Being Told by a Professional I shouldn't be having as much trouble as I do(self.Blind)
submitted by Faded_Night
It seems I come here for all my advice but I don't know anyone who's blind or visually impaired so I'll rant here.
So today I was in the hospital again and they asked me how I was getting on with day to day living seeing as I have a ton of blind spots and my peripherals are slowly failing. I told them the truth, that it's hard and I registered with my area's council for the blind and they gave me a guide cane. Doctors reaction is something like what you don't need that your vision isn't bad at all.
I was completely thunderstruck, especially seeing as this same doctor told me they had no idea what was really wrong with me as it's rare and I'm a case study for it. So he doesn't know what this is and also has his full sight but is telling me I'm overreacting.
At first I was just really upset and depressed but now three hours later I'm really angry. It's been hard for me to start using supports that have been helping me (guide cane, screen readers etc.) and now a doctor is telling me I don't need them. I felt awful at first and like I was making a big deal out of nothing when there are people who have worse vision than me and like I'm some kind of liar. As I said earlier, I'm only angry now, but I keep feeling as if what he said is right rather than my own experience with it because he's a doctor and I'm not.
Has anyone else experienced anything like this? To be honest it makes me feel horrible and now I want to avoid the hospital as much as possible.
codeplaysleep13 points3y ago
I think a lot of us who are visually impaired/legally blind, but still have varying degrees of remaining functioning vision often face personal conflict and sometimes scrutiny by others that we're not "blind enough" to need these aids or services.
I went through some of that myself a while back when I decided to start using a white cane. I can get around most of the time without it, so do I *really* need it? Am I being overly dramatic? I did just fine for 40 years without it, after all.
In the end I decided that no... I'm not just being dramatic. I went without it for 40 years and my perception was that I was doing "just fine" but that's only because I didn't know any different. The reality is that just because I wasn't falling down injuring myself and walking into things all the time, that doesn't mean things couldn't have been better. I was forever looking down. I lacked confidence when walking around in unfamiliar places. I would occasionally cut someone off or bump into someone because I couldn't see them and they'd think I was just being an oblivious jerk, etc. The cane mitigates a lot of that. It lets me feel safe, lets me look up and engage in the world around me a bit more, and lets others know that I can't see well.
This doctor, even if he does know a lot about your disease and its progression (and it sounds like he does not) doesn't really know how you see the world, how you interact with it, how you feel, or what you need to feel safe and confident.
So try not to read too much into it and stop second-guessing yourself. Do what works for you.
Faded_Night [OP]5 points3y ago
The way you talk about using your cane is exactly how I felt and it took me ages to talk myself into using it. I think it's because it's only very recently I've felt ok using it and then I get told my vision isn't that bad by a doctor that my feelings were knocked slightly.
DrLuobo3 points3y ago
This is really helpful to me actually. I am always looking down and trying to remember to scan my surroundings constantly. I have never used a cane but have recently (after getting injured tripping over something in the street) thought maybe I should start. I'm always bumping into people if I'm not careful, especially at busy places like airport terminals. It bites if I walk into someone and they say "watch where you're going" like...would if I could...
Sarinon8 points3y ago
Y'know what? Fuck that guy. A medical degree doesn't make you an expert on the lived experiences of your patients. It also doesn't make you a nice person.
Chances are he didn't mean any harm by it but it's still a shitty thing to say. I'd let it slide once but any more comments and I'd make a complaint to the practice manager or whatever you have by way of medical oversight organisations.
Listen, if those things are helping you, keep using them. Keep seeking that help. Losing your sight knocks your confidence so anytime that gets you back on that horse is a good thing. It's possible you've adapted so well that your capability belies the seriousness of your condition, and that's a good thing too.
8i8oio6 points3y ago
Some doctors are idiots.
fairlyfairies2 points3y ago
Amen
razzretina5 points3y ago
I’m studying blindness and low vision teaching and what’s conical out constantly is that the acuity numbers say nothing about how well someone can use that vision. My retinal specialist doesn’t have any idea how well I do or don’t see. The occupational therapist who did my low vision evaluation was able to give me useful advice. Use doctors for disability service letters and to keep track of your eye health. That’s what they know. They don’t know what blindness and low vision is really like. Are you in the USA? If so, there’s way more resources you have access to. It sounds like you could use some home and mobility training.
codeplaysleep6 points3y ago
>that the acuity numbers say nothing about how well someone can use that vision
This is so true, and they don't actually measure everything that matters, either. Going strictly by the numbers, my visual acuity is better now than it was when I was a kid, probably thanks to an IOL. In reality, I feel like I have less usable vision because of other issues like having less contrast sensitivity and it feels like my nystagmus causes more eye strain than it used to.
razzretina3 points3y ago
You probably are having more vision problems, especially with the reduced contrast. But eye doctors can really only measure using a Snellen chart and those things flat out don’t work with low vision. I’ve been told I had something like 20/400 vision based on those tests but, when I got a proper low vision evaluation done, it’s 20/250. That’s the kind of difference getting tested by a low vision professional makes, and they’ll help you get the equipment you need (not just send you off with a glasses prescription no lens store can fill within your budget and that doesn’t work anyway).
Faded_Night [OP]4 points3y ago
I'm in Ireland so only really have NCBI and this doctor doesn't seem willing to give up letters because of the whole 'you're not that bad'. He even said I could drive, which I thought was a terrible idea, and when NCBI did some vision tests with me they said I shouldn't drive and I was pretty responsible using my own judgement on that one rather than the doctor's.
razzretina3 points3y ago
Whoa. Can you report that doctor to someone? He sounds like a jerk and like he’s encouraging dangerous risks. If you can get more training from the NCIB get it! That’s going to be your best resource it sounds like and they might be able to help you get the documentation from your doctor. Or help you find a new one.
K-R-Rose4 points3y ago
I’m legally blind, and I’ve experienced both extremes of this situation. Doctors think that my vision is much worse than it actulay is, and they alienate me from everyone else around me, and force me to use tools and such that I don’t need. It’s rather humiliating. But on the other side of the spectrum, people I meet in daily life don’t get it at all. I’ll tell I’m legally blind, and they’ll be like, “Oh it’s okay. I wear glasses too” which is so incredibly wrong on so many levels
SpikeTheCookie2 points3y ago
I'm so sorry this doctor is such an uninformed, uncompassionare human.
I seriously wonder if this doctor is expert enough to be guiding your medical care, and I mean that quite sincerely. Not understanding your visual situation also means that he doesn't have a firm grasp on the mechanics of it.
It would be worth your while to see a rare vision disease specialist. Where do you live?
Faded_Night [OP]1 points3y ago
I'm in Ireland so our waiting lists are mostly a year and my vision seems to be getting worse when I was told that wouldn't happen. My doctor is telling me because there's only six case studies with this disease and I'm one of them he doesn't really want to try anything without consulting about a million people first. Fair enough, but he could at least register me as blind so workplaces understand because officially there's nothing wrong with me.
SpikeTheCookie2 points3y ago
Wow, that whole system sounds very unsupportive. I'm so sorry.
I'm wondering if you can contact NCBI or Fighting Blindness (links below) to get them to advocate for you. You absolutely need to be registered. And you need access to knowledgable specialists.
One thing you can do on your own is Google your disease and the term "research." Look for papers published in the past 5 years. Then reach out to the authors/researches of those papers. Often they will have the best information because they are literally on the cutting edge.
And country of origin doesn't matter. Researchers are interested in helping people around the world. It's the disease they care about. :-)
Thanks very much! I know NCBI are lobbying for what is required to be legally blind to be changed but that's about it. Contacting researchers is a very good idea, thank you!
SpikeTheCookie1 points3y ago
I'm sending you lots of good wishes and just know that we here KNOW it's hard. And when you do things to help yourself, you are awesome. (And that doctor needs some skills building.)
luvarrr2 points3y ago
Hey, sorry to hear about your situation. Dont be too carried away by that doctor's remarks & reaction. Only you know what is best & suitable for you. Prepare yourself with the right assistive & supportive tools. With the proper rehabilitation, I am sure life is still going to be wonderful again! I am one good example. All the best to you.
TheYear20462 points3y ago
You deserve care. You deserve not to be miserable. Use any tools you need in order for you to be happy. Shame, guilt or lack of resources should never be part of the experience. I'm sorry it was. Like others are saying on here, go get a second opinion. Also, if you haven't yet connect with online communities around the cool tech you can get.
Superfreq21 points3y ago
Frankly, if it seems to be helping you, use it. If your vision is unreliable or expected to get worse, than it's only the smart thing to do to get better at using alternative methods before you get stuck catching up years later.
It sounds almost as if he's taking this as a personal defeat, and clinging to the foolish idea that you can be totally normal despite this huge change.
Well maybe he's fine with staying complacent, but he's not the one going through it, only the one observing it from the outside. Besides, he's not qualified to be making those kinds of calls anyway, he's not a rehabilitation specialist or O&M teacher, and just because he can't handle it or understand it doesn't mean it isn't the truth.
I'd focus on the people who's opinions really matter, your self first, other people who've gone through the same struggles second, and those of so called experts third. That's served me pretty well throughout my life at least...
Faded_Night [OP]1 points3y ago
I was actually under the impression doctors had the final call on this rather than the people you listed because I've not been told anything else... I might start complaining more because at the moment I'm having a lot of trouble with college to the extent I'm considering dropping out, but I'm too scared to because the hospital refuse to officially list anything being wrong with me so who knows what employers would think.
BlindOwl121 points3y ago
Eh do what you have to do, honestly not worth getting pissed over, he can say what he wants and it doesn’t have to dictate what you do. 
bscross321 points3y ago
Report that doctor, get his name somehow and report his ass.
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