Busy Busy Busy!!

I have been just ridiculously busy.  Friday, we attempted a geography lesson after our bible readings and E could not stop rubbing his eyes.  He often wakes up with red eyes but he has reallyEeyes bad allergies.  However, never has it been this bad 2 days in a row.  I tried his usual prescription eye drops and they weren’t working.  I decided to ask friends for eye doctor suggestions being that we had been with the current doctor for a year with no real diagnosis, and the doctor refused to do a prior authorization for the insurance so we ended up with less effective eye drops.  This one doctor in another town was recommended to me, so I called at 11:20.  They closed at noon!  The receptionist called me right back and said “Come in ASAP, the doctor said he’d see your son before we close.”  Over the moon happy and thanking God that this doctor actually cared, we jumped in the truck and got there at noon on the dot.  I explained that we’ve seen the other doctor for a while with no real diagnosis or course of action, just these eye drops that keep changing.  Well, that’s when this doctor got serious and did all kinds of tests and looked at my son through many difference machines and lenses.  We finally got a diagnosis of vernal keratoconjunctivitis.  From the web:

Vernal keratoconjunctivitis (VKC) is an allergic eye disease that especially affects young boys. The most common symptoms are itching, photophobia, burning, and tearing. The most common signs are giant papillae, superficial keratitis, and conjunctival hyperaemia.

Patients with VKC frequently have a family or medical history of atopic diseases, such as asthma, rhinitis, and eczema. However, VKC is not associated with a positive skin test or RAST in 42–47% of patients, confirming that it is not solely an IgE-mediated disease.

The clinical management of VKC requires a swift diagnosis, correct therapy, and evaluation of the prognosis. The diagnosis is generally based on the signs and symptoms of the disease, but in difficult cases can be aided by conjunctival scraping, demonstrating the presence of infiltrating eosinophils. Therapeutic options are many, in most cases topical, and should be chosen on the basis of the severity of the disease. The most effective drugs, steroids, should however be carefully administered, and only for brief periods, to avoid secondary development of glaucoma. The long-term prognosis of patients is generally good; however 6% of patients develop corneal damage, cataract, or glaucoma.

The doctor gave us two eyedrops after I explained to him there will likely be a request for a prior authorization.  He filled out that paperwork and faxed it in front of me for the daily maintenance allergy eye drop and the steroid eye drop that came with very specific instructions.  We leave and head straight to the pharmacy where I am told the insurance will not pay for either, they are $150 a piece.  I called the doctor’s office PRAYING he was still there.  He wasn’t but his receptionist was.  He had left to go to another office to see other patients.  I explained what happened, she said she’d get on it, so we left the pharmacy with just a few samples he had given us.  My poor E, he was practically crying and wanted to claw his own eyes out.  I gave him benadryl and an ice pack, it was all I could do.

An hour later, the doctor himself calls me to say he took care of the issue with the pharmacy, he redid the paperwork and yelled at the insurance HIMSELF and that it should be ready but to give the pharmacy at least another hour.  I went right before they closed and they hadn’t even gotten to it yet but the woman ran it through again and said “Yep they paid for it this time.”  GOD BLESS THIS DOCTOR!  As of this morning, E’s eye is almost completely clear and just a tiny bit swollen.  We were able to finish our schoolwork this morning with no problem.  Well, eye-related problem anyway.

On a personal level, I just finished my first week of Marketing class.  I had to write a part of a marketing plan for a product or service and I have no experience in this.  My faith in my abilities to do this project well doesn’t exist.  Then I thought, I am running circles around people who aren’t doing anything to better themselves — and that is motivation enough to keep on keepin’ on for me.  Homeschooling, taekwondo training, my own college work, looking for a job — I can do this.


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