Tag Archives: health insurance

your ¿facebook friends? and the tin eye

cassian“He’s cute. Hmm. Sultry, even. I’m quite sure I don’t know him,” I thought upon receiving a facebook friend request from Cassian von Hohenlohe. Oh, interesting. He has only six friends—so few, considering he went to high school at the Lyceum Alpinum Zuoz and college at Cambridge University. What fine institutions. What a worldly man. But perhaps he too uses a bit of discretion when accepting friend requests.

Instead of just deleting this questionable fellow, as I usually do, I left him there, awaiting response. After all, he does enjoy surfing, free climbing, scuba diving, marathon running, and flying airplanes. Very sexy. Very versatile. Very believable.

Like most born before 1985, I’m very confused by social networking etiquette. When I used to receive requests from people I didn’t know, I’d reply, “Do I know you?” Until I read, on elephant journal, I believe, that this is a very rude and hurtful practice. Oh. So then, like Kate Miller-Heidke, I simply ignored and deleted these requests. Until Mr. von Hohenlohe, whose unlikely profile brought the Tin Eye to my suspicious mind. I left him there unconfirmed for three months, until I made time to write this. He’s still there, arms-crossed and waiting, now with 57 friends and the same profile pic.

Of course I have younger friends who make status updates like, “I have a facebook friend called Krystal Chandelier,” which I believe implies that she doesn’t know Ms. Chandelier. After reading about how a health insurance company denied Nathalie Blanchard therapy benefits because they saw photos posted on facebook of her having fun on the beach, and how creditors and other busybodies are creating fake profiles with attractive photos to spy on people and hunt them down, I became even more stringent.

Because his request amused me, I downloaded Mr. von Hohenlohe’s photo and uploaded it into the Tin Eye. The Tin Eye is a reverse image search engine. “You can submit an image to TinEye to find out where it came from, how it is being used, if modified versions exist…” (from TinEye.com). Try it. It’s fun. (We call it the photographer’s bodyguard.)


Results? It looks like a Sean Patrick Flanery might not be too impressed either. Mr. Flanery was not born in Stuttgart, Germany, but Lake Charles, Louisiana. According to his website, he’s an actor who “attended the University of St. Thomas in Houston, where he took a drama class because of a girl. The girl was a short infatuation, but he found true love in college theater. He moved to Los Angeles and…” No mention of a European start or a penchant for skinny dipping (though it seems he did star as Indiana Jones on teevee).

Please don’t suggest that Cassian posted this photo of Sean Patrick as his celeb doppelganger shot for “Facebook Celebrity Doppelganger Week” (what, you didn’t play?), as it ended six months before Cassian joined. And it’s his only profile pic. And a Google search for “Cassian von Hohenlohe” (with quotes) results in only six links, all to Facebook.

I’ll refrain from wondering who this Cassian character really is and just hope I was selected to be his friend at random. What a fine mixture of creepiness and hilarity.

PHPV: my perfect deformity (p2)

01-thanks-20110608So, I started calling eye doctors. The first few either no longer took my insurance or couldn’t get me in until October. I found, in my contacts, an eye doctor I’d met while bartending a party for the Columbia Presbyterian Ophthalmology Department way back when I was an undergrad. They were so fascinated by my eye that one gave me a card and said to come in sometime. Years later, I still had his contact info—James D. Auran, MD. He came up as one of NY’s best doctors, according to NY Magazine. I told Bij that maybe I’d just spring for him, out-of-network, until his office told me a first time visit was $375 + any tests. Happily enough, I went to their website, as Bij said she knew of someone else good there. That’s how I found the big-hearted Amilia Schrier, M.D. She takes my ghetto insurance because she thinks that everyone deserves to see (what a socialist)—even if they barely pay her anything. The person making her appointments was alarmed enough by my having floaters in my only good eye that she talked to the doctor and got me in the next day. Wow. I was scared but happy.

Note my left eye, which is on the right. It’s smaller, a bit higher, a slightly different color, and has cloudy bits on/in it. Refer to the last post for more details.

After too many years without seeing the eye doctor, I go. When I signed  in, I was asked to sign a form stating that most insurance does not cover a refraction test because they do not see it as necessary health care, and that I would be responsible for this cost, about $75. Of course I asked about this. A refraction test? Not essential? As in, the test to see what prescription a near- or far-sighted person’s lenses should be? A test that says if you need specs and how strong they should be—not essential? The DMV doesn’t think so. How very strange.

The nurse agreed with me. We complained a bit about insurance insanity as she dilated my eyes. Then she took me back to wait for the doctor.

Eyes dilated, I met the doctor, who wore a knitted sweater, the style befitting a kindly grandmother. It was comforting indeed. She heard my story and looked at my eyes. Right eye, good. Left eye, wow! Amazing! A beautiful case of PHPV! “My word, you can see everything!” She enthused. “Mittendorf’s dot!” I was pretty familiar with the discourse around my disease, but this was new. She drew me a picture of my left eye, and explained that Mittendorf’s dot is the hyaloid body. “It’s the embryologic remnant of the hyaloid artery as it joins the capillaries of the lens.” (Source, Mission for Vision.)

She explained that I had a perfect, textbook case of PHPV, exciting because usually the band keratopathy and haziness obstructs the view, especially of the back of the eye. After she told me that my right eye is okay, but I shouldn’t do inversions or jump-backs in yoga :(, she asked me if she could call the residents (her students) to look at my left eye. I said sure. Even though it’s torture to have lights shined into my eye, I like aiding the cause of education, and hey, it’s not often I’m perfect, even if it is a deformity.

She called down to the residents on the phone and told them, “You might never have a chance to see this again in your entire careers.” So up they came, four or five of them. Dr Schrier was very considerate, asking again and again if it was okay, and if I was okay. I was fine. I enjoyed listening to her tell them about my eye, “No, there’s no point in treatment. Nothing to be done. It’s just a matter of making sure the right eye stays healthy,” as well as other logistical info I’d heard before, though she told them differently than I’d heard it. One of the residents said, “Cool!” after peering into my eye with a slit lamp (at left), a contraption I’ve known all my life. It was both bizarre and amusing. Dr. Woodruff (who did his residency at Columbia Presbyterian, once upon a time) never told me what an oddity I was—but then, perhaps that’s not patient etiquette, if you don’t have a bunch of residents around to teach. The residents also seemed to appreciate Dr Schrier’s dedication. When they thanked me, I wanted to make them promise to be as caring practitioners as their teacher, but I kept my mouth shut.

Dr. Schrier thanked me again and again for giving them the chance to look. She took the time (not to mention my insurance) to tell me more about my condition. You might guess I ask a lot of questions, and she took the time to answer them. Being a textbook case, I was curious about what the textbooks said about PHPV, but I didn’t want to press her further. She did tell me to look it up on the internet, which not all doctors will do.

Of course, that’s the first thing I did once my eyes recovered from dilation. Mission for Vision has good info, with pictures. It appears that Dobermans get PHPV too, and you can get certificates to prove your show dog is PHPV-free. And, of course, there’s a facebook group: People with Persistent Hyperplastic Primary Vitreous (PHPV) Unite! In looking at all this, I realize that I’m quite lucky, as many people have more severe (& severe looking) cases. How strange that I can chat online with people who also have this, when I’ve lived my whole life without knowing another soul with the same condition. It also seems that doctors are doing more surgery on infants now, with little affect, which seems quite traumatic to me.

Looking at all the different problems associated with PHPV, I was hugely grateful that Dr. Schrier both took my insurance and got me in quickly—not many top doctors do. The doctors I saw in Oakland (there were two, in the same office) didn’t know my condition and thought that the retina was detached and needed surgery. The retina isn’t exactly detached. It’s not exactly attached, either, but it’s typical of the condition. Seeing docs who don’t recognize PHPV is painful, as well as a waste of time. Thank heavens that wasn’t the case this time around. And lovely I could be educative, as well.

other posts on phpv:
my perfect deformity
my perfect deformity, part ii
PHPV: the eye, vision, and how I see