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July 3, 2025 33 mins

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When Brad Weisman started seeing flashes of light in his peripheral vision followed by spider-like shadows crawling across his sight, he knew something was seriously wrong. This frightening experience leads to an enlightening conversation with optometrist Dr. Mervet Hachem about the critical eye emergencies we should never ignore.

Dr. Hachem explains that Brad experienced a posterior vitreous detachment—a specific type of floater that occurs as the gel in our eyes liquefies with age. While uncomfortable and visually disruptive, these floaters themselves aren't necessarily dangerous. However, for people with high myopia (severe nearsightedness) like Brad, they can signal an increased risk for retinal detachment—a true emergency that can lead to permanent blindness if not treated within hours.

Through fascinating explanations of eye anatomy using visual models, Dr. Hachem demystifies common conditions including cataracts, glaucoma, and dry eye syndrome. She reveals surprising facts about vision health: the three-layer composition of tears (oil, water, and mucus), how UV exposure accelerates cataract formation, why polarized sunglasses offer superior protection, and how modern cataract surgery can simultaneously eliminate the need for distance glasses by implanting customized prescription lenses.

The conversation takes unexpected turns into seasonal challenges like allergies and environmental irritants, innovative treatments like punctal plugs that block tear drainage to combat dry eye, and the potential permanent damage caused by viewing solar eclipses without proper protection. Throughout, Dr. Hachem emphasizes that many serious eye conditions develop silently without symptoms until significant damage has occurred, making annual comprehensive eye exams essential for everyone—even those with perfect vision.

Whether you've experienced concerning eye symptoms yourself or simply want to protect your precious vision for decades to come, this episode provides crucial information about when to seek help and how to preserve your sight through proper protection and regular professional care. Your eyes are irreplaceable—give them the attention they deserve.



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Welcome to The Brad Weisman Show, where we dive into the world of real estate, real life, and everything in between with your host, Brad Weisman! 🎙️ Join us for candid conversations, laughter, and a fresh take on the real world. Get ready to explore the ups and downs of life with a side of humor. From property to personality, we've got it all covered. Tune in, laugh along, and let's get real! 🏡🌟 #TheBradWeismanShow #RealEstateRealLife

Credits - The music for my podcast was written and performed by Jeff Miller.

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:03):
from real estate affects the market as a whole,
which then sometimes will affectthe right.
You know the real life.
We all learn in different ways.
If you think about it, waynedyer might not attract everybody
, and everything in betweenmission was really to help
people just to reach their fullpotential the brad weisman show,
and now your host.

(00:25):
Brad Wiseman.
All right, wow, it is Thursdayagain.
Thursday, thursday again.
It's unbelievable.
So no, you know this is goingto be an interesting show.
Something happened to me.
This is several months ago, Ithink, actually we talked about.
It was around the Christmastime and I wanted to tell you
this, hugo, because this storyis pretty interesting.
I was, I was um my eye doctor,who is Mervet Hachem.

(00:48):
She said you know, if you everhave any issues, like if you see
any flashes of light, or if youever like, or um, you know, see
something that doesn't lookright, she had said, because
you're of your prescription,that you know there's that you
definitely want to let me knowif you see something like that.
So I'm going to take the kids toCCD and I'm seeing these little

(01:08):
flashes off to the right-handside.
Now it's raining, so I'mthinking it's probably just
somebody's lights, it's car orlightning.
Yes, exactly Something that'slike a car or something lights.
And then it keeps happening.
Then on the way home, I do this, I cover my left eye and I'm
like, okay, it's definitely justthe right eye.
This is kind of weird.
I get home I'm thinking, okay,it's going to go away, I'll wake
up tomorrow, I'll be fine.

(01:34):
So I, um, I, I start brushingmy teeth, which is good, so I
have good dental health to brushmy teeth.
And as I brush my teeth, all ofa sudden, this, like a spider,
starts going across my eye, likeinside my eyeball, and I was
like all right, this is.
This is not good at all.
So, thank goodness, we have afriend.
Her name is Mervet HM, she's anoptometrist and she's also she's
my optometrist and she's also afriend of the family and I said

(01:56):
to Jess do you have her phonenumber?
I need to get in touch with her.
Jess was like, oh, youshouldn't do that, you shouldn't
do that.
I said, no, I'm going to.
So I thought we got to get herin here because there's other
people that are going to begoing through.
So I want to introduce Mervet,how are you doing today?

Speaker 2 (02:11):
I'm doing great, thank you.
How are you doing?

Speaker 1 (02:13):
I'm good I can see.
Thank God.
Thank God is right, holymackerel, that was a scary night
for me.
I.

Speaker 2 (02:20):
I believe it.
Yeah, I believe it, yeah, it's.
Every time I hear the story.
It sounds pretty traumatic forthe individual.

Speaker 1 (02:27):
Right, and it was, it really was.
And Hugo didn't really care, Imean, he's just sitting here.

Speaker 2 (02:32):
No, I've seen those spiders too, when I was a little
boy.

Speaker 1 (02:35):
Oh, you did Okay Inside your eyes.
Yeah, oh, wow, it was very hotwhere I.

Speaker 2 (02:40):
So I will always tell my mom I was carrying like a
big chunk of wood.
And I would say my mom, my eyeshurt.
I said, no, you're just lazy,you're just lazy, oh wow, she
would just slap me in the head.

Speaker 1 (02:50):
No, just hurry up A little different.
Around here we don't do that.
That's pretty funny.
So you should have met Mervet,she would have helped you out.
She would have helped you out,she wouldn't have smacked you in
the head, but no, so that wasan interesting night.
The floater thing scared thecrap out of me.
I had floaters before.
We had those little ones thatyou'll see sometimes, but this
thing was like massive, likecoming over, and thank goodness

(03:13):
you know, we know you and youwere able to come in that night
into the office and checked itout and you saw it right away.
You're like whoa, this is a bigfloater.

Speaker 2 (03:22):
But thank way, you're like whoa, this is a big
floater, but thank god it was afloater.

Speaker 1 (03:24):
Thank god it was a floater.
What could, what could thathave been?
How bad could that have been?

Speaker 2 (03:28):
so the reason why I wanted to see you that night,
yeah because retinal attachmentsare time sensitive okay so if
you have a retina detachingsuperiorly from the top and it's
starting to come down, rightand then once it gets to the
middle of your vision and kindof takes that, that is a
different kind of detachedretina.
It's called a macula off retinaldetachment.

(03:48):
Once that macula which is apart of our eye where we get all
of our good vision from, oncethat's gone it makes the repair
of a detached retina much moredifficult and it could make some
pretty serious permanent visionloss.

Speaker 1 (04:01):
Right.
So if it was the worst casescenario, I could have gone
blind on that.
I right Crazy.

Speaker 2 (04:08):
Yep and so.
And then, how fast was I goingto get you in for a repair?
Yeah, so all of that it's alltimely, very timely.
It is, it's very timely, whichwhich makes making those
decisions of do you see now, Doyou see it tomorrow morning?

Speaker 1 (04:22):
Yeah.

Speaker 2 (04:22):
What do you do?
It makes all those decisions alot harder.
Now, a retina specialist willdecide, you know.
So if I would have called aretina specialist that night and
say, hey, I have a friend here,his retina is detached, they
would ask a bunch of questionsand then they might say okay,
well, I think we're good tilltomorrow morning.

Speaker 1 (04:39):
Gotcha, but you need all that information to get to
that point.
Yeah, and that's informationthat we just wouldn't have.
I wouldn't have that, Iwouldn't know how to tell
somebody that, well, I'm veryfortunate to have you as a
friend and be able to take thattext and that call, and it did
work out and it's still there.
I mean, I still see it and,like you said, it's something

(04:59):
that just really never goes away.
It kind of settles downsometimes and then sometimes it
kind of rears up.
You know what I've found tooand I wanted to talk to you
about this when I'm drivingduring the day, if I don't have
sunglasses on, it's reallyannoying Because I think all the
bright light is making thatshadow in the back of the retina
Like a white wall or a blue sky.

Speaker 2 (05:19):
Oh, it's horrible, like if you're in a bathroom.
Oh, horrible if you're in abathroom oh yes, it's terrible.

Speaker 1 (05:22):
That's it.
Brushing my teeth is where Ireally see it so that's why,
that's why you, that's why youcalled me after you brushed your
teeth?

Speaker 2 (05:29):
because you were like oh, wait a minute oh, it was
just so vivid.

Speaker 1 (05:31):
I mean it was.
It was not like I thought atfirst.
There was literally a bug goingacross the mirror when I was
brushing my teeth and I'm like,wait a minute, that's not a bug,
that's inside my eye and I'mthinking, oh man you know a lot
of people describe it as cobwebs, yeah, or a bug, or I'm like
swatting at a fly that's notactually there.

Speaker 2 (05:48):
You know a lot of people describe it that way.
It's the.
Is there a curtain or veilcoming down over your?

Speaker 1 (05:53):
vision, yeah, yeah yeah, you know, the flashing
lights happen with a floaterokay, and they also happen with
a detached retina oh, so it doesit on both yep and then
sometimes the kind of floaterthat you had can also detach
your retina later.

Speaker 2 (06:05):
Oh, jesus, remember I had to see you back.

Speaker 1 (06:07):
Yes, that's right, yeah I came back and you even
said there was a little bit ofbleeding.
Uh, in the back of there tooremember, that's right you did
and then it healed.
But by the time I came in threeor four days later, that had
already dissipated was gone.

Speaker 2 (06:18):
Yeah, yeah, yeah crazy yeah, it's amazing.

Speaker 1 (06:20):
It's amazing.
Well, you know, and something,let's talk about this.
You had said the reason that Ihad that was because I'm so my
eyes are so bad.
My right eye is really bad.

Speaker 2 (06:30):
So let's talk about that, the reason why you had a
posterior vitriol detachment,which is what yours was called
the special kind of floater isbecause the back part of the eye
is filled.
So when I say the back, let mebring out my trust.

Speaker 1 (06:44):
Oh, we got, we got.

Speaker 2 (06:50):
Oh, you could show that up there too.
Look at that, look at that.
Yeah, there you go, this entireback part.
So this is the front, this isyour cornea.

Speaker 1 (06:53):
This is the part that we can where you put your
contact lens on.

Speaker 2 (06:56):
Um, and then this is the lens, that's inside yeah.
We'll talk about cataractslater.

Speaker 1 (07:00):
Yeah.

Speaker 2 (07:01):
This whole back part where your retina is, this whole
, it's just.

Speaker 1 (07:05):
You know it's fluid right.

Speaker 2 (07:07):
So it's like a gel fluid gel.
And then what happens is thatgel fluid as we age.

Speaker 1 (07:13):
Yeah.

Speaker 2 (07:13):
And when we get to a certain age it will start to
kind of that gel fluid, willstart to like liquefy.
And when it liquefies, itcontracts and kind of comes
forward off the back part of theeye.
So then you get this specialkind of floater called a
posterior vitriol detachment,which is what you got when it
finally pulls off the back ofthe optic nervous Gotcha.

(07:35):
So, and because that opticnerve is smack dab in the middle
back there you, that floater isannoying, because it's right in
the middle of your vision.

Speaker 1 (07:43):
Yeah.

Speaker 2 (07:43):
So that is the kind of floater that you had, but
because of how nearsighted youare, I was petrified that it was
actually a detached retina.

Speaker 1 (07:53):
Because you said I'm more prone for that because of
the fact that my eye iselongated.
Correctly.
Correct, that eye's done.
Correct.
That person can no longer seeit's over for them so correct.

Speaker 2 (08:07):
Your eye is longer because you're nearsighted.

Speaker 1 (08:09):
So your eye is longer .

Speaker 2 (08:10):
So that retina it's the same retina we all have, so
that retina is a really thin.
What's the retina?

Speaker 1 (08:15):
Yeah, let's talk about that.
Yeah, let's do the retina,let's figure out what it is.

Speaker 2 (08:19):
It's many layers, but very, very, very thin layers.
That is adjacent to the backpart of the eye.
That retina has a bunch ofcells and photoreceptors that
collect the light as it comesinto our eye and then it turns
that signal into something thatthe brain can read.
It's unbelievable.
So it sends those signals tothe brain through that optic

(08:42):
nerve and so that retina issuper important.

Speaker 1 (08:47):
Yeah.

Speaker 2 (08:48):
And that retina is there when we're born, and as
we're when we're born, our eyeis smaller.
So we're usually farsightedwhen we're born.
Oh, wow, and then we can eitherkind of stay farsighted, stop,
or become nearsighted.
Yeah.

Speaker 1 (09:01):
What makes it keep going?
I mean, is it just muscles andstuff?

Speaker 2 (09:05):
It's the same as like why are some people 6'5 and
some people?

Speaker 1 (09:08):
6'0.
Like it's encoded in your DNA,it's there.

Speaker 2 (09:10):
Yeah, and hereditary.

Speaker 1 (09:12):
So it is hereditary.
It can be oh, okay, it can beLike I don't know about your
children, but your amount of.

Speaker 2 (09:19):
Not going.

Speaker 1 (09:20):
Jess has good eyes, she doesn't she barely well, you
know you see her she barelyneeds glasses.
I mean, it's like nothing.

Speaker 2 (09:27):
But the amount of myopia that you have is
typically can be hereditary, Notall my mom and dad are both.

Speaker 1 (09:33):
that's terrible.

Speaker 2 (09:34):
Oh see, yeah, they're both terrible so the good news
is it would have probablyalready showed up in both your
children, definitely your oldest, I think we're good so far I
was wearing glasses at like,seriously, like really young.

Speaker 1 (09:45):
Yeah, like six, seven , yeah, probably Exactly I was
wearing contacts by like 10 or11, I think.

Speaker 2 (09:50):
Yeah, yeah.

Speaker 1 (09:51):
It's just it's great and it and it just kept getting
worse, you know over time butnow it's kind of settled in.

Speaker 2 (09:57):
I mean it's settled, yeah, thank goodness.
Jesus Dude, I wouldn't make itto the studio I mean, as you
were growing, it was reallychanging yeah because it kind of
goes with growth oh, it doesokay for a good.
I mean up until I mean the eyecan still change after you're
done growing.
But when you have your growthspurts you're going to have
those bigger changes.
So you know, between the agesof maybe 10 and 15, 16, we see

(10:22):
these big jumps usually that'swhen it was.

Speaker 1 (10:24):
Yeah, that's when I really went.
It went real fast.

Speaker 2 (10:26):
And then after a certain age.

Speaker 1 (10:28):
Oh, yeah, and I have that too.
Yeah, I have both of that,pretty much everything you know,
I don't know where this isgoing to end up.

Speaker 2 (10:34):
Maybe a dog at some point you know where it's going
to end up one of these daysyou'll be old enough and you get
cataracts.
That's what you keep saying,and then when they remove that
cataract lens, let's go back tomy trustee.

Speaker 1 (10:43):
Let's go look at this , the trustee.
I'm move your water bottlethere a second just so people
can see there you go.
If you're not, if you'relistening to this on on spotify
or something like that, she hasa little, actually a big eyeball
here that she's showing what,what these things are.
So if you get a chance, watchit on youtube so you can see
everything so the we're going togo from back to front.
This is the cornea, which isthat's where my contact goes

(11:06):
Exactly.

Speaker 2 (11:07):
And people think it's the color part of the eye, but
it's actually not the color partof the eye.

Speaker 1 (11:10):
It's clear, it's clear.

Speaker 2 (11:10):
Right and then behind .
That is the color part of theeye.
Behind the color part of theeye, which is called the iris.
Behind that is a lens.
So, this is the lens that willbecome cloudy with time.

Speaker 1 (11:22):
Gotcha.

Speaker 2 (11:23):
And this is where the cataract is that cloudiness?
Is a cataract.
Okay, that's what that is sothen this has a bunch of power.
You see how thick that is.
Yeah, that's crazy.

Speaker 1 (11:34):
So remember so it's that it's thicker.

Speaker 2 (11:36):
It's pretty thick.
So remember many years ago,when you would see an older
person and they would have Cokebottles.
Oh, you would see an olderperson and they would have Coke
bottles.

Speaker 1 (11:43):
Oh, yes, yes.

Speaker 2 (11:44):
That was because they had this removed and they
didn't put an artificial oneback in, and so now they need
this.
Coke bottle.

Speaker 1 (11:51):
Oh my gosh.
Just to see, In order to see,oh gosh.

Speaker 2 (11:54):
So now we don't do that anymore.
They remove this, they put anartificial one in.
And guess what they do, Sincethis one has so much power to it
.
Let's say this is a plus 20.

Speaker 1 (12:02):
Yeah.

Speaker 2 (12:03):
And let's say your prescription is a minus 10,
which is pretty close to whereyou are.

Speaker 1 (12:06):
Yep, yep.

Speaker 2 (12:06):
They would just put a plus 10 in there.

Speaker 1 (12:09):
Get out of here.

Speaker 2 (12:10):
Fix your prescription up.

Speaker 1 (12:11):
Awesome, and then you don't need contacts, then For
distance.

Speaker 2 (12:14):
You'll still need something to read.

Speaker 1 (12:15):
You'll still need something for reading Right.
And we're very lucky and hewent in and he hasn't worn
glasses since then.

Speaker 2 (12:31):
Isn't it weird to see him like that?
But it was weird because as akid I was like maybe you should
put them back on.

Speaker 1 (12:36):
I'm not sure if I like your face without them, and
my mom even said my mom's like.

Speaker 2 (12:40):
I'm not used to you like this, I have some patients
that'll come back in and they'llsay my wife said I need to get
glasses I have to wear glasses.
Well, so they'll get.
They'll still get a bifocal, sothat's like maybe clear on top.
Maybe, there's a littleprescription left over and then
the reading part on bottom.
So they'll still wear them,because some people just don't
know who they are withoutglasses.

Speaker 1 (13:00):
And it's funny.
I just do not like.
Like I have glasses for atnight, which you guys set me up
for for when I'm watching TV orwhatever and at nighttime, but I
cannot stand doing anythingwith them on, like I don't know
how anybody can exercise withglasses on, or how do you like?
Here's my thing, puttingsomething together.
Yeah, like you know, during theholidays you're putting
something and the and they're,they're moving down and you got

(13:20):
to push them up.

Speaker 2 (13:21):
That drives me nuts and when you're sweating
sweating.

Speaker 1 (13:24):
It's horrible, they slide ever.
Yeah, I mean it's the best,it's the best.
But once I, once I get thecataract, then I'm doing that.
I'm doing that lens thing.
Yeah, that's definitely.

Speaker 2 (13:35):
And then there are other options.
With the cataract you can getlike a multifocal lens which
will correct your distance andyour reading.
Oh, wow, yep.
So there's I mean there's lotsof options.
I don't remember, but I don'tthink your astigmatism is real
bad.

Speaker 1 (13:46):
No, it's not bad at all, yeah, so those are that.

Speaker 2 (13:50):
You're having your shirt there.
Those are reading glasses.

Speaker 1 (13:51):
Yes, those are your old man glasses.
Yep, my old man glasses.
She had to say old man glasses,didn't she Unbelievable?
Yeah, these are my readingglasses.
But you know what they work.
They're like one and a quartersor something like that Works
perfect.

Speaker 2 (14:14):
There you go.

Speaker 1 (14:14):
Yes, I just finally found a really nice pair of red
reading glasses.
She is going to kill you forsaying that.
Yeah, so she'll be like I wishhe had more floaters.
No, she's good, she's good, solet's go into.
Here's some other stuff.
We just passed the pollenseason, so why do our eyes do
that watery, itchy, liketerrible is, and is there

(14:37):
anything we can?
We wash our eyes stuff?
Is there something you could doto get rid of the pollen?

Speaker 2 (14:42):
so it is, I mean, great question, just like why
does it if?
Why do allergies affect ournose?
Yeah, exactly, absolutely theyliterally get in there because
it's in the air.
Yep, so it literally gets inthere and you know's in the air?
Yep, so it literally gets inthere, and you know.
So you can actually have anactual allergy, you know,
infection in your eyes, or itcould just be really dry from
all of what's going on in theair Gotcha, even last year when

(15:04):
we had all those fires in Canada.

Speaker 1 (15:06):
Yes, we're having them again and we're having them
again.

Speaker 2 (15:08):
Yes, that was a rough time for a lot of my patients
too.

Speaker 1 (15:14):
Because same thing even though it wasn't pollen, it
was poor air quality, Rightyeah.

Speaker 2 (15:16):
And so you're.
You know that's going to get inyour eyes and it's going to dry
you out.

Speaker 1 (15:21):
That's interesting.

Speaker 2 (15:22):
So the itchiness is a difficult thing because that is
very hard to deal with.
So there are allergy eye dropsover the counter.
That you get and they'll takecare of that.
And antihistamine, just likeyou were taking your Allegra.

Speaker 1 (15:32):
And that works, that works Sure.

Speaker 2 (15:34):
But that dries your eyes out then too.

Speaker 1 (15:37):
Yeah, oh, right, cause it's an antihistamine.
It's actually a drying agent.
Yes, you're right, cause it'ssupposed to dry up your.

Speaker 2 (15:42):
So it's a very difficult thing to take care of.
So it's almost like, well,these are my allergy eye drops,
these are my lubricating eyedrops.
What do I do about all this?
So I mean, there's lots ofthings that we can do for dry
eye to kind of help, but the theI feel like 17 years this month
I've been in practice.
Good for you, I know it's crazy.

Speaker 1 (16:01):
Like lots, a lot of eyes, a lot of eyeballs.
It is a lot of eyeballs.

Speaker 2 (16:06):
So I feel like the dry eye situation is just
getting worse.
Wow, every year that I'm inpractice, I'm like the dry eye
situation is just getting worse.

Speaker 1 (16:12):
Wow, every year that I'm in practice, I'm like how
Well you hear it on the radio oron XM.
All the time they're talkingabout dry eye.
But what is?
Is dry eye the symptom ofsomething?
Or is it something that's wrongwith your eye, or what is it so
?

Speaker 2 (16:26):
it's something that's wrong with your eyes.
So you can have dry eyetemporarily from like a fan
blowing.

Speaker 1 (16:30):
Yeah, yeah, have dry eye temporarily from like a fan
blowing yeah, yeah, yeah, youknow.
And then like until youreplenish it.

Speaker 2 (16:33):
It's dry, it's good yeah you can have dry eye
because you don't produce enoughtears oh so those tears are
going to come out from thesepores those are people that are
heartless, by the way.

Speaker 1 (16:42):
They don't have, they have no heart, they don't cry,
they don't just kidding, goahead so.
So it's from just not producingof tears.

Speaker 2 (16:50):
So your tear duct or the tears that you do produce
don't have enough.
So there's three layers in yourtears a fat layer, an oil layer
and a watery layer Unbelievable.
And if you don't have, ifthere's too much, not enough oil
, then it won't stay on and itwill evaporate a lot faster.

Speaker 1 (17:09):
Oh interesting.
Okay, so you can have so it'snot just salt water evaporate a
lot faster.
Okay, so it's not just saltwater, it's actually.
It's not just like a saline,it's actually oil in there to
keep it so it doesn't dry.
Correct, so?

Speaker 2 (17:17):
if you don't, if something's wrong with the
chemistry of your tears.
Let's put it that way thenyou're, you might dry out faster
.
So I have horrible dry eye.
Oh, no way no fan can ever bepointed towards me.
Wow, I would never be able towear contact lens.
Really, I wouldn't even be ableto tolerate it.
Yeah, you're very lucky thatyou don't have dry eyes.

Speaker 1 (17:32):
Yeah.

Speaker 2 (17:33):
Yeah, cause I would not minute.
It goes on there, it just takeseverything out All the moisture
Yep.
Yep Everything that I have onthere, it takes it out.

Speaker 1 (17:40):
That is so crazy right.

Speaker 2 (17:41):
So I actually put a little piece of collagen, little
, tiny little piece of collagen,in this little hole in the
bottom part of my eyelid calledthe puncta.
I put a little piece ofcollagen in there and it expands
.
And then after a couple monthsit dissolves.
And then I put enough piece ofcollagen in there.
How do you get collagen inthere?
They're called puncto plugs.
It's an actual thing.
I do do this at my practice.
You're kidding me?

(18:02):
I swear to.

Speaker 1 (18:02):
God, you put little plugs in the tear duct.

Speaker 2 (18:05):
Yep, so it's called a puncta and that actually helps
it, because, think about it, I'mclogging the drain.
The tears drain out of thathole.
It goes to the back of the noseand the back of the mouth.
So I'm clogging that drain.

Speaker 1 (18:19):
Oh my gosh.

Speaker 2 (18:20):
And then the tears I am producing will at least stay
on my eye.

Speaker 1 (18:23):
Unbelievable.
That's crazy, yeah,unbelievable.
And so there's also.
I had one of these before.
I had like, wasn't it just asty?
It was in the middle, it wascalled chalazion, I think it was
called.
Had one of those and had itremoved, had it surgically
removed.

Speaker 2 (18:37):
So usually it starts off as a sty or what we call a
hortiolum, and then it canharden.
That's what happened.
And when it hardens, it'scalled a chalazion.
He said there's nothing you can.

Speaker 1 (18:47):
It was in the top and I remember him saying to me he
goes, this is going to feel likea little bee sting, right, I
don't know what kind of beesthis guy got stung by, because
this I gripped the chair.
I gripped the chair and I wentah, and he goes, I go.
I said you need to check outthe bee sting story because it's
not true.
It's not true.
No, and he did, but then oncehe cut it, got it out.

Speaker 2 (19:08):
It was fun, but yeah, you know it's not the most
comfortable thing.
It was not fun, but if youdon't do that, it'll stay there
forever.

Speaker 1 (19:14):
Right and well, and it was very annoying.
It was very sore and annoyingand stuff like that.
So let's move on.
So we got summer coming up.
Yeah, what are we supposed todo to protect our eyes from the
sun?
I mean, we're always trying toprotect our skin.

Speaker 2 (19:25):
We're trying to it up .
Right, you got to put yoursunscreen on, you got to put
your sunglasses on.
So UV protection sunglasses arebetter than nothing.
Polarized sunglasses are evenbetter.
That's what I have.

Speaker 1 (19:38):
Like a Ray-Ban or what's the other one.
There's a bunch of othersunglasses that have the really
good stuff.

Speaker 2 (19:45):
So nobody's going to do this but, the best thing
would be those old-fashionedcataract surgery sunglasses your
dad still have a pair, thosebig dark ones.
Well, think about it it'sprotecting from all angles.

Speaker 1 (19:56):
Yeah, that's a real sexy look on the beach, by the
way.
What do you think, hugo, shouldwe get some of those?

Speaker 2 (20:01):
Oh, my gosh, I'll bring some by.
Yeah thanks, I appreciate that.

Speaker 1 (20:05):
And imagine the tan line too.
You go to dinner that night.
It would be on the side.
It would look like you stillhave them on.
Oh my gosh, no way.
So you said those actually are.

Speaker 2 (20:15):
They're that good for for protecting for you
absolutely, because they'reblocking like all like I mean I
wear fashion sunglasses who am Ikidding, you know I mean, but
like you know, absolutely, I canalways tell a difference when I
have, like, my aviators arelike real thin, yes, on the
temples and stuff.
You know more sun's getting inand I I have some that are
thicker and.
I can definitely feel like I'mbeing better protected.

Speaker 1 (20:37):
And when you're laying down on the sand and
you're you're trying to get atan or whatever, you're out
there and you know you'reabsorbing the sun, because sun
is good to a certain point.
Yeah, you need to have those on, not just closing your eyes.

Speaker 2 (20:47):
Yeah.

Speaker 1 (20:47):
Because it still goes through your eyelids doesn't it
Correct?

Speaker 2 (20:49):
I've heard that To a degree, absolutely A lot of
people say that your eyelidsdon't do everything.
Correct.
That's why, in a tanning bed,they make you wear those.
Those things, those littlethings.

Speaker 1 (20:56):
Yeah.

Speaker 2 (20:56):
But a hat is also really important too.
Okay, because when you'rewearing sunglasses most of so,
that hat will add that extraprotection Typically not the hat
will add that extra protection.
So you know kids are tough.

Speaker 1 (21:11):
Yeah.

Speaker 2 (21:11):
I mean I've got three , and making them wear
sunglasses Three boys right yes?
And making them wear theirsunglasses and hats is not easy.

Speaker 1 (21:18):
So I understand that.

Speaker 2 (21:19):
Yeah, I really do, but it's very important so it
can make cataracts come.

Speaker 1 (21:25):
Oh really.

Speaker 2 (21:26):
A lot faster Smoking.

Speaker 1 (21:28):
Wow.

Speaker 2 (21:28):
And sun exposure are the two bigger high risks.

Speaker 1 (21:30):
For cataracts, for cataracts, yes, wow.

Speaker 2 (21:32):
And other things like vascular disease, diabetes,
that kind of stuff.
But yes, Interesting.
And it can cause damage to theretina.
Solar eclipse time.

Speaker 1 (21:42):
Oh, yes, you got to be careful with that one.
You got to be careful with thatone.

Speaker 2 (21:46):
And I had my first person with the damage that you
can get.
What?

Speaker 1 (21:51):
does that do?
If I'm looking at that, whatdoes that?
What does it do?
It just burns the back of yourretina Pretty much.

Speaker 2 (21:57):
Yeah, yeah.
So that's very specific spotthat I was talking about earlier
.
That's very important to oureyes and I I finally I had one.
When was that?
This past year?

Speaker 1 (22:05):
Yeah, I think we had one this year.
There was a solar, I thinkthere was a solar eclipse.

Speaker 2 (22:08):
I don't know if it was 2025 or 2024.
It might have been last year.
Yeah, okay, yeah, and so I hada patient this year.

Speaker 1 (22:13):
Yeah, it was because I was with the kids.
We did the whole thing.
You put a pin and you can seeall that stuff.

Speaker 2 (22:18):
Yeah yeah, yeah, did they have their solar?

Speaker 1 (22:19):
eclipse classes.

Speaker 2 (22:23):
Yeah, that's right, they did give them out, which I
thought was very interesting ofthe school to take on that huge
task.

Speaker 1 (22:30):
It's a huge task, but it was cool because it was a
nice learning experience.

Speaker 2 (22:33):
And I was there.
I was there for that too, yeah.

Speaker 1 (22:34):
I went there with the kids to meet with them.
Yeah, it was neat.
See, I love that kind of stuff,I'm into it.

Speaker 2 (22:41):
So so it actually burns.
That's permanent, then it andor it can kind of slowly come
back and you might have someresidual damage from it um, in
this particular situation, helost like two lines of acuity
and we did not get them back ohwow, yeah, two lines of acuity
you know when you read thoseletters.
Oh, yeah, yeah, so he was liketwo lines up from the bottom and

(23:03):
and that's it's gone whoa inboth eyes or just one?
No, In his situation.
It was one eye, because he saidhe closed one.
Oh geez.

Speaker 1 (23:13):
Well, at least he was protecting one eye.
He's like, if this doesn't work, oh man, that's crazy.
You know, and I always tell thekids you can, you can.
Everybody says this too youcannot look at the sun during
sunset either.
Everybody thinks that sunsetit's okay because it's less
harsh, it's that you don't feelit really, but it's sunsets it's
, it's still.

(23:34):
You're still looking at the sun, it's still.
That's why you got to look away.
Just look a little bit.
Look away, look.

Speaker 2 (23:38):
Yeah, I mean and we use completely different cells
to see at night than we doduring the day.
Oh interesting.
So that's why a lot of peoplehave trouble with dusk and dawn,
because we're kind of inbetween which ones are supposed
to be during the day, like andwhich ones at night, and so
we're kind of in that in-betweenperiod.
So people will complain all thetime about, like, their dusk
and dawn vision.
Oh, interesting.

Speaker 1 (23:58):
Yeah, yeah, I always.
I always notice if I need anupgrade in my prescription.
I noticed at night with reading, driving on the signs as soon
as it starts to get a littleblurry.

Speaker 2 (24:08):
You're like oh man is this happening again and it's
raining.

Speaker 1 (24:16):
Oh, it's even worse.
Yeah, it's even worse.
So let's go into some of themore the real serious stuff.
Let's talk about the big onesthat people really need to be
aware of and maybe some of thesigns for that.
You know we talked aboutcataract a little bit.
Let's talk about we haveglaucoma which is a pressure, I
believe in the eye, if I'm notmistaken.

Speaker 2 (24:33):
So good question.
Glaucoma is a um like a groupof diseases that affect the
optic nerve, so that nerveinside the eye, the one in the
back there.
Yep, the one all the way in theback here.
Um, so it's.
Glaucoma is a disease of thatnerve.
Oh wow, so high eye pressure cancause that nerve to become sick
and diseased, and so glaucomais an interesting disease

(24:53):
because you have no symptoms atall until you're like, I mean I
don't like to say too late, butit's pretty far along.
So with glaucoma, that'ssomething that we have to catch
on routine exams.

Speaker 1 (25:09):
You check for that every year, every single time
you walk in those doors.
I think I come in every year,right, it's once a year, it's
every year, yeah, so every yearI come in.

Speaker 2 (25:14):
you guys are checking that, so we check your pressure
, because that puts you at ifyour pressure is higher, it puts
you at risk for glaucoma,Gotcha.
So why does that nerve becomediseased?
So that's a very difficultthing to answer.
We don't have to.
So we have so many tools in ourtoolkit for helping with

(25:35):
glaucoma, but most of thosetools involve getting that
pressure down.
But, you can have normaltension glaucoma when your
pressure is completely normal,but your nerve is still Diseased
.

Speaker 1 (25:43):
Yep Degenerating.
My dad has glaucoma.
Does he?
Is it under control?
I think yeah.
He's medicated and he getschecked all the time.

Speaker 2 (25:51):
So if it's caught early it really can prolong
before you know anybody has anysymptoms, and he's been fine and
he's had it for years, but he'salways checked on and glaucoma
takes your side vision Ah.
And then in the worst casescenario it would just keep
going like this until it reachedcomplete blindness.

Speaker 1 (26:07):
Wow.

Speaker 2 (26:08):
In the worst case scenario.

Speaker 1 (26:09):
So he's good.
He's I mean 77, he still seespretty well, and you know so and
then that's a good point.

Speaker 2 (26:13):
Like you know how long is our optic nerve going to
last?
Us you know we're outliving,you know are they?

Speaker 1 (26:21):
is there things that we are doing in order to have
better eye health that we didn'tknow years ago?

Speaker 2 (26:27):
Well, I mean, just in glaucoma alone, all the
different things that they cando now to get that pressure down
, to keep that optic nervehealthy.
It's amazing.
So it's technology.

Speaker 1 (26:37):
Yeah, so everybody should be getting their eyes
checked once a year, whether ornot you have glasses or knee
glasses or have been usingcontacts, exactly Because
something like that there's noway you would know Until that.
There's no way you would knowuntil it's too late.
Yes, so it's, it's such a goodthing to do.
I just yeah, so that'sinteresting.
So let's you know that's what.
Let's go into one of the thingstoo here, before we wrap this
up.
The LASIK which has become this.

(26:59):
You know, you hear it all thetime and you know there's,
there's.
It has done wonders for people,absolutely Is.
Is that still the thing?
Is that still how we'recorrecting?

Speaker 2 (27:08):
vision.
So, interestingly enough, lasikis not as popular around here
as it was prior to COVID.

Speaker 1 (27:16):
That's interesting.

Speaker 2 (27:17):
Yeah, so I don't know if it's because of the added
cost.

Speaker 1 (27:21):
Right.

Speaker 2 (27:21):
I don't know if it's.

Speaker 1 (27:23):
That's a weird thing, because what would that have to
do with COVID?
You know what I mean, like howwould COVID affect that?
But there's got to be somethingand costs would be one Right, I
mean.
But they usually do really goodways of paying for it, don't
they usually?

Speaker 2 (27:35):
like monthly payments , and you can do all kinds of
stuff with that.
Yeah, there's all sorts of ofof different ways to help out
with that, so real quick.
You would not qualify fortraditional.

Speaker 1 (27:43):
LASIK.

Speaker 2 (27:44):
I've been told that you know who told me that.
Daryl told me that.
Okay, he told me that a whileago, but you would qualify for
them to put in a lens rightbehind this other lens that we
already have in there.
They would put a lens, justlike the prescription that would
be in your contacts.

Speaker 1 (27:58):
They would put a little lens right behind it yep,
and it's just an implant and umand then what is that something
they put you out for?
Is that something that theyjust they you're?
Is it kind of like lasik, whereyou're just kind of there and
your head.

Speaker 2 (28:10):
Just make you happy.
They make you happy.
Yeah, they don't put you outbecause they want you.
They want you awake and theywant to be able to.
You know, have you that?

Speaker 1 (28:15):
sounds like be more expensive too than just lasik.

Speaker 2 (28:18):
Yeah, that one's a little bit more, a little bit
more so I can't tell if it's theexpense or if it's, you know,
just people getting nervous todo such a thing.
I have to say my brother and mysister both had it done.

Speaker 1 (28:28):
Um, I have to say they I didn't need it I would if
I needed it, so you don't haveany prescription at all not yet
not yet she's coming, it'scoming she's, she does, she
looks at everybody needing thisstuff and you don't need it.

Speaker 2 (28:40):
That's incredible.
I know it's kind of you'relucky in optometry school.
Everybody was like what are youdoing here?

Speaker 1 (28:44):
but you're lucky, that's not.
I mean, I would say probablywhat 70 of people need some kind
of corrective, something soundsabout right, right, yeah, yeah,
I know I'm very lucky.

Speaker 2 (28:52):
Both my siblings needed them, both my parents did
not oh, there you go, yeah,there you go, so I got lucky
that's unbelievable.

Speaker 1 (28:59):
Unbelievable.
Is there anything else abouteyes that we need to know or
anything that you wanted to thatyou're like?
You know what?
I just wish people knew this.
Or, or, and also why eyes howdid you get?
Did your parents get into?
Was this like just somethingyou always liked?

Speaker 2 (29:14):
Little girl who wanted to go to medical school
and, as she kept getting closerand closer, thought maybe not
medical school?

Speaker 1 (29:20):
maybe not as much blood and guts, a little bit
more, it wasn't blood and guts.

Speaker 2 (29:23):
I'm going to be honest.
It was like the.
It was more about spending timewith my children, my future
children, who didn't exist yet,didn't even exist.

Speaker 1 (29:33):
Yeah, it was more about a balance of life.

Speaker 2 (29:36):
I mean, trust me, I did not fall into eyes very
easily.
It was lots of tears and tryingto figure out what.
I wanted to do with my life andI had a great advisor in
college who was like all right,mervet, you don't have to go to
medical school.
Feet, backs, eyes, teeth.

Speaker 1 (29:54):
I said I pick eyes.
I would never pick feet.
I can tell you that much.
There's no way I don't know whoin the world picks the foot
thing.
I never understood that one.
But yeah, eyes it's a good one.
Yeah, it's a good one.
That's exactly how it happened.

Speaker 2 (30:06):
Yeah, it's a good one .
Exactly how it happened.
And then and then I went andshouted a few people and I was
like done.

Speaker 1 (30:11):
Yeah.

Speaker 2 (30:11):
And I love this area and.
I love.
You know all the people I getto meet and all the people I get
to talk to, and you know I havemade so many friends through
this career of mine.
So, no, you know, and you do areally good job.

Speaker 1 (30:24):
You make people feel comfortable.
You're very kind andconversational, which is nice
too.
Thank you, and I appreciate youcoming on here.

Speaker 2 (30:32):
Thank you so much for having me.

Speaker 1 (30:33):
To basically help people with this.
I mean, hugo got hit in thehead when he was told about his
eyes, but we're trying to getpast that.
We're trying to do somethingthat will be a little different.

Speaker 2 (30:43):
Hugo, come see me.
We have to see if there's anydamage in there.
Yeah, exactly, absolutely, butI appreciate you coming on the
show and thanks for seeing methat night.

Speaker 1 (30:53):
It was really helpful , absolutely my pleasure,
awesome, awesome.
All right, hugo, there we haveit.
I'm seeing so much betteralready.
I can just.
I just feel better.
It's like I can see througheverything.
But no, go see Mervet Hacham.
She's at the Lindsay Eye CareCenter over here in Wyomissing.
She's amazing.
You'll love her.
She'll fix you up, she'll makesure that you can see as well as

(31:14):
you possibly can and go everyyear, just in case you have
glaucoma or you have cataract oranything else.
You want to make sure you canget that taken care of right
away.
All right, that's about it.
Thanks for seeing us everyThursday at 7 pm, all right.
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