How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7924
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

I have just been diagnosed with central serous retinopathy.

Customer Question

I have just been diagnosed with central serous retinopathy. I'm a registered nurse working in the hospital setting and my employer doesn't want me to return to work until my vision returns. Even though I can see fine out of my other eye and am able to read medication labels, chart, etc., but my depth perception is compromised right now and my eye doctor wrote a restriction barring me from performing invasive procedures such as starting IV's for 3 months. My employer feels this creates an issue rearding patient safety. Would you agree with this? Or should I argue harder to try and be allowed to work?
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. Rick replied 1 year ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

I am a retina specialist and deal with CSR all the time. W

Dr. Rick :

Do you know what your vision is in the affected eye?

Customer:

20/70

Dr. Rick :

Ok. Well, there are many other clues to depth perception as evidenced by people who play tennis who have poor or no vision in one eye.

Customer:

the thing is it makes flat surfaces appear uneven to me

Dr. Rick :

Yes. That is very common with macular swelling.

Dr. Rick :

Have you tried to put in an IV since your vision was decreased by your condition?

Customer:

so I really can only see clearly if I close one eye and that affects my "aim" I havent tried it on a patient, but i tried to simulate it at home

Dr. Rick :

I'd give it a try....maybe on a young pregnant woman (who have huge veins :) and see how it goes. You might surprise yourself.

Dr. Rick :

I really don't see why, even if you had to have someone else help you with putting in IV's, why you couldn't safely continue to work as a RN......

Customer:

I work on a cardiac telemetry floor, I rarely get a very healthy pt, and they wont let me come to work with this restriction

Dr. Rick :

But, with the doctors note, this is not a battle you are going to win with your supervisor.

Customer:

right, I was just wondering if you agreed that it wouldnt be a good idea for me to be performing invasive procedures with my vision distorted like this

Customer:

Its a liability issue for the hospital, I understand that

Dr. Rick :

I'd ask your MD to remove that restriction...there are many things you can do, even in a CCU setting. Seems extreme to me, from what you have posted, that you are barred from working. CSR can take 3 to 6 months to resolve. And going ahead with laser surgery without even being given a chance to try and do your job seems unfair to me....and unwarranted.

Dr. Rick :

They like to wave the "it's a liability issue" flag around a lot. I don't buy it.

Dr. Rick :

I've been Chief of Staff in our 100 bed hospital and I would feel comfortable giving you a chance to see what you could do before banning you from working.

Customer:

ok, well thank you. I agree, and I know my coworkers would be willing to do anything for me that I could not safely do. I think part of the problem may be that my doctor works for the same hospital and may feel some responsibility if I did hurt someone

Dr. Rick :

If you can put in an iv I do not see why you shouldn't. You are mature enough to ask for help if you need it. I'm sure you don't put in central lines etc.......

Customer:

I appreciate your input, thanks again. I will talk to my doc and my boss again tomorrow and maybe I can convince them because as you pointed out it is a long recovery time and thats a long time to survive on short term disability

Dr. Rick :

Let me know if there is anything I can do to help. One thing you might consider is asking for a chance to have someone observe you and show what you can do...that would remove their "liability" fears about you at least giving it a try.

Dr. Rick :

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles.

Thanks in advance,

Dr. Rick MD FACS

Dr. Rick :

Best of luck to you. Have a good day.

Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7924
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Expert:  Dr. Rick replied 1 year ago.
Hi Brenda,

I just walked examined a patient with CSR and my thoughts turned to you.

Were you able to get your boss and MD to reconsider their position and allow you to return to work?

I hope you are doing better. Have a good day.

Dr. Rick
Customer: replied 1 year ago.

Actually, the doctor added a ten pound lifting restriction, so there is no way they will allow me to do patient care now. She never told me I had a lifting restriction, and I can't imagine why that would be necessary from what I've been reading, but she included that in the report she sent to my employer. They are trying to find an alternate work assignment for me so I don't have to stay home, but I haven't heard anything yet. Thanks for checking in.

Expert:  Dr. Rick replied 1 year ago.
I do not agree with a 10 lb lifting restriction. That makes no sense to me at all.

I think you should try to consult with a different retina specialist and see if he could lift these silly restrictions....maybe this way you could get back to work.

In over two decades of clinical practice as a retina surgeon I have never recommended a lifting restriction for a patient with CSR.... I'm sorry you are being put through this issue by your doctor.

Let me know if there is anything I can do to help.
Customer: replied 1 year ago.

That's what I thought, too. I told them, "she's an opthamologist, I have a problem with my vision. I'm not on a lifting restriction." Before I go to another doctor I'm going to try to get her on the phone. It's possible there was just a mistake made while filling out the form. Maybe someone in her office filled it out and she just signed it without reading it. I know when doctors ask me to prepare prescriptions or other paperwork for them they usually assume I did it right and just sign it, they don't proofread it.

Expert:  Dr. Rick replied 1 year ago.
That is possible. I must admit I'm guilty of doing the same thing with my staff and forms :(

If, however, the general ophthalmologist did mean to give you these (silly) restrictions, if you think your boss would listen to another "more expert" opinion, I'd consult with a retina surgeon for another opinion. I really can't imagine any reason for you to have a lifting restriction nor to be kept from working as a RN....I bet with some practice you could "hit" 90% of the veins you were able to do when you had both eyes working.

To tell you the truth I'm kinda shocked that any ophthalmologist would sign off on these unnecessary work restrictions. It makes absolutely no sense to me whatsoever.

Take care and good luck :)

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 

Related Eye Questions