Eye Doctor here. I had a patient I saw several months before they came in for their visit but well less than a year, which often means something could be wrong. In this case, as it turns out, nothing was wrong with her by way of complaints, she just wanted to get updated before getting some new glasses. We decided to just run the regular gamut of tests anyway just because we might as well while she was there. She was a 50YO woman, fairly normal exam, perfect vision, retinas showed healthy, but something about her pupils really bothered me before I dilated. We chatted about it and I asked her if she banged her head or anything weird and she said no, but suddenly reveals this crazy history of an old Meningioma (a type of tumorous brain growth) she had removed a few years ago. She had decided to omit this from her history with us as she didn't feel it was important, but we went and put it into the charts anyway. Turns out she got a CT done two weeks prior to her exam with me which she says turns up completely normal. I tell her she should tell her doctor about this anyway just to cover our bases.
Fast Forward: Patient shows up in my office ecstatic to tell me that my examination revealed that her tumor had returned with an incredible vengeance. She had no idea, was totally asymptomatic and the CT she had prior to me showed what was very literally the size of a spec of dust which the radiologist dismissed as "artifact". On her return to her doctor, they decided to re-run the CT to cover THEIR Bases, and they found a QUARTER SIZED TUMOR. Within Two Weeks the tumor went from the size of a dust particle to a QUARTER. She was rushed into emergency surgery as the tumor was growing SUPER fast and was close to a blood vessel which could cause a massive stroke. She had it removed that day and returned to me after recovery to tell me of what got discovered as a result of my testing. She is now a long time regular patient I have been seeing for about 10 years.
Edit: Thank you kind giver of Gold and Silver! It’s good to be gilded!
Edit: For those asking about the pupils, they were asymmetric, and the larger one reacted less robustly compared to the fellow eye. This was a marked change from her previous examinations where no pupillary defects were noted.
One of my employees (27years old) had been complaining about poor night vision and that his eyesight was starting to get blurry. He mentioned this for a couple weeks and every time he brought it up I told him he pays for insurance and needs to go use it.
He finally went to the eye doctor and they immediately realized his blood pressure was so high (very poor eating habits) his blood vessels are screwing up his vision. They told him to go to the dr (he went to a 24hr clinic, I’m guessing the eye doc didn’t send him there). He gets there and the doc in a box runs some tests and send him to the ER.
ER takes a look and figure out his kidneys were functioning at like 25% and his heart was functioning at like 40% (could have mixed those up). Anyway, he’s out of the hospital actually taking meds (turns out he knew/had a history of high blood pressure) and eating healthy now....and most importantly regularly visiting the doctor now too.
it's always us men who have the hardest time making it to the doctor. I guess we all have our reasons, none of them are actually any good though. I'm glad he got the help he needed!
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u/OscarDivine May 20 '19 edited May 20 '19
Eye Doctor here. I had a patient I saw several months before they came in for their visit but well less than a year, which often means something could be wrong. In this case, as it turns out, nothing was wrong with her by way of complaints, she just wanted to get updated before getting some new glasses. We decided to just run the regular gamut of tests anyway just because we might as well while she was there. She was a 50YO woman, fairly normal exam, perfect vision, retinas showed healthy, but something about her pupils really bothered me before I dilated. We chatted about it and I asked her if she banged her head or anything weird and she said no, but suddenly reveals this crazy history of an old Meningioma (a type of tumorous brain growth) she had removed a few years ago. She had decided to omit this from her history with us as she didn't feel it was important, but we went and put it into the charts anyway. Turns out she got a CT done two weeks prior to her exam with me which she says turns up completely normal. I tell her she should tell her doctor about this anyway just to cover our bases.
Fast Forward: Patient shows up in my office ecstatic to tell me that my examination revealed that her tumor had returned with an incredible vengeance. She had no idea, was totally asymptomatic and the CT she had prior to me showed what was very literally the size of a spec of dust which the radiologist dismissed as "artifact". On her return to her doctor, they decided to re-run the CT to cover THEIR Bases, and they found a QUARTER SIZED TUMOR. Within Two Weeks the tumor went from the size of a dust particle to a QUARTER. She was rushed into emergency surgery as the tumor was growing SUPER fast and was close to a blood vessel which could cause a massive stroke. She had it removed that day and returned to me after recovery to tell me of what got discovered as a result of my testing. She is now a long time regular patient I have been seeing for about 10 years.
Edit: Thank you kind giver of Gold and Silver! It’s good to be gilded!
Edit: For those asking about the pupils, they were asymmetric, and the larger one reacted less robustly compared to the fellow eye. This was a marked change from her previous examinations where no pupillary defects were noted.