Patients today

Most days work doesnt feel like work.  All the loneliness and frustrations I had been feeling for the past 6 months seem to subside when I get to talk to my patients.  I love asking them what they do, their philosophies on certain aspects of life (marriage, children). Today's highlights thus far:

1. A very chubby and jolly 30 something year old middle eastern husband with a thick accent with a gray baby holder strapped across his large belly was so excited to get his eyes refracted.  He came in with his beautiful and serene wife with a very chubby, healthy (loud) 11 month old daughter on her lap.  When I told him he didn't need glasses and he saw very well, he frowned.  He looked straight at me with his dilated eyes and asked me, "What is your dream?"
"Excuse me?"
"Yourrr drrrream (with his r's intensively rolling)!"
"My dream?"  It was such a random question for a patient to ask me.
"I tell you my drrream doctorrr, my drrream is to wearrr glasses because I look verrrry handsome in them," he said in all seriousness.
I looked at his wife and she was nodding and smiling in agreement.  I laughed and told him that many dream to have his perfect vision (he grunted in disagreement) and he didn't have to worry because his dream would come true once he hit age 40.  His eyes grew as big as doughnuts, his mouth opened, and he exclaimed excitedly as he took his mini-me into his arms "40 will be soon!" And he waltzed out the door.  This was my first patient to have wanted presbyopia to happen.  I think he may be my one and only ever.

2.  A new patient, a pudgy boy in high school came in for a glasses and contact lens for the first time.  He was very calm and quiet.  He told me he broke and lost his glasses from playing basketball, he also stated he never saw well out of his left eye (oh great, is this another amblyopia??).  He had high astigmatism and high myopia (which kind of irks me because there are never any trial lenses with his power).  After refracting him, he could only see the 20/30 line with either eye...should I just have him wear glasses for time being and then have him come in later for contacts?  I doubt his parameters are in the trial set.  I slowly started to say, "You will need to get used to glasses first because you have such high astigmatism, I am not sure if you will be used to them in the first place...I may need you to come back after wearing glasses for a while, then do contacts afterward..."
He nodded,"Okay, I will do that.  I understand."
Uugghhh but Sandra, you know you should just do it...he was totally looking forward to contact lenses.  Just try!
"...but let's just try the contacts now, might as well!"  I was groaning as I was selecting the adjusted parameters.
Then we started talking about basketball and he was telling me how his favorite player was Kyrie Irving and how watching the finals wasn't so fun because he liked LeBron.  I started inserting the right contact lenses and as soon as it settled, he had the biggest smile ever.  "I haven't seen this good since the 4th grade!"
I was thinking to myself, it should be worse vision than the glasses...I put on the other one and he his smile grew even bigger (didn't even know that it could be possible).  'What is he seeing??' I thought to myself.
I check his vision: 20/20 on BOTH eyes.  I was immensely relieved and surprised.  Then I started saying some dumb shit like "Omigod!  I am the Kyrie Irving of contact lenses!  Man, I am good!  I am SO GOOD!"
Then patient was laughing, agreeing, and feeding my big head "The Kobe!  The LeBron!"

Asteroid Hyalosis

finally saw one in a long while.

definitely put a smile on my face because I find asteroid hyalosis to be so cute and magical!  Little gold scintillating evenly scattered in gelly matter without affecting the patients vision