Hi. I'm online and happy to answer your question today.
what is our take on my story
I do agree -- I bet you are, at the very least, having an issue with dry eyes. I am also glad to hear that you have bought natural tears and, hopefully, will stop using the naphconA
could that have made the eye tender yesterday>
Those "get the red out" drops tend to be addicting in that you get a rebound hyperemia when the drops wear off and then you use more drops and round and round you go...
Yes. They can.
yesterday it was only tender today its slightly tender (marked improvement) but
it feels just....strange
not painful, but i keep wanting to cup my eye lid
or take two fingers
and pull my eyelid
I'm glad that is is better...and I think since this is the case, everything will be OK.
And you may feel strange after using the naphcon A for so long......
This is not unusual.
I have to go to orlando tuesday on business and I am a bit nervous- if I needed to, could an optometrist be helpful in diagnosing or treating this if it gets worse
an optometrist would be much more accesible
One thing that you might try is some home therapy to treat any underlying issues that you may have with dryness, allergies (it is that time of year you know :) and blepharitis. Now, I'm not saying that you have all these things, just that your eyes might feel better if you follow these instructions:
When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.
Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.
The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.
Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.
Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.
Here is a good article on Blepharitis:
In a pinch an optometrist should be able to help you during your trip.
ok.. lastly, what I am describing is not a symptom of anything terribly serious? I am not having vision loss. They even tested that in the hospital yesterday.
But in an emergency, in Orlando, ophthalmologists are thick as ticks on a hound dog :-)
lol... you see I am in Canada
Nope. I don't think your symptoms are suggestive of anything serious or that would make me suggest that you postpone your trip.
and I am used to the state of Canadian healthcare
see when I sit here
Canada, eh? I'm in Northern Wisconsin, just across Lake Superior from 'ya....
my eye makes me want to touch it
and pull the eye lid
almost like an itch
I am in Montreal
Here in America you can just walk in the office and get care, especially in an emergency.
Try the lid scrubs and natural tears...bring a small bottle with you on your trip.
listen my dad is a doctor in NY he is shocked when I tell him what i go through
Ya...and the foolish Americans think they want Obama care. Idiots.
if i wanted an appointment with a gastroenteroilogst, its a 30 day wait
I could make a phone call and get you into see any specialist you needed tomorrow....
the wait for a colonoscopy in Quebec is 2 years
When a physician calls me personally about a patient I see them that day. No questions asked.
I needed one so I flew to NY and had one the next day
You could have one here this week....if you were really wanting one. Yuk.
Although I could see a dentist tommorow
why? cash business. not under the system
Great. Canadian corpses have the best teeth in the world ;)
however... I will tell you something- when you have something serious
you have 1st class treatment typically my McGill doctors
No. I would see the patient and be able to bill insurance/medicare if I squeezed them in that day when the patients doctor calls me. No under the table or cash payment needed.
my dermatoolgist told me he gets $38 per patient
in the sytsem
therefore, the game is to see volumes
It would not be worth going to school until age 34, like I did, to be paid $38/patient
well... his average patient is what... 7 minutes
doc, can you look at this mole? doc, can you tell me what this rash is?
he can see 10 patients an hour or $380 an hour
Ya, but when I did cataract surgery back in the early 90's it took me 15 minutes and I got paid $2,000
$380 an hour is not so bad
lol my dad is a urolgost
in the 90s he did a TURP and got $1500
It is in my field......but, of course, I don't make that here in justanswer. This I do for fun.....
i am trying t coinvince my dad to do it
he is retiring in december
Same here. Cataracts pay $620 with 90 days free post op care.
after 40 years
answer this for me...
I spend $29 a month for just answer
and I ask 20 questions a month
how can they be making money on me?
I've been a retina surgeon for almost 20 years and I wouldn't recommend being a MD to my kids anymore...as your dad can attest to.
yup... he hates it
Ya...I'm not sure how justanswer makes money on that deal. It makes no sense to me.
But, hey, I'm just one small Indian in a great big world full of Chief's lol!
this is a candians dream
becaus if i showed up to the ER right now
its at least a 5 hrs wait
there is NO such thing as the on call doctor in Montreal
you cannot call your gastro doc and speak with the on call doc in the practice
there is no such thing
I can't imagine such a thing.......
everything after hours is triaged through the ER
Not very efficient way to give quality care. I know in the USA, when I applied to medical school decades ago, there were 7 applicants for every open spot.
Now? There are two. Pretty soon the classes won't even fill. Then, I guess, Lawyers can start doing open heart surgery.....
I am now overdosing on natural tears
i use it... i feel good for 5 minutes
then i need it again
or I will want to pull my eye lid
You can also use some refresh PM or lacrilube. It lasts longer but can blur your vision.
this is what I keep doing
Wife says it's time to eat dinner. Is there anything else I can do for you this evening? It has been a pleasure chatting with you. Give my best to your dad.
this is what makes it feel better
thats what I mean by cupping it
squeezing the lids
is that typical of what I described
Don't do that. Your just irritating it more. Try gooping it up with lacrilube and rest for the evening......
ok...it just satisfies the twiching reflect
it makes it feel better temporarily
It is possible that the twitching effect is from myokymia secondary to the chronic use of the naphcon A.....
It should resolve on its own with time.
Gotta go or my wife, of 32 years and 5 kids, is gonna chain me up in the basement again lol!
thanks... Dr Rick Great talking to you! If I need surgery, I am coming to you.
I'll keep my knives sharp for 'ya....take care.