Happy 3 year anniversary to me! Woot! Jay is awesome and I'm so lucky and made of win!
Aside from the joy of the anniversary though, I must share with you the blood-boiling experience I just had at the eye doctor. Yes, the EYE doctor. Usually the least invasive and uncomfortable doctor's experience one can have, but today, a SHINING example of the problems with our current health care system and a complete waste of my precious time and cash.
When I was in junior high, I started getting headaches almost daily, and after a time my mom hauled me to the eye doctor. I could see just fine, in fact my vision was (and still is) basically perfect, but I was getting headaches from reading the blackboard or the overhead projectors used in class. The eye doctor determined that I have astigmatism, which basically means that your cornea is abnormally curved and that it is hard for the eye to focus and read small details, up close or at a distance. He prescribed me a special lens that corrects that curve so that my eyes would relax and I wouldn't get headaches. And it worked!
Over the years, I have had three different prescriptions for astigmatism. The last one was issued to me in 2004, shortly before I moved to North Carolina. At that time, the doctor informed me that cases like mine are very tough to prescribe, because I do have good vision and I don't need any magnification, I only need curvatures to ease the process of focusing on objects. He told me to use the glasses when I'm reading, using a computer, watching anything on a screen in the dark or whenever I'm exhausted. And I did.
But when you can see, it's easy to get lazy about wearing your glasses, so I can be lax about it sometimes. I mostly only wear my glasses when I'm tired or if I already have a headache. Not good. Lately, I've been having really severe headaches almost daily, and since I haven't been to the eye doctor since 2004, I thought I should go.
SO! I went. And I was excited about it! At 1:00 I drove the five miles to the clinic, recommended to me by several trusty coworkers. I figured I'd just grab a sandwich after my visit.
I arrived at 1:10. I was at the clinic until 3:45.
During my visit, I saw three different technicians. They measured my current glasses to find their prescription, performed a series of vision tests on me without giving me any indication how I did, and put various burning drops in my eyes to dilate them. I never was tested for glaucoma, which I cannot understand.
After seeing three technicians, it was 2:15. After an hour at my primary care physician, I'm almost always finished with the visit, which usually includes blood work and about 15 minutes with my awesome doctor. But today, at the eye doctor, after an hour of unexplained testing, I was put in a cold room to wait for my doctor. And wait I did - for more than 45 minutes.
When the doctor came in, after 3 p.m., he was absolutely not in any way hospitable or friendly. He shook my hand abruptly and then launched right into questioning me about my headaches, with zero chit-chat or even friendly eye contact. He didn't even MAKE eye contact with me. He also yawned the entire time. He then performed a series of light tests on my eyes, then abruptly flicked the lights back on.
Dr. Shithead: Sarah, I see nothing wrong with your eyes. I cannot see any evidence that your headaches are vision related. I do not see a need to write you a new prescription. Your vision is actually very good, and I don't think you should continue wearing your glasses because they don't seem to be doing anything for you. If you have no further questions, then you won't need another exam for two years. *dismissive look*
Me: So the glasses I'm wearing currently - they aren't treating any symptoms in my eyes? Don't they contain a prescription?
Dr. Shithead: Yes, your current prescription addresses your astigmatism.
Me: Then...are you saying I no longer have astigmatism? And I don't need a corrective prescription?
Dr. Shithead: The headaches you are experiencing are probably due to fatigue. You should remember to take breaks at work, get up from your computer now and then, give your eyes a break. Unless your symptoms worsen.
Me: But doctor, I have had a headache every single day for the past three weeks, and frequently for the past couple of months. And I do take breaks at work.
Dr. Shithead: If you contact your primary care physician, and tell them that I see nothing in your eye exam, they can do further tests to explore the issue. But I see nothing in this exam to indicate that your headaches are eye-related.
(Pause here. Astigmatism absolutely causes headaches and fatigue. And he really didn't clarify if I still have it - which one would assume I do, because I'm pretty sure your cornea can't magically un-curve itself).
Dr. Shithead: If that's all your questions, then I'll give you a copy of my information *hands me his resume* and ask you to remind your friends and family of the importance of eye care. *hands me a stack of his cards* Have a nice day. *leaves without shaking hands*
The man was telling me (in the total four minutes he deigned to spend with me) that I have near-perfect vision (which I already knew, since I've never had to wear my glasses to pass an eye exam) and that he has no idea why I'm having headaches and to cease wearing corrective lenses for astigmatism, even though I've been doing so for 15 years.
...
WHAT?!
So, I was furious by this point - literally shaking. Did I mention it was now well past 3 o'clock? I went to the reception desk and was asked to pay my $50 copay. Sheesh. I hand over my debit card, still trying to make sense of the rudest doctor in the world and the fact that I basically wasted two and a half hours of my life and 50 bucks to be told basically nothing and given what I'm pretty sure is a bad set of directions.
I felt uneasy. So I asked the receptionist if she could please give me a copy of the reading of my current prescription that the first technician had done. I explained I didn't receive a new prescription, but I would like to know what my previous one was. She went to take care of it. While I was waiting, some other woman, probably the woman in charge of reception, came along and asked me what I was waiting for. I told her. She then went off to take care of it, clearly in a huff at the busy desk situation. She came back and said to me, "I can't give you an RX today because they didn't give you one."
Me: I KNOW they didn't. What I want is a copy of the CURRENT prescription - the glasses I have now.
Obnoxious Reception Manager: The doctor's recommendation is that you stop wearing your glasses.
Me: *totally fed up* Yes, I know. But you see, ma'am, I have been wearing glasses for the past 15 years and I have previously been diagnosed with astigmatism. And I would like to know what my current prescription is for my records.
Obnoxious Reception Manager: Well, it's right here, and if you'll look at this page...
Me: I cannot read that page because of the dilation.
Obnoxious Reception Manager: When your eyes settle down, you'll see that your prescription is this and your reading today is actually an improvement in some areas. So that's a great thing, and you don't need to wear your glasses or you'll become dependent on them.
.......
Me: Well, the doctor didn't explain anything to me about this.
Obnoxious Reception Manager (who is realizing how pissed off I am and that I have had a shitty, shitty experience): *suddenly much warmer* Oh, well if you had a bad experience today, if your personality didn't mesh with the doctor, don't be discouraged - when you come back in two years, you can meet with a different doctor.
Right. SO when she figured out I was mad, she starts trying to sell me on my next visit by telling me I can see someone else - IN TWO YEARS. Because lord knows I'm not going to want to pay for another visit this year - my insurance only covers on a year. I've just wasted my time on this total jerk of a doctor who is telling me not to wear my glasses because my vision is fine, but not even addressing the fact that I have astigmatism which may be contributing to my discomfort, and perhaps IT has worsened even though my vision has not.
My question is - do I not have it anymore? He didn't answer that. Mild astigmatism doesn't always require corrective lenses, but if I don't need them anymore, after 15 years, he should explain to me, in detail, why that is. If you do ANYTHING for years, and someone tells you you don't need to anymore, most people want to know HOW that miracle occurred. Did my prescription help me and right now my eyes are better? I don't know. I have no answers, and I still have headaches.
So. In summary. I spent hours and hours at the doctor. The people who treated me were abrupt and hurried. The doctor I saw was busy, tired and inattentive, had no bedside manor, did not answer my questions or help me diagnose my problem, and was downright rude and dismissive. The staff was overworked, frenzied and also sort of rude. I had to pay a $50 copay, which is actually sort of a lot of money if you think about it, and my insurance will likely not cover the entire visit, so I'll be issued a bill in the mail. And since I had no luck at the visit, if I want more help or a second opinion before I toss 15 years of optical opinions and prescriptions out the window, I have to fork over my own cash - probably a LOT of my own cash - to cover the cost, because my insurance plan only allows me $250/year for optical care - which barely covers one visit.
Awesome.
Our health care system sucks. Imagine if I had had the same experience, but with a more serious issue, like, say, BREAST CANCER. Because that's absolutely happening to a ton of people today. They're going in to talk about their BREAST CANCER and being treated the way I was, or worse, getting NO answers and having to hand over money they don't have to pay for the privilege.
For now, my plan is talk to one of the professors in our physician assistant program at work to get his opinion. And I'm also going to keep using my glasses, because I think this doctor was full of crap.
And also? I'm gonna eat cake and drink wine tonight with my husband, who doesn't suck.