it sure beats the heck out of listening to the news.  As stated by some of the above authors,  it’s just as important to fuel the mind with positive information as it is to fuel the body with nutritious food.

 

As an optometrist, I feel so fortunate in working in a field I sincerely feel passionate about.  Most of this stems from the wonderful interactions I have with my patients, staff and the community.  I feel a lot of this has developed from listening, reading and learning from the above authors.

 

 

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