December 29, 2003        7:45am 4:15pm         Time: 8:30 hrs. 

 

Today is my first day of Job-shadowing Dr. Hasan Fatteh. As appointment was at 8:00am I left from home at 7:45am and was at time. I have to wait for half an hour as Dr. Fatteh came late as he has to go to other hospital as an emergency. Dr. Fatteh came at 8:30 and after that I started job-shadowing. First of all he called me and gives some advice about his job and working whole day. As there were many patients he than proceed his regular job. In order to determine whether or not a patient can receive a corrective procedure on their eye(s), the ophthalmologist must first evaluate the patient to determine the diagnosis and what type of procedure may be necessary. The doctor asks the patient about their health such as diabetes, blood pressure, high cholesterol, allergies, and family history of glaucoma. These all play a great role in determining what is wrong with the patient. If the patient is new, the doctor checks the patients eye curvature using an instrument called a corneal topographer. This machine helps in measuring the approximate curvature of the cornea, and it also gives an approximate prescription number for eyeglasses.  This makes the examination much easier. After the patient is asked to read an eye chart 20 feet away by the use of a mirror, the vision is determined to be 20-20 or 20-30, etc. The patient is then asked to see through different types of glasses. The doctor then determines their exact prescription number for glasses. The machine that is used during this procedure is called a phoropter. The pressure in the eye is checked to make sure that the patient does not have glaucoma. The pressure inside the eye should be from eleven to twenty-one. If pressure is not within this range, there might be a possibility of glaucoma.   The machine used for this is called a tonometer.  A slit lamp is an instrument used in seeing inside the eye and helps in seeing the retina which is located in the posterior region of the eye. It also helps in seeing the optic nerve and locating the blind spot in the eye called the fovea. The doctor dilates the eye and waits for 15-20 minutes which will help in seeing the retina without any disturbance. After the exam, the doctor can then determine the diagnosis and necessary procedures/instruments needed to correct the patients vision. The patient is finally scheduled for a follow-up appointment. And whole day we did same thing to all other patients. At 4:00 pm as my uncle came to pick up me I left and Doctor told me see you next day same time. I left at 4:00 pm and reach home at 4:15.

 

 

December 30, 2003        7:45am 4:15pm         Time: 8:30 hrs.

 

Today is my second day of job shadowing Dr. Fatteh. This day we did the procedure as we did on the first day. Whole day we did same procedure in curing patient. The one different on both day was on second day I say lasik process. A 65-year-old female patient initially came in for a routine eye exam and was diagnosed with a severe cataract in one eye.  The best option to treat her condition was through laser surgery. Dr. Fatteh dilated the patients eye and then used laser surgery to remove the cataract.  Doctor explains me what is Laser Surgery. Laser surgery is known as Lasik. Lasik is a surgical procedure which helps in reducing a persons dependency on glasses or lenses. This surgery changes the shape of the cornea permanently. To have a clear image, the cornea and the lens of eye must bend as necessary in order to make the image fall directly on the retina. The patient will return after a month to determine the success of the laser surgery. After this lady one boy of age 10 years old was brought for check up by his mother.  The boy was afraid of check up but doctor check up his eyes so nicely that he tell that no he will come for routine check up and will not afraid to check up by Dr. Fatteh. And curing patient one by one whole day pass. And at 4:00 pm my uncle came to pick me up and than I thank Dr. Fatteh for let me job shadow him and also explaining all procedures and instruments used during procedure. And than I finally thank him again and left hospital 4:00 pm and reached at home 4:15 pm. 

 

 

Resources used                                                         Cost

Camera, camera Role,                                             $ 25.60

Petrol in car.                                                Borrowed from uncle.

 

 

February 7, 2004    6:00 p.m. 10:25 p.m.    Time: 4:25 hrs

 

Today I was finding a picture online from which I can make matt. It took me 25 min. to find three beautiful pictures. Than my cousins took me to Walgreens it took us 40 min. 25 min. to go there and come back and 15 min. as it was busy. After that I come home back and start finding pictures. In 45 min. I got rest of all eight pictures and than I make matt by using these pictures it took me long time in making matt. I took me 1hour and 15 min. in making matt of all 11 pictures. After that I write down all me description I need for picture to write under picture in scrap book. It was completed in 50 min. and now I have left only to put all my pictures and description together. We again go to Walgreen to take picture back at this time it took us 30 min. During this time while I was working I was bored as it took me 4:25 hrs.