Finally, a Good Doctor

The scare tactic pushing quack who told me in 1990 that I would be blind in six months without PRP laser was wrong. The next internal eye problem that arose was in 1998 when the appearance of a floater scared me enough to make an appointment with another eye doctor.
I saw Hendrik Krosschell, who up until recently had been affiliated with the Pearl Vision Center in Attleboro, Massachusetts. He now had an office up the road from that former location.
A minor gray fleck, I only noticed the floater while reading, which I did a lot of in those days of hotel desk clerking. The reasonable chain of logic told me I am a diabetic and should get this new developed looked at without delay.
Dr. Krosschell determined that the floater was just one of those floaters that all people get from time to time. He adjusted my prescription got distance glasses with a minor tweak that he assured did not need to be adjusted in any hurry. He did note that while he saw no signs of bleeding, he did see retina damage. With candor that is hard to find in the medical community, he admitted his limitations as a general optometrist and urged me to see a retina specialist.
I continue to see Dr. Krosschell. His honesty has been the one constant in my eye care and the storm of problems surrounding it. I go to him for referrals and second opinions. I relay on him for the manner of treatment he has provided. He will be honest in telling me when there is a potential problem to be looked at without dramatics or scare tactics. He admits when things are beyond his range without trying to pretend he knows more than he does or holding back information that might be scarey. He conveys no bullshit, and no God complex.
I’ve had some real bad luck with doctors and situations that brought me to them. When I’ve been done wrong, I am not afraid to name names and report how specific doctors lost or disillusioned me.
If nothing else, I strive to be fair, so I name names in the good sense too.
Hendrik Krosschell has been the best. I have always been treated as a patient, never as a number or a dollar sign. I cannot recommend him enough.
He has been my anchor in treatment through two very tough years.

Light Sensitivity

Most diabetics experience light sensitivity. I never had a problem with it as a teenager, even though I had been diabetic for more than sixteen years when I became old enough to drink.
The summer when I was 21 marked the first time I saw an eye doctor on my own. I don’t remember what my childhood eye doctor did, and I do not remember ever being dilated before 1990.
I saw a quack at Vision World because I wanted new glasses for distance vision. Nearsightedness for me had begun in 7^th grade.
I should have kept my mouth shut and just gone for the standard vision correcting test. I think mentioning diabetes brought more "concerns" for me, and, incidentally, bigger bills for the doctor.
I found dilation to be an excruciating process, particularly that first time. They put drops in your eyes that expand your pupils in a stuck open position. Then they shine ultra bright lights in your eyes and flash the lights around while they look at the retina. Your pupils are stuck open afterwards. The excess light your eyes receive hazes and glazes over everything. I had taken a bus to the appointment. I had a hard time finding the bus stop for the way home.
My eyes did not recover from the light sensitivity. Ever.
No doctor would ever admit that diabetic light sensitivity can be caused by the eye treatments they give. The examinations are necessary. The diabetic eye must be monitored. I don’t dispute that.
I do, however, question the methods used in the treatment of diabetics. Some may cause problems, and no doctor seems to want to entertain the possibility aloud. I don’t believe that the onset of my lifelong light sensitivity began immediately after a dilation exam any more than I believe that the Cialis had nothing to do with the hemorrhage.
Staring at the sun can make you go blind, and often not until hours after you stopped staring. So why such a stretch to believe that artificially opening the eye and flashing of light so brilliant that it hurts can do damage, even if "just" gradual damage over long term repetition of this exam? The light used in the exam is as bright as the sun, even if it is a more white light. Some theories state that sun-staring blindness is a matter of UV rays. I think if that were entirely true, it wouldn’t hurt the eyes of even "healthy" people to have highbeams flare into their eyes.
I never saw that quack again after that 1990 visit. Twice my life gone by, I don’t remember his name. Besides the onset of light sensitivity I just remember one other thing, besides the result of his little eye fry.
He told me that if I did not have immediate PRP surgery, I would be blind in six months.

Diabetic Retinapathy

Changes and damage to the blood vessels in the eye lead to Diabetic Retinapathy. This results from poor circulation that affects diabetics. The blood vessels will swell and/or leak and/or just clog enough that the body produces new vessels that are considered abnormal.
The doctors make this more complicated for a layman by talking about proliferative and nonproliferative diabetic retinapathy. To proliferate is to grow rapidly or in multiple amounts, so the terms boil down to whether the retinapathy is actively growing or not. The PRP treatment is used on the proliferative stages of the problem.
The retina processes light at the back of the eye to form the picture of what we see. Tiny blood vessels run throughout it. These blood vessels swell and become blocked. The retina gets less oxygen. The retina begins growing new "abnormal" blood vessels to provide oxygen. The problem is considered nonproliferative up until that point.
Retinapathy becoming proliferative seems something of a mislabel. New vessels already are actively growing in nonproliferative stages. That spreading in and of itself causes no vision loss. Those newer vessels, however, have weak walls and can leak blood either into the center of the eye or into the macular.
The condition typically gives no pain, just vision loss. The diabetic needs to pay attention to his vision.
Signs that diabetics need to watch out for:
flashers
floaters
distortions at edges
wavy lines at edges
darkness creeping in from the edges
I had none of these problems before I underwent the PRP procedure; I had simply suffered a blood hemorrhage that resulted from that "unsafe drop in blood pressure" that boner pill ads warn you about.

In the Line of Fire

PRP stands for panretinal photocoagulation. More big words, which this cynic says has the intention of keeping patients dumbfounded and confused.
Basically, the patient who gets PRP surgery has his eye welded with a laser to burn the retina in place.
This can be done in a hospital, a specific surgery office or the back of a retina specialists’ office.
Drops are administered to numb and dilate the eye. Dilation expands the pupil to let in as much light as possible. A magnifying lense is held over the eye to let the doctor see better and to prevent the patient from being able to close the eye. A small laser is fired through the pupil, through the center of the eye, and burns the back of the retina or burns away abnormal blood vessel growth.
Yes, it hurts. Not so much by a single laser strike, but by the constant barrage. Typical sessions fire the laser 400 to 600 times. The patient almost always undergoes more than one session.
The patient sits on the other side of the machine from the doctor. The doctor holds the magnifying lense in the eye. The machine that shot me had a footpress as a firing trigger.
Sometimes the patient can see the laser. Other times he can see reflections of the laser. Sometimes the laser strike cannot be seen, only felt.
I was told that taking pain killers beforehand is allowed. Other sources indicate that only Tylenol should be taken due to bleeding risks caused by aspirin and the others. They don’t help much during the procedure. The pain subsides pretty quickly after the procedure has ended.
An assistant helps with the surgery. The assistant chatters with either the patient or the doctor to distract the patient. Hopefully the assistant does not distract the doctor.
The assistant’s other job is the real one, to hold the patient’s head into the harness to prevent escape movement.

Getting By

On Dr. Negrey’s recommendation, I saw Retina Specialist Dr. Michael O‘Brien with Koch Eye I did tell O’Brien that two Doctors in two states had been satisfied with monitoring the left retina for a period of years rather than rushing me into PRP laser procedure. I even had that in writing from one of them via communication with my GP.
My mental state was not good at this time, now late October 2009. For weeks I had been seeing out my only good eye through a sheen of blood that had become a murky red over time. There was no relief from this, and no break. When the hemorrhage first happened, I could at least see, even if that was only in technicolor red. Now everything was red fog. I saw only by motion or sharp contrast as everything else was blurred by the blood in the cataract.
This carried a devastating emotional impact. I had worked and fought hard to be self sufficient. I lived an active life. People counted on me for things, including being "the strong one." Now I could not drive. I could not see the TV. Once the blood "in the cataract" had gone from bright to foggy, I could no longer read, thus was unable to review my first anthology publication. I managed on the computer only with the aide of a magnifying mouse and setting screen setting to larger resolutions on a 32-inch TV as a monitor. I listened to a lot of audio books, nut found little of the older and esoteric science fiction that crowded my to-read shelf. With teammates driving me in, I continued bowling. The gutters formed sharp contrast to the lane and I would straight ball down the center, then try for spares by approximate lane position once my teammates told me what pins were still standing.
As much as I tried to maintain a can-do spirit, the disability wore on me.
Negrey had already marked my records as will be blind without PRP, without my fill awareness.. O’Brien , naturally, agreed with his associate. One eye was dark, and the other was obscured by a blood filled cataract.
N a state of depression and uselessness, I let myself get scared into their course of treatment: a few laser sessions with the PRP, cataract surgery which would solve an old problem, and clear the new problem, then some mop up PRP once O’Brien had better view of the retina.
The PRP sessions started on November 2, 2009.

The Bug-eyed Monster

After being disillusioned by Dr. Woodcomb’s statement "It’s doubtful that Cialis causes any eye problems," I sought a new eye doctor to check out my blood-filled orb. I didn’t know precisely what I did want or need, but I knew what I did not want: a retina specialist. This was a clear hemorrhage...oh, wait..."clear" is really a bad word choice as I was seeing everything through a sheen of bright blood red. Anyhoo, what had occurred was not a retina issue per se, and I sought to avoid having the words diabetic and eye being used to shoehorn me into distraction from the problem at hand.
I ended up seeing Dr. Michael Negrey at Koch Eye Associates. My parents drove me to the appointment. While waiting, they read the resume that Koch provided and were greatly impressed.
I wasn’t so sure. There’s an emotional factor in waking up to a blood filled eye and the inability to do anything for yourself that will cloud anyone’s judgment. I did not like his bedside manner, but I can be pretty rough and gruff myself, so I probably should not criticize. Negrey had a distant and superior manner that I did not care for, but the reality is that his technical ability was more important than his mannerism.  His nannerisn quickly manifested as a God Complex.
He prescribed an MRI with concern that I may have ab enlarged thyroid or other foreign growth behind the right eye. I wondered if the thyroid possibility would prove my GP right. Health measured by how I feel had drastically declined under his care. My GP said the health decline was hard living and had nothing to do with me becoming healthier according to his color-by-numbers standards. The MRI came back clear. My mother noted that I had "buggy eyes" since I was a child.
Negrey clearly noted that blood had filled the existing cataract and preplanned surgery for the near future.
But first he wanted me to see Koch’s retina guy, Michael O’Brien.

Mysterious Maladies

Maybe I am harping too much on Dr. Harold Woodcomb’s remark "It is doubtful that Cialis causes any eye problems."
Possibly harping, but not probably.
I have emphasized the "any" in his statement every time I have reported it because he emphasized the word, as if he thought the required vision warnings on all boner pills stood as some unfair burden on the pharmaceutical manufacturers. Cialis, Levitra, Viagra: they all must carry warnings. Most of the warnings convey shifts in color or some blurring. Nothing prepared me for a hemorrhage to spew blood in my eye.
Because I took the Cialis I am now too blind to read warning labels.
Woodcomb’s refusal to acknowledge the cause of the problem indicated to me that he would not be treating it with every available fact under consideration. That gave me reasonable cause to seek treatment elsewhere.
The other reason for giving his statement prominence lies with the scope of the problem. If this esteemed doctor refused to acknowledge even the possibility that a boner pill caused the hemorrhage, then he certainly did not report it. And he cannot be the only doctor in this country who did not report the devastating effect.
This under-reporting by doctors also rides the very real phenomenon that many men may be too embarrassed to admit that they used a boner pull when seeking treratment for the resulting hemorrhage..
That leads to the very real conclusion that the less frequent but very real dangers of hemorrhages and eye strokes remain under-reported and uninvestigated. The warning labels do not have to be strengthened. People who might suffer the same effect do not learn about dangers considerably more devastating than seeing a bluish tint.
Meanwhile, the pharmaceuticals continue making money without being held accountable.
How many more people will suffer the hemorrhages until the warning become mandatory and doctors are educated that some patients shouldn’t be taking this drug, no matter how blue their balls get??
Viagra saw the fastest FDA approval of any drug in history. People, including lawmakers, want boner pills. Now we can get prescriptions for Cialis for daily use. Now every man can rise to any opportunity that may arise.
The message comes across that boner pills are so safe, they can now be used every day. That implication has been irrevocably disproven to me, the hard way.
Part of this blog’s purpose is to get the word out that these drugs –and by extension of drug companies’ business practices, many drugs– are not as safe as your doctors and the drug companies that send them on vacations would have you believe.
When you take these magic meds, you’re taking more than your boner in your own hands.

Cataracts

I discovered that I had cataracts in spring of 2006.
While driving a "lorrie" on one of the antique buying trips in England, I really noticed that I was having increasing difficulty reading the traffic signs, even with my distance-improving glasses on. One of the closer friends I had at the time had undergone Lasik surgery and was absolutely eagle-eyed. Once back in the US, I made an appointment for a free consultation.
He Lasik people were not about to do any surgery on me based on the fact that I had only one functioning eye to begin with. While disappointing, the experience proved some value. My slowing increasing diminishment was determined to be due to cataract, and not to plain old nearsightedness or to any retina problem. I greeted both those things as good news.
Yet one aspect of the examination lingered in my brain: why, when I had been going to Dr. Lowenstein two or three times a year for the past couple years did I first learn of what was a relatively large cataract from a free Lasik consultation? The arrangement of Lowenstein’s practice did not quite make him an economical option for this self pay patient. Upon every visit, I had to pay Dr. Lowenstein. Then, a bill of another couple hundred dollars would come from The Massachusetts ye and Ear Infirmary in the following weeks. For so much money in double billing, why had it never been even casually mentioned to me that I had a cataract? I don’t bemoan paying for services, but I do want some bang for my buck.
I asked about the cataract on my next visit in the summer of 2006. I was told that I was scheduled for a retina exam only, and that if I wasn’t another issue looked at, I needed to make another appointment.
I never did make another appointment with Lowenstein or anyone else at Mass Eye. Instead, I started seeing Dr. Woodcomb in Providence. That professional relationship lasted about three years, until his doubt that "Cialis causes any eye problems." I could live with Lowenstein’s skepticism about the 2003 cornea abrasion because I was by that time seeing him for routine evaluation. I couldn’t live with Woodcomb’s doubts because I needed someone who would treat me according to the facts, not according to pharmaceutical propaganda.

Wood Eyes and Smiley Lies

For a few years, I had been satisfied enough with retina specialist Harold Woodcomb, and not just because he had promised to issue medical clearance if the DMV ever denied licence based on my being blind in one eye.
On one prior visit to Woodcomb’s Retina Consultants, Inc office, I had been seen by a new doctor on staff, a Doctor Smiley. He looked at the retina and wanted to rush me into PRP surgery that night based on his exam. He used the tagline I had heard from several doctors over the prior twenty years: "If we don’t do this surgery, you will be blind in six months."
Maybe I am a jaded cynic because I had heard that before. The threat is always so precisely the same. "Blind in six months."
What was most galling about hearing it this time is that if Dr. Smiley had bothered to look at my records that resided in his own office, he would have seen that the primary partner in Retina Consultants, Inc, –Dr. Woodcomb himself– had reported my situation as stable and in need of monitoring but not surgery. Obviously, Smiley could not have been too interested in reviewing medical history even as established in his own office before starting new and expensive procedures.
And yes, the Smiley Incident was well prior to six months before the vitreous hemorrhage.
I refused to even consider being seen by Dr. Smiley again. Judging by the Retina Consultants, Inc website, he no longer seems affiliated with the office.
Despite the half-hearted defense of his associate that Woodcomb later gave, I gave Dr. Woodcomb the benefit of the doubt. I turned to him first when the hemorrhage popped blood in my eye.
I had trust and faith in him. He shattered that when he told me that it was "doubtful that Cialis causes any eye problems."
My retina had not detached; my eye had started bleeding. My eye had started bleeding less than 24 hours after taking a Cialis and not having pulled the pillbox while the pill was still in my system.
To me, this was another case of doctors ignoring other causes and concerns because those things just happen to diabetics. While diabetics do get extremely thirsty when their sugar levels rise, diabetics can get thirsty for reasons other than elevated sugar levels.
In what hindsight nags at me as possibly the biggest mistake of the situation, I sought out a new doctor with the hopes that the problem I was walking in with would actually be considered.

Half Blind: The Right Eye

Before going into the complicated mess of the left eye, I should give a brief recap of the right eye going blind in 2003.
I exerted too much pressure on a dull borer bit on a drill. The central axis snapped. The bit slipped from the door and sprayed the right eye with sawdust. This created a cornea abrasion.
Thanks to a sharp steak fry and a not-so-sharp woman named Danielle, I’d had a cornea abrasion before and knew how to treat it. Unfortunately, did not treat it long enough by leaving it covered to give the eye its rest and allowing the cornea cells to realign over the temporary obstruction to a smooth viewing surface. In the subsequent weeks, they eye pulled to the outside.
The eye’s efforts to look around the temporary obstruction striated the muscles of the eye. The pulling muscles worked to peel the retina off the back of the eye.
The end result is that the right eye is blind in the way most people think of when they hear "blind." They eye is dark except for a pinhole of vision. That pinhole is less usable than it might otherwise be for two reasons. The field of vision is misaligned, creating ghost images that run above and to the right of the normal vision. The right eye also has a cataract that makes the misaligned image very blurry.
I did not recognize the signs of the quickly growing retinapathy. I saw a few doctors. None suggested the potential for re-attachment while the wound was fresh.
The incident exemplifies the medical profession’s approach to diabetic patients. I saw a couple doctors, and began monitoring the left eye’s retina regularly. I ended up as a regular patient of the esteemed Doctor John Lowenstein of Massachusetts Eye and Ear Infirmary.
When I gave Dr. Lowenstein the history of the problem with the right eye, he told me point blank: "You never had a cornea injury. This is from diabetes."
You’re the doctor. You must be right. I suppose I just imagined the borer bit and the sawdust and the cornea abrasion.
A student doctor joined the party of strobing painfully bright lights into my eyes. In going over things with the student, Lowenstein said "And look at this. You almost never see muscle striations like this with diabetic retinapathy."
I leaned forward and said, "Yo, doc. Cornea injury? Eye pulled to the side, as in striated?"
He just said "Oh." The look on his face was that of someone who had been called out for farting in a crowded elevator.

Better Living Through Chemistry, Part 2

My GP told me the list of things he would want me on even before doing any bloodwork to determine actual need. If I raise specific concerns about specific drug side effects, he does not communicate, he simply shrugs off my concerns.
We live in an age where the public learns about new conditions and diseases on TV when a drug is developed for them. In so many cases, we learn even more about the disease and the dug a couple years later when lawyers start advertising for class action suit clients. This seems a very prevalent trend with drugs marketed to diabetics, particularly the fat Type 2’s who want to avoid the needle.
When I told him that my new healthier living and lower blood sugars had triggered massive depression that had me disinterested in sex, my GP gave me a starter bottle of antidepressants and a three-pill sample pack of Cialis.
Just like a pusher, he would get me hooked for free and the investment will pay off before long.
I did not take either drug right away.
I had brought my difficulty to the GP’s attention as a lack of drive. He insisted it was not drive but function because I am a diabetic and diabetics have function issues.
I know myself, and what was going on. Instead of taking one of the Cialis, I forced myself to look at porn on the internet. My lack of drive had been so far lost that "forced myself" is an accurate description.
The images worked, and so did my function when my brain got engaged. I most certainly did not need the Cialis. Boner pills work on function, not drive. Ugly housewives should keep that in mind before slipping Viagra into their husbands’ drinks.
I did not take the antidepressant until I failed to have an apartment fully ready for an incoming tenant. This was the first time in 6 years I had failed in that. Just a couple years before, I had turned over 6 apartments in one month. The failure just wasn’t me. With reservations rooted in the stigmas and concepts of such a drug making me something other than myself, I started on the generic fluoxetine.
The fluoxetine worked. This depression derived from biochemical problems related to the lowered blood sugar. Things were going relatively well for me; I had no reason to be depressed and no life events had been making me that way.
The fluoxetine made me urinate a lot. My GP told me that was a sign of my being such a bad diabetic. I have been a diabetic since I was four. I know "sugar spillover" peeing when I’m doing it, and what I had mentioned to the GP wasn’t it. If I took the fluoxetine with a couple ounces of water, I gave back a couple cups. If I took it with a full glass of water, I would be standing over the toilet for several minutes in the production of sudsy pee.
I prevented the potential headache side effects by taking the fluoxetine at night.
I had only one other side effect that first winter on the generic Prozac. Before the fluoxetine, I had function but no drive. On it, I had drive but no function.
The Cialis beckoned.

Better Living Through Chemistry, Part 1

Diabetes, in my experience, doesn’t directly affect many things. It does, however, indirectly affect everything.
The hemorrhage was in October 2009, but the seeds that led to the hemorrhage had been planted in 2005. After having stumbled across an internist’s practice following a car accident, I looked at it as fate and solution to possible midlife crisis to do as some people urged me by "taking care of yourself better."
As of that time, I was hale and hearty and healthy and had only some mild diabetes related problems only in conjunction with other risk factors.
I had been having the eyeball checked every six months. It looked bad, but my eye doctor at the time–the esteemed Harold Woodcomb–had determined that as bad as it looked, it was entirely stable and did not need laser treatment like they do to diabetics. I lived an active life. I treated the diabetes by feel. I took the needle in the morning and forgot about being a diabetic in favor of a life that rejected notions that as one doctor put it to me "if you’re a diabetic, then you’re not healthy." If the sugar felt low, I ate. If it felt high or I had telltale systems od high sugar, I shot up without hesitation.
The numbers in 2005 were scarey enough that the first lab results prompted a call from a very frightened nurse and a comment from the GP that he did not understand how I had never been in a coma: A1C 15, meter based umbers over 600.
I worked with the doctor to lower the numbers. This was mostly by increased insulin consumption; my diet has always been pretty good.
Thus I began my road to good health. The numbers never got to where the doc wanted them, but they lowered with steady speed and on the inside of a year I could no longer work long days or eventually even very many full days because as soon as I are anything, I crashed. Even a light meal triggered naptime. I would wake up in early evening in bed with no recollection of having gone to bed after lunch.
I no longer felt healthy and the dual high doses of insulin triggered my body on a two-days per day biorhythm.
The lowered blood sugar triggered biochemical depression. I started sleeping 8 hours a day twice a day. My sex drive diminished, with what I recognized as utter lack of motivation, that symptom you hear about in all those antidepressant ads that run constantly on TV, "no longer have interest in the things you love doing."
I mentioned this to my GP. He denied any root cause from depression. Ever willing to promote better living through chemistry and to earn the vacations and perks that ht endless parade of drug reps in his office provide, he gave me a starter bottle of antidepressant and a three-pill sample pack of Cialis.
Thanks, doc.

Vitreous Hemorrhage.

NAION stands for non-arteritic Anterior ischemic optic neuropathy. This is a mini stroke of the optic nerve that results in sudden vision loss, usually upon awakening. In my case, the NAION. It occurs when the back of the eye is crowded with gunk such as swelling or bad optic nerve curve or scar tissue or inflammation, and/or gets poor circulation, and/or in relation to cardiovascular problems.
In my case, the NAION caused an instant Vitreous Hemorrhage. Tis is basically when the back of the eye bleeds into the gel-filled cavity in the center of the eye. Specifically to me, the back of the eye bled into the eue, filling the center of my eye and an existing cataract with blood. I looked out into traffic that night and could not tell if cars were coming or going because the headlights were as bright red as taillights.
Admittedly, I am a smokin’, tooth-grindin’, Type-A ("A for asshole," I’ve been told), tightly wound diabetic. Most eye doctors have discounted the effect of the Cialis on the hemorrhage that was part of my posterior NAION. They say that NAION is bound to occur with people who have diabetes or high blood pressure and is not the fault of Cialis or Viagra or any other boner pill that the patient may have taken.
My response is, "Who, exactly, are the target markets for boner pills? That’s right: people who have diabetes or high blood pressure."
No drug was rushed through FDA approval faster than the boner pill. Men want it, including men in the FDA and legislature and those who make a living as doctors. The boner pill is here to stay, and if the unsafe dfrop in blood pressure pops a few guys’ eyes, that is a small price to pay for the enjoyment of millions.
What I have wondered without sarcasm is if the fact that I did not take advantage of the Cialis in mt system was a factor in this. The date for whom I took the pill didn’t go that far and I did not take matters into my own hands.
Could my mother have been wrong? Could not masturbating have made me go blind?!

Bloody Hell

OK. Here’s a statement of fact. The blood hemorrhage that kicked off my descent to darkness began when I took a dose of Cialis.
I took the pill on Mondat 5 October 2009 in anticipation of an encounter that didn’t work out. I never took advantage of the ability on my own afterwards.
I woke the morning of 6 October with sunlight on my face, shining on my closed eyes.
A tick of a shadow suddenly grew, spreading with gravity. When I opened my eye, the shadow glowed bright red and continued spreading.
Doctor Harold Woodcomb was the first doxtor from whom I sought treatment. He told me "it is doubtful Cialis causes any eye problems."
Is it understandable I have not been back to his office since?
Hey doc: read these:
http://www.ncbi.nlm.nih.gov/pubmed/12358159http://www.ncbi.nlm.nih.gov/pubmed/10676804
http://www.ncbi.nlm.nih.gov/pubmed/15756125
http://www.ophsource.org/periodicals/ophtha/article/S0161-6420(01)00976-9/abstract
http://www.lawyersandsettlements.com/case/viagra_blindness_class_action.html
http://www.lawyersandsettlements.com/case/viagra_blindness_class_action.html
Is it possible, dear doctor, that this problem would be more widely documented if pinheads such as yourself were actually listening to the patient and reporting it?