HAPPY TO BE ENTERTAINING HERE WE GO PART 3 LETS GO
i actually keep getting chastised by my coworkers for doing so much bookwork all the time THEY DON’T REALIZE THAT THIS IS ACTUALLY FUN FOR ME THO. i know i’m like bitching and moaning but i’m having a GRAND old time honestly
okay i have coffee now. down to business.
my cable management at my desk is absolutely insane btw. it's so bad LOL
so i've been working mostly on flashcards for vocab these past few days- i'd like to get some new info today. the next subject for the textbook is drug interactions and commonly used ocular drugs, which i'm actually quite interested in. i already know some of this stuff because (as mentioned previously) my mom was very knowledgable about medicine and stuff like that, so luckily a lot of the side effects of certian drugs i'm already pretty familiar with.
i really gotta show you my absolutely WHACK desk setup LMAO. tbf my desk is really small, i wanted a small onee to fit right next to my bed but now i'm really regretting it LOL. there's just not enough space ;-;. i make do with what i have though, that's all that matters. this is also kind of my vanity setup, so every time i want to study i have to move all of my makeup and shit lmfao. it's all piled on my bed as we speak bc i'm too lazy to actually put it where it belongs.
i'm just finishing up physiology vocab- retinitis pigmentosa! i've actually seen this before (did i already talk about this?? i can't remember now...), it's really wild to see. it's a pigmentary degernation of the retina, which causes loss of field of vision and night blindness (because the rods are the most affected- rods are what help you with night vision).
side bar- every time i write out "retina" i think about my coworker, who gaslit their friend into thinking retina was pronounced "ruh-tee-nah", so every time i write it that's what i say in my head LOL.
DIABETIC RETINOPATHY i screen for this a lot at my job! i think i already explained what this is previously. fsr it's something that i'm acutely aware of- that and macular degeneration are just things that i keep a close eye out for for No reason. i'm not a doctor it's not my job LOL but i like to make my own conclusions just for fun. obviously i can't diagnose, not only because i don't know a lot but also because it's illegal, but i think it's fun to watch for certain things when i do pretesting on people. it's probably weird but it keeps my brain busy at work so i don't fall into a rut. (hi, this is emma at 12:38 am- i will talk about this again later. totally forgot i even said this. i am delusional from sleep deprivation. im seeing sounds and hearing colors. please help me. ok continue)
ok i'm on to medications. it seems like a lot of antihistamines can cause dry eye-benedryl, zyrtec, etc. i've never had that problem tbh- i stopped taking allergy meds and just suffer tho because they never seem to work and i don't like taking pills for no good god damn reason LMAO. my mom used to get on my case for that, but we tried EVERYTHING for me man it's just so bad. this is reminding me that i need to get in to see an allergist this year, i haven't been back to get blood work done in years. i really should get on that /: i hate going to the allergist though i hate the testing. have you ever gottten a scratch test done? they SUUUUUUUUUUUCK i wish i still had the picture of when they did it on me the first time. basically they put a bunch of allergens on needles and scratch your back with them and see which one you react to. i lit up like a mf CHRISTMAS TREE it was insane, and SO uncomfortable. i remember the nurse coming back in after about 10 minutes and immediately saying "oh baby..." LOL IT WAS BAD. the nut gallery (yes that's what it's called, that's where the term comes from lol) isn't as bad, they just take your blood. i also lit up on that one lmfao. i just b dyin and shit idk
I KNEW I KNEW AMITRIPTYLINE FROM SOMEWHERE it's elavil! it's an anti depressant, also helps with nerve pain. see i told u i know a lot about medicine LOL. it can cause dry eye, photophobia (increased light sensitivity) and mydriasis (enlarged pupils) apparently. actually a lot of mental health related drugs cause enlarged pupils i've noticed. i specifically remember when i was on prozac my pupils were GIGANTIC.
alright it's snuggie time, i'm freezing my ass off. did i ever show u my snuggie???? i'll show you a picture (if i remember from here to posting this LOL) ((hi. 12am emma again. i did not remember.)) , my step dad got it for me for christmas. it's mtn dew themed it's funny as hell. i actually picked it out so i already knew i was getting it LMAO but i love it, it's super warm too. perfect for snowy days like today.
accutane can also cause photophobia, i'm so happy i never had to take accutane. my skin isn't great but i don't get horrible breakouts, just one or two at a time. i know it gives you hella side effects but i guess it works like a charm. i wouldn't be willing to put myself thru that tho so props to people who do.
THORAZIIIIIIIINE i was very very briefly taking this, it did Not work for my bipolar (i'm more often depressive than manic so it just straight up wasn't doing anything. mostly made me sleepy). also causes mydriasis.
wow i was just on the phone with my brother for an hour and a half while i was studying. that was really nice :')
again, this textbook just says shit and expects me to know what it is LOL. apparently there are 2 different types of antihistamines -- nxxonselective H1 receptor inhibitors, and selective H1 receptor inhibitors. nxxonselective is things like benedryl and chlor-trimeton, and selective is shit like claratin and zyrtec and shit. i would ASSUME the difference is one makes you sleepy and one doesn't but i'm gonna look it up
oh nvm. it's literally that one is selective and the other is not. hm. interesting. WELL THAT DOESN'T PERTAIN TO ME I GUESS LOL SO NEXT
i had to pee the entire time i was on the phone with my brother but i didn't want to stop talking to him cuz i miss him a lot so i just took the REALEST pee of my life it was great. (man i haven't talked about peeing on here in a hot minute, i bet you missed THAT huh).
all of the medcine stuff is SUPER SUPER interesting, i don't want to stop reading about it ever it's really SO fascinating. SO many medicines can affect your eyes, in ways that you probably wouldn't even think twice about honestly. i think it's so fascinating :') obviously some of these side effects are one in 100,000, but that's the way it is with these things- if it affects even one person that takes the drug they legally Have to list it as a side effect. that's why you have side effects like SUDDEN DEATH DISEASE for like. allegra LOL
I JUST LEARNED SOMETHING angiodema of the eye ! i've had this before, you know when someone like. gets stung by a bee or smthn and their eyes SUPER MEGA FUCKIN swell up and swell shut? that's what that is. that's happened to me a couple times actually, the most notable was when i had staph infection- i also, simultaneously, had an anaphylactic reaction to Something and i woke up and my eyes were swollen shut and i was short of breath. that was a great day for me, really fun trip to urgent care. that was when my mom almost physically assaulted a nurse (a story for another time).
i learned another things-- photosensitivity vs. photophobia. they sound similar, and they mean basically the same thing, but photophobia is specifically lights seeming brighter, whereas photosensitivity a lot of the time leans more towards meaning a physical reaction to light i.e. a "sun allergy". photosensitivity= broader definition, photophobia= referring specifically to the eyes. i guess.
this section is taking me a long ass time, but that's because i'm looking stuff up (mostly unrelated to optics), but i'm having fun and that's all that really matters honestly. once i'm doing going thru the entire textbook i'm obvously going to study the shit that matters and take practice tests and stuff, but right now i'm having fun and doing research and stuff. i am a little nervous that i'm gonna go back into my notes and be like... wtf was i trying to say LOL CUZ THAT USED TO HAPPEN TO ME ALL THE TIME IN SCHOOL UGH.
i wish i could quit my job and go to school for this full time, but i'm too proud of a person to do that. i like being independent, and if i didn't have income i'd have to rely on my family and i'm not willing to do that whatsoever. i actually do think i could do that, if i asked my family to support me while i do studies, but i'm too prideful to ask for help LMAO.
oh boo i wanted to make it to the store before the worst of the snow hit but i got too in the sauce, and now it's comin down hard out there. oh well, i'll just go tomorrow morning. i also wanted to go to the car wash today. two tasks for tomorrow LMAO OOPS. lost in the sauce.
okay one of the earlier sections in this textbook was all about prefixes and suffixes, and at the time i was like this is fucking stupid i don't care AND NOW I'M PISSED BECAUSE IT'S ACTUALLY FUCKIN WORKING UGH THAT'S SO ANNOYING. I HATE BEING PROVEN WRONG
i also, once again, can't just leave things alone. i don't need to know what a digitalis glycosidal drug is but i also HAVE to understand. i think maybe that's a good trait to have though- i dunno. what do you think? does it make me obsessive or does it make me thorough? vote now on your phones
fun fact: a possible side effect of taking xanax is pink eye. how? i wish i knew, but that's pretty interesting
fall out boy has poisoned my brain, now every time i see anything about SSRIs i have to sing "SSRIS, PRINCE AND THE QUEEN DIE, WORLD TRADE, SECOND PLANE, WHAT ELSE DO I HAVE TO SAY!!!!" in my brain. (side bar their cover of we didn't start the fire is so good really you should listen to it. it starts up with world events where the billy joel song left off which is genius and i can't believe no one's ever done that before it's literally such a good idea).
i've seen the word "amitriptyline" 5 fucking times today and i still can't spell it right this is embarassing. it can also apparently cause cycloplegia (paralysis of the ciliary ((accommodative)) muscles of the eye). so that's.. kind of freaky tbh
one of the ocular side effects of adderall is dry eyes WELP i can tell u that first hand for fuckin sure, my eyes get so dry when i take it it's insane (i must once again reiterate i have an rx for it i don't want y'all thinkin i bump this shit off the street)
my lofi study music livestream on youtube ended. that has to be a sign for me to stop. NO MATTER I'M CHUGGING ALONG I'M HAVIN FUN
i fucked up my color coding, the world is going to end as we know it. i have to pass away now. i used the teal instead of the green, this is the worst thing that could possibly happen to humanity.
... OCD doesn't seem like such an out-there diagnosis for me anymore LMAO
my big ocular irrational fear is definitely a retinal detachment. it's SUCH a scary concept to me, and i know it's HIGHLY unlikely for me, with my age and the fact that i'm in generally good health (unless i get pelted in the eye with like a lead brick or something but CALL ME CRAZY i don't forsee that happening), but it still scares the everloving shit out of me. i have no clue why, it's just. IDK IT'S FREAKY TO THINK ABOUT IT HAPPENING.
wow this is like. so interesting. there's a thing called CMV retinitis (cytomeglovirus retinitis), i guess it's common in HIV/AIDS patients. it's a viral infection of the retina. it's, i guess, treated with a ganciclovir implant (good fuckin luck trying to pronounce that cuz i have no earthly idea), WHICH CAN CAUSE CATARACTS. this is fascinating. i'm gonna write this down and ask the doctor at work more about this this is super cool (once again. not cool to have. BUT COOL TO LEARN ABOUT.)
i was telling my brother, if i were rich and had no responsibilities i would love to go to school for like 8 years and become an expert in ocular diseases, specifically retinal diseases. they are so fucking fascinating to me. i want to know everything there is to know about this stuff. again, maybe that's a good thing, maybe that's a bad thing who knows. maybe it's autism, maybe it's maybelline.
i have a scratch pad in my bag dedicated to writing down questions i have for the doctor whenever i see him. poor guy LOL I HAVE TO BE GETTING UNDER HIS SKIN AT THIS POINT. yesterday at work i asked him, if you took away the cornea, if you would be able to stick your finger through your pupil. this was the interaction:
me: hey doc, if you removed your cornea, could you stick your finger into your pupil and touch the back of your eye?
doc: ... well, everything (in your eye) would kind of just fall out..
me: ... so yes and no?
doc: yes and no.
me: it was keeping me up last night thinking about that
doc: ... you think fucked up things. has anyone ever told you that? you're so perfect, where did you come from?
that's his favorite thing to say to me LOL "where did you come from". i appear one day after moving across the entire country and now i pester him each and every day with questions about eyeballs, and make his life significantly harder just by being me LMAO. this is his fault if you think about it, if he wasn't so nice to me and answer my questions in the beginning we wouldn't be here so TECHINCALLY he has no one to blame but himself.
ok "hypertrichosis", i'm taking an educated guess-- something to do with hair or eyelashes, final answer. let's find out together
EXCESSIVE GROWTH OF HAIR I'M SO SMART
new fear: retinal toxicity. basically a side effect of certain medications, it can cause damage to the retina and result in vision loss.. i think i'm just scared of losing my vision LMAO.
"mottling of the retinal pigment epithelium&atrophy in the mid-periphery of the fundi".. it is so insane to me that this time last year i would have had no fucking EARTHLY idea what that was supposed to mean, and now it makes perfect sense to me. how did that happen, where am i
another thing i learned today- "neoplastic agents" are medications used to treat cancer. i so wish i had access to my mom's medical records i wanna see what medications they had her on when she was battling cancer (it was incredibly short lived she beat that mother fucker like it was nothing- she had enlarged B cell lymphoma and she went into remission within months. gum under her shoe she was such a fuckin boss). u know what that might actually be something i have the right to have access to as her next of kin. maybe i'll look into that- not that it's important, i'm just an insanely curious person by nature i have to know everything about everything. ((this is grim skip the last part of this paragraph if you're easily upset)) i do have the full comprehensive report from her autopsy, i wish they would've done a full biopsy on her eyes. they just did a description of the anterior portion, i would be so interested to learn about the condition of her retina.
ANYWAYS MOVING ON
one of the things i'm learning about optics is they will choose the absolute fucking longest words imaginable to describe the simplest of concepts. take, for example, "keratoconjunctivitis sicca". that sounds so intense, it sounds like it's life or death right? IT'S DRYNESS OF THE CONJUNCTIVA. like???? it sounds like a life threatening disease LMAO
this is interesting though, myleran (which i guess is used to treat certain forms of leukemia) can cause SPECIFICALLY posterial subcapsular cataracts. which is intrigueing. a posterior subcapsular cataract just means it's a cataract that specifically affects the back of the crystalline lens.
internal ophthalmoplegia is also interesting- it's a paralysis of the intrinsic eye muscles, which control pupil size and accommodation. i swear, this section is supposed to be about drug interactions but i feel like i'm learning more about ocular diseases than i did in the actual ocular disease section LMAO.
there's a cancer medicine (an antimetabolite) called 5-FU, which is much funnier to me than it should be.
me: looks up "cicatricial"
google: relating to, or having the character of a cicatrix
me, who doesn't know what a "cicatrix" is: thank you that was really helpful.
OH MY GOD IT'S A FUCKING SCAR JESUS CHRIST I'M MOVING ON NEXT.
CONJUNCTIVAL HYPEREMIA I KNOW WHAT THAT IS that's red eye! once again, the longest words they can possible come up with for the simplest concept LMAO
you know what i don't think i'm that obsessive- for example, i'm only putting the brand names of these drugs in my notes. if i were TRULY obsessive i would put the brand names AND the pharmacological names. so i think i'm okay (i say as i'm rocking back and forth in the corner foaming at the mouth).
wow, new horrifying condition- corneal melting. doesn't that sound so scary?? "corneal epithelium is loss due to thinning of the stroma, can lead to corneal perforation and loss of vision". that sounds fucking HORRIFYING. same with the sclera, it's scleral thinning. that sounds SO painful and scary omg. using the adjective "melt" really puts the fear of god in ya, especially if it's anything to do with your eyes holy shit.
i'm assuming porcelainization is hardening, let's look it up together shall we
DING DING DING HARDENED usually with calcium. creepy! cool!
man, the medicines that they use to treat cancer have WILD fucking side effects. i guess that makes sense, you're essentially poisoning yourself in order to.. rid yourself of poison. i still think it's worth it, there's a lot of back-and-forth in my office (why? no clue, i don’t participate in these discussions) on if we would get chemo if we got cancer and i 100% would. i feel like the side effects are nothing compared to the havoc the cancer itself would wreak upon your body. plus if you catch it early you only have to do a little bit of the treatment (like mom) and then it's over and you move on with your life. it's making me respect my mom even more than i already did- she was on X games mode for real AND SHE BEAT THAT SHIT IN LIKE 6 MONTHS OR SMTHN. beast mode. strongest person i have ever and will ever know in my life.
that was an insanely unrelated sidebar ANYWAYS LMFAO
fun fact- erectile dysfunction agents (like viagra) can affect your color vision. so just uh. keep. that. in mind???? am i gonna get banned for talking about viagra I'M GONNA BE A DOCTOR OK I'M NOT BEING WEIRD (granted. not a medical doctor. a doctor of refraction BUT STILL).
i think, logically, i'm actually wasting my time taking detailed notes on all of these side effects but i'm so insanely invested now i can't be bothered to care. it is so INTERESTING. and i'm having fun so boo who cares
AND IT'S EDUCATIONAL FOR DAY TO DAY LIFE, for example, did you know ibuprofen can cause blurred vision and refractive error changes?? which seems like it shouldn't happen but it does?? GOOD THING YOU KNOW NOW HUH. YOU'RE WELCOME.
MANDRAKE IS REAL???? I THOUGHT THAT WAS ONLY IN HARRY POTTER
WELL I'LL BE DAMNED. THAT'S A REAL ASS PLANT. damn i'm stupid as hell LMFAO
jesus CHRIST ALIVE i'm getting to dilation medications used in an eye exam- SOME OF THESE MFS LAST A LONG ASS TIME. ATROPINE HAS A DURATION OF 1-2 WEEKS. HELLLLLLLLLLL NAH LOL THAT'S FUCKED UP
there's also 2 different kinds of medicines they can use to dilate your eyes-- one of them is a Parasympathetic antagonist, the other is a Sympathetic antagonist. the PARAsympathetic PARAlyzes the sphincter muscle in the iris, the sympathetic stimulates the dilator muscle. that should be pretty easy to remember. and i already know what tropicamide is, because that's what we use at work!
alright i'm actually gonna go on to another chapter in the textbook- normally i'd stop here but i'm having a lot of fun right now. plus the next section is refractive errors, anomalies and diseases of the eye and i, out loud, went "yeeEEEAHHHHHHH" so i wanna keep going LMFAO.
the eye is considered a Plus visual system. interesting!! meaning all of the refractive components of the eye are measured in Plus diopters of power (i'm assuming they mean a "normal"/"average" eye when they say this).
emmetropia: with accommodation at rest, both infinity&the retina are conjugate points. AGAIN. THIS TIME LAST YEAR I WOULD'VE HAD NO FUCKIN CLUE WHAT THAT MEANS. very simply put, it means you can see clearly at optical infinity (20 feet/6 meters or more).
i wonder how common standard emmetropia actually is. "standard" emmetropia basically means ur eyes are perfect in every way imaginable- standard refractive powers of the cornea&crystalline lens and has a standard axial length.
OVER 50% OF PEOPLE ARE EMMETROPIC, BITCH FUCK U. MUST BE NICE TO BE PERFECT IN EVERY WAY POSSIBLE GOD DAMNIT
okay so non-standard emmetropia is also super easy. it's just the law of equivalent exhange - the cornea/crystalline lens might have too much plus power but have a shorter average length OR the other way around; plus power of the cornea/crystalline lens is too little and the axial length is too long. evens itself out and you can see 20/20 god DAMNIT. people with emmetropia piss me off. HAVE I EVER ACTUALLY EXPRESSED THIS i absolutely hate wearing glasses, i hate having THINGS on my FACE. contacts are a great solution to this, but they tend to bother my eyes when i wear them for an entire day. so i can't WIN. (the actual winning solution is to get lasik but i'm also not willing to do that, i'd much prefer to bitch and moan and do nothing to solve the problem LOL).
so EMMEtropia is "normal" refractive status, and AMEtropia is "abnormal" refractive status. THIS is where it gets INTERESTING PEOPLE!!!!
ametropia: general term for any refractive error- with accommodation at rest, parallel rays of light fail to converge to a sharp focus on the retina
OH ! OH! OH OH OH I THINK I JUST MADE A CONCLUSION ALL ON MY OWN KEVIN, I THINK I'M ACTUALLY THE SMARTEST PERSON ON THE PLANET
so if the optical system is considered to be a PLUS system, that means if your MYopic, you have TOO MUCH plus, and you need MINUS to be able to bring rays of light onto the retina OH MY GOD IT MAKES SO MUCH SENSE NOW THAT I KNOW THAT!!!! I WISH I KNEW THAT THIS ENTIRE TIME OMG I AM SO SMART AND SEXY AND COOL PLEASE TELL ME HOW SMART AND SEXY AND COOL I AM.
HYEROPIA, EYE HAS TOO LITTLE PLUS POWER, DUDE I'M FUCKING RIGHT I AM SO FUCKING SMART AND COOL.
hyperopia: "far sighted", "longsight", where parallel rays of light from infinity come to a point of focus behind the retina.
my ass is numb again.
ok.. three different types of hyperopia-- axial hyperopia (cornea is too short), corneal hyperopia (cornea has insufficient plus power), or lenticular hyperopia (crystalline lens has insufficient plus power). it could also be any combonation of these OR all three at the same time. i wonder how you can tell the difference... axial is easy, just measure the length of the cornea (easier than it seems), but corneal vs. lenticular.. how can you tell LOL. i'll put that on my little scratch pad for the next time i see doc and ask him
GOD OH MY GOD I'M GLAD I ENDED UP NOT STOPPING FOR THE NIGHT THIS IS SO EXCITING I UNDERSTAND THIS SO MUCH BETTER NOW!! THIS IS SO FUN AND EXCITING AND COOL OMG I'M SO HAPPY RIGHT NOW!!!! I FEEL SO ACCOMPLISHED LOL
ok. i didn't know astigmatism was so fucking involved. it's the cornea all over again my eyes are bleeding please help me.
TYPES OF ASTIGMATISM:
-regular astigmatism
-irregular astigmatism
-with the rule astigmatism
-against the rule astigmatism
-corneal astigmatism
-lenticular astigmatism
-simple myopic astigmatism
-compound myopic astigmatism
-simple hyperopic astigmatism
-compund hyperopic astigmatism
-mixed astigmatism
please don't ask me to define any of these i will cry and piss my pants.
(12am emma here- actually astigmatism is super easy and i was being a big fat dumb baby.)
okay i was on the phone with my best friend (haleya) for like. almost 3 hours who IS she, i never talk on the phone this has been so nice.
SO i'm on to ocular anomalies (you KNOW i love this shit), lemme give you a tl;dr :
--IOP over 20-25mmHg is indicative of either glaucoma Or ocular hypertension
--the term "ocular hypertension" just distinguishes patients with high tension glaucoma from patients with elevated IOP with no changes in vision/damages to the structures of the eye. basically a garbage can term (to quote doc)
--glaucoma is actually one of the leading causes of blindness in the U.S.!
--pinguecula is pronounced "ping-gwe-kew-la", and i Did have to look that up
--corneal ulcers are both disgusting and absolutely fascinating to look at, and SO not fun to have
--pterygiums are still gross
--severe cases of albinism can cause the macula to not develop properly, resulting in decreased cenral vision! i actually did Not know this!
--acanthamoeba keratitis is my new worst fear- it's an infection caused by a parasite found in water! yucky!
--i know a weird amount about keratoconua and keratoglobus (swelling and protrusion of the central part of the cornea/entire cornea in the case of keratoglobus).
AND THAT'S WHAT YOU MISSED ON GLEE IT'S ALMOST MIDNIGHT I'M IN THE ZONE LET'S CONTINUE
WOAH WAIT THIS IS COOL there's a procedure called "epikeratoplasty" -- you take a lens made of human corneal tissue and suture it onto the surface of the cornea (after the epithelium has been removed). that's fuckin RAD AS HELL DUDE.
i Also know a weird amount about retinitis pigmentosa- i had a patient with it, and i went home and spent about 2 hours doing research on it because, naturally, i didn't know about it beforehand and that meant i had to learn Absolutely Everything There Was To Know About It Immediately. it causes tunnel vision- so retraction of the visual field. it also causes night blindness.
it can also cause poor contrast sensitivity- i actually had to look up what that is, it's the ability to perceive sharp&clear outlines on small objects. (this can also decrease with age). i guess i really took that for granted, i didn't think that would be something someone Couldn't do honestly. it's pretty wild, the shit you take for granted that other people have a major struggle with. i should be more aware of stuff like that
ANYHOW enough being empathetic and shit back to DISEASES
oh. i think i said last time that they didn't mention diabetic retinopathy WELL HERE IT IS. something i'm (weirdly) acutely aware of. that was one of the first ocular diseases i could remember off the top of my head! i have no clue why though lol that was just the one that stuck for me. (told you so. i was losing my marbles sorry)
oh, fun fact-the full name for diabetes is Diabetes Mellitus (or Dm in medical shorthand).
BRO THEY USE FUCKIN LASERS TO SEAL OFF HEMORRHAGES (caused by diabetic retinopathy) THAT'S METAL AS FUCK YO
ahhh retinal detachment.. my.. worst fear for literally no reason LOL i'm at like 0.1% risk for it but i'm so hyper aware of it LMAO.
it actually has symptoms in common with a vitreous detatchment-- which is where the vitreous (the jello-like shit that makes your eye eye-shaped) detatches itself from your retina. ANOTHER SUPER FUCKIN FREAKY THING THAT I NEVER WANT TO EXPERIENCE IN MY LIFE EVER although that usually just kind of fixes itself.
it's defining diabetes for me?? i don't think that's specifically an ocular disease, i think that's more like. a Disease disease- although it does Greatly affect your eyes, it does affect Literally Fucking Everything Else. ... i'm skipping that i know what diabetes is thank you though.
did you have to read skellig in high school? it's defining rheumatoid arthritis and it reminded me of Arthur Itis. that was a weird one-i distinctly remember it being boring LMAO
it's mentioning rheumatoid arthritis because episcleritis and scleritis are common in RA patients. that shit's rough, i feel so bad for anyone with RA it's really brutal.
OMG YOU GOT TO MEET TOE!!!! MY SON!!!! that's so funny LMAO i hope you love him bc he loves you.
i've been sitting like an asshole all day and i'm REALLY startin to feel it mr. krabs. ow. my everything.
PTOSIS, ptosis is when the upper lid droops down from its normal position. it's common with fatigue-- i get it Real bad, especially in my right eye. my mom had the same thing.
ok it’s nearly 1am, i am LAYING DOWN. i also just realized i did NOT eat today. oh well, i’ll eat in the morning. i’m going to sleep BYE
~emma-elayne, who thanks you for joining them on their little study marathons because it’s super fun to write these letters love u forever ❤️
BONUS:
i made a little vlog earlier today
i forgot i was making it halfway thru that’s why it seems unfinished. GOODNIGHT LOVE U 4EVER
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