#eye care prescription chart

[opticchart]

ptic Chart offers state-of-the-art digital vision testing tools tailored for professionals.Achieve unparalleled accuracy, efficiency, and user satisfaction. Explore our innovativesolutions today!

[earthtoharlow]

Don’t Like The Lights

Sequel to Flashing Lights series, must read Flashing Lights first to understand

series masterlist

12. Sweetest Devotion

And there is something 'bout the way you love me that finally feels like home. You're my light, you're my darkness. You're the right kind of madness

The next couple of weeks flew by, and Maryse had been so caught up in everything—work, life, and planning their new home—that she hadn’t even noticed she was running low on birth control. Jack wasn’t exactly consistent with the pull-out method, and the pill had always helped regulate her periods. It had been a busy time, so when she went in for a routine check-up and to get her prescription refilled, she didn’t think much of it.

Sitting on the exam table, Maryse waited for her doctor, casually scrolling through her phone. When the nurse walked in with a bright smile and said, “Congratulations on your pregnancy!” Maryse’s heart plummeted into her stomach.

She looked up, eyes wide, and immediately shook her head. “No, no… I’m not pregnant,” she stammered, her mind racing.

The nurse looked puzzled, glancing back at the chart. “The test we ran earlier came back positive. Maybe there’s been a mix-up… let me get the doctor.”

As the nurse left to find the doctor, Maryse sat there in shock, her thoughts a whirlwind. Trying to think back over the past few weeks. She hadn’t felt sick, there were no signs of morning sickness, no unusual fatigue, and nothing that stood out to her as a sign of pregnancy. Everything had seemed normal—well, as normal as life could be with everything going on.

She took a deep breath, trying to steady herself. Maybe it was just a mix-up. That had to be it.

The door opened again, and this time the nurse returned with the doctor. They both had the same concerned but gentle expressions, which only made Maryse’s anxiety spike.

The doctor approached her with the chart in hand. “I’m sure this is quite a shock,” she began, her voice calm and reassuring, “but we ran the test twice to be certain. And both came back positive. Maryse, you’re indeed pregnant.”

The words hit Maryse like a freight train. Her breath caught in her throat, and she could feel her pulse quicken. This wasn’t something she had been expecting—at all.

“But… I don’t feel pregnant,” Maryse managed to say, her voice trembling slightly. “I haven’t felt sick or anything.”

The doctor nodded understandingly. “Not everyone experiences the classic symptoms right away. Some women don’t even realize they’re pregnant for a few months. It’s possible that your body just hasn’t started to show those signs yet.”

This wasn’t how she imagined finding out—so unprepared, in the middle of everything else going on. But there it was, the undeniable truth. She was pregnant.

The doctor’s words become a blur as they hand Maryse a stack of pamphlets about pregnancy care, her next steps, and what to expect. She nods absentmindedly, feeling as though she’s moving through the motions without fully comprehending what’s happening. They schedule her next appointment, but it all feels like it’s happening to someone else, not her.

When Maryse arrived home, she felt a wave of relief wash over her as she noticed that Jack wasn’t home yet. The house was quiet, giving her the perfect opportunity to process everything on her own. She slipped off her shoes and hurried to the bathroom, her heart pounding in her chest.

Standing in front of the mirror, she hesitated for a moment before lifting her shirt. She stared at her reflection, her eyes searching for any sign of a change. Her stomach looked the same as always—flat, with no hint of a bump. But the knowledge that she was pregnant now made her look at herself differently. It was surreal, almost as if she was expecting to see something that wasn’t there yet.

She placed her hand over her belly, feeling the smooth skin beneath her fingertips. There was a tiny life growing inside her, something she couldn’t quite wrap her head around. Her thoughts raced, thinking about how this would change everything—her life, her career, her relationship with Jack.

She pulled her shirt back down and took a deep breath, trying to calm the storm of emotions swirling inside her. There was so much to think about, so much to plan, but for now, all she could do was take it one step at a time. And the first step was figuring out how to tell Jack, whenever she was ready for that.

Maryse places her hands gently on her stomach once more, imagining the tiny life growing inside her. A wave of joy washes over her, and she can’t help but giggle. The thought of becoming a mother fills her with a warmth she’s never known before. It’s a new kind of happiness, one that feels bigger and more profound than anything she’s experienced

As she was leaving the bathroom, she heard the front door open and close, meaning Jack was home. Maryse tries her best to act normal but the excitement and nerves swirling inside her make it difficult. She greets Jack with a smile, leaning in for a kiss, but she’s sure he can feel the slight tremble in her hands as they brush against his chest.

“Hey, how was your day?” she asks, trying to keep her voice steady as she follows him into the living room. She watches him closely, hoping he doesn’t notice the way her eyes keep flicking down to her stomach or how she’s fidgeting with the hem of her shirt.

Jack gives her a long look, his brows furrowing slightly. “It was alright,” he replies, a note of suspicion in his voice. “What about you? Everything okay?”

“Yeah, of course!” she answers a little too quickly. She clears her throat and tries again. “I mean, yeah, just a normal day. Took the dog out, ran a few errands. Nothing special.”

But even as the words leave her mouth, she knows she’s not convincing him. She can see it in the way his eyes narrow slightly, the way his head tilts as if he’s trying to figure out what’s off. Jack is too in tune with her, too aware of her moods to miss the subtle signs.

“Uh-huh,” he says slowly, watching her as he takes off his jacket and drapes it over the back of a chair. “You sure there’s nothing else going on? You’re acting a little… weird.”

She forces a laugh, waving a hand dismissively. “Weird? No way, I’m just tired, that’s all. Maybe we should just order in tonight and relax.”

Jack doesn’t press her further, but she can tell he’s not convinced. As they settle onto the couch, she tries to focus on the show they’re watching, but her mind is racing. She can feel his eyes on her every now and then, like he’s waiting for her to slip up, to reveal whatever she’s hiding.

The secret feels heavier than ever now that Jack was home, it takes everything in Maryse not to blurt it out right then and there. Every time Jack reaches for her hand or leans in to whisper something in her ear, she feels a little thrill of anticipation mixed with anxiety. But for now, she keeps her secret, hoping she can hold it in just a little longer.

Later that night, Jack found himself tossing and turning in bed unable to shake the feeling that something was off with Maryse. She’d been so fidgety and distracted all evening, barely able to meet his eyes. He had been with her long enough to know when something was on her mind, and this was more than just being tired.

By morning, the uneasy feeling was gnawing at him. He decided he needed to talk to someone about it, someone who could help him make sense of what was going on. Without overthinking it, he grabbed his phone and texted his Urban, asking if he could swing by his place.

When he arrived, his Urban greeted him with a concerned look, already sensing that something was up. They settled onto the couch, and Jack wasted no time getting to the point.

“Man, I don’t know what’s going on with her,” Jack started, running a hand over his face. “She’s been acting really weird lately. Like, super jumpy, and she’s trying so hard to act normal, but I can tell something’s bothering her.”

Urban leaned back, crossing his arms as he listened. “Weird how? Like, does she seem upset or more… I don’t know, nervous?”

Jack shook his head, clearly frustrated. “It’s hard to explain. She’s not upset, I don’t think. It’s more like she’s… distracted, you know? Like her mind’s somewhere else. And when I asked her about it, she just brushed it off. But I can tell something’s up.”

Urban nodded slowly, considering this. “You think it’s something to do with everything that’s been going on? Like, the stress of getting back to work and all that?”

“Maybe,” Jack said, though he didn’t sound convinced. “But I don’t know, man. It feels different. And she hasn’t really been herself since I got home last night. I can’t put my finger on it, but something’s definitely off.”

He was quiet for a moment, then leaned forward, resting his elbows on his knees. “Have you thought about just sitting her down and talking to her? Like, really talking to her, not just asking if she’s okay?”

Jack sighed, rubbing the back of his neck. “Yeah, I’ve thought about it, but I don’t want to push her if she’s not ready to talk. I just wish I knew what was going on in her head.”

Urban offered a reassuring smile. “You know her better than anyone. If something’s bothering her, she’ll tell you when she’s ready. Just give her some time. But if it’s really eating at you, maybe just try to be there for her without prying too much.”

Jack nodded, though he still looked troubled. “Yeah, I guess you’re right. I just… I don’t like not knowing what’s going on. It makes me feel helpless, you know?”

Urban clapped him on the shoulder. “I get it, man. But you’re doing the right thing by giving her space. Just keep doing what you’re doing, and she’ll come to you when she’s ready.”

Jack gave a small smile, though the worry hadn’t completely left his eyes. “Thanks, man. I needed to hear that.”

“Anytime, just relax before you start getting grey hairs.”

Jack laughed before reaching over to punch Urban in the arm, feeling a little better after talking it out. He just hoped that whatever was on Maryse’s mind, she’d be ready to share it with him soon. Until then, he’d do his best to be patient and supportive, even if it drove him a little crazy not knowing.

***

Days later, Jack and Maryse were in LA for the Color Purple movie premiere. As Maryse was getting ready she started to feel self conscious about her body, wondering if anyone would notice any changes.

Every glance in the mirror feels like a test—Maryse examines her figure, wondering if there’s any hint of a baby bump.The thought of being a mom brings a rush of happiness, but also a wave of fear about how she’ll manage everything in her already hectic life.

Maryse takes a deep breath, trying to calm herself. She knows Jack will be by her side through all of this, and she can’t wait to tell him, but for now, she has to focus on the premiere. But as she gets ready, her mind keeps drifting back to the baby, to how Jack will react, and to the daunting task of balancing her career and motherhood. It’s a lot to process, but she’s determined to keep it together, at least for tonight.

She continues adjusting her dress trying to push away her worries when Jack steps up behind her. He places a gentle hand on her shoulder and leans in, his voice low and full of affection. “You look beautiful,” he whispers, his gaze sweeping over her with pride. “You’re glowing and you’re wearing my favorite color.”

Her heart skips a beat at his words. She feels a rush of warmth, the urge to spill everything, to tell him about the baby, to share the news that’s been swirling in her mind since she found out. But as she looks around the hotel room, filled with stylists, makeup artists, and assistants buzzing around, she knows now isn’t the right time.

Maryse forces a smile, trying to keep her emotions in check. “Thanks,” she murmurs, her voice a little shaky. She can feel the weight of the secret she’s holding, the excitement mixed with anxiety, and it takes everything in her not to just blurt it out. Instead, she turns back to the mirror, taking another deep breath to steady herself, and reminding herself that there will be a perfect moment to tell him—just not yet.

But it’s hard, so hard, not to let it slip when he looks at her like that, with so much love. She knows he senses something, but for now, she has to keep it together, at least until they have a moment alone.

Maryse walked the red carpet, the cameras flashing from every direction, she felt a mix of emotions—nervousness, and excitement.

It was her first public appearance since everything had happened, and the weight of it was heavy on her shoulders. But she also felt a strange sense of pride. This was her movie, her moment, and despite everything, she was here, standing tall.

Jack stayed a few steps behind her, watching her closely. He admired how she handled the pressure, how she smiled and waved at the cameras, even though he knew she was nervous. He wanted to be there for her, to support her in any way he could. But he also wanted to let her have her moment in the spotlight.

As Maryse posed for photos, she glanced back and caught his eye. There was something in her expression—an unspoken request. She subtly held out her hand, her fingers reaching for him. Jack didn’t hesitate. He walked up to her and took her hand, standing by her side as the cameras continued to click away.

Jack knew how much this moment meant to Maryse, especially after everything she’d been through. And even though she was the star tonight, she didn’t want to do it without him by her side.

As Jack looked down at Maryse, his eyes filled with pride and love, he said, “I’m so proud of you. I love you so much.” His words were soft, almost drowned out by the flashes of cameras and the murmurs of the crowd, but they reached her heart.

Maryse, feeling overwhelmed by his words and the weight of the moment, looked up at him, her eyes glistening with unshed tears. She took a deep breath, and whispered back, “I’m pregnant.”

Time seemed to slow down as Jack processed her words. The world around them faded away, and all he could focus on was the woman standing before him, glowing not just from the lights of the cameras but from the life they had created together.

His eyes widening in surprise as her words sank in. He felt a rush of emotions all at once—shock, joy, love, and an overwhelming sense of responsibility. His hand instinctively tightened around hers, and he blinked rapidly, trying to keep the tears at bay. They were surrounded by flashing cameras and the press, and he knew he had to hold it together.

But as he looked at Maryse, the woman he loved more than anything, standing there with that secret smile and a quiet strength, it took everything in him not to break down right then and there. He leaned in closer, pressing his forehead to hers for a brief moment, whispering, “I can’t believe it… I’m so happy, baby.”

As soon as they stepped inside the venue, away from the flashing lights and prying eyes, Jack couldn’t hold back any longer. He gently tugged Maryse to a quieter corner, his heart racing with excitement and disbelief. Without a second thought, he scooped her up in his arms, her elegant dress swirling around them as he lifted her off the ground.

“Is it true?” he asked, his voice thick with emotion as he searched her eyes for confirmation. “Are we really having a baby?”

Maryse’s smile widened, her hands cupping his face as she nodded. “Yes, it’s true. We’re going to be parents.”

Jack let out a shaky breath, his eyes filling with tears as he hugged her tightly, not caring about the possibility of wrinkling her dress or the fact that they were still in a public space. “I can’t believe it,” he murmured, burying his face in her neck. “I love you so much. I’m gonna take such good care of both of you.”

Maryse held onto him just as tightly, feeling a wave of love wash over her as they shared this incredible moment. It was as if the world had fallen away, leaving just the two of them in their own bubble of happiness.

After the premiere, they were absolutely giddy, exchanging secret smiles and soft laughter that made the entire night feel magical. Every glance between them was filled with unspoken excitement and the shared knowledge that something incredible was unfolding.

When they finally got home, still riding the high of the evening, Jack couldn’t resist dropping to his knees in front of Maryse, his hands gently resting on her flat stomach. “Hey, little one,” he whispered, his voice filled with awe and tenderness. “I know you’re not big enough for us to see yet, but I already love you so much. Your mom and I can’t wait to meet you.”

Maryse couldn’t help but laugh softly, her fingers threading through his hair as she watched him talk to their baby. “You know, they can’t hear you yet,” she teased, though her heart swelled at the sight of him being so sweet and caring.

Jack grinned up at her, a playful glint in his eyes. “Doesn’t matter,” he said, planting a kiss on her stomach. “I’m gonna make sure they know my voice from day one.” He kissed her stomach again, this time with more reverence. “And you,” he added, looking up at her with nothing but love in his eyes, “are going to be the best mom.”

Maryse’s heart melted at his words, tears welling up in her eyes as she bent down to kiss him. “I love you,” she whispered, her voice thick with emotion.

“I love you more,” Jack replied, standing up to pull her into his arms. “We’re going to be the best parents, I promise.”

They spent the rest of the night talking about their hopes and dreams for the baby, laughing and imagining what the future would hold. Every moment felt perfect, and they couldn’t wait to see where this new chapter in their lives would take them.

***

an: GO CRAZYYYYYYY 🥰🥰🥰

Tag List

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@heavyhitterheaux @hoodharlow @neon-lights-and-glitter @babiefries @jackmans-poison @dstark-0706 @harlowsbby @itsyagirljaz @leftapricotprofessorlover @toocriticalharlow @minkookie95 @harlowcomehome @jackharloww @jaydaaasworld @kkrenae @hufflewhore128 @w1ldthoughts @jackiehollanderr @katiaw2 @halfmoondaze @babybardi2 @daphnescorner @angelluv444 @coquette-harlow @wabi-sabi1090

[spaceyjessa]

Clone x OC Week Day 2 : Quality Time

Pairings: Solé x Crosshair Rating: G / SFW Fluff Words: 1.865 Warnings: Brief mentions of clone aging and Tantiss like rescues, but nothing major, minor medical mention

Synopsis: Solé learns more about clone aging than she bargained for and it makes her want to define whatever it is that has been going on between her and Crosshair, sooner rather than later.

@clonexocweek Thank you for hosting this event!

It had been the kind of week that drained Solé down to her last reserves of optimism.

A particularly successful rescue operation led by Echo and Rex had landed more clone refugees than usual on Pabu. It was the usual stopover for the time, especially when there were fewer and fewer safe places in the galaxy for them.

Despite the many competent doctors and few scientists that had chosen to make Pabu home, Solé found herself overrun with patients that needed her particular brand of nutritional care. Her home base had doubled as a quick clinic over the last week, the living room rotated through by the haunted looking soldiers who seemed to have trouble believing they were really free.

After months of ill treatment, experiments, and stress, their bodies were to the breaking point and if there was one thing she still believed in solidly it was in the healing ability of food. Meal plans and supplements and tonics whipped up from the local plant life all from her tiny kitchen were all she had to prescribe to the soldiers as they prepared for new lives. Solé tried to focus on the man in front of her and not on what he reminded her of.

“This is a long term treatment,” she insisted to a soldier who had tried to shrug her off, asking her to take care of his brothers instead. “It’s specifically designed to help you recover and get back on your feet.” Solé hadn’t expected to need to do a comprehensive study on Jango Fett’s genome and the metabolism rates of clones but for the last week it was all she had thought about. Her heart clenched as the man took the bottle from her hand with a tired smile. The information she had access to was limited, but it had painted a clear picture.

“Thanks, Doc.” Owen was how he had introduced himself. She didn’t bother telling him that she wasn’t actually a doctor. He offered a mock salute and let himself out of her circular little house and into the warm evening air. Solé was left alone in the now quiet living room. Her base was a disaster. Two makeshift beds were setup in the center of the room for waiting patients. Her kitchen was covered in open books, datapads, stained pots and pans, and the acrid smell of medicinal herbs wafted through the house.

Solé stood, aching joints protesting after hours of sitting on a stool and doing minor first aid while administering prescriptions for everything from bacta patches to a rather pungent mushroom based tonic that was sure to pack enough nutrients in it to keep the clones on their feet.

She set about cleaning up the kitchen, her heart heavy with the weight of all she had learned over the last few days. They really do age fast… She had known it in theory, but to see it explained in the charts that Echo had loaded onto her datapad…

A knock at her door startled her out of her heavy thoughts and she put on her best smile and squared her shoulders, ready for another patient.

“Still burning the midnight oil? How noble.”

“Crosshair!” A real smile lit up her face and the tension melted from her as she let him step inside. “I didn’t think you were back yet.”

“Just got back, I see you’ve been meting out your advice to the regs.” His eyes scanned the disaster area and Solé resisted the urge to wrap her arms around him. This…thing whatever it was hadn’t really been defined yet and she didn’t want to push him.

“Yeah, Rex and Echo gave me plenty of willing victims for my latest mushroom tonic.” He wrinkled his nose at that and she laughed, remembering the first time she had tried to get him to drink it. He had gained some weight back since his return to Pabu and she hoped at least part of it was due to her.

Solé loved the way his presence filled up her house. He followed her into the kitchen and made himself comfortable on one of the stools at the counter, like a tooka claiming it’s territory.

“How was the mission?” She asked, the urge to make conversation instead of just bask in the silence always rose up when she had too much on her mind. She found herself checking the conservator once, twice, before finally settling on a drink to hand him and sitting at the counter. Solé tried to keep herself from fidgeting and when that didn’t work she grabbed a datapad and let herself tap at the screen for distraction.

“I hardly call a grocery run a ‘mission’.” He took a long drink of the fruit juice that she kept on hand, she knew he loved the sour sweet taste. A ghost of a smirk crossed his lips as he swirled the glass full of yellow juice.

The silence overtook the space and Solé wished she had at least had time to take a shower before he showed up. It was then that she noticed his eyes. The dark circles looked like bruises and she found herself reaching out to tilt his face towards her.

“When’s the last time you slept?”

He gave a noncommittal grunt and went back to sipping. Solé, always bold when there was something or someone to take care of, let her nerves slip away as she threaded her fingers through his. His eyebrows raised and he looked between their interlocked fingers and her eyes before finally reciprocating. His hand was warm and solid against hers, palm to palm. She could feel the callouses and see faint scars. Her heart was pounding and she knew she was blushing but she couldn’t help it.

“Come on, I’ve got a trick that can help you get some actual rest.”

“This isn’t another fungus is it?” The wariness in his tone made her laugh and she shook her head.

“Nuh uh, even better than that.”

“Oh, goody.” Crosshair didn’t resist as she led him from the kitchen and back towards her bedroom. Just before she led him into the door he stepped back, when she turned to look at him his eyebrows had shot up and there was flush across his cheeks. “What are you doing?” He practically hissed.

“I was going to read to you. I’d offer the couch but it’s covered in bacta wrappers and bandages.” All at once it dawned on her what he could be thinking and her face went bright red.

The two of them stood there in the darkened hallway, Solé’s heart pounding in her chest. This is ridiculous I’m not a child! I shouldn’t be embarrassed about this. She steeled herself and met his eyes, despite the blush on her face.

“It’s the best way I know to help someone sleep. I already have you on as many different nutritional supplements as you need and I don’t like using sleep medication. I thought it would help relax you.”

He bit his lip, his usual toothpick absent, and looked between her and the open door. Well, this is it. Whatever we had happening is definitely over now that-

“Okay.”

“Oh. Okay. Right.” Solé grabbed his hand and pulled him into the room. “You should probably remove your armor.” She wished the floor would swallow her. He looked at her like she was insane, but still complied. He set the pieces aside in an orderly pile as she went to the bathroom and changed into a loose shirt and shorts. By the time she got back he already looked on the verge of collapsing. She wanted to ask how many stims he had used while he was away but stopped herself.

Crosshair stood stiffly in his blacks, face flushed and arms crossed over his chest. Solé wasn’t sure if it was the exhaustion from the week, the things she’d learned about the clones, or the suffocating desire to be closer to him that made her brave enough to pull him onto the bed with her.

It took more than a few awkward moments, before he was settled into the pillows, her sitting far enough away that they weren’t quite touching. She reached for the book on her nightstand.

“Am I in for a lecture on the medicinal benefits of fungi?”

“No, but I could get one for you if you want,” she teased back, satisfied by the scowl and weak glare he shot at her.

“You’re evil.”

“I try. No, this is just a story I’ve been meaning to read.” Solé settled herself back comfortably, feeling his eyes on her, and began to read. It was soothing, even to herself, getting lost in the words on the page. Crosshair’s breathing evened out almost instantly and she smiled to herself. It was a surreal experience getting close to the former sniper. His world was so different from her own. The moonlight coming through her bedroom window illuminated his face and she was baffled by how much younger he looked when his features weren’t marred by his scowls.

Solé felt her voice growing gradually quieter as she began to drift off, one more page and then I’ll go to the couch…

Solé opened her eyes, she hadn’t meant to fall asleep. And she definitely hadn’t meant to wake up face to face with Crosshair in her own bed. Her heart was in her throat as she tried to get up without waking him. It was then that she noticed the weight around her waist. His arm was around her. He smelled like blaster oil and leather and fresh earth and something in her heart told her that all of it smelled like home. How am I supposed to get up before he notices…

Crosshair opened his eyes, but instead of jumping away, startled like she thought he would be there was a calm in his honey brown eyes that she had never seen before. She felt his arm tighten and it was like a jolt of electricity to her system.

They stared at each other in the quiet. The moon had shifted position and left most of him shadowed, but his eyes were still so bright. In the back of her mind she wondered if it had something to do with his enhancement but another part of her, for some reason, looked down at his lips.

She was too afraid to speak and break whatever spell had fallen over them. She had wanted to be close to him for such a long time and her sleep addled brain almost convinced her that she was dreaming.

Almost.

His brown eyes flicked down to her lips and she felt herself move forward like something was pulling her towards him.

His kiss was feather-light, a whisper against her lips, but it sent her heart soaring. When he pulled away she buried her face in his chest, the scent of him enveloping her, to hide the tears pricking the corners of her eyes.

He wrapped his arms tighter around her and she felt safe for the first time since she had left Naboo.

[thebesthealthcareprovider]

Eyes on Dubai: Your Friendly Guide to Finding the Perfect Eye Doctor

Hey Tumblr fam! 👋 Let's talk about something we often take for granted - our eyes! 👀 If you're in Dubai and on the hunt for an eye doctor, you're in luck. This dazzling city isn't just about sky-high buildings and fancy malls; it's also home to some top-notch eye care professionals. Let's dive into everything you need to know about finding an eye doctor in Dubai!

Why Dubai for Eye Care?

Dubai isn't playing around when it comes to healthcare, especially eye care. Here's why:

🏥 State-of-the-art eye clinics and hospitals

👨‍⚕️👩‍⚕️ Internationally trained eye doctors

🔬 Cutting-edge diagnostic tools and treatments

🌐 Multilingual staff (because let's face it, medical terms are hard enough in one language!)

Types of Eye Doctors in Dubai

Before we go further, let's break down the types of eye docs you might encounter:

Optometrists: Your go-to for vision tests and glasses/contact lens prescriptions.

Ophthalmologists: These are the big guns - medical doctors who can perform eye surgeries and treat complex eye conditions.

Pediatric Ophthalmologists: For when the little ones need eye care.

Finding Your Perfect Eye Doctor Match

Choosing an eye doctor is like finding the perfect pair of frames - it needs to suit you! Here's what to look for:

Qualifications: Check their credentials and specializations.

Experience: How long have they been in the eye game?

Technology: Do they have the latest eye-examining gadgets?

Language: Can they explain that weird eye chart in a language you understand?

Location: Because nobody wants to travel across Dubai with dilated pupils!

Reviews: What are other patients saying? (But take it with a grain of salt - every eye is different!)

What to Expect at Your Eye Appointment

Nervous about your visit? Don't be! Here's a sneak peek:

Chat about your eye health and overall health (yes, they're connected!)

Visual acuity test (the classic "read the letters on the chart" test)

Refraction assessment (this determines if you need glasses or contacts)

Eye health check (they'll take a close look at your eye structures)

Dilation (optional but helpful for a thorough examination)

Common Eye Issues in Dubai

Living in Dubai comes with its own set of eye challenges:

Dry eyes: Thanks to AC and desert climate. 🏜️

Digital eye strain: From all that screen time. 📱💻

UV damage: The sun here is no joke! ☀️

Allergies: Dust can be a real pain for your peepers.

Taking Care of Your Eyes, Dubai Style

Here are some tips to keep your eyes happy in the city of gold:

Wear those stylish sunglasses - UV protection is a must!

Use artificial tears to combat dryness.

Follow the 20-20-20 rule: Every 20 minutes, look at something 20 feet away for 20 seconds.

Eat eye-healthy foods (yes, carrots are good, but so are leafy greens and fish!)

Don't skip those regular eye check-ups!

The Future of Eye Care in Dubai

Dubai's always ahead of the curve, and eye care is no exception. Keep an eye out (pun intended) for:

Advanced LASIK procedures

AI-powered diagnostic tools

Telemedicine options for eye care

Innovative treatments for age-related eye conditions

Wrap Up

There you have it, folks! Finding an eye doctor in Dubai doesn't have to be daunting. With world-class options available, you're sure to find a doc who'll help you see this beautiful city even more clearly.

Have you had any experiences with eye doctors in Dubai? Any funny stories or helpful tips? Share them in the reblogs - let's help each other out!

Remember, your eyes are precious - take care of them, and they'll take care of you! Here's to clear vision and healthy eyes in the dazzling city of Dubai! ✨👁️

[skullcandy11111198]

Leveragetober23 Day 12: pride

Parker is singing again. It's kinda creepy, but the group isn't willing to call them out on it.

Bigots can try, but they will fry.

Over and over and over again.

The taser sparks. Everyone shuffles back, just a little bit. No one makes eye contact.

Eliot goes back to hauling away the still twitching body while Hardison goes through the man's phone. Ostensibly, it's to see what he knew about them and what his mission was. Really, it's just so he can leave Parker to it. He loves his partner, really, but sometimes his person is whoo boy, as Nana would say. He leaves Parker to it. They grin and start the chorus over again, stroking the handheld lightning stick.

Really, it's not like the group was doing any crimes right now, anyway! Anyone with any sense could see that! Unless there is an apocalyptic level job that just absolutely needs to be taken care of, the founders of Leverage International never seem to work in June. So why all of these people have come out of the woodwork to try to arrest them, or capture them, or whatever it is they are trying to do, right now?? They're not having it. And of course, everyone is decked out in their colors, with all the pins and patches and paint to match, so people have made some stupid comments. But they learned.

Really, just try and stop Parker. Oh, that's right, you can't. Because they have a taser and a goal.

Originally, it was just Sophie's vacation. Every June, she would take the month off and go swanning off somewhere that no one else knew about. Nate tried to follow her a few times, but when Sophie doesn't want to be found, she was not. After a while, though, she opened up, and it turns out the big secret is that she charts out all of the major pride parades across the world and just spends the month country hopping, joining in on every celebration of pride she can.

Once the group found out, it sort of became a family outing. Everyone learned a lot about each other that they didn't know before, all they were all closer for it.

Sophie is a raging pansexual. That woman has got it on with every gender out there at least once, and she loved it. Truly, she just loves the human body in every shape and form it comes in. People routinely get gender euphoria just from being in her presence. She honestly might be a goddess, no one is sure, and they also aren't sure they want to know.

Parker isn't so much a girl as just girl-shaped in the eyes of society. They'll answer to she, but really they'll answer to anything and people just assume she. They like they/them the most, though. And pretzels. They really like pretzels, and think Alec and Eliot would too.

Alec vaguely knows he isn't entirely straight. He loves Parker, in all their Parker-ness. But he also has feelings about their resident hitter that he is not entirely clear on. He never really crushed on people all that much when he was younger, too. He really had to know them before he ever thought of them in that way. Either way, Nana always said he had a big heart. That was usually followed by some version of "now put the money back, please, we'll donate our own time to the homeless shelter, not someone else's resources," but suffice to say, he goes all out in his love.

Eliot, likewise, isn't a heterosexual cis man, but he's known that since the beginning. He knows he got lucky, having the parents and the support system he did, and he is thankful every day. His family accepted him from the beginning, and was able to contact a close friend who was able to help them out with getting prescriptions for testosterone early enough that he never really had to go through a lot of the pains and dysphoria a lot of people in his shoes go through every day. He is aware of his privilege, and he is grateful to everyone that helped make his belief into reality. (He also hasn't realized that Parker is basically courting him and Hardison is trailing after with a smile on his face and his heart in his eyes, but he'll realize it soon enough.)

Nate, though you would never know it when first meeting him, totally had bi-wife energy. Nate met Maggie through Sterling at I.Y.S., but she was on her way out the door to go clubbing with some friends and dragged him along when she saw how miserable he looked at the office party. Soon enough they were dancing the night away, and that was that. Maggie is also one of the least problematic people you will ever meet, so of course she was still close friends with all of her exes, which meant Nate was close with them too. Let's just say some of their dinner parties could get a little…raucous.

But coming back to now.

For some reason, all the grumps and grunts have decided June is the month this year to just get in their way, and Parker is having none of it. There are plans! Charts! Parties to attend, celebrations to have, riots to honor! And No One is going to stop them.

Bigots can try, but they will fry. Tzzzt!

[just-ray]

Like all my skin recs!!

Makeup and skin recommendations from an ingredients junkie and biochem lover who will not put benzoates near his face and limits phenoxyethanol.

Skin:

Clarins seems pretty good. To be brutally honest, I used their nicinamide and sea holly night cream at the same time as the blue orchid oil so I have no idea what made me wake up with nice skin, but it was one of those. Gonna sound snobby asf but the dior lip oil? Wears away in a second in the day time, don't waste your time replying- using it last thing before bed on the other hand? Magical. Literally gets rid of like a month of dry lips for a whole week.

Also, for acne- dont be stupid like i was. If you learn about acne causing ingredients and stop using them, and you still have acne, bite the bullet and go to your doctor. Mine put me on duac, which is a prescription medicated cream, benzoyl peroxide and an antibiotic, and it is literally wonderful. Your skin will crack, it will flake, it will be unpleasant for like a week. Stop using it everyday. Try every two days. Build a tolerance. Then use it everyday. I started using it bc my skin was so bad it was getting infected, so especially if you have that issue it's so good.

Beauty of joeson ginseng toner- STAY AWAY FROM IT. Made me break out like CRAZY. literally the worst.

Damatol is probably a saviour if you're black or have curls or coils, but pls do not be like me. If you're white or mixed be so careful bc you have less cornified cell layers, so your skin will be more sensitive to the oils, man I was BURNT. I've seen really good things on black hair care forums, so check that out if it suits your hair type. It has coconut oil, so don't use it all over since it's comedogenic, but I find it's pretty okay as a flash spot treatment and has some ingredients that aid hair growth and management too.

Black seed oil. I use nature's drop. Only hair growth thing you need. Reliable, not gimmicky, proven results, cheap, nice moisturiser, incredible. 10/10. Don't get it in your eyes it will sting so bad.

Nursem- saviour for hands but get the one in the white tub, not the blue one. Ik it's pricier, but the blue one has soybean oil, so if you touch your face after putting it on, it might cause breakouts if ur oily like me.

Biosolis 50+ sun milk. It's good. It leaves a crazy cast but if you rub it in enough it will be fine. Not sure how the cast is for dark skin since I'm white but the performance is good. It doesn't clog pores and it hydrates.

For darker skin or dry skin I recommend moogoo spf 30. Clogged my pores a teeny bit but okay performance and definitely no white cast that I can see.

For makeup (I am a tanned white person, keep that in mind bc these will show differently on different skin. My shades are between 4 (winter) and 6 (summer) on the loreal shade chart))

Rare beuty blush is so pricey, not a lot for what you pay and the package makes it look bigger than it is, but I can't deny the performance is unreal. Blends well, looks good. I did some research from YouTube videos and saw that the light shades still show up on darker completions, but not as much as the darker more pigmented shades, which seem to have a good performance regardless of skin tone.

Nars settign powder; also expensive but worth the hype. Deff mattufyung and slightly blurring. I use the translucent, which is supposed to look good on dark skin too, but I'm not sure what its performance would be like with the camera flash. There are also pigmented versions in darker shades.

Ysl candy glow balm is nice for a night out, but the price point means you don't wanna use it all the time. I lime the 3b shade. Nice pop of colour, but it's mostly just for people who need the no makeup makeup look/want to only wear subtle makeup/want to wear makeup but have gender dysphoria.

Okay, the superdrug collection lip and cheek stain I have so much to say for. It's performance is amazing. It blends well. It has a good colour. And yet I don't like it. Why? Because man. No matter what you do, the container starts to become so manky after like two weeks.

I genuinely think the issue is the container and not the product, bc the container of a separate primark tint broke, so I poured the primark tint into the empty super drug container and after about a week or two It's started to smell...uh...rough.

[insightfuleyes45]

What to Expect During Your First Visit to the Optometrist: A Guide for New Patients

Introduction Regular eye exams are essential for maintaining good vision and overall eye health. However, your first trip to the optometrist can feel unfamiliar and even a bit nerve-wracking. Knowing what to expect can help ease those nerves and help you feel prepared. This guide will walk you through the typical process of a comprehensive eye exam—from pre-appointment preparations to the tests you will encounter during your visit, making sure you know what to expect at each step of the way.

What to Expect: From Start to Finish

Before Your Appointment A little prep goes a long way. Here are a few things you can do to ensure your appointment runs smoothly:

Gather any relevant medical history and a list of current medications.

Bring along your existing glasses or contact lenses.

Prepare a list of any specific vision concerns or symptoms.

During the Examination Your eye exam will follow a set sequence of steps to make sure your vision and eye health are thoroughly evaluated:

Patient History: The appointment starts with a discussion about your medical history, current medications, and any vision issues you are currently experiencing. This initial conversation helps your optometrist tailor the exam to your specific needs [1].

Preliminary Tests: You will begin with a few preliminary assessments, which may include checking depth perception, colour vision, and peripheral (side) vision. These quick tests provide valuable insights into various aspects of your vision [2].

Visual Acuity Test: This familiar test involves reading letters from a chart to measure both your distance and near vision. It is a fundamental step to determine how clearly you see at various ranges [1].

Refraction: Using a device called a phoropter or an autorefractor, your optometrist will determine your exact lens prescription, ensuring you have the correct vision correction [2].

Eye Health Evaluation: This part involves using a slit lamp, a special microscope that allows your optometrist to examine the structures of your eye in detail. To get a clearer view of your retina, they may also dilate your pupils with eye drops [1][3].

Tonometry: A test for measuring eye pressure, tonometry is a critical screening tool for glaucoma. There are several methods for this, including the “puff-of-air” test, which is quick and painless [3].

Additional Tests: Based on your age, vision needs, and potential risk factors, your optometrist might suggest other specialized tests to further evaluate your eye health [2].

After the Exam

Once the examination is complete, your optometrist will discuss their findings and may provide a treatment plan, if needed. This can include new prescriptions, advice on eye care, or suggestions for follow-up appointments. Your optometrist will also take the time to answer any questions you may have [1].

Conclusion Your first visit to the optometrist may include a variety of tests aimed at assessing both your vision and your eye health. Knowing what to expect can make the experience more comfortable, helping you approach the appointment with confidence and preparing you to have a meaningful conversation about your eye care.

References

1. WebMD. "Visiting Your Eye Doctor."

2. American Optometric Association. "Comprehensive eye exams."

3. Healthdirect Australia. "Eye tests - types of test, costs."

4. WebMD. "What to Expect in a Checkup Eye Exam: Adults."

5. Kraffe Eye Institute. "Do's and Don'ts Before Eye Exam: How to Prepare for an Eye Exam."

[theritualofourexistence]

Year 1

It’s been a year since I was diagnosed with multiple sclerosis.

My last update was shared in March of this year so I will pick up where I left off. It’s wild to reflect on that time, on how frustrated I felt, on how hard it was to keep pushing forward.

My neurologist chose to pursue medication number two (Gilenya), despite my misgivings about potential side effects. I had to have my heart evaluated and I had to have a thorough appointment with an ophthalmologist. I learned that I would need regular checks for both my heart and eyes in the months after starting the medication. With those preliminary boxes checked, I waited to get word about scheduling my first dose.

Gilenya requires an 8- to 24-hour observation for the first dose. This is a daily pill and, assuming your heart tolerates everything during that first observation, you can move forward with the treatment on your own at home.

In March I began taking Cymbalta, an SNRI, to help with both my lingering nerve pain and my anxiety. Although I was starting on the lowest possible dose, adjusting was still a challenge. Fortunately, I only struggled for a week or two with side effects from starting the medication.

I learned that the hepatic hemangioma discovered during my MRIs in the fall had grown--and that if that trend continued, I would likely be referred to a specialty surgeon. I did what I could to prevent this awareness from weighing heavily on my every moment while I waited for follow-up imaging in September.

I was surprised by how much time had passed without any word about my Gilenya observation. I checked in with my neurologist’s office to learn that the local options for this observation were no longer options—and that my neurologist was instead moving on to a third medication—Zeposia. Zeposia is a similar medication to Gilenya and is also a daily pill. There are concerns, however, about combining Zeposia and SNRIs… and I had only just gotten accustomed to an SNRI when I was handed this news.

My neurologist is a good doctor. I believe he knows what he’s doing, and I trust him to make recommendations about my care. He does not, however, know my entire medical history. He doesn’t really know me as a person either. We’ve spent maybe a half hour together total, and I know he is too busy to read my entire **extensive** chart. I reached out to express concern about the Zeposia given the other medications I am currently taking and some research my mom and I had done on our own. The nurse I spoke with seemed frustrated but agreed to pass on my concerns. Within a few hours, I got a call from my neurologist—which surprised me, since I had previously navigated the majority of my care with the nursing staff at the office. He unleashed what I can only describe as a condescending tirade that lasted minutes before I was even able to get in a word edgewise. I have done my research, I am smart, I am informed, I am a good advocate for myself—and still this man made me feel like an idiot. The fact that I was able to respond at all without bursting into tears still feels like one of the springs most significant triumphs. I told him I wasn’t comfortable with Zeposia and would prefer to try a different medication instead. The medication I named as an alternative option is called Kesimpta. It's a similar type of drug to the Ocrevus (February infusion reaction) but it is a monthly injection that can be done at home with no hospital trips or observation required. He pushed back, expressing concerns about the Kesimpta being rejected by my insurance. I politely reminded him that I had dealt with that issue already and was more than willing to do so again if necessary. He curtly ended the call by agreeing to submit the prescription.

I did not land on the decision to try Kesimpta lightly and had significant anxiety about having a reaction to it given how my first Ocrevus infusion went. That said, it is a medication that plays well with my other meds and, blessedly, doesn’t require any intimidating observation or regular heart and eye evaluations.

The Kesimpta was approved by my insurance without issue, and I began the treatments in May. I am still successfully taking it. It does suppress my immune system so I am being as careful as I can be about illness and infection risk.

The Cymbalta is doing its job. I have less nerve pain, more mobility in my left hand, and I have had single-digit panic attacks in the last 6 months which I consider a significant accomplishment.

I won’t know if the Kesimpta is doing its job until I get my annual MRIs done… which will probably happen sometime in November after having to reschedule my summer neurology appointment not once but twice. If the scans indicate disease progression, I may wind up going to war with my neurologist again—since I am in no hurry to go back to the treatment drawing board and I have only successfully been taking this medication regularly for 6 months. But we will cross that bridge if it comes, and I will continue to do the work necessary to advocate for myself.

I don’t like that I had to go through four treatments before finding one my body can tolerate. I am anxious about being sent back into that godawful machine for my annual scans. I am anxious about the results of those scans. I am anxious about potentially having to return to the treatment drawing board. I am anxious about the election and the state of the world—but that’s a blog post for another time.

I deal with daily fatigue. I have to be really careful about physically over-exerting myself or spending too much energy. If my anxiety spikes, my arms go numb. I am learning to live with MS and what that looks like day to day for me. I will remain persistent in advocating for myself in a system that is broken in so many ways. I continue to be so, so grateful for my expansive support network. And I am glad to report that the optimism has resurfaced.

Since March of this year, I went to Toronto with the bestie to see Dom Monaghan and Billy Boyd in “Rosencrantz and Guildenstern are Dead,” saw “Kimberly Akimbo” on Broadway with my dad, helped host a successful Out of the Darkness walk at Juniata College with my colleagues, participated in a beautiful staged reading of V Ensler’s “The Good Body,” played birthday mini-golf, started and finished a massive organizing project in the basement, learned my brother and his wife are growing their family, spent a day at the lake with my best friends and their babies, scored below par on my favorite mini golf course in my favorite place on earth, saw Bruce Springsteen, saw the Indigo Girls, met my childhood best friend’s little boy, learned that *for now* my hepatic hemangioma is stable (but will still need to be monitored), got a very fun and very dumb tattoo, ate a lot of great food, read so many good books, watched a lot of great football and soccer, and spent a lot of time in my favorite spot on the couch next to my mom with a cat in my lap.

There will always be things to be anxious about. But even as the horrors persist, so do I. And I have so, so much to look forward to.

[middleearthpixie]

Better Days ~ Chapter Ten

Summary: Frerin Durin had the perfect life, until he found out his wife was cheating on him. Now, he’s navigating uncharted territory as an about-to-be divorced single dad. Dating is a mess, he’s dealing with the fallout where his kids are concerned, and really, he would just love a vacation away from all of it. 

Elena Madison is new to Sidleburg, and also navigating life as a newly single parent. The last thing she needed was for her daughter to come down sick, when she hasn’t even had time to unpack the moving boxes, never mind find a pediatrician. And the last thing she ever expected was to meet a man like Dr. Frerin Durin…

Neither Elena nor Frerin were looking for anything, but fate has a way of messing up even the best laid plans. However, both have been hurt and both aren't at all sure they trust themselves, never mind trusting someone else...

Pairings:  Modern!Frerin  x ofc Elena Madison

Characters:Frerin, Elena, Carol, Ashley, Vanessa, various other hospital staff and patients

Warnings: Some streaming up of car windows…

Rating: T

Word Count: 3.7k 

Tag List: @mrsdurin @i-did-not-mean-to @lathalea @linasofia @fizzyxcustard @legolasbadass @kibleedibleedoo @xxbyimm @arrthurpendragon @exhausted-humxn-being @rachel1959 @laurfilijames @sketch-and-write-lover @sherala007 @enchantzz @knittastically @notlostgnome @myselfandfantasy @medusas-hairband @guardianofrivendell @jotink78 @sorisooyaa @ruthoakenshield @frosticenow @quiall321 @dianakc @buckybarnes-thorin @glassgulls @evenstaredits @heilith @asgardianhobbit98 @albionscastle @absentmindeduniverse @way-too-addicted-to-fandoms @sazzlep @court-jobi @masterofhounds

If you’d like to be added (or removed) to the tag list, please just let me know!

Previous chapters can be found here. 

Frerin tugged the earpieces free to drape his stethoscope around his neck. “Okay, she can go up.” He smiled down at the girl on the gurney. “Connie, has anyone been able to reach Keira’s parents yet?”

“Not yet, no.”

“Would you—”

Connie smiled and nodded. “I’ll go up with her, Dr. Durin.”

“Thanks.” He looked down at Keira. “How are you feeling?”

“My ankle hurts.”

“Yeah, it will for a while. Connie,” he looked back at the nurse, “let’s get Kiera something for pain, okay?”

She passed him back the chart and he scribbled out orders for prescription strength ibuprofen then passed it back. “Okay, Keira, you’re going to go up to Ortho, where they’ll fit you for a boot.”

She nodded. “Thank you, Dr. Durin.”

“No problem. Just next time your girlfriend drops a CD and she’s driving, don’t let her try to pick it up.”

“I won’t.”

“Good.” He turned to Connie. “Has Ortho been down to see Hailey Miller yet?”

“I don’t know,” Connie said as she followed Keira out of the trauma room.

He bit back a sigh as he peeled off the exam gloves and tossed them into the trash. Keira was the last one from the MVA to go up, and she was the least severely injured of the people involved in the crash.

Rubbing his eyes with one hand, he left the trauma room to go back out on the floor, which was thankfully calm now, and returned to the front desk. “Jerry, get me Ortho, will you?”

“Yeah.”

He waited for Jerry to hand him the phone. “Yeah, hi, this is Frerin Durin down in the ER, we have a ten year old girl with a fractured leg who’s been sitting with us since last night because someone up there hasn’t been bothered to come down and assess her. So, either get your ass down here or I’m coming up there and trust me, you do not want me coming up there. Am I clear?”

“Dr. Durin, we’ve been swamped up here—”

“And we’re just as swamped down here. Don’t give me that excuse, just come down here and take care of this little girl!” He spun about and slammed the phone down, rubbing his eyes with one hand once more. “Christ, I hate dealing with incompetents.”

“Are they coming down?”

He lowered his hand as Vanessa came around the end of the desk. “We’ll see.”

“There’s a woman in the lounge, says she’s with you?”

“Yeah, Elena.” He looked in the direction of the lounge, feeling more than hint of guilt at how long she’d been waiting for him. Not quite how he expected the day to go so far. “Things are calm enough now, so if no one needs me any longer, I’m going home.”

He didn't wait for her to answer, but pushed up from the counter and skirted the desk to head toward the lounge, where he pushed open the door to find Elena curled up on the sofa, asleep. He crossed over to her, sinking onto the edge of the sofa, and gave her a gentle shake. “Elena?”

“What?” She sat up, wincing and grabbing at her neck. “Oooh…”

“Sorry, honey,” he said softly. “I didn't mean to startle you.”

“Oh, no, please don't apologize.” She sat back, rubbing her neck. “I only meant to close my eyes for a second. For a lounge, it’s really kind of cozy.”

“I’m sorry about this. Two kids involved in a car accident in addition to the ten year old still waiting on Ortho.”

“It’s okay. Trust me, I’ve spent worse days.” She lowered her hand. “But, you probably just want to go home now, I bet.”

He smiled, shaking his head. “You’d lose that bet.”

“Are you sure?”

“Are you always going to ask me that?”

“Probably.”

He leaned in and brushed her lips with his, and while he’d meant it to be just that, the moment they met, instinct took over and what was supposed to be a quick kiss instead deepened. She slid a hand along his neck to send chills rippling through him while her lips parted and her tongue swept along his. 

“Dr. Durin, Ortho is here for—oh, excuse me.”

Frerin drew back at Vanessa’s voice and turned to see her in the doorway. “Who’s here?”

“Uh… Petruzzi, I think.”

“Tell him I’ll be there in just a minute.”

“Her and will do.”

As she let the door close behind her, Frerin turned to Elena. “Sorry about that.”

“You’re not going to get into any trouble, are you?”

“For this?” He shook his head. “Not likely. Let me go yell at Dr. Petruzzi and then we can get out of here.”

“No hurry.”

He brushed her lips again and stood. “You keep saying that, but I know you’ve got to be bored out of your mind.”

“Stop. I’m fine. Go and yell at your orthopedist.”

He winked. “I’ll be right back.”

With that, he made his way out of the lounge and to the front desk. “Nice of you to show up, Dr….?”

“Petruzzi.”

“You realize, we’ve had this ten year old kid down here, with an unstable ankle fracture since midnight. Care to explain how no one in your department could be bothered to come down for the consult for almost twelve hours?”

A hint of a flush swept along her cheekbones. “We’ve been busy, Dr…. I’m sorry, I didn't get your name.”

“Durin. Head of Pediatrics. Who’s your attending?”

“Harris, but she’s in Hawaii until after the first.”

“Look, I get you’re busy, but guess what? So are the rest of us. When you’re called for a consult, especially when the consult is for a child, you get down here as soon as you possibly can and you do not make anyone call you a half a dozen times, got it?”

“Dr. Durin, I—”

“Got it?”

“Where is she?”

“Curtain One. She jumped off a top bunk around ten, Mom brought her in—”

Dr. Petruzzi snatched the chart from him. “I’ll find her.”

He turned as she marched past him, and called, “Thank you!” as loudly as he could.

“Damn…” Vanessa said softly. “I’ve never seen anyone chew her out like that before. Nice job, Dr. D.”

He looked back to see Vanessa, Ashley the desk clerk, Carol, and one of the med students whose name he didn't know all staring at him. “What? The ankle fracture is a kid. No kid should sit around in pain for any longer than they absolutely have to.”

“Still, Petruzzi’s the golden child of Ortho,” Ashely said, “and she knows it. I wouldn’t mind seeing you take her down a few more pegs, Dr. D.”

He chuckled, glancing at the clock. It was almost one. At this rate, he might as well just stay on until his shift started in five hours. He’d hit that point where he no longer felt tired at all, and knew from experience, it was best to just keep moving now. 

But, Elena also waited for him, so… 

“Okay, it’s slowing down now, so I’m going to head out. But, let me know if Hailey Miller doesn’t go up sometime in the next hour. If I find her still down here come six o’clock when I’m on, Dr. Petruzzi will not be happy with the hell I’ll raise.”

Ashley smiled. “I’ll let Jamie know when she gets here.”

“Thank you. And with that, I’m going home. Vanessa, who’s on tonight?”

“You’re covering the ER again?”

“I’ll be floating back and forth, wherever I’m needed.”

“Well, you’ll be on with Walker, Coerper, and McDonald.”

He nodded. “Full house tonight. I have the feeling I won’t be down here much.” He glanced back at the lounge again. “Okay, I’m going before I get sucked back in here.”

“See you later, Dr. D.”

“Call me if Petruzzi doesn’t take Miller up.”

“Will do.”

He turned to head back to the lounge, where Elena was at the Keurig machine, making a cup of coffee, and with a soft sigh, said, “I’m sorry about that, Elena.”

“Don’t be.” She tossed the wooden stirrer she’d been using into the trash. “How did it all go?”

“We didn't lose anyone, so that’s a win right there. I’m sure I’ll be hearing an earful from whoever is the attending in Orthopedics for chewing out one of their residents, but so what else is new?”

“Are you telling me you fight with the other doctors here?”

“When I have to, sure.” He moved over closer to her. “A ten year old who came in at midnight last night is still waiting down here to go upstairs. I get pissed when people—when doctors—ignore anyone, but especially when it’s a little kid. And they know it.”

She smiled up at him. “And what happens when they know it?”

“I’ll probably hear from Reese and when I explain, it’ll all blow over.”

“Reese?”

“Chief of Staff. Look, you don't care about all this boring nonsense so—”

She cut him off by pushing up onto her toes and pressing her lips to his and without thinking, he slid his arm about her waist to pull her closer still. A soft groan rose to his lips at the sensation of her breasts firm against him and instinct took over as he slid the hand that had been on her hip, down over her left cheek, where he cupped it to pull her flush against him. Her lips parted, her tongue slicked slowly along his, while heat wafted through her spandex leggings to sink into his palm.

Elena pulled back with a murmured, “Stop telling me I don't care about what you have to say.”

“Honey, you kiss me like that again, and I’ll spill all the deep, dark secrets this place holds,” he whispered back, his heart hammering his ribs and his blood warming as it slowly headed south. If they were anywhere other than the doctors’ lounge, he’d be tugging her tank up and over her head and somehow, he didn't think he’d stop there.

She smiled. “This could be interesting.”

The door opened again and Carol strolled in. “Don’t stop on my account.”

“There’s nothing to stop,” he replied as he stepped back from Elena. “We were just leaving before something else happens.”

“Then you better hurry. Sixty-three just called. Rolling up any moment with a construction accident. Ten foot fall.”

“Do you need me to stay?”

“Nah. You’ll be back here soon enough.” 

“Good.” He reached to link his fingers with Elena’s, his heart actually skipping a beat when hers tightened about his. “I’ll see you tonight?”

“I’ll be here. I’m pulling a double so Connie can go to her niece’s birthday party.”

“Lucky you.” He looked over at Elena. “Ready, or do you want to finish that first?”

She smiled. “We can go. I’ll take it with me.”

The rain let up by the time Frerin was easing the Infiniti into a parking space in the lot behind Croft’s Café, which was only a block or so from the gym in one direction and the hospital in the other. 

As she settled into a chair at one of the corner tables, she smiled at Frerin. “It was interesting watching you today, such as it was. Is it always that crazy?”

“No, not always. We’re shorthanded in all departments right now. Covid burned a lot of docs out, we’re always in the hole with nurses, and there’s just more and more patients it seems. I don't mind being down in the ER, though, I have to admit. There’s a certain energy down there you don't find on the floors.”

She traced her fingertip about the rim of her cup. “So, why not change specialties?”

“Now?” He shook his head. “Nah, I like where I am. Pedes is home for me. Although,” he looked up, “Reese did approach me about setting up a pediatric ER a few weeks ago.”

“Really?”

“Yeah. I told him I had to think about it, but it’s got merit. We could use one, since Sidleburg’s gotten so much more built up over the last few years, and I do like being down there, so I wouldn’t mind running it, either.”

“So, what’s stopping you?”

“Honestly? Time.” He lowered his cup, his blue eyes serious. “Last winter, Flynn, my oldest, had some trouble at school because of what his mother did, so we were all in therapy for a while. And Toni… she’s…”

“If you tell me I can’t possibly be interested in this, I swear I will kick you,” she told him softly, stretching her leg to nudge his foot with hers. 

That earned her a sheepish grin. “I won’t, so please don’t. Things between me and Toni hadn’t been good for a long time, and the kid last winter wasn’t the first time she’d cheated on me. Truth is, and I don't want this to sound like a cliché or anything, but in all honesty? We probably should’ve never gotten married. I told you that, right? That she got pregnant when she—when we—were nineteen?”

Elena nodded. “Yeah. But, it happens.”

A dry laugh bubbled to his lips. “I’m well aware of that. But she and I weren’t a couple. I thought she was cute, and I didn't mind a hookup, but I also didn't expect a family. And she didn’t, either,  I don't think. It wasn't what either of us wanted, but her family… anyway, that’s where we ended up and we tried to make it work. At least, I did. I don’t know if she ever really did, since she saw no problem going behind my back whenever it suited her and when I called her on it, somehow I  ended up the bad guy in it. And yeah, I was probably a shitty husband in the beginning, between med school and residency and boarding, I barely had time for sleeping and eating, never mind being a husband and father.”

“Did you ever cheat on her?” 

He didn't say anything for a long moment, but then sighed. “I know you’re going to think I’m an absolutely asshole, but yeah. First time she slept with someone else, I figured what was good for her would be fine for me. But you know something? It wasn’t. I mean, the sex was pretty good because there’s something about breaking the rules that just makes it that way, but when it was over and I was on my way home, it just left me feeling empty. And then I’d look at Flynn or Maura or Jake and man, I hated myself for doing that to them. They didn't ask to have this happen. They didn't ask for any of this.”

Elena wasn't exactly sure how to respond to his confession. It unnerved her to a certain extent, given her own history, but at the same time, Frerin owed her nothing. They weren’t a couple. They hadn’t even gone out yet, really. 

“Look, I know that’s probably not what you wanted to hear, but—”

“No,” she interrupted, shaking her head, “it’s okay. I appreciate the honesty.”

“Elena.”

“No, I do. I mean it.” Her gaze fell to his hand, long, thick fingers curled about his coffee cup. “We all make mistakes.”

“Yeah, and it was a mistake. And I came clean to Toni about it as well.” He met her gaze, his eyes direct. “I hope it’s not going to make you change your mind about going out tomorrow.”

She smiled and shook her head. “No. I like Thai food too much.”

“Fair enough.” He winked and reached across the table to cover her hand with his. “I’m not a serial cheater, Elena. I learned my lesson about that and sneaking around sucks.”

As he spoke, his thumb traced lightly along hers and she couldn't deny the way just that simple caress sent a delicious flutter through her, one that made her heart beat a little faster. His eyes softened as he added, “I should probably get you back to your car. I’m due back at the hospital in a few hours and while no one said anything to me before, I probably smell weird so I should go home and shower first.”

“You smell fine, but it’s probably not a bad idea anyway. What do I owe you for my coffee?”

She reached for her wallet in her bag and when she came up with it, he said, “Put it away. I got this. I asked you out.”

“Let me split it.”

“No. You get the next one.” 

“Are you sure?”

“Yeah, I’m sure. It’s just coffee, Elena.”

“Okay. But you definitely let me get the next one.”

“Definitely.”

Back in the gym parking lot, which was only half full by now, Frerin pulled into the slot alongside her car and eased the transmission into park before turning to her. “I’m sorry you got  dragged into the hospital with me, but I had a nice time otherwise.”

“I did, too, and it’s interesting to see you at work, Dr. Durin.”

A grin played at his lips. “I don't know how interesting sitting in the lounge is, but as long as you weren’t too bored, I guess it’s okay.”

“Nah. And no one gossiped about you, either.”

“Well, that’s a good thing. I try to keep my private life and my work life separate. Although I don't doubt I’ll be pelted with a million questions about you once I go in later.” 

“You think so?”

“I brought a mystery woman into the ER. Yeah, I definitely think so.”

“Oh, I’ve never been a mystery woman before. I like this.” She smiled, tucking a wayward curl behind her ear. “I should let you go and wash off the funk, huh? Are you going to have time to get some sleep?”

“Probably not. If it’s quiet I can nap in the on-call room tonight. If not? Won’t be the first time I’ve pushed through on no sleep.”

“Be careful, okay?”

“I’ll be fine.”

She leaned over, and he met her halfway, his lips soft and warm and slightly damp as they captured hers. His hand curved against her cheek, the warmth from his palm sinking into her skin as his thumb swept lightly along it. Her lips parted at the teasing pressure of his tongue against them, and as it stroked along hers, she fought down a sigh. He certainly did know how to kiss, his lips moving leisurely against hers, his tongue caressing hers to draw it back into the welcoming heat of his mouth. 

He broke the kiss, sweeping his lips down over her jaw, down along her neck, and as he moved into the slope where her neck met her shoulder, he playfully nipped and she gasped at the the sensation that rushed through her. 

The car’s interior grew warmer by the second as he caught her hand in his and tugged to draw her over the console and as she settled against him, he wrapped his arms around her to pull her flush. Her knees sank into the leather on either side of his hips, another shiver rippling through her as her body met his. Lycra and cotton left very little room for mistake and there was definitely no mistaking the very prominent bulge now pressing up into the apex of her thighs, nor was there any mistaking the way that very prominent bulge sent a ribbon of fiery desire weaving through her. 

She rocked against him, her breath hitching as his arms tightened further and he sighed softly beneath her, his hands easing beneath her tank to skim along her back. To slide over her ribs.

His lips claimed hers again in a slow, deep kiss as he curved both hands about her breasts, his thumbs sweeping in a slow circle about each nipple through her sports bra. Her fingers found their way into his thick hair, where they twisted as her nipples tightened beneath his touch, and that same fiery desire billowed forth like a fire about to rage out of control. 

His fingers tightened on her breasts, kneading them with a slow and steady rhythm that had her itching to let her own hands wander over him. She wanted to explore him, to see where he liked to be touched and stroked, to find out what would make him moan softly beneath her. 

He drew back then, breathless, his eyes as they met hers smoky blue and heavy-lidded as he whispered, “I should let you go, but damn… I don't want to.”

Breathing was tough for her as well, what with her heart racing so fast and arousal twisting every fiber into sensually aching knots. Still, she shook her head. “Me, neither.”

“But this is probably not a good idea. Not here, anyway.” He smiled, letting his fingers graze down along her sides. “And even if we didn't have to worry about one of the Karens in there catching us,” he gestured toward the building, “I don't have any condoms with me and I’m assuming you don't either.”

“I don’t, no. I haven’t fooled around in a guy’s car since I was nineteen years old.”

“Then we should probably stop.”

“Probably.”

“But I don't really want to.”

She smiled. “Me, neither.”

“But we should.”

“Frerin.”

He smiled, his thumbs trailing lightly along her spine. “I’d really like to keep going, though.”

“We will. Because I’d really like to, as well. But for now…” She bent to kiss him again, and then carefully climbed back over into the passenger seat. “I should let you get home and shower and maybe take a nap.”

“I’ll see you tomorrow night,” he told her. 

“Yes, you will, Dr. Durin.” She leaned over to kiss him once more, then climbed out of his car, smiling as he waited for her to get into her own car and pull out before doing the same. Her head still buzzing and her body still tingling from the feel of his hands on her, she drove home in a bit of a daze, and for the first time in what seemed like forever, she couldn't wait for tomorrow night to get there. 

[opticchart]

ptic Chart offers state-of-the-art digital vision testing tools tailored for professionals.Achieve unparalleled accuracy, efficiency, and user satisfaction. Explore our innovativesolutions today!

[puzzled-zebra]

I don’t normally post things on here, but since I know some folks get worried about a lack of activity from me, I just wanted to let y’all know I’m going to be…busy for the next week or two thanks to the ransomware attack on Hillcrest systems across the nation, whom I work for as a scribe.

Everything is on lockdown electronically which makes everything actually hell. Patient’s safety is at risk in more ways than one and that asshole hacker is making already overworked and underpaid medical staff EVEN MORE overwhelmed. I’m so fucking mad. Why can’t this shit happen to some big mega billionaire corporation? Why healthcare? This country’s system is rough enough on both patients and healthcare workers as is, why make it worse for everyone?!

Can’t order medications without manually writing out each and every one of them and faxing them, can’t order labwork or imaging or make referrals without manually writing each and every one them out and faxing them, we can’t even chart (not like I have time to with my doctor’s style) so I’m just scribbling down changes so I can make proper charts later once this whole mess has been taken care of. Essentially triple the work with no additional pay for it.

On top of it EVERYONE is scared about how the system was breached. Even I am, and I don’t go freaking anywhere with my laptop. Delilah stays at home where she’s hooked up to a password protected wifi and has an absolute tank of an antivirus software that makes her lag for 3 hours. I don’t hardly ever check my email let alone open any new mail. I rarely ever use Delilah to even browse here! I use my phone! But you never know until the source has been traced! It could be anyone, which means could be you, and my anxious butt REALLY doesn’t like that.

And these are just my gripes as a paranoid, overwhelmed, crybaby $10-12/hr scribe (idk if I ever got that $2 raise) with just the added work, but it makes me incredibly upset and stressed about how this will effect our patients. Most of my clinic’s patients are elderly and have problem lists and medication sheets a mile long. Our ERs and hospitals have to divert patients to other hospitals. People are going to die from this ransomware attack on our system. These kinds of delays will kill someone and it’s just heart dropping.

Like, healthcare having shitty overwhelming work hours is essentially part of the territory of working in healthcare. You go home tired and feeling like shit but are happy to know that your 99 year old patient is still kicking and lively and has all their marbles to have enjoyed their golden years and probably a few more to go. But having someone outside of our system disrupt our ability to deliver proper care to patients is just…it’s rough.

I know I’m only a scribe, but I’m my old doctor’s eyes and hands, I make the prescriptions and labs and referrals on his behalf; I’m working with his nurse on what diagnoses codes we need to work with to help insurance be more willing to cover for procedures; they feel like my patients too… It’s… distressing… Knowing all we can do is just hang on and try our best… I just hope it’s enough. I hope it’s only a week. Just a week. God I hope it’ll only last a week.

Anyway, if I suddenly cease any activity over the next 2 week, I’m not dead. I just will be wishing I was while attempting to keep this computer-less system somewhat working or at least organized until the computer system is back.

[carouseleyecare]

Comprehensive Eye Exam: Everything You Need to Know

A comprehensive eye exam is essential for maintaining good vision and overall eye health. Unlike a simple vision screening, a thorough eye exam evaluates various aspects of eye function and can detect early signs of eye diseases. Whether you have perfect vision or wear corrective lenses, routine eye exams are crucial for long-term eye care.

What Is a Comprehensive Eye Exam?

A comprehensive eye exam is a detailed assessment conducted by an optometrist or ophthalmologist. It involves multiple tests to check vision clarity, eye coordination, depth perception, and eye health. The primary goal is to ensure your eyes are functioning optimally and to detect any underlying conditions that may affect your vision.

Key Components of a Comprehensive Eye Exam

Patient History The eye doctor will ask about your medical history, lifestyle, and any vision issues you may be experiencing. Information about medications and family history of eye diseases is also gathered.

Visual Acuity Test This test measures how clearly you can see from a distance. The Snellen eye chart is commonly used, requiring you to read letters at varying distances.

Refraction Test If you need prescription glasses or contact lenses, a refraction test determines the correct lens power by measuring how light bends as it enters the eye.

Eye Muscle Function Test This checks the coordination of your eye muscles, ensuring they work together properly.

Pupil Response Test The doctor assesses how your pupils react to light, which helps detect neurological issues.

Slit-Lamp Examination A slit lamp is used to examine the front structures of the eye, such as the cornea, lens, and iris, to check for abnormalities.

Why Are Comprehensive Eye Exams Important?

Early Detection of Eye Diseases: Many eye conditions, such as glaucoma and macular degeneration, develop silently. Regular eye exams help detect them early, allowing timely treatment.

Vision Correction: Your vision can change over time, making updated prescriptions necessary.

Overall Health Check: Eye exams can reveal signs of systemic diseases like diabetes and high blood pressure.

Children’s Eye Health: Kids need regular eye exams to ensure proper vision development, as undiagnosed vision problems can impact learning.

How Often Should You Get an Eye Exam?

Children: First eye exam at 6 months, again at 3 years, and before starting school, then annually.

Adults (18-39): Every 2 years, or annually if you wear glasses or contacts.

Adults (40-64): Every 1-2 years, as aging increases the risk of eye diseases.

Seniors (65+): Annually, due to higher chances of conditions like cataracts and glaucoma.

Diabetics and High-Risk Individuals: Annually or as recommended by an eye doctor.

Conclusion

A comprehensive eye exam is a vital part of preventive healthcare. Whether you experience vision problems or not, regular exams help maintain optimal eye health and prevent serious conditions. Schedule your eye exam today and protect your vision for the future!

[optical-store-in-kitchener]

Eye Exam in Kitchener: A Complete Guide to Healthy Vision

Regular eye exams are essential for maintaining good vision and overall eye health. Whether you wear glasses, contact lenses, or have perfect vision, scheduling an eye exam in Kitchener can help detect potential issues early and ensure your eyesight remains clear.

If you’re experiencing blurry vision, frequent headaches, or eye strain, it may be time to book an appointment with a professional optometrist. In this article, we’ll explore the importance of eye exams, what to expect during a check-up, and where to find the best eye care services in Kitchener.

Why Are Eye Exams Important?

Many people assume that eye exams are only necessary if they have vision problems. However, routine check-ups play a crucial role in detecting eye diseases, monitoring vision changes, and ensuring optimal eye health.

Here’s why you should schedule an eye exam regularly:

1. Early Detection of Eye Conditions

Many serious eye conditions, such as glaucoma, cataracts, and macular degeneration, develop without noticeable symptoms in the early stages. A comprehensive eye exam in Kitchener can detect these issues early, preventing long-term vision loss.

2. Updated Prescription for Glasses or Contact Lenses

If you already wear glasses or contact lenses, your prescription may change over time. Regular eye exams ensure that you have the right prescription for clear and comfortable vision.

3. Digital Eye Strain Prevention

With the increasing use of screens in daily life, many people suffer from digital eye strain, dry eyes, and headaches. An optometrist can recommend specialized glasses or lifestyle changes to reduce strain and discomfort.

4. Monitoring Overall Health

Eye exams don’t just check your vision—they can also detect signs of diabetes, high blood pressure, and other systemic health conditions. Optometrists can identify changes in blood vessels, which may indicate underlying health problems.

How Often Should You Get an Eye Exam?

The recommended frequency of eye exams in Kitchener depends on your age and health status:

            •           Children (6 months to 18 years): Every year

            •           Adults (19 to 64 years): Every 1-2 years

            •           Seniors (65+ years): Annually

            •           People with diabetes, high blood pressure, or a family history of eye disease: More frequent check-ups as advised by an optometrist

If you notice sudden vision changes, eye pain, or excessive dryness, don’t wait for your next scheduled exam—visit an optometrist immediately.

What to Expect During an Eye Exam in Kitchener?

A comprehensive eye exam in Kitchener typically includes the following steps:

1. Vision Testing

The optometrist will check your ability to see clearly at different distances using an eye chart (Snellen chart). This helps determine if you need glasses or an updated prescription.

2. Eye Health Evaluation

Your optometrist will examine the internal and external structures of your eyes using specialized tools like a slit lamp and ophthalmoscope. This step helps detect conditions like cataracts, retinal issues, or nerve damage.

3. Refraction Test

If you have blurry vision, a refraction test determines the exact prescription for your glasses or contact lenses.

4. Eye Pressure Measurement (Glaucoma Test)

A tonometry test measures the pressure inside your eyes to check for signs of glaucoma, a condition that can lead to blindness if left untreated.

5. Additional Tests (if needed)

Depending on your symptoms, your optometrist may perform color vision tests, depth perception tests, or digital imaging of your retina.

Signs That You Need an Eye Exam

If you experience any of the following symptoms, it’s time to book an eye exam in Kitchener:

            •           Blurry vision or difficulty focusing

            •           Frequent headaches or eye strain

            •           Sensitivity to light

            •           Trouble seeing at night

            •           Double vision

            •           Dry, itchy, or red eyes

            •           Sudden changes in vision

Ignoring these symptoms can lead to worsening vision problems and potential eye diseases.

Where to Get an Eye Exam in Kitchener

If you’re looking for a trusted place to get an eye exam in Kitchener, consider visiting Optical House. They offer:

            •           Comprehensive eye exams for all ages

            •           State-of-the-art diagnostic equipment

            •           Prescription glasses, contact lenses, and eye care solutions

            •           Experienced optometrists dedicated to personalized care

Whether you need a routine check-up or specialized eye care, Optical House is a great choice for maintaining clear vision and healthy eyes.

The Summary

A regular eye exam in Kitchener is essential for maintaining good vision and overall health. Whether you need a prescription update, treatment for eye strain, or early detection of potential eye conditions, an experienced optometrist can help.

If it’s been over a year since your last check-up, don’t wait—schedule your appointment with Optical House today and take the first step toward better vision!

[abseevisioncare]

What to Expect During an Eye Exam at an Idaho Falls Optometry Clinic

Visiting an optometrist for a routine eye exam may seem straightforward, but there are several steps involved in a comprehensive evaluation of your vision and eye health. Here's a general overview of what you can expect during a typical eye exam at an optometry clinic in Idaho Falls:

1. Case History and Visual Acuity:

Medical History: The exam begins with a thorough review of your medical history, including any existing eye conditions, family history of eye problems, and current medications.

Visual Acuity Test: You'll be asked to read a series of letters or numbers from an eye chart to assess your nearsightedness, farsightedness, and astigmatism.

2. Refraction:

Auto-Refractor: This automated device measures your refractive error to determine the initial prescription for your glasses or contact lenses.

Subjective Refraction: Your optometrist will refine the prescription by asking you to compare different lens options to determine the clearest and most comfortable vision.

3. Eye Muscle and Coordination Tests:

Cover Test: This test assesses how well your eyes work together to focus on a single point.

Phoria Tests: These tests evaluate any tendency of your eyes to turn inward, outward, upward, or downward when not focused on a specific object.

4. Eye Pressure Measurement:

Tonometry: This test measures the pressure inside your eye, which is important for detecting glaucoma.

5. Pupil Dilation:

Dilating Drops: Your optometrist may administer dilating drops to your eyes to widen the pupils and allow for a more thorough examination of the internal structures.

Ophthalmoscopy: After dilation, your optometrist will use an ophthalmoscope to examine the internal structures of your eye, including the retina, optic nerve, and macula.

6. Visual Field Test:

Perimetry: This test assesses your peripheral vision to detect any areas of visual loss.

7. Review and Discussion:

Findings and Recommendations: Your optometrist will review the results of your exam, discuss any findings, and make recommendations for vision correction, such as glasses, contact lenses, or eye drops.

Follow-Up Care: Your optometrist will schedule any necessary follow-up appointments for continued monitoring or treatment.

A B See Vision Care: Your Partner in Eye Health

At A B See Vision Care in Idaho Falls, we provide comprehensive eye exams utilizing the latest technology and techniques. Our experienced optometrists are dedicated to providing personalized care and ensuring your complete satisfaction.

Schedule Your Eye Exam Today!

Don't wait until you experience vision problems to schedule an eye exam. Regular eye exams are crucial for maintaining optimal eye health and preventing serious vision problems. Contact A B See Vision Care today to schedule your appointment and experience the difference that quality eye care can make.

[here-be-dragons-and-whatnot]

How many hoops will I have to jump through to get treatment for T2 diabetes?

I started with a new health insurance company this year. I've been diabetic since I was 16, which is to say I'm a seasoned professional at having a subpar endocrine system. I know what I need to thrive, and all I need from a medical professional is someone to prescribe my drugs and order quarterly labs. I don't need anything weird or exotic; my care is entirely standard and hinges on two (2) specific medications that have been available for years. Let's see how many hoops it takes to get these medications:

Get my member number for New Insurance, online portal link, and instructions to pick a doctor. Attempt to pick specific primary care provider who works with a lot of T2 patients.

This specific doctor is leaving the New Insurance network. Get assigned a random doctor.

Appointment with randomly selected doctor is only 20 minutes. Email him a summary of what I need from the appointment.

Intake nurse at doctor appointment tells me several times I am critically obese. Attempts to send me to weight loss clinic.

I tell the nurse I am overweight because I have been sick for an entire year and unable to cook healthy meals and exercise. Nurse tells me my diabetes will get far worse if I'm not willing to lose weight. He leaves the room.

Random doctor did not have time to read the email I sent before my appointment.

Random doctor tells me the New Insurance does not cover my diabetes medications unless I can prove that other medications did not work for me.

The list is 7 drugs long.

They use A1C (blood test) to prove the drugs don't work. A1Cs can only be ordered every three months.

I tell the doctor that of the 7 listed medications, I have tried 5 of them and they do not work and/or the side effects were too harsh.

New Insurance will not accept my claims without blood work to prove them. New Insurance will not contact Prior Insurance where I already did all this or respect their coverage.

It would take almost two years of using medications that do not work and make me sick to return to my current regiment that is working fabulously.

New doctor literally says, "Sorry, I can't help you with that," and leaves the room.

Weight loss nurse comes back and tells me my preferred prescriptions have off-label uses for weight loss, and the weight loss clinic may be able to prescribe them.

Let the nurse schedule me for the weight loss clinic.

Go to weight loss clinic. A giant BMI chart hangs at eye level as I stand on the the scale. The intake nurse shows me how obese I am.

Intake nurse asks me no less than four times if I'm sure I want my appointment notes printed after the appointment.

Weight loss doctor comes in. She asks me about my experience with weight loss.

I tell her the thing that works best for me is keeping my blood sugar under control because then I have the energy to cook and exercise. I tell her my priority is getting my prescriptions.

Weight loss doctor tells me that New Insurance will not provide those medications because my plan does not include Weight Loss Coverage.

Weight loss doctor says that while I am critically obese, I am not obese enough for those prescriptions without Weight Loss Coverage.

Silently cry while she tells me that I won't need those prescriptions because I can make lifestyle changes instead.

Weight loss doctor googles a youtube video that explains how to do low calorie, ketogenic intermittent fasting.

Tells me the diet isn't as extreme because I can increase from 1200 to 1400 calories if I want and shrink the fasting window from 16 to 14 hrs.

Notices me crying, offers to send prescriptions to a Canadian pharmacy. They would only be $600 for a one month supply that way.

Leave office, make appointment with insurance lady to see if there is some way in hell to get back on my old plan.

In an incredible twist of fate, I have 12 hrs left to switch to my old plan; but I will be regarded as a brand new patient with no prior authorizations.

To be continued!

Edit: more updates!

Am able to get back on my old insurance plan. Sort that out and start trying to get a new PCP. I need a PCP to prescribe me my drugs.

The new insurance plan does not kick in until next month. I cannot schedule any appointments.

I am out of my diabetes medications for the next three weeks

Eureka! New Insurance will cover prescriptions made by Prior Insurance for a grace period of 30 days.

Attempt to fill them with phone system. Do not have the information to do so because they have not been provided by New Insurance.

Attempt to fill them through online portal.

Medications have been prescribed at 6x the dosage that I need. I cannot divide the doses with this medication.

Call a local branch of New Insurance pharmacy to sort this out.

There are now two prescriptions for my medication on file: Correct Does and Murder Dose. Weight loss clinic wrote the Murder Dose prescription. As expected, this was denied.

New Insurance applied the denial to both the Correct and Murder prescriptions.

Tell pharmacy tech the Correct Dose should be covered by the new patient grace period. Remind her this is for blood sugar control and not something I can YOLO.

Tech repeatedly tells me that I do not meet the qualifications for this prescription. Repeatedly reply that I am trying to get it filled using the grace period.

[frailfemme]

Care Coordination

As a chronically ill (and also neurodivergent) person, one of the most difficult things is keeping up with all of the appointments you need to go to. Especially when you're applying for disability benefits or another kind of government support or long-term aid and are required to have all this documentation proving you're as ill as you claim.

I mean, speaking for only myself, I am currently having regular appointments with a PCP, a neurologist, an OB/GYN, a psychiatrist, a therapist, and a case manager. And I need to be seeing a rheumatologist, a physical therapist, and maybe an occupational therapist. Keeping track of all the dates and times and the different locations (including how to get there and any parking weirdness that address has, or arranging transportation for those of who can't drive), the specialist's names and titles and what they mean, what symptoms to report to who, making sure they're documenting everything in your chart and advocating for yourself if necessary, scheduling so many follow-ups, getting each of a half a dozen prescriptions filled on a different day each month, dealing with pharmacy woes....

It's a lot.

Luckily, there's services available to help with this! I got Care Coordination through my government health benefit, at the new office where I am getting therapy, psychiatry, and case management. My Coordinator is already getting me scheduled for needed appointments, such as my annual eye exam and the dental work I need done. She is available to go to appointments with me and help me advocate for myself, she is helping me keep track of when I need to order refills of that only medicine that I am on that can't be refilled automatically.

If I needed transportation for my appointments, it would have to be scheduled the day before I get the reminder call from the office, so she would also be able to help with that. (Luckily my partner is still able to drive!)

She's going to be unsticking so many of the little gears that have been stuck for far too long, just by handling a few of the things on my plate for me each month.