Guest Author, Lisa Siqi Feng
Over the past months, we have been constantly bombarded with news of COVID-19 and its effects on the world around us as we knew it. Now, many of our colleagues are facing unprecedented difficult times. Thank you to Young Optometrist Lisa Feng for her efforts in writing the following article.
"If you had mentioned to me a few months ago about the coronavirus or COVID-19, I would have had very little idea of what it is and how it is going to affect me. Little did I know how rapidly it was all going to escalate and how much impact it was going to have on my personal and professional life as a young optometrist with a career that was just starting.
It is difficult to mentally process the rapid and drastic changes which have happened to our world and lives especially when it continues to change day by day. Being a primary care practitioner coming into close contact with the patient, many of us had to grapple with the fear for our own health and safety. Concerns over finances also arise as the stability of our jobs is threatened, many face a drastic reduction in business, loss of jobs, closed business or reduced hours for full/part-time positions. I have felt the feelings of fear, concern, frustration, helplessness and have even questioned my choice of becoming an optometrist. As I begin to navigate through these emotions and talk to my peers, I have come to realise that these feelings are valid and that there are things we can do to navigate through this unique time.
In the midst of anxiety and uncertainty, have hope and know that this will not be forever. The last pandemic of this scale was the H1N1 swine flu in 2009 but most of us were not working adults or even recall the impact it had on our lives. Now that the world and the government have finally started to take this more seriously and act, people have come together (or rather stayed apart), all with the same goal to overcome this virus and return to our normal lives. Things may need to slow down or pause for a while but know that this will not be forever.
Protect each other
If work has been put on hold, then you are in the best position to stay safe and protect yourself and each other. Although you cannot actively help your patients as optometrists now, self-isolating as much as possible is the best thing you can do to protect each other. If the decision is to continue operating, then consider yourself a soldier on the front line and be vigilant about protecting yourself and the patients. Implement changes to the practice to keep social distancing within the practice and develop strict cleaning regimes amongst all staff. Have regular discussions with the practice owner, staff as well as colleagues who continue to work. Membership organisations such as Optometry Australia and from the optometry board of corporate companies have been regularly providing members with updates and offering support and advice.
Our personal and professional lives have all been reduced, restricted and paused in one way or another. While it is important to mourn over what has been lost, this can also be a good opportunity to reflect and reset. Catch up on that much-needed sleep, use the extra time to take care of your mind and body. Video call a friend and ask how they are doing. Now there is finally time for the conference notes that you’ve been meaning to revise and catch up on CPD points. Start that side hustle and pick up hobbies that you’ve been wanting to try but never had the time. We can focus on all the things that have been lost but we can also put the energy into becoming better for this is all over.
Know your options
Every workplace is unique, and it is crucial to explore options with employment for now and the future. The situation is changing daily so stay alert but not anxious and communicate regularly with employers, colleagues and membership organisations such as Optometry Australia for advice on changes in optometry regulations, employment options and financial support. While Young Optometrists NSW/ACT cannot provide legal advice, they can provide support and redirect you to someone who can.
I look forward to the day when this is all over so we can all return to work, fully appreciating all the things we took for granted before."
Now we've all got (a lot) of time of our hands, if your Instagram is anything like mine it's been inundated with the tastiest images of everyone's home cooking adventures. Here's a few below that are focussed on nutrient dense foods, which are great for eye health!
But firstly, what micro-nutrients are important for eye health?
Whilst there are many multi-vitamins on the market, it is best if you can absorb your nutrients through your diet! Eat your vegetables both raw and cooked, for example if you look at orange peppers, you can more readily absorb Vitamin C eating then raw, whilst more easily absorb Zeaxanthin eating them cooked.
Note: you can substitute the vegetables for others things in your fridge, try: peppers, collards, kale etc.
1. Add all the ingredients in a blender and blend for about 30-60 seconds or until smooth. Enjoy!
If you try any of these recipes, make sure you tag us @yoptoms in your creations!
If you told me 3 months ago that I would be unemployed and had to move back in with my parents, I wouldn't have believed you. But hey, here we all are! Money's tighter, budgets are smaller but these are a few financial tips that could help;
Disclaimer: We strongly advise you to speak to your banks, lenders, legal advisor and/or accountant. This information is not to be interpreted as constituting professional advice and YO are not liable for any income loss taken from above advice.
Our 'Unconventional Optometrist' column is where we chat to optometrists who are a bit out of the ordinary! Do you know anyone who we should feature? Let us know!
Introducing Kevin La, a young optometrist who has followed his passion of introducing delicious foods from around the world and now runs a succcessful Instagram page. Read on to find out more about him.
Tell us a little bit about yourself
Hi, I'm Kev! I'm an optometrist in my second year out, working in the Greater South West of Sydney. In my time off, I search for places to eat really good and authentic foods from cuisines around the world and write about them.
Where can we follow you?
Find me at @sydneyfoodboy on instagram!
How did you get into what you’re doing in your time outside optometry?
Well, I love to travel. It gives me so much joy to hop off a plane somewhere to immerse yourself in a rich culture with a completely different way of life. And one of the things I definitely look forward to most is trying all of the amazing food that each new place has to offer!
I think we can all agree that working everyday is a little less exciting than that. On my last trip out, I wondered - how can I make everyday feel like a holiday?
We’re lucky enough to live in Sydney, one of the cultural capitals of the world. So many people from all walks of life have come together to call one place home, meaning there is a world of different flavours waiting to be tried around Sydney. So that’s when I started on my quest and started writing about it!
Tell us about one of your most memorable food experiences
I was walking down the quiet-end of Liverpool and noticed a small, bustling eatery. People were coming and going with huge bags of takeaway containers to feed their families. With Lebanese cuisine being one of my favourites, I was so intrigued. I had to sit down for a meal.
The hummus and falafel I tried there turned out to be amazing - some of the best I’ve eaten. Turns out that the restaurant was family-run and has been well-known in Liverpool’s Lebanese community for years. I read somewhere that the falafel recipe has been passed down a few generations too. We’re definitely lucky to be able to have that and many other food experience at our doorsteps!
Do you find it easy to juggle your optometry career and your other passions?
I find that searching for and writing about good food doesn’t take much effort from me! Before I started the IG page, you'd find me chatting away about food to my friends in my spare time anyway… or even to patients in the consult room ha! Food is a love shared by many and you can really talk to anyone for ages about the great food they’ve eaten. Because of this, it was a hobby that I easily translated into a passion project outside of work.
Does time away from optometry help you appreciate it more?
I would say so. I love being an optometrist. We help people to see again, and we improve people’s lives because of it! Even if you don’t see it, you’re making a very positive impact on the world as an optom.
I’ve seen a few of my peers become burned out from their jobs though. It’s understandable. It can get stressful, especially if you work in a practice with a high volume of patients. Being a guy that finds it really hard to stand still, I definitely didn’t want to go through that. Starting @sydneyfoodboy allowed me to pursue another love of mine and I would say I’ve enjoyed life more, both within and outside of work, since.
Do you have any advice for young optometrists out there who would like to pursue their passion but haven’t quite gotten started?
You’ve just gotta do it! If you have something that you’ve wanted to pursue in the back of your mind, you should get out there and turn that thought into action! You won’t know if you’ll be successful or not until you try. You only have one life, so you have to make sure that you do everything in your power to enjoy every single day of it.
Student's Corner is a new space which is designed to introduce some of the amazing Optometry Students - delving deep into their likes, dislikes, struggles and current mood. And although we've called it Student's Corner, our first guest not-so-student anymore. Keep scrolling to read more about 2019 UNSW Optometry Society President: Ivy Kol.
What is your favourite Disease?
Microbial keratitis - it's the first red eye I ever saw!
What about Optometry really grinds your gears?
When a patient is non-compliant with your treatment and then returns for the review complaining about the same issue.
What drives your passion for Optometry?
I really enjoy solving a person’s problem and seeing the positive impact on their life. It gives me a lot of personal satisfaction and is what keeps me motivated!
Something you discovered about the uni not everyone may know?
The structure at the top of the main walkway (where Scientia is) is designed to look like an open book
Would you rather do 100 body-weight squats or walk to and back from Village Green to Sir John Clancy?
Walk to and back from Village Green to Sir John Clancy - so I can get a Stockmarket salad too
Something others may not know about you?
I studied Exercise Physiology for a year before transferring into Optometry
What song do you play that instantly lifts your mood?
Sunflower by Post Malone
In Orthokeratology, Axial, Tangential, Refractive and Elevation plots have different roles
We need accurate topography maps to predict corneal sag for an accurate lens fitting. Maps should be taken before and after lens wear so we can compared the changes, and use the subtractive function/compare function on the topographer to view this.
Potential Fitting Outcomes
• Bulls Eye result:
When the sag of the cornea is predicted correctly by the topographer and the sag of the lens matches appropriately
• Smiley Face
When the sag of the cornea is UNDERESTIMATED by the topographer and the sag of the lens is too shallow for the cornea, so that it touches centrally and then rides high on the eye overnight.
• Central Island
When the sag of the cornea is OVERESTIMATED by the topographer and the sag of the lens is too deep for the cornea, so that instead of flattening the cornea centrally, it actually steepens it.
• Frowny face
When the alignment curves on the edge of the lens are too TIGHT and the lens drops LOW in the closed eye environment (the sag does not matter in this case).
Introducing Martin Diep (MOptom BOptom BSc FACBO) from See Optometry, Victor Harbor SA. He has a special interest in Behavioural Optometry and is doing some amazing things in the world of Vision Therapy and Binocular Vision. Read ahead to find out more!
Tell us a little bit about yourself and how you got into Behavioural Optometry
Born and raised in Sydney, I studied Optometry at UNSW and graduated in 2014. My first gig was in regional South Australia in Port Augusta, a small town of 14,000 people 300km north of Adelaide, where I worked for 4 years before moving to my current practice in Victor Harbor, 80km south of Adelaide. It only took me a few months after graduating when I realised that my undergraduate degree only taught me the bare basics needed to survive the world of optometry, and I needed to upskill myself to actually know what I was doing, especially with patients with visual symptoms but no clinically significant visual findings. Hence I started my journey into the world of behavioural optometry; getting my Masters degree through UNSW in 2017 and my Fellowship with the Australiasian College of Behavioural Optometry (ACBO) in 2019.
-Tell us about your typical day or week at work
Optometry in my practice probably looks a bit different from a regular city optometry practice. On top of all the regular optometric clients, I also do a fair few paediatric consultations that have been referred by other optometrists and educators for learning related vision problems. These include a full binocular vision check as well as a developmental information visual processing check where I investigate problems with reading eye movements, visual spatial dysfunction, issues with visual analysis and visual memory, as well as visual-motor and visual-auditory integration skills. Throughout my week, I also do in-office vision therapy with my clients for a wide range of visual dysfunctions, from convergence insufficiency, to learning related visual dysfunctions and post traumatic vision syndrome following concussions and strokes.
How did you get into this unique area of optometry?
It took me about three months after graduating when I realised that there were a lot of patients where I could not explain the symptoms they were getting from the tests that I got taught at university and so I started trying to find some answers. I knew there was a gap in my knowledge (which were not a result of falling asleep in many lectures at uni!) I discovered that ACBO offered many postgraduate courses that covered the topics that I was least confident about and decided to go to the Art & Science course offered by the Optometric Extension Program. That was when my I realised that there was SO much that optometrists could offer clients that was not even mentioned during undergraduate study! As I learnt, I discovered how optometry is really the only profession that has the functional vision science knowledge to provide services for vision development, enhancement and rehabilitation and this opened up my world to the optometric management of developmental delays, autism, brain injury, sports vision and other visual issues that conventional optometry has no way of treating.
How do you keep up with the optometry world?
Postgraduate courses are the crux of my professional development. I go to more postgraduate courses than that needed to meet my minimum CPD requirements; at one stage I racked up 350-odd CPD points in one registration period! Keeping up with colleagues in the industry is also a great way of keeping in touch with what is happening in optics and it gives me great ideas on how to implement changes to my practice to enhance the patient experience.
Do you have any goals for your optometry career?
In Australia, the delivery of vision services to brain injury clients is abysmal. Even a basic visual acuity check, refraction and gross assessment of binocular vision is severely under-valued in hospitals and rehabilitation centres around the country. It is one of my goals to increase general awareness of the huge impact brain injury can have on the visual system and that optometrists can fix a lot of these problems with a simple pair of glasses.
I would also love the general optometric community to begin to understand that the unique tools that we have access to - lenses, prisms, tints, filters - can be used in more than one way. I want to encourage other optometrists to think outside the box; think about the person as a whole and how can you use what you have in front of you to change their lives for the better? For example, using based down yoked prisms in a CNIV paresis to eliminate diplopia on downgaze when reading. Sometimes the solution is easier than you think!
What keeps you sane outside of your work life? Do you have any hobbies or passions you pursue?
My hobbies are what keep me sane enough to to work in a high pressure environment with clients with complex needs. I work out regularly, 5 days a week at the gym and run a few times a week. I would like to think this is to keep fit, but in reality it’s to offset my love of baking for friends and family (and myself)!
What advice would you give to other optometrists who also wish to pursue this area of practice?
To be successful in behavioural optometry, you must approach it with an open mind, and be ready to learn and learn and learn. Once you start, you only then begin to realise how much you don’t know about the very job you’ve been trained to do and have been doing for the last however many years. ACBO is the best resource for optometrists looking to further their knowledge on binocular vision, learning related vision problems, and higher level topics like brain injury and sports vision. They have material of all levels that can meet your needs regardless of how in-depth your knowledge is in the area. Colleagues that have been practicing behavioural optometry for decades still benefit hugely from the ongoing CPD they provide.
It's easy to get stuck in the bubble of Optometry. What's something that you wish people knew about behavioural optometry?
Optometry is not just about subjective distance refraction and eye health. Don’t get me wrong; they are hugely important and they are the basic things all optometrists must test, but there is a whole other level of fundamental visual functions that a lot of optometrists do not even consider. For example, when was the last time you thought about fixation, let alone test for it? How do you even test for it? When you really think about it, what are the basic visual skills a person must have to even read your logMAR visual acuity chart? A few come to mind with examples:
● Accurate fixation and saccadic movements - to even know where to look let alone read across the line without skipping letters or confusing lines
● Accommodation - think of the psuedomyope with poor control of accommodation in the distance
● Vergence control - divergence excess strabismus have poor vergence control in the distance
● Visual spatial skills - how do you distinguish between an S and Z when they are fundamentally the same squiggle, just mirrored?
● Visual discrimination - how do you differentiate between a Y and V when one just looks like a longer version of the other?
● Visual figure-ground & central-peripheral control - How do non-amblyopes isolate the letter they are fixating on without getting distracted by all the other letters around them?
● A proper understanding between spatial concepts like text with temporal concepts like speech - How do they know that the visual representation of “A” is the same concept as the sound it makes?
How do you think a child with these vision problems would do at school with reading comprehension and spelling? They may see 6/6 and refract plano but there is so much more at play here and you as the optometrist can be the one who changes their lives.
It's almost the best time of the year... Christmas! It's not unusual for patients to bring in gifts, such as chocolates, or a bottle of wine. But, can we accept these gifts? Where do we draw the line?
Consider the following scenarios:*
Realistically accepting small gifts is reasonable, however monetary, large gifts or personal items might be considered unethical. Of note, the Medical Board in Good Medical Practice: A Code of Conduct for Doctors in Australia writes:
Doctors must be honest and transparent in financial arrangements with patients. Good medical practice involves… not encouraging patients to give, lend or bequeath money or gifts that will benefit you directly or indirectly.
So what happened in the scenarios?
Here's a great article from MDA National if you want to read more.
What to say to your boss when you’re planning on quitting
Firstly consider, do you actually WANT to quit? We all have those bad days at work that make us want to quit, but are you simply acting on anger? Can you discuss the situation with your boss? Have you tried discussing this many times before, and it’s obviously a dead road? Is there anyone else you can talk to in the company who may offer you insight? If you think it’s all a matter of miscommunication and can be salvaged, maybe reconsider quitting.
However, if you’re ready for new adventures and are sure about quitting, what do you do?
How do you deliver the news?
Focus on the positives and what the job has taught you. Let your boss know how appreciative you are for the opportunity, but you are ready to move on. It may not be worthwhile bringing up petty disagreements you may have had.
Read over your contract, most organisations require 2-4 weeks’ notice of leave. Give notice in the form of a resignation letter, emphasizing on the positives and how you have benefitted from your time there and offer to help during the transition. Make sure you detail your end date with them.
Restraint of Trade
Read over your contract, do you have a km radius restraint, and if so for how long?
Do you have a job lined up?
Whilst Optometry is thankfully very flexible, consider having a job lined up. Will you take a break and or holiday in between the jobs? If you are unsure about your next workplace, consider sitting in for a few days first to see if you are the right fit for the practice.
Ask your boss for a reference
It’s wise not to burn bridges before you leave! Ask your boss for a written reference, especially as time moves on it, it may be difficult to get a hold of these references, especially if you need these quickly.
Return Company Property
Return any company property, such as company keys, uniform, intellectual property, company equipment, or car (if you were lucky enough to have one!). Do not take any patient information, although this should not leave the practice in the first place.
Telling patients you’re leaving
Over the years you may have built a very strong bond with your patients. It would be respectful to tell them you are moving on and another optometrist will take over your care. If you are certain patients, such as vision therapy cases, which require your care – consider finishing off their therapy or referring them on so they are able to receive best care.
Here's this month's Unconventional Optometrist. Sarah Pham is an optometrist who works in metro Sydney and has pursued a side career in Events Planning. Read on for her thoughts on how to keep interested in Optometry and how to follow your passions.
My name is Sarah Le Pham, 2016 UNSW School of Optometry graduate. I predominantly work a mixture of corporate, mobile and independent practices based in Sydney metro.
Since graduation, I’ve been actively involved with the excellent and devoted Young Optometrists (YO) as an executive for 2 years prior to help bridge the gap between the generations of optometrists which has been very rewarding.
At the same time, I’ve looked into various specialties and discovered that all of them were interesting in their own right. OrthoK and myopia control particularly tickled my fancy! I’ve tried to go further and look at different demographics as the care and management require different finesse.
In terms of who I am, words that are commonly used to describe me are compassionate, curious and enthusiastic. I’m constantly on a journey to try different things and have the most fulfilling experiences in life!
Tell us about your typical week at work
Every week has been very different hence there’s no such thing as a typical week for me. This is quite refreshing for me personally however I do understand it may not work for everyone!
In my circumstance, my work is deliberately irregular to give myself an opportunity to explore my other interests (more below).
How do you keep up with the optometry world?
The advantage of optometry being a niche community is that it is not too difficult to keep up. There are CPD events, articles published online and groups (YO, OA etc) that promote discussion.
Being the nerds we all are, even just a regular catch up with the friends you’ve made during university (who have now become your colleagues), talk about developments in optometry come up!
Optometry is constantly changing and consequently, I want to constantly focus on improving my skills and overall care for my patients. My goal is to be a better optometrist than yesterday!
Keeping up with my attitude to trying different experiences, I’ve actually looked into various jobs and hobbies outside optometry. As much as I like optometry, I would not stay sane if every breathing second was about optometry!
I’ve pursued a side career in Event planning. Nothing as extravagant as weddings, but I’ve delved into parties and smaller scale events! (Birthdays, hen’s night etc). This is ongoing as there are always projects for me to get in touch with my artsy and creative side where the precise and logical optometry career path may not allow!
For a busy practice, one might find that they spend the entire day sitting in the consultation room (can’t be helped!) but it does not contribute to us achieving our active needs. Hence, I’ve involved myself in playing a team sport (Volleyball) in my free time which has evolved into a passion allowing me to eventually be appointed Captain of the newest and developing rep team.
What advice would you give to other optometrists who also wish to pursue something a little out of the ordinary?
You’ll never really know if you like something or not unless you put yourself out there and try it!
It's easy to get stuck in the bubble of Optometry. What's something that you wish people knew about the industry you work in now?
Yes, it is important to grow as a practitioner and deliver your best care but I personally think it’s equally important to mix things up so that you don’t get burnt out!
As rewarding as Optometry is, I find that there are some aspects that the career simply cannot offer. To really pursue a fulfilling and balanced lifestyle, it’s a good idea to look into things outside of Optometry.