Recent content by Drofeyes21

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    Seeing small dots/circles in bright light in one eye

    A posterior vitreous detachment would have been visible on a dilated eye exam. It sounds like syneresis, or the liquefaction of the vitreous. A PVD is not too far away now. This is all normal and definitely age related. When the PVD occurs, it’s usually accompanied with a much larger floater...
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    Eye spy a STYE

    There is a device at some eye doc’s offices called Lipiflow. It inserts inside the lids and applies heat with a massaging motion to aid in expressing the oils in the glands. Anecdotally it’s effective. However, insurance doesn’t cover it and it usually costs $800 a treatment, yikes. Just another...
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    Eye spy a STYE

    Doxy is typically used for chronic management of blepharitis/meibomian gland dysfunction. I’ll prescribe it 50mg twice daily for three months and then maybe change it to once a day depending on presentation. If there’s a legitimate infection (cellulitis), then I’ll usually go with Keflex 500mg...
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    Eye spy a STYE

    Warm compresses and massage to deal with acute bouts. The increase in sebum/meibum is the culprit. Get an over the counter lid scrub preparation and clean your lid/lash area every evening. Sometimes it may take a course of an antibiotic if the style leads to cellulitis.
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    Thinking of Buying a CPAP

    Personally it only took a week to have the PSG, get the initial cpap, and get started. I recommend the doc’s input to help get dialed in. It took nearly a year to find the right mask and determine that I was better served with a biPAP than a cpap. There are good providers out there, just do your...
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    Thinking of Buying a CPAP

    You’re going to need a doc who can adjust the settings. Have you had a polysomnograph to determine your level of apnea? That will dictate the therapeutic settings.
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    Thinking of Buying a CPAP

    It’s like a whisper compared to snoring. Been on a bipap for 3 yrs and no more elbows to the ribs in my sleep.
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    Getting a sigmoidectomy

    Anyone here ever have a partial or total colectomy? I’m probably going to have a sigmoidectomy within the next 2 months for several bouts of complicated diverticulitis. Any experiences would be appreciated.
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    Does TRT effect eyesight?

    When on TRT our levels of sebum increase, hence the up tick in acne. Our eyelids secrete a similar substance called meibum. It’s the lipid layer within the our tears. One of its purposes is to aid in keeping our tears from evaporating quickly. So, no T, no oil, thus dryer eyes with some blur...
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    Does TRT effect eyesight?

    The term cataract is generic as well. There are multiple types with mitigating factors that can cause each.
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    Does TRT effect eyesight?

    There’s a direct correlation between prednisone (corticosteroid) use and posterior subcapsular cataracts. T is a different class not associated with cataract formation. We don’t see pubescent boys with those types of cataracts without some underlying systemic condition being treated with...
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    Does TRT effect eyesight?

    We talked about this case in conference I attended a while ago. It’s one of those single zebras in a herd of horses kind of occurrence.
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    Does TRT effect eyesight?

    Bingo. It’s amazing how fast presbyopia sneaks up on us. I promise you you’ll wake up soon and not be able to read the paper or your phone without having to extend your arms quite a bit.
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    Does TRT effect eyesight?

    How old are you? The LASIK you had is not a permanent fix. It’s more likely that it’s a combination of regression and lens changes. Hormonal shifts can affect vision but not in the way you’ve described. We will normally see it in pregnant women because their lenses swell slightly making them a...
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    Question for those married > 15 yrs

    23 years married and kiss her every time either she or I leave and come home. We kiss truly passionately a couple of times a week without the intent of sex. I like to think Though that every kiss has some passion whether there is tongue involved or not
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