How to choose a Pediatric Opthamologist for your child?

My experience with 2 Pediatric Opthamologists recently with K’s eye condition have shown me that not all Opthamologists are equal. By this statement, I am not referring to their qualifications.

M was the first opthamologist that I found on the internet, highly recommended by people I don’t know. While F was the second opthamologist that  I also found on the internet, which was recommended by a friend J. Her recommendation came very timely when hb and I were confused and unsure of M’s diagnosis of K’s condition. (Thanks J for sharing your experience and recommendation, it was truly God-sent!)

So here’s what I learnt from our experience thus far :

 

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  • When to consult an optomologist?

– When your child’s left/right eye is rolling into a squint uncontrollably and he/she is complaining of blurred vision (which was what happened to K the evening before we saw M)

– When you notice that your child may be turning his head to the left or right, instead of facing his face front when watching TV, drawing or reading

– Frequent rubbing of eyes and squinting

– A child who used to be a premature or low weight baby

– If your child is below 6 years of age. Eye conditions can be hard to determine by an optician, especially if the problem is beyond short-sightedness.

 

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  • Don’t trust what forums say (Especially when it is an Expat forum, and you are not an Expat)

I settled on M after I did a search online and ended up on an Expat forum, Incidentally F was also mentioned in the same forum, but in my anxiousness decided on M. When I found the clinic’s details online, I assumed that it must be good, after looking through the specialist doctor’s qualifications, experience and the location of the clinic. This decision was influenced by my experience with a very competent dermatologist in the same building.

Incidentally, M’s name is also recommended in a local motherhood forum with a thread discussion about some moms with kids with eye conditions.

So regardless of the type of forum, don’t trust what you read in forums. Make sure you do your necessary research and go with your instinct.

 

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  • Be cautious when the premises are too big

The first thing that striked me when I first entered M’s clinic was how big it was, there were 4 testing rooms, 1 big consultation room equivalent to the size of 2 regular bedrooms in a HDB flat floors of seating areas, a display area of frames that was for sale (which I noticed hardly anyone bought frames from M’s clinic, despite spending a combined 7 hours sitting in the clinic for 2 visits).

M’s clinic has an area that has rather decent toys, complete with Lego and a pretend kitchen, good for entertaining kids for some time. But with an average of 3-4 hour wait, kids will eventually get bored with the toys.

F’s clinic on the other hand, is a modest 50% the size of M’s clinic, which is in dire need of new toys for the kids. However  F’s clinic gets extra points from me for having the latest copies of Natural Geographic for the parents.

So I digress too much.

Back to the point. M’s clinic is located in a medical centre of a mall, while F’s clinic is in a medical centre of a hospital. This difference in size and location could likely explain the difference of the cost of consultation fees. M’s consultation fees was at $200 vs F’s fees at $80, so I felt quite ripped off by our visits to M’s clinic.

Do be prepared to fork out more for consultation fees, if the doctor is located in a central shopping mall (an atas one at that) and have a huge premise.

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  • Higher priced does not mean that it is superior

Most people might have the impression that a more expensive doctor will mean that his/her expertise might be better than another which might be priced slightly lower. My experience with the 2 Opthamologists have shown that a higher price ≠ superior service.

A higher price might mean higher overheads, more expensive equipment or simply a more business minded doctor. The more business minded a doctor could also mean that he/she will take less effort and care with each patient he/she comes into contact with.

 

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  • Be even more cautious when the doctor will not do any tests

M’s clinic was bustling with patients and he had almost 7 more Optometrists and Opthalmic Technicians working with him in the clinic. However, M solely depended on the tests done by his staff in the clinic and did not conduct any additional tests himself. His diagnosis was given based on the results of the tests done by his Optometrists.

While F had 2 Optometrists and K underwent 2 repeated set of tests with F’s Optometrist in our visit to her clinic. F conducted a separate set of eye tests for K in her consultation room, then demonstrated and explained how the treatment will work to address his eye condition.

Having the doctor ascertain his eye condition with her own tests gave us the confidence we needed in her diagnosis. Read here for a more detailed account of our experience with both Opthamologists.

 

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  • Always seek a second opinion

Despite ending up with the same diagnosis and treatment from 2 different doctors, hb and I were able to understand alot more about K’s eye condition from two different perspectives. Would it have been possible to have saved the money spent on our visits to M? Probably not.

Specialists or doctors are not created equal. The care and effort that they take for their patients will make the difference. And when it comes to our children’s health and well-being, I rather err on the side of being overly cautious.

 

Do you seek a second opinion when consulting specialists for yourself or for your child? Or do you go with the treatment that is given by that one doctor whom you consult?

 

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The Hope for Health Part 2

Read Part 1 of post –

So what was diagnosed from our visit to the eye specialist?

K has an eye disorder known as Estropia in his left eye which will become a permanent squint, if it is not addressed early in his life.

K’s eye disorder is a type of acquired estropia, as he is not born with the condition. He has perfect 6/6 vision on one eye, but slightly long-sighted on the left eye. Infants are actually borned with infantile estropia (long sightedness) in both eyes and will start to grow out of before they turn 7-8 months of age. Estropia was developed in his left eye when one eye gained his perfect sight earlier than his other eye, but he continued to have an over-reliance on the right eye and depended less on the left, hence, the term ‘lazy eye’ is used for this disorder.

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The good news is that this condition is not neural related, phew! At 8-10 years of age when child’s eyes reach visual maturity, if discovered at an early stage, 60% of children with this condition will be weaned out of this problem (weaned was the exact word used in the handout that the eye specialist gave to explain the cause of this disorder).

He needs to wear glasses though (sob! which I teared over. I know I am being an idiot to cry over this, but I used to hate wearing glasses while growing up. It’s a vanity thing!). As well as an eye patch to cover his right eye for an average of 1-3 hours a day, so that he can train himself to use his left eye.

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I still get upset thinking that my boy needs to wear glasses, as I have been making the effort and taking the precaution to teach him to take care of his eyes. Maybe it is this unrealistic expectation of perfection that I strive for in my child, which makes me upset after hearing that my child has a disorder of any kind, despite being a mild condition.

Hb put it very aptly, “He is not perfect, but he is still our precious boy isn’t it, I am just thankful that it was not diagnosed as a neural issue or a terminal illness and he still will have a chance at having perfect eyesight eventually.”

“But how is he going to play sports well when he wear glasses?” I was diagnosed with short-sightedness at lower secondary and I used to think that was a major liability that I had for sports, as I was a school sprinter and I loved playing ball games.

Hb chided me and said, “There are sports glasses these days and many sports people do not have perfect eyesight. Despite that, they are still able to play their sport exceptionally well.”

I really should stop thinking about what I want my child to become, but to ensure that he will be able to adapt to this change that has been introduced in his life.

K is not perfect and I should not gripe or complain about this little imperfection that he has. I am simply very thankful that he is a very healthy boy.

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It has been an emotional roller-coaster for me these few days, but a good reminder for me that imperfect humans like us, often need to experience lack to remind us that we cannot fully depend on ourselves. Perfection and conceitedness is a problem for the human spirit, as it tends to make us forget that we are fallible.

Our need for humility and our imperfections are the very things that will remind us that we need to turn to a big and perfect God that we can still depend on, despite the ambiguity life brings.

 

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The Hope for Health Part 1

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For those friends who have read my FB status on Friday, this is what happened.

K fell asleep in front of the TV before dinner on Thursday evening, when we woke him up, he left eye started crossing uncontrollably, as his left eye ball kept moving to the centre. It went on for almost half an hour and K complained of blurred vision in his left eye. We brought him to GP immediately for a diagnosis. 

The GP highlighted that his nasal passage seemed to have swelled to double its size, which possibly explained the blur-ness in vision, but not the crossed eye problem. We were then advised to consult a specialist’s opinion for a more accurate diagnosis. 

Worst case scenarios ran through my mind that evening. Could it be a neural issue that was causing the eye problem and why did his nasal passage swell up when he was not experiencing a flu or infection? 

Obviously there were no answers at that moment. I tried to think more positively, did a google search and found that the uncontrollable crossed eye condition could be caused by an Ocular Migraine or a lazy eye (Estropia), rather than a neural condition, stroke or brain tumour.

We went to see 2 specialists on Friday afternoon to find out the diagnosis of his nose and eye condition.

After waiting for close to 3 hours combined in 2 busy clinics, and undergoing close to 2.5 hours of tests. 

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The ENT Specialist said that his nasal passage looked normal, just that his adenoids will tend to swell up and obstruct his breathing when he gets a flu. But since K was not experiencing a flu infection or stuffy nose at this moment, his adenoids were perfectly normal.

While at the Eye Specialist…

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Eyecom2

To be continued.

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