i thank you for coming on healthy pets healthy owners and we also have tucker here dog and you know i have to tell the audience that the doctor monica is my personal i physician and has been for a number of had an eye doctor and he got bought up by a big eye doctor for my personal level was not there and i went to somebody else in the patient relationship level wasn't there and one day i was walking past your office and i thought you know what she's got a nice office and ice here and there she smiling i just got to check her out and that's not a high pick my personal position but i had to do it that time and that was like what ten years ago  rack ten years eleven eleven eleven yes and even when i lived in arizona every year i would fly back because my eyes to me are streaming important and i would fly back and have a scheduled appointment with dr morris act and for my for my annual checkup  and if i needed glasses or glasses and so forth and it was probably the best move i made because when i'm with you in your office you're with me in that office and you're spending time and it's a one on one i'm not rushed out you know i had a backup doctor in arizona and it was like five minutes the next five minutes next to you know like you're in some manufacturing process correct and i've always appreciated thank you and i appreciate it and then on top of that your staff has been there the whole time yes i have the same staff really i have part of the practice in two thousand and nine but we have been together since two thousand  moved on to a fabulous profession of her own selling for a big manufacturing company so she lived really far away she drove every day from west virginia from morgantown so after three years we have lost her but others and that we have had the same team yes it's more like a family it is like a family and that comes across your patients that's the concern the care i call in the office night as i mention my name and you've been there like i was never the how's the weather at that they know who you are you're not just a number not and that's that's wonderful in today's strange world of medical practice correct and i think that's where we are always for with technology and especially on some of the seminars we ask successful is that for sure thank you because i always say i think we still love our jobs we like what we do absolutely and after all we are there are far more than we are at home and besides your wonderful diagnostic capabilities optical representatives to choose the frames and i thought that that well disappear as i got very busy so i just now make point of coming in a little bit earlier before my work in order to still touch that frame because we really build our practice in order to pick a frame and the perfect frame for the personality not as much the face i know patients often time will ask us well i have a rounder face do you think i should go with this shape of a frame we go a little bit differently we try to know our patient and even very quickly we can assess is this frame a little too trendy for somebody is that too much of a stretch from the frame that they have now to what they should be and so we go based on the personality and what a patient feels comfortable with as opposed to really just sticking to those rules round face an oval face these these i got from your office about seven years ago and they're still in style and sharp today correct you know and and i always like that could you go in some of these places and they are starchy still frames yes you're stuck with them b cost a lot of money so they do you get stuck with them and they need them to read or heard or to see so i always like that about about i candy thank you so where do you help for help from where were you born i was born in poland and we went to st peter's church on the north side and i applied to a scholarship for a scholarship for st vincent and that i was a recipient of really art rooney scholarship for the four years so i stayed for four more years and after that really i isn't related so much this was home yes i have learned everything then in the english and your mom stayed here correct my mom resides in the north hills and  we missed home a lot i missed home at first quite a lot and i traveled back every summer i spent as a high school student i spend entire summers there as i progressed this became home i started to  conditioning for that's when i knew i was truly american and you have a love for animals as well you know you and your mom as well rescue dogs then you get a couple  know i would like to talk to some of the issues what was the main concern with people coming to your practice so i and although we are here in the suburbs right and on offense crossroads i see a very young population families many of the high school or so of course and lots of moms are always concerned about cell phones i pads television will television watching television in a dark is really something of the past so now it's the devices as a matter of fact i just did a few checks findings just for somebody else we spoke with a mom concerned moms and  teenagers spend nine hours on their devices whether that's of course in school on the computer i pads and cell phones so the blue light which has them at it from those devices is  for us enough to metric why blue practice it causes so of course the blue light is very needed for us in order to really balance our sleeping cycle and our mood cycles and for those a patients that really suffer from depression during winter the research has shown them that really the blue light there is a chemical their effects is not balanced well so of course in the proper proportion the blue light is fairy needed unfortunately the devices amid a very short blue light which is a little bit harmful to the macular which is our sharpest point of vision because it version but these young kids will be on the phone toddlers will be on those devices for many years to come so they're going to have a problem earlier on in life than because usually measure the generation happens all the population or a population that has other medical compromises correct and of course now that restlessness of and lack of sleep at night and so lots of technology has shifted there are different apps of course that can decrease the blue light of phone and the charger stand up charging as a little blue l e d it shows it's charging and i had to block that because it was it's by my bedside and i never used to sleep with my phone beside my bedside but i put alarm system in the house and i forget to shut it off to go to the keypad and i triggered it so now i'm shutting it off from my phone yes so i need that phone beside me but i had to block the block because it was bothering correct so now if you imagine if you are looking at the cell phone and and i penned right before  just devices that allowed you to see and that's what we concentrated on aside from of course the disease management well now those eye glasses are no longer just spectacles to allow you to see it distance on our or up close now the industry has shifted in order to protect the eyes from the blue light from people who spend our sixty to seventy percent off of course all of the work force us and sitting in front of the computer  front of a computer and this is just something i have to live with but there are lots of things that we can change and that's what we have to cait patients it doesn't always have to be a pair of lenses that allows a patient to be shielded near side that patient is really the patient who is able to see up close by this not able to see at a distance a far sighted patient is able to see distance and not up close so it's kind of the patient is not able to see f distance and up close and of course the contention condition that i always say to my patient is the great equalizer is the prez by which we will say patients who often say i am  now farsighted after age of forty because of the devices because of the up close vision we lose that ability the eye loses the ability to focus up close is there because the muscles change correct the l loses its ls the city so of course now i refer most everything to the cell phones that's just like as you're trying to take a picture on the cellphone it just doesn't have that same ability to focus on the picture  did when we were younger yes we have to put lenses to help us treat first we you could make your prints larger and read with bright lights read a little less correct yes and in u v light is is really a problem we of course put u v light on our face on our skin we do the same thing for our children and even our dogs but we forget often time we forget about the ice as a matter of fact in the u s as a whole on leif thirteen percent of patients have polarized lenses for transition lenses to shield their eyes from harmful u v light so that's the last so at least we do a lot of education it's not always about the sale and i hope that's what our patients really appreciate as well that it's not really about the sales but it's a lot about the education in a very approachable way and it is education because once people start to understand what's going on and why the treatment and what the prevention is providers so i would be just one of many yes we check of course the back of the eye and we then have a conversation on the proper health and weight management but at times i feel like it's very daunting for a patient i call it's another practitioner who will tell me what i have to do so i really have always a very frank conversation to say you heart it all now patients often see a nutritionist as  well but i always focus on breakfast i said if i could change the one thing i said just focus on on eating the proper breakfast and if they change one thing every time they come in through the year so we c sugar is probably at the root of a lot of our problems cracked yeah specially with the i c s it's it's i mean we see we see we have seen that oftentimes with headaches we have had a few patients young patients in the great school level that came in and because they had headaches of course the first thing you think of is that maybe the person has changed we check the back of the eyes and  the movement of the eyes but in those few cases we started after a conversation you and a proper history you really see that the headaches start shortly after a first or second period and then at the end of the school day on the bus so at first of course we think that it's as a practitioner we think is that the ice trying but often times it is really the sugar you have the breakfast that's high in s r the juices and the cereals and of course you then plummet and you add causing the headache and the same thing on the bus right the lunches are much earlier there are no snacks and between and the headaches really from the sugar withdraw so what we have done with these patients i have asked the parent to just really write down the grams of sugar that the child this and just thing and the normal diet for two to three days and then to see if they could how did back or have a proper nutrition or i should add a different nutrition will that make a difference and then those six cases that i can really  really think of right away it made a tremendous difference and then you you see you know i was taught this in school and the the teaching was correct you see a lot of disease process in the mouth before they show up anywhere else in the body but you see th well we do see that in the eye however it is not lots of patients will say to me can you see diabetes can you diagnose diabetes can you diagnose high blood pressure yes we can usually when we see the change that diabetic changes that means that that process has already occurred in the body as well so there is now really more of a repercussion of what the disease has done to the eye because that's what i will then see are haemorrhages in the eye which are of course not what the patient would like to see and you see a lot of damage caused from diabetes i'm sure  that's really for patients it's some that are a very unlucky because of what they have done or earlier or or there are of course nutrition it does not only genes but the nutrition by the very often patients take a other parts of the body well are there more people that are school there was only a few were kids with glasses or contact lenses then there are now they are reading more they are far more they're using the devices so a little some of it is of course genetics oftentimes it's the wear and tear it's looking up close not spending enough time outside vitamin d it's a very important slowing down the near sighted yes and we are just not pressure change in the eye but it is not a pressure like in a blob when the patient has a high blood pressure it is an imbalance between the way the production of the fluid and at the rate at which the fluid is there is a structure called an optic nerve in the back of the eye and the vitreous which is the balloon and that's what holds the shape of our eye puts pressure on that structure causing almost like a bedsore so this is again this is just in the common words that i can relate to a patient so what medications do now they relieve the pressure so now the rate at which the fluid very narrow that can cause glaucoma of course some patients have our own the different medications that can lead to that men have a syndrome called the pigment pomos well correct it's much slower progressing disease yes but it happens in all ages or is it something as there is that juvenile clackamas well it's usually diagnosed about eleven to thirteen but it's usually the glaucoma is that of a middle wage and on we see patients really even younger so things like the bad things what i call the insults that we do to ourselves like smoking or excessive drinking or eating poorly or having should all really impact all parts of our bodies and really show up in our eyes absolutely because the tear from even prior to the diseases we always think well i don't have treated for the burn and in over time that corner here old but in my case i got instant dry eyes so i went from i went from no dry eye to instant dry severe trauma i mean one morning i never had gone through never expected to go through didn't i had glasses for big for distance yes but i didn't even glasses for reading and then all of a sudden i can't read and i can't you know i need glasses to focus on everything that i'm doing and since then i wish i wear glasses but i have this chronic now dry eye and is as doc explain to me was that the cornea is so full of nerves the chemical burn the nerves and now those nerves are not producing enough it's not sending the signal to the glands to produce the the film that i need so yes that injury has changed the structure of the tear film and  another part of a very important component so lots of patients will complain about inability to focus at night while reading younger patients as a matter of fact even far more seeing  screens on that now they have smart boards and permethrin boards and it is oftentimes one of the hardest things to explain that such a little simple thing as your film has  wrong yes and i know where my eyeballs are my all my waking time yes between the burning the scratching the ching i mean it's just it's terrible i never expected of course to have that but that's that's a big deal for people correct and that is what what i like so aside from because such a few different changes and then depends on severity it can really impact patient's quality of life  alluding to the medication that you could you prescribe so it's tough i feel i feel bad for everybody who has that never thought about it before of course what what is better bifocals and transition len as transition lenses and progressive lenses are oftentimes even what my team will ask when they will say what do you mean that glasses turn into some glasses when you go outside or the pair of glasses that you're able to see at all distances so we always want to make sure that a patient is on the same page as we are so a bye for coal is an older term that allows you to see two d distances a distance and up close for those patients that require it whether children who have inability to focus because of their muscles or those patients that are over forty now at the progressive lenses which is i don't want to say anymore no new technology because they have been out in the round for many years but not many insurances are covering those lenses yet in full are three different distances