(no subject)
First back-to-back today. Both presbyopes. First guy had a laundry list of conditions and medications and I got bogged down in case history. Need to work on making that section faster. MUCH faster.
I'm feeling very good about the prescriptions I gave them for glasses, though, which is great since I've never actually dealt with adds before. Trial framing was a good idea.
Need to look more carefully at lens extraction patients to see their pseudophakic lens.
Also missed a Weiss ring from a complete PVD. I noticed it during HP, but didn't pull out to focus on it. Assumed it was a floater. Bad assumption. Shows me that if you notice something, LOOK AT IT.
All in all, I felt better leaving this time around than last time. If each day can be a little bit better than the last one, eventually this will start to feel like second nature, I can only hope. Because as of now, it's requiring incredible amounts of mental energy at every step. 4 hours feel like 8.
Keep at it.
I'm feeling very good about the prescriptions I gave them for glasses, though, which is great since I've never actually dealt with adds before. Trial framing was a good idea.
Need to look more carefully at lens extraction patients to see their pseudophakic lens.
Also missed a Weiss ring from a complete PVD. I noticed it during HP, but didn't pull out to focus on it. Assumed it was a floater. Bad assumption. Shows me that if you notice something, LOOK AT IT.
All in all, I felt better leaving this time around than last time. If each day can be a little bit better than the last one, eventually this will start to feel like second nature, I can only hope. Because as of now, it's requiring incredible amounts of mental energy at every step. 4 hours feel like 8.
Keep at it.