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1:00

Discover Decks. That's. A

1:02

new A in C

1:05

E.com/discover. The. A X.

1:14

Dot. Not

1:19

hi. Hello

1:23

Everybody welcome to knock Knock I with

1:25

me, Doctor Glock and Flag and your

1:28

one stop shop for all things Eyeball

1:30

com and to you every week from

1:32

my studio usually after work. I've been

1:34

talking about eyeballs all day and I

1:37

wanna talk about them some more with

1:39

the right now. Ah thank thank you

1:41

for joining me A We're going to

1:44

do something a little bit different today

1:46

we are are gonna do like an

1:48

An on called Summary. So.

1:51

I as a private practice

1:53

ophthalmologist, I take call. Three.

1:56

To four times a year to for

1:58

a week at a time. Don't.

2:00

Feel sorry for me. I know

2:02

it sounds rough but the I

2:04

get through it so. I.

2:07

Just had one of those weeks not

2:09

too long ago and so I figured

2:11

I would just it could go over

2:13

some of the highlights and we talk

2:15

about the that the the patients that

2:17

I saw it all out. Changed.

2:20

The details of i'm a little bit

2:22

of to protect identities and everything obviously

2:24

better some of the not summers the

2:27

pacers but the diseases and what happened

2:29

and and how I dealt with these

2:31

types of issues on call or they

2:33

can be helpful and hopefully we all

2:36

learn a thing or two or so

2:38

before we get into that though and

2:40

me we talk about Mike whole week

2:43

as matchday just happened. Recently met this

2:45

is I spent as a I was

2:47

working I was in clinic on. Matchday,

2:50

but I tried to spend as

2:52

much of the day as I

2:54

could liking tweets. On. Twitter.

2:57

Liking. The matchday tweets as one

2:59

of my favorite traditions. It's it's It's

3:01

an edge. It really is. It's like

3:03

it a day. On to it now

3:05

ex Twitter What I write: I'm subsidy

3:07

always call it Would Roads Will. It

3:11

it. It makes you feel like you're back

3:13

when like. The. Medical twitter community

3:15

was still really active in like a

3:17

very interesting. Now it's not so much

3:20

but it's a day when all these

3:22

med students who just match they they

3:24

they They post their their email, the

3:26

says they matched and how excited they

3:28

are to do whatever specialty it is

3:31

that they matched in and all of

3:33

these this there's thousands of them, thousands

3:35

of them and a lot of them

3:37

are there people that they they don't

3:40

really sweet that much for the don't

3:42

have a big following but every single.

3:44

Match a tweet there's there's

3:46

hundreds of like like they

3:49

get so much love from

3:51

the community, from the medical

3:53

community as from people outside

3:55

of medicine. A lotta times

3:57

Matchday ends up trending on

3:59

a on. Whether it's just it's

4:01

it's just a lot of fun and

4:03

so I've I've probably liked by like

4:05

five hundred different tweets every time I

4:07

saw that one of those matchday tweets,

4:09

I would like it. and it's just

4:11

a try to spread the love and

4:14

get get that energy and excitement going

4:16

because you can just feel it from

4:18

these posts from these med students. They're

4:20

They're just so excited. He worked so

4:22

hard to get to this point and

4:24

and others as they're all so happy

4:26

to to see that email. And.

4:29

As so I would it would it.

4:31

I thought I would do here at

4:34

the beginning before we get into the

4:36

die ball stuff is it's I made

4:38

me think about seeing all this all

4:40

the happiness maybe thing about the the

4:42

most the happiest days of my med

4:45

school years. Like what were the days?

4:47

the moments. The. Events where

4:49

I felt the happiest.

4:52

In. Med School. And. So I

4:54

wrote them down and monsieur I'm with

4:57

the of So we're going to go

4:59

from from Five my fist happiest day

5:01

that I can remember down to number

5:03

one guy. So we'll start with them

5:05

or five hour up at my white

5:07

coat ceremony and number five I still

5:09

remember a lot about it it was

5:11

I had a we we had our

5:13

way could ceremony Dartmouth did a little

5:15

bit differently. we have it of like

5:17

of about a month in to turn

5:19

to to to med school so we

5:21

already had the are made like or

5:23

friend group. San and we were really

5:25

get in the know each other as

5:27

classmates and we're getting into the. All

5:31

that the course work in everything's for

5:33

tagging in the swing of things that

5:35

we had arm or white coat ceremony

5:37

where we receive our short white coat

5:39

as opposed to the long white coat

5:41

that fully formed doctors get to. Where

5:43

are we as med students get to

5:45

wear a half size coat and me

5:48

on. I'm tall, I'm super lane Keith

5:50

and so it look like a quarter

5:52

sized code on me and so my

5:54

excitement. For that day the reasons number

5:56

five on my list is because makes

5:58

Imo was quickly tempered. The fact

6:01

that I looked like

6:03

a i'm a Giants.

6:06

Like. Person wearing a child sized coat.

6:08

It it's I looked ridiculous and I

6:10

realize oh I have to wear this

6:13

thing every time I go into the

6:15

hospital for those the out for the

6:17

foreseeable future So of it it was

6:19

very exciting has all the families there's

6:21

a lot of excitement we're starting this

6:24

this huge journey and where were all

6:26

very excited and and is looking forward

6:28

to turn to just getting into it.

6:30

Ah we have who had not been

6:33

beaten down by the medical system at

6:35

that point so it. Was just a very

6:37

exciting, very fun time. As number five

6:39

number for. Ah, I put

6:41

down. I'm walking out of

6:43

my general surgery rotation. That

6:46

was a happy day that

6:48

was fantastic. I spent eight

6:50

consecutive weeks on vascular surgery

6:52

which is a rough rotation

6:54

lives toward the beginning of

6:56

my third year so on

6:58

my first clinical rotations and

7:01

I still remember how I

7:03

felt that last day. Sensing

7:05

knowing I did a really

7:07

good job, I tried. I

7:09

worked hard. I worked very hard

7:11

as I really wanted honors. I really

7:13

wanted to. that was the one rotation

7:15

like. I wanted to get a good

7:17

recommendation from Ah because I was going

7:20

into a surgical feel ophthalmology and and

7:22

so I I am. I tried really

7:24

hard, I worked hard and an hour

7:26

but I I hated most of it.

7:29

Him. So I was ecstatic that final day when

7:32

I said when I the last thing I saw

7:34

on the last days or anything else I can

7:36

do for you. To. The fellow and

7:38

they're like now you should go home

7:40

Thanks for all your hard work And

7:43

I last and I just had this

7:45

the biggest giant smile on my face

7:47

as I left that rotation and got

7:49

to do something else. Finally! So that's

7:51

number for a number three of the

7:54

said the time I diagnosed a feel

7:56

chromosome Toma. These.

7:58

Sites The Things: These opera. It is

8:00

don't come along very often. Others are

8:02

you don't know what I feel. Chromosome

8:04

it is. It's an extremely rare tumor.

8:08

I. Don't even remember. I think it's on

8:10

the adrenal gland. It's it's it's just.

8:12

it's one of those. It's like a

8:14

joke diagnosis among med students as they

8:16

are. You going to diagnose the feel

8:18

like no one notices. No one does

8:20

it. It's it's it's This is one

8:22

these things that you learn about. Everyone

8:24

knows about appeal chromosome us but you

8:26

never see it and. Of

8:29

daggers it I I I I

8:31

suggested that this might be the

8:33

diagnosis on my internal medicine rotates.

8:35

I suggested this could be the

8:37

diagnosis or a patient and imaging

8:39

was done. The lab test the

8:41

cat a cola means were ordered

8:43

of a because it was a

8:45

reasonable thought and turns out that

8:47

pays it out of feel promo

8:49

site Toma it's It Left such

8:51

an impression on me that I'm

8:53

talking about it right now like

8:55

as of all the things I've

8:57

diagnosed in my life. Like that

9:00

is probably top of the list or

9:02

right and that again it's just like

9:04

you know as a med student you're

9:06

you're just you're trying to to contribute

9:08

and what for for his you can

9:10

And and so when I threw that

9:12

out there like part of he was

9:14

like oh i'm in the sound smart

9:16

by saying this But then I ended

9:18

up being right. Oh

9:20

man. I'm. Just A

9:22

right? I'm just and I'm still thinking

9:24

about. I'm just reveling in in my

9:27

in my intellectual prowess in that moment.

9:29

I didn't get a lot right A

9:31

during that rotation whenever I got asked

9:33

questions, but I got that one soused

9:35

as very proud of very proud of

9:37

myself in their moments. That was number

9:40

three the third happiest day of my

9:42

life of and as a Med student.

9:45

Or number two. Matchday: My.

9:48

Matchday. not everyone elses matchday.

9:50

So ophthalmology has a different

9:52

match odds only a couple

9:54

rotations, just that the deep

9:56

the ball centric specialties ophthalmology

9:58

and urology. How are we

10:01

do a separate match? ah which

10:03

is in January I believe it

10:05

was. It's much more anti climactic

10:08

then the that than than the

10:10

match that just happen in March

10:12

where all the other specialties figure

10:15

out that whether they master not

10:17

ah it's it's it's lot of

10:19

more low key but I I

10:22

remember getting the email. Seeing.

10:24

It a I'm the kind of

10:26

person like I'd I didn't want

10:29

anybody around me. I've seen tic

10:31

toc videos ah where he ever

10:33

has their family there and they're

10:35

checking the email or on camera

10:37

or and then again very excited

10:39

I doubt with i dove know.

10:42

I. My saw was like I need

10:44

to be. Alone when I

10:47

rice I find out either

10:49

yes, I matched all as

10:51

well. X

10:53

Ecstatic Ya is just very happiness all

10:55

around or of absolute shame that that's

10:57

that was my thought process at the

11:00

time is that I just I need

11:02

to be by myself. I don't want

11:04

to subject whatever energy was in that

11:06

room to other people and needed to

11:08

just in but this is the introvert

11:11

of me though. so anyway but it

11:13

either matching and ophthalmology and so is

11:15

very happy so as never to be.

11:17

That's why it's are too because as

11:19

a lot of stress lot of anxiety

11:22

involves around masses. Was not total happiness

11:24

all day is a lot of happiness

11:26

when you find out you match but

11:28

a a leading up to it it's

11:30

just a like your stomachs a nazi

11:33

want to throw up as dumb or

11:35

to number one graduation day. By.

11:37

Far I have. I still I

11:39

remember Azad either. I have all

11:41

the pictures with my classmates and

11:44

my family and and there's There's

11:46

no better energy than a commencement

11:48

ceremony like it is. It's I

11:50

don't merely member of like the

11:53

college that wasn't as big of

11:55

a deal to me. Med school

11:57

was a big deal and ends.

12:00

That I've been very fortunate to

12:02

be able to deliver some a

12:04

commencement addresses since I graduated med

12:06

school and I love doing. I

12:08

try to do one or two

12:10

every year if I have the

12:12

opportunity. And up the the just

12:14

the excitement, the energy. There's nothing

12:16

like it, there's it is just

12:19

pure happiness. Know there's there's There's

12:21

no bad vibes anywhere during commencement

12:23

for med school and so that

12:25

was a number one by far.

12:27

the has. So there you go,

12:29

My. Top Five Happiest happiest days I'm

12:31

at school. Okay let's take a quick break

12:33

and then we will get and as a

12:36

marble stuff. Everybody

12:40

Old news but good news. Were

12:42

coming back to the Irvine Improv

12:45

on Sunday, March twenty fourth for

12:47

our show Wife and Death Thrive.

12:49

We're going to talk about the time you died. I came

12:51

back to life. It'll. Be a tragicomic

12:54

multimedia memoirs stage so

12:56

extravaganza and so. My

12:58

characters my show up to use have to

13:01

come and check it out and see for

13:03

yourself. To buy tickets click the link in

13:05

the description below or you could as a

13:07

Glock and like and.com/live will see a they're.

13:13

All right so we are doing it

13:16

on on call summer out of of

13:18

like of fun name for for doing

13:20

this but about probably I'm guessing three

13:22

or three to four times a year

13:24

I'll do this we're just gonna. Go.

13:26

Through my call week ah that

13:28

I had on record tell you

13:31

when it's very important when talking

13:33

about things that really happen with

13:35

patients, aids or tell us to

13:37

other people time obviously everything that

13:39

we have a compliant so when

13:41

necessary I have changed details of

13:43

these things about tell you but

13:45

also it's really important to keep

13:48

it. Time. Immemorial. Like.

13:50

I'm not going to tell you I

13:52

had. My. Call week last week like

13:54

I just got off the call weeks

13:56

because it's better that you don't know

13:58

when it happened because honestly, It.

14:00

Doesn't even matter your was a two months

14:02

ago as a three months ago and I

14:05

can't tell you and you don't need to

14:07

know just know that it was in the

14:09

recent history of my life that I had

14:11

a week of call and I have are

14:14

we talked about it until now so I

14:16

had some interesting things to go on. is

14:18

actually a more interesting call week then I

14:20

hadn't quite awhile. Ah an interesting is not

14:23

always good when you talk about on call

14:25

so just die. They have tagged by the

14:27

city as before but. I

14:30

cover for different community hospitals

14:32

or nothing higher than a

14:34

level two trauma center. so

14:36

really bad traumas. Mostly open

14:38

globes though something. they will

14:40

typically go to the main

14:42

hospital. Occasionally

14:45

some trauma come sense and I'll get

14:47

to one of those as well. So

14:49

so. For community

14:52

hospitals plus. All.

14:54

Of my practices patients so it ends

14:56

up being mostly phone calls from patients.

14:58

They'll get a lot of those like

15:00

they have questions about their job so

15:02

he them on or they they had

15:04

surgery recently in there have been some

15:06

problem and or or their new home

15:08

their established patients and they have an

15:10

eye problems to have gone to the

15:12

emergency department they give us a call

15:14

which I always encourage people to do.

15:16

If you have an established relationship with

15:18

an eye doctor and you have something

15:21

that you don't feel as an emergency

15:23

but it's bothering. You liked. This

15:25

just called just call your office Dig

15:27

dig. They're going to have someone on

15:29

call for you. They will. They said

15:31

if they don't get that's that's not

15:33

great. I think all. All.

15:36

Physician practices should have some kind

15:38

of on call option for their

15:40

patience, but that's just me Saudi

15:42

what I was on call and

15:44

I'm the first base Lemme tell

15:46

you about his patient data Was

15:48

in a car accident. And

15:51

I got called because

15:53

the patient was no

15:55

light perception vision. So

15:57

remember. Them. Or how we checked

15:59

vision. Right You start with the the the

16:01

chart they can see the chart then you

16:04

gotta hand motion you wave your hand in

16:06

front of the patients face the can see

16:08

that or sorry you got a cow fingers

16:10

first the can see com fingers you gotta

16:12

hand motion they can do hand motions than

16:14

you hold on line front of their eyes

16:17

or the station could not see that like

16:19

they were know like perception vision and a

16:21

C T scan because the patient have a

16:23

trauma so they got it a city scans

16:25

showed that there was propped houses there was

16:27

bulging of the I am what looked like

16:29

a. Retro Bowl Bar: Hemorrhage.

16:32

So Retro Ball bar. that's.

16:35

The. Patient I came in, I got the call. And.

16:38

Of this is this is an interesting

16:40

one and I'll think I've talked about

16:42

this with regard to all the pants

16:44

patients. Why started doing is not like

16:46

I episodes we went over a lot

16:48

of the pants patients. we didn't do

16:50

a specific pants patient episode on Ritual

16:52

were him as others have you heard

16:54

have only been listening to this. These

16:57

episodes maybe does the first one you've

16:59

heard your bike was on earth as

17:01

a pain patients so I should probably

17:03

because I'm talking about the Zola or

17:05

this is a patients were am when

17:07

I. Get the call as the

17:09

on call ophthalmologist. It read it

17:11

and makes me put my pants

17:13

on to come in to see

17:15

the patient which is not that

17:17

frequent for an ophthalmologist start. So

17:19

it's notable is notable when a

17:21

pants space incomes and for me

17:23

so. Irritable bar

17:26

hemorrhage. Let

17:28

me just talk about. Physiologically.

17:30

What's happening and why this is such

17:33

an emergency? Or as so, a retro

17:35

bulb or hemorrhages act. exactly what the

17:37

sounds like. So retro behind Bowl Bar

17:40

I Okay, so. Behind.

17:42

Your eye is the orbit. The

17:45

orbit is surrounded by bones.

17:47

It's made up of bones.

17:50

Are. So it's like a little K's

17:52

the Orbiters and your I sits in

17:54

that case in behind the I within

17:56

that cave your ear you can think

17:58

of, your eyes. That's what the front

18:01

of the cave rights And so there's all

18:03

this space behind the I, which is. In

18:06

the orbit. And. That space

18:08

is enclosed by bony walls on

18:10

three sides. Up or four

18:12

sides, Up, Down, Left and right

18:14

is this Bonnie Orbits and all

18:16

lot of blood vessels. There's some

18:19

sat in there. there's nerves as

18:21

a ton of stuff behind the

18:23

I, all the courts, all the

18:25

things that plug your I into

18:27

your brain endured the urge to

18:29

cardiovascular system. All that stuff is

18:32

in the orbit. so the very

18:34

important structure. If you have

18:36

a major trauma what can happen as you can.

18:39

Break. Some of those blood vessels that

18:41

are in the orbit they can start

18:43

to bleed in if he a tear

18:46

an artery the of an arterial bleed

18:48

which is high pressure bleeding than that

18:50

orbit that space can still up with

18:52

blood. And you can

18:54

imagine if you're filling up an enclosed space,

18:57

it's going to increase the pressure. And

18:59

so what's gonna happen? As that blood

19:02

starts to fill up the orbit? It's

19:04

gonna start pushing the I forward. What?

19:07

we call propped hostess. The.

19:09

Problem is it can only push the

19:11

I. So. Far forward.

19:14

Before. The I can't go forward anymore.

19:17

Because. Member. The. I. Has

19:20

an optic nerve that connected to the

19:22

brain. Fortunately, There is

19:24

some redundancy to the optic nerve.

19:26

The optic nerve can stretch. Are

19:28

just like a ping pong ball with

19:31

a with a with a with a

19:33

with a string attached or it's you

19:35

can it can push it forward but

19:37

eventually that string that optic nerve is

19:39

gonna be taught. And the

19:42

I can't be pushed anymore forward

19:44

from the orbit or and so

19:46

what'll happen is the of that

19:48

pressure pushing on the ice and

19:50

it'll it a cut of what

19:52

happens is the I gets gets

19:54

trapped by the eye lids. And.

19:57

So it's kind of that the to think of the eyes as can be

19:59

getting. Mashed from all different directions,

20:01

it's gets being pushed against the

20:03

eyelids which aren't allowing the i'd

20:05

go forward anymore. That optic nervous

20:07

taught the I has nowhere to

20:09

go so it's gonna get compressed.

20:12

Silly get compressed. In

20:14

that increases the pressure inside

20:17

the. And. That's

20:19

what's called orbital compartment syndrome.

20:21

So retro bulb are hemorrhage.

20:24

Leaving behind the I causes an

20:26

orbital compartment syndrome or pressure go

20:29

sky high as that normal I

20:31

pressure. It's about eleven

20:33

to twenty. Ritual. Barbara

20:35

hemorrhage because you normal compartment syndrome

20:38

that can increase the pressure to

20:40

sixty seventy eighty. It only takes.

20:43

It. Takes minutes for you to permanently

20:45

lose your vision when you have.

20:48

A High pressure. Like debts it can.

20:50

You can start to really lose vision

20:53

very quickly because high pressure. It's a

20:55

pressure so high blood can't get into

20:57

the I said space just as diseases

21:00

lose all blood flow to the eye

21:02

and that's what causes things to the

21:04

I did gonna die off so. This

21:07

is a Penn Station but a different

21:09

way. This is the pants patient mostly

21:11

for the emergency physician. As I mean

21:13

as like almost all of their patients

21:15

are pants patients right? I mean there

21:17

are we? to the hopefully they're already

21:19

wearing pants because already there. but this

21:21

this this is of I don't know

21:23

what the equivalent of a pants Patients

21:25

For Murder Seasons of Physician. You guys

21:27

help me out with that. but it's.

21:30

This. Is this is basically it's not.

21:32

Is this the type of patient were you

21:34

treat? it? The. Emergency Physician a

21:36

really nice to be treated right then

21:39

and there. You can't wait for an

21:41

ophthalmologist to get out of bed, Drive

21:43

to the hospital and do and is

21:45

to be done for this patient. It's

21:47

gonna be treated faster than that. This

21:49

is like even more emergent than a

21:51

pan space or right there's no time.

21:53

it's gotta be treated before I can

21:55

even get there. In the way you

21:57

treat this. Emmerich as the

21:59

eye is being pushed forward but it gets

22:01

trapped by the eyelids. So what You gotta

22:04

do? Yeah. To remove the eyelid.

22:06

And. That's how you treat. Orbital.

22:08

Compartment Syndrome so is the lower

22:11

eyelid. He basically just take the

22:13

outside part of the eyelid. In

22:15

This it takes. Two. Seconds

22:17

to make a couple incisions

22:19

and just release the I

22:21

Live from. The. The

22:23

orbital bone right there. To. Can

22:25

feel the bone right on the earth hour

22:27

outside edge of your eyelid, your eyelids attached

22:29

to the bone and so you just. Just

22:32

make. A little incision, And that

22:34

allows that allows the eyes to push

22:37

forward a little more. That helps relieve

22:39

the pressure on the eye. And.

22:41

You can save someone's vision. So.

22:45

My. One of the as

22:47

he was the first I use a

22:49

Friday night I believe. Ah bad trauma,

22:51

a sad or block compartment syndrome and

22:54

city and I was actually getting the

22:56

call because we have wonderful very good.

22:59

Emergency Physicians and our community there

23:01

were calling me because they there

23:03

was an orbital compartment syndrome. Patients.

23:06

Are they had already treason. So they

23:08

did the lab. what's called a lateral

23:10

cantata Me Tampa Lysis They were they.

23:12

They just cut away that lower eyelid

23:14

and the I pressure was down to

23:17

like the twenty five thirty range which

23:19

is. Much much safer.

23:21

That's. Saving. Someone's vision. So

23:24

shoutout to that Emergency Physicians out to

23:26

all of this emergency Physicians who do

23:28

that because they don't do that very

23:30

often. As. I know, for fact

23:32

it's Very. It's a challenging thing for them

23:35

to do because they don't get that opportunity

23:37

to do that very often and as said,

23:39

scary as well. There

23:41

been a couple times when I

23:43

just happened to be in the

23:45

emergency department. Susan and training. ah

23:47

I just happen to be there

23:50

when a patient needed one and

23:52

everyone gathered around there was like

23:54

I was doing this. This lateral

23:56

cantata Me A has the ophthalmology

23:58

residents and like every emergency. The

24:00

position and the department was

24:02

like watching because it's rare

24:04

So. A way that was

24:06

exciting. I didn't actually do the treatment but

24:09

I heard about it afterwards and got their

24:11

patients to see me and clinic the next

24:13

day. Ah actually no sorry that one I

24:15

I went in to see that basin sorry

24:17

that's because it's still a pest haitian for

24:19

me. So I went and saw the patient

24:22

and as your made said looked for the

24:24

other injuries and everything so a way that

24:26

I was very exciting that was That was

24:28

like. That's. Enough for

24:30

one night. Really? That's enough for

24:32

a whole week to be honest.

24:34

the rest of the week when

24:36

pretty routinely. I had a viral

24:38

conjunctivitis case I got called about

24:41

an emergency department. That patient followed

24:43

up with me the next day.

24:46

And as that meal as interesting talk

24:48

about. ah but one thing was very

24:50

interesting. Ah, I had

24:53

an eyelash extension case.

24:56

I've. Been needing to talk about this for a.

24:59

Because. I'm so

25:01

I'm sitting this more and

25:03

more. Because the

25:05

eyelash extensions are very popular these

25:07

days, I think we all know

25:09

that we all see a lot

25:11

of people that have i like

25:14

extensions. Ah well, a lot of

25:16

sometimes. They end up in my

25:18

chair and my clinic or an

25:20

emergency department because they're having some

25:22

kind of problem. Reaction.

25:24

Typically as to the glue. The.

25:27

Glue for my last extensive less.

25:29

Talk about Glue. Eyelid,

25:31

Injuries Glue. Super Glue Eyelash.

25:34

Blue of this happens more

25:36

frequently than you'd think. I

25:38

bet a lot of emergency

25:40

physicians are listening probably have

25:42

seen this or some form

25:44

of this. so I'm. The.

25:46

Patient that I got called about well

25:48

as on call was a base who

25:51

had just at the earlier that day

25:53

had. Had eyelash extensions

25:55

done and the eyelids. words

25:57

were like swollen shut. So.

26:02

Those. Are you may not be familiar

26:04

with Alice extensions? basically the synthetic fibers.

26:06

That. Are at applied to

26:08

your natural lashes for this

26:11

is a cosmetic thing right?

26:13

So ah and. Usually.

26:16

Think to different ways to attach them

26:18

but the most common way too attached

26:20

is Alice. Extensions is using glue now.

26:24

Glue and the I does it

26:26

mix very well. Now there are

26:29

certain blues that we will use

26:31

during surgery. We use glue on

26:33

the I in fact but this

26:36

is special sino acrolein type like

26:38

as a special glue that safe

26:41

for the service of the I.

26:43

The glue that's use an eyelash

26:45

extensions is is not that and

26:48

so it's very important to keep

26:50

this blew out of the I

26:52

because it contains chemicals. Like

26:55

formaldehyde. even the lead.

26:57

Been zoellick acid. These are

27:00

not great for your mucus

27:02

membranes. In. Particular the

27:04

I Okay so ah.

27:08

Appease their patient. I can't come

27:10

in and was clearly having a

27:12

reaction to whatever glue was applied.

27:14

so. Let's

27:16

just go over some of the things that can

27:18

happen from this glue. So.

27:21

Basically. You. Can get.

27:23

It, it's It's like an allergy

27:25

sufferers are certainly. Oh, it's that.

27:27

That's one thing that can happen.

27:30

You can get an L Like

27:32

what we call an allergic bluff,

27:34

right? A spliff rises, inflammation of

27:36

the eyelid that the you get

27:38

redness, itchiness, irritation, swollen eyelids and

27:40

that can happen of hours. It

27:42

can even happened days after you

27:44

get the eyelash extensions applied. And

27:47

so the older like a said as

27:49

harmful chemicals formaldehyde I'd actually the look

27:52

it up. what's what's an. Eyelash

27:54

Glue freakin' Formaldehyde. It's

27:57

like when how you preserve frogs

27:59

and endured by high school science

28:01

class. I mean come on. Formaldehyde.

28:04

On the I as I kissed You gotta be kidding

28:06

me. Anyway, all these

28:09

allergies. these are all allergens. I

28:11

can cause your immune system to

28:13

go crazy and get real big,

28:15

swollen, irritated, itchy eyelids. You.

28:19

Can also get that glue can get

28:21

on the surface of the eye and

28:23

cause. Cause erosion

28:25

of the cornea. Ah it can

28:27

also cause you don't to permanently

28:29

lose your eyelashes. if the inflammation

28:32

get so deep and the eyelid

28:34

that it affects the hair follicles

28:36

you may have actually losing some

28:39

your eyelashes or it and thus

28:41

the opposite of what you want.

28:43

So the point is. With.

28:45

I like I'm not gonna go see her

28:48

until you shouldn't get i last extensions because

28:50

of. Their. There are worse

28:52

cosmetic procedures for the I out

28:54

there, and the vast majority of

28:56

places do it well and safely

28:58

to prevent any of that glue

29:00

from getting onto the surface of

29:02

the I or really even touching

29:05

the skin. I guess at that

29:07

that's really what you want, you

29:09

don't you wanna? Put those

29:11

I last extensions. Not right. On.

29:14

The skin of the eyelid a little bit

29:16

up above the skin so it's you're you're

29:18

just applying the glued to the i last

29:20

and not to the to your actual skin.

29:24

And. So most places do fine with

29:27

that. But. This. Is not

29:29

like a super well regulated thing

29:31

right? Like I don't know. I

29:33

I've never had them done. So

29:35

how do people choose what places

29:37

to get eyelash extensions? I don't

29:39

know. That

29:41

had you control for a what kind

29:43

of products they're using, what can a

29:46

glue they're using? I don't think there's

29:48

a way to do that. I'd I

29:50

don't know. So you can be really

29:52

careful and there's some some preventive things

29:54

that you can do that they can

29:56

help with. This. Are

29:58

you wanna avoid the big? The

30:00

thing is, avoid washing your face.

30:03

Or the first few hours after these

30:05

extensions are applied. That's one thing if

30:07

you're gonna get I extensions personally I

30:10

would say don't bother doing it, but

30:12

if you're gonna do it. You

30:15

want to avoid getting your face

30:17

wet for the first few hours

30:19

because it sometimes it takes. Like

30:22

four. Hours Six hours for the

30:24

this glue to to to solidify completely

30:26

and self Youths If you wash your

30:28

face you get water in your face

30:31

you go swimming or something than that

30:33

glue still liquid and it can it

30:35

can tell you get into the i

30:37

am cause lots of problems side so

30:40

does the biggest thing or and and

30:42

maybe like read the google reviews I

30:44

don't know talk to friends like go

30:47

to places that that you feel like

30:49

you can trust. I wish I had

30:51

a better. Way of helping you

30:53

determine how to trust. Likes an eyelash

30:56

extension place but I'm that as I

30:58

can help you there. Just do your

31:00

due diligence l I should say and

31:02

if you ever on the stance. Maybe

31:05

don't do it. I don't know because

31:07

I am me. I'm biased because as

31:09

an ophthalmologist, I see it when it

31:11

goes wrong and none of this is

31:14

like permanently scarring. That's why I'm not

31:16

like railing against a like I do

31:18

eyeball tattoos. You know nothing here is

31:20

going to have Ilyce extensions. even if

31:22

you have a reaction to them like

31:24

you're gonna be fine or I'd never

31:26

seen some would go blind or even

31:28

close to it from a reaction to

31:30

I last extensions. but it can land

31:32

you in the Emergency department because you're

31:34

you're You're. In pain and you're not sure

31:37

what's going on, but it's probably that people

31:39

are reacting to the glue. So.

31:42

The other of a as it

31:44

is also reminds me of the

31:46

other kind of glue injuries that

31:48

I have seen from time to

31:50

time which is a super glued

31:53

to the I super glue. Ah.

31:56

Yes, It is. It'll happen every so

31:58

often where someone will come in and. You

32:00

know, The most likely

32:02

reason is because they get their I

32:04

jobs mixed up with Superglue who had

32:06

spring is made for my eyeball tip

32:09

of the week. Don't keep your eye

32:11

drops in your superglue in the same

32:13

place in your house. If.

32:15

we have like a drunk just had drunk

32:17

a junk drawer which we all have a

32:19

junk drawer and right I got a doctor

32:22

just junk junk drawer to but it just

32:24

drawer of as it is not a place

32:26

where you want to keep stuff that you

32:28

are supposed to apply to your eyeball and

32:31

stuff you're not supposed applaud your i so

32:33

keep the that the i'd drop. Shaped.

32:36

Bottles away from each other. Unfortunately, a lot of

32:38

superglue bottles look kind of like eyedropper bottles and

32:40

so you get people that don't see very well

32:42

and they can grab the wrong thing. They put

32:44

a job a super glue and their i. Is

32:47

always really scares people. But you.

32:50

Might be surprised to know that even gorilla

32:52

glue like super like the super glue. that

32:54

stuff will not make it go blind. Worst

32:56

case scenario, you get a corneal abrasion. But.

32:59

Your I scared about it because what

33:01

was what's the first Syria? Do you

33:03

feel something going? Your I like oh

33:05

that's.in I drop. That's. Something else

33:08

you close right? As which

33:10

go, that's a reflex. You close your eye

33:12

on. what is that? you're trying to wipe

33:14

it away. but it's freaking super glue and

33:16

so it were. Acts very quickly and so

33:18

all the sun. oh. Crap. I

33:21

can open my eyes and people freak out.

33:23

So they go in emergency that we as

33:25

understandably right. Like if you don't know anything

33:27

about this you're going to be scared about

33:30

the so they freak out they go in.

33:32

And. Most I'd say most emergency

33:35

physicians are pretty good about that skill though.

33:37

Try that to open the I Emanuel eased.

33:39

Use their fingers to try to get the

33:41

eye open or if you can't get it

33:44

open. I've gotten calls about this. The

33:47

reason the I is is closed

33:49

and unable to open as because

33:51

it's just because the eyelashes are

33:53

glued down. The. Upper eyelashes

33:55

are glued down to the lower eyelid

33:58

or the eyelashes are glued together. So

34:01

it's not that the idol lid

34:03

is glued like onto the eye

34:05

and you can open is is

34:07

because the lashes are glued down

34:09

and so the easiest way to

34:11

get die open cystic. Caught

34:13

the eye lashes. Now. People are

34:16

gonna like the color sacrifice. My last know

34:18

grow back I promise I'll isis go back

34:20

but it off. If you just trim the

34:22

eyelashes you can get the eye open real

34:25

easy. Yeah. And then just rinse

34:27

the eye out. Login! That glue Il

34:29

is actually superglue as much closer to

34:31

the type of glue that we use

34:34

an eye surgery. Compared

34:36

to like eyelash extensive glue. That being

34:38

said don't That doesn't mean you can

34:40

use put Zuberbuhler in your i don't

34:42

do that like the never reason to

34:44

do that but my point is is

34:46

not have a glue that you're you're

34:48

not gonna go blind from it or

34:50

I'd so really no type a glue

34:52

you're going to go blind from arms

34:54

by by. just didn't even say that

34:57

because I don't give anybody reason to

34:59

feel complacent about glue and their i.

35:01

It's is a it's not a good

35:03

thing or I suggest just again. Don't.

35:06

Do that I will tip of the week

35:08

typically to who in the garage somewhere else?

35:10

where are you near not going to be

35:12

the or in his and nowhere close to

35:14

your I draw bottle. Or

35:16

it. That's about all I can tell

35:19

you about glue and the I. So

35:21

that was my colleague. Not too bad.

35:23

I went in twice over the course

35:25

of a week. And. I'm

35:28

sure there's gonna be people who have much busier

35:30

colleagues are like I can believe is complaining about

35:32

I'm not complaining you guys are not the plane

35:34

and I recognize. I'm. Very lucky.

35:37

I'm very fortunate also that I work

35:39

with extremely capable emergency positions that are

35:41

are able to take care of a

35:43

lot of things that we work well

35:45

together. I can help them out over

35:47

the phone to us. I can't easily

35:49

get the split lamp work and but

35:51

that's a whole other issue. Ah n

35:53

n they do great. They can take

35:55

care of a lot of things and

35:57

but you know I can then when

35:59

I need to a game and a

36:01

couple times. It's mostly the

36:03

phone cause lots of phone call them answer

36:05

and over the course of the week self

36:07

but again three weeks a year I can't

36:10

really complain so that's my colleagues. Ah thank

36:12

you all for listening. I'm your host Will

36:14

Flannery Elsinore doctor gotten blog and thanks to

36:16

executive producers Aaron Corny, Rob Goldman and South

36:19

Zebra. At an age near the some parties

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or music is my own Edmunds V against

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he can let me know if you have

36:25

suggestions for for for upset ideas you want

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to. This was this is Carl all over

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the place so I didn't have one unifying

36:32

theme. It was just I just I

36:34

just turn on the camera. started talking

36:37

so sometimes that's the way it's gotta

36:39

be. And congratulations all people that matched.

36:42

All the messages that matched us. It's as

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I'm so excited for all of you and

36:46

those who didn't match. You

36:49

will. You'll get there, you get there. There's

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are so many examples of people that didn't

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match that came back the next year or

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the year after that and they made a

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work of in. This gets a killer but

37:00

longer if you have to do some extra

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things. some research and fellowships, Whatever. But

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but you'll get there if you want

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it, you will get there we need

37:10

Doctor said: don't give up or I

37:12

see not a failure. This is a

37:14

you're not The only one has failed

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to match some of it's not even

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up to. You write a lot of

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the sobs us a match it's an

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algorithm and were at the mercy of

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the algorithm sometimes and and so just

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keep your head up and keep going

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or ice. I wish all you the

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best and I will see next time.

37:33

I like high as a human contact

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production thick Iran.