Wednesday, March 23, 2016

Ocular Itch

It's that time of year again! I personally have *intense* ocular itch right now, and it's only Wed and I've already had 3 "pink eye that won't go away" cases who were Rx'd antibiotics by their primary care providers. This is not too surprising since the pollen count for Huntsville, TX (according to is a 10.5 out of a possible 12. All of our cars are covered in a light yellow dusting. My lymphatic cysts are back in my right eye, my eyes itch like mad and my lids are slightly swollen. I have been using Alaway antihistamine eye drops OTC twice a day for months but yesterday I put myself on steroids - twice a day of Lotemax gel. If your eyes are ITCHY...don't bother with artificial tears or Visine or anything from Similisan. Go straight for the Alaway or Zaditor OTC and if you're still itchy, consider a visit to your OD for a steroid Rx. Be careful out there! - Dr P

Monday, March 14, 2016

New Single - "When You Carry Me"

Ok I wrote/recorded a new song. It's Contemporary Christian so click or not, according to your music preferences haha. I'd love for you to give it a listen if you have time. Pro tip: the bridge is really good so try to make it at least that far, about the 2:30 mark :P WHEN YOU CARRY ME

Wednesday, March 2, 2016

Martian Notifier Smartwatch

Ever on the lookout for the next great cheap smartwatch, my latest is the now $35 Martian Notifier. I bought it on TNW Deals for $35, free shipping. Downloaded the Martian Notifier app from the Google Play Store to my Samsung Galaxy, charged up the watch, paired the devices on bluetooth...voila! Easiest setup ever! Especially given the problems I've blogged about before with pairing other devices. LIKES: easy setup, classy analog display, can still read time even when battery is run down b/c analog watch has separate battery, COST, can use Google Now voice commands thru it. DISLIKES: it's limited to whatever push notifications you get on your phone. There is no step counter or altimeter, etc, you can't download new apps on it or pay for things like you can on an Apple Watch, it only vibrates (no sound), it has a special/weird charger that you can't get anywhere else (non-standard), and my biggest scrolls the push message twice and that's it. If you don't look at the watch during those 2 consecutive scrollings, you cannot look at the message later w/o digging out your phone. There's no way to pull the message back up again on the watch. Oh's cheap and it works and the setup is a LOT easier than the other models I've used, and it's classy looking and I love it...until the next watch I try heheh

Acuvue Oasys 1-Day

I now feel like I have fit enough of these to make a somewhat educated statement on the quality of this relatively new product. And I give it an A+, two thumbs way up, probably just unseated Alcon's Dailies Total One IMO for best product on the market. I've tried it and loved it, and my wife and 11 year old daughter, both formerly staunch DT1 wearers, have both switched. Every patient we have tried it on to date has raved about the comfort and vision. It's the best product on the market right now IMO with DT1 now a close second. Alcon kind of "changed the game" with the release of DT1, but to Johnson&Johnson's credit, they followed suit and arguably even outperformed Alcon. Here's the product information from the Acuvue website: 8.5 mm base curve/14.3 mm diameter 9.0 mm base curve/14.3 mm diameter Power ranges (both base curves) -0.50D to -6.00D (0.25D steps) -6.50D to -12.00D (0.50D steps) +0.5D to +6.00D (0.25D steps) +6.50 D to +8.00D (0.50D steps) Material: senofilcon A Wetting agent: PVP Dk/t 121 38% water Class 1 UV blocking

Friday, February 19, 2016

"My Size is 8.5"

Occasionally I'll get a patient call or tell me something like this: "hey doc my LAST Rx (that had since become blurry) was a "8.5" base curve. These NEW ONES that YOU Rx'd are "8.7". Well these new ones move around a lot and I'm going to need you to give me the NEW, clearer (usually they say "stronger", but I digress) Rx in "my size" which is 8.5." No. It doesn't work like this. "Your size" is not 8.5. 8.5 is kind of a standard/common base curve for a 14.0mm (or smaller) diameter soft spherical lens. Now you need TORICS (astigmatism). Toric lenses are usually larger than 14.0 to add in the prism ballast (weight or "carrier") to stabilize them. Well when you INCREASE the diameter you must also increase (flatten) the base curve. Those go together. You can't just increase the diameter and keep that "8.5" base curve that you think is "your size" because if that were made it would likely "squeeze" you too hard and be very, very uncomfortable (assuming same material and design, for those of you fellow eye docs following this). Just like "8.5" is kind of a standard base curve for soft, disposable, 14.0mm diameter spherical silicone hydrogel contacts, "8.7" is kind of the standard base curve for torics. I often say that fitting soft contact lenses is like fitting tee shirts: you're a "medium" or a "large" or an "XL". You're not a "38 regular" tee shirt. They're not that specific. THE REAL problem in the case above is the SAME problem EVERY new toric wearer has: torics move. Their old spherical contacts moved, too. They just didn't know it. It's not that 8.5 is "your size". Your size is "medium", which is what most adult nearsighted patients are. Don't get too caught up on what you think your "base curve" should be.

Sunday, February 14, 2016

Modern Praise & Worship Music is Not the Devil

So recently this meme has made it around on Facebook, posted by multiple people I know who prefer traditional hymns to modern praise and worship music: So I am not personally offended by this or anything, but I do want to point out that I think it's a tad exaggerated. Here are the lyrics to Hillsong's "Oceans", the runaway hit and top praise and worship song of 2015. As of Feb 2016 it is still in the Billboard top 5! "You call me out upon the waters The great unknown where feet may fail And there I find You in the mystery In oceans deep My faith will stand And I will call upon Your name And keep my eyes above the waves When oceans rise My soul will rest in Your embrace For I am Yours and You are mine Your grace abounds in deepest waters Your sovereign hand Will be my guide Where feet may fail and fear surrounds me You've never failed and You won't start now So I will call upon Your name And keep my eyes above the waves When oceans rise My soul will rest in Your embrace For I am Yours and You are mine" Read those lyrics and tell me they're anything like that ridiculous meme above. They're not, of course. Actually I looked at the top 10 praise songs right now and none of them are as repetitive as that meme. It's just not true. Also - you know how some people just love Shakespeare? Quote him all the time, read everything he's written, go see all of his plays? Well I just don't like him. It's not because I don't understand it, it's just not my thing. I respect it, especially for its historical significance... But I don't LIKE it. It's the same for me with hymns. I grew up with them, and I'm tired of them. Do you listen to the same say 50 songs for your entire life? I don't. But some traditionalists think we should be pulling from the same 50 hymns every Sunday forever. I'm sorry but that bores the snot out of me. I want new songs with guitars and drums because THATS WHAT I LIKE. And apparently I'm not the only one, as evidenced by the insane popularity of Christian music and contemporary worship services right now. Anyhow the point of all this is that I just disagree with the premise of that meme - that all modern praise and worship songs are boring and brainless and repetitive, and that old timey hymns from the pre-Civil War era are "real" worship. Worship is in the heart, and at some point the lyrics have to touch yours, and people's hearts are touched in different ways. For me and a lot of people, old hymns don't do it. AND THAT IS OKAY. And...that meme is exaggerated and ridiculous.