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First exam of the day, doing my preliminary testing. Testing extraocular muscle motility which is very similar to the nystagmus testing for DUI traffic stops
Pt: it's too early in the morning for DUI testing (joking )
Me: well, then don't book your exam so early (joking but not joking)
Chief Complaint: difficulty driving at night, was given glasses before but did not wear
Buddy do I have a solution for you 🫵
Had an early 20s pt in for an eye exam for the first time in several years. No glasses.
After refracting the second eye, I open up both eye wells. He suddenly loudly goes "oh shit!" Because clarity.
His mom immediately chastised him and apologized to me, but I'm just standing there grinning bc like ma'am I live for the genuine unfiltered moments when people can suddenly see well again or for the first time.
Gonna be real. I think the only docs who follow their own advice/recommendations are dermatologists. Their skin is immaculate.
First pt complaint of the day
"blurry at nighttime, eye strain/irritation/burning without glasses, only use glasses after symptoms start. Did not bring glasses"
Some real "you can bring a horse to water but you can't make it drink" type shit.
Noting this for remembering later. But uh, I fixed a patient's eyes so good they almost lost their disability status. While they were actively applying for a disability parking placard.
Pt comes in for a glasses recheck saying the new Rx gives them a headache.
In the duration of the very short work up testing with the tech and me just trying to ask questions, pt answered their phone twice. I think I know why the refraction went poorly the first time.
We even have signs that say "no phone usage in exam room, no photographs or video without prior authorization" (bc yeah I've had parents take photos and video of me without my consent)
I was writing a big long post about a pt encounter, then I realized it was so long and full of jargon that only other ODs (or those with the condition) would get it.
Anyways.
"Hostile" pt comes in (front desk lady's term) and I see pt and try to soothe the ruffled feathers. Pt has already been seen for current symptoms by ophthalmology practice. Bunch of tests but no cause given and no treatment.
I do different evaluation, figure out the issue can be treated (at least partially) with glasses with prism (different type of lens for muscle misalignment). Pt says they never had any of this stuff done before by other docs. (Lots of docs don't like doing binocular vision testing)
They compliment my jewelry while I'm working to find the right prism for them.
End the encounter with pt telling me about their rodeo wild days when they were young and comparing bird skull jewelry (my earrings to their necklace)
I go out to the manager, set down the pt file and say "sorry, the "hostile" patient likes me, I'm their doctor now."
TL;DR: sometimes people are frustrated/angry because they need help and other's have failed them.
(pt could have been nicer but intermittent double vision can be scary.)
