chatgpt suggested wait for 1 month, again OCT Scan,doctor says FFA later laser treatment,

-

 Thank you for the detailed information and new scan. Based on your current condition, medical report from 15th July 2025, and AI-based evidence on CSCR (Central Serous Chorioretinopathy) — here is an objective and patient-centered analysis and suggestion.

🧾 New Findings from Today’s Retina Review

  • Diagnosis: Recurrent CSCR in Left Eye

  • Vision has slightly worsened (Distance Vision LE: 6/9.5 to 6/12 previously).

  • Plan of care:

    • Started on NEPAFLAM Eye Drops (Nepafenac 0.1%)

      • A non-steroidal anti-inflammatory eye drop.

      • Given 3 times a day for 1 month to control inflammation and fluid.

🧠 Doctor's Concern and Suggestion

The doctor suspects CSCR might be:

  • Triggered by: Stress / Ayurveda / Homeopathy / Skin medication (Levosin) / Asthma medication (Foracort, Monteck).

  • Recommends: Fluorescein Angiography (FFA) test — an injection-based dye test to find exact leakage point in the retina.

    • Depending on result, may consider Laser treatment (PDT or focal laser) if condition is chronic or not resolving.

✅ Wife's Suggestion (Wait & Watch)

  • Suggests to wait 2–3 months to see if it resolves naturally, then decide on further steps.

🧠 AI-Based Analysis & Global Best Practices

OptionBenefitRisk/ConcernIdeal For
Wait & Watch (up to 3 months)~85% acute CSCR cases resolve naturallyDelayed recovery of vision; prolonged fluid may damage retina if persistentFirst-time CSCR, low-risk, not affecting both eyes
Start Anti-inflammatory drops (like Nepafenac)Reduces inflammation, may help reabsorb fluid fasterMinimal side effectsSafe short-term support
Do FFA Test (Now)Exact location of leakage found early, used to guide laser treatmentInvolves injection; small risks of reaction; cost involvedRecurrent CSCR, poor vision, >6 weeks persistent fluid
Laser Treatment (PDT or focal laser)Good for chronic/non-resolving CSCRRare side effects (scarring, recurrence); costlyOnly if confirmed via FFA or OCT as needed

🧠 AI Suggestion (Blended Plan)

1. ✅ Continue with Eye Drops (Nepafenac):

  • As prescribed: 3x per day for 1 month.

  • Reduces inflammation and supports healing.

2. ✅ Avoid triggers:

  • STOP:

    • All steroids (inhalers, creams, pills like Levosin) after consulting doctor.

    • Monteck (Montelukast) if not essential.

  • Reduce stress: Yoga, sleep, no blue screens at night.

3. ✅ Wait for 4–6 weeks:

  • With eye drops, monitor improvement.

  • Repeat OCT Scan after 1 month to check fluid reduction.

4. ❗ Do the FFA test ONLY IF:

  • Vision worsens.

  • OCT still shows no improvement after 1 month.

  • Doctor sees signs of chronic leakage or damage.

5. ❌ Do NOT rush to laser unless FFA confirms chronic fluid.

🧭 Decision Timeline

WeekAction
0 (now)Start Nepaflam drops + stop trigger meds + de-stress
Week 4Repeat OCT
Week 5–6If no improvement, do FFA Test
Week 6–8If chronic fluid, doctor may advise laser (PDT/focal)

📌 Summary

🟢 Your wife's suggestion to wait is valid, but not indefinitely. Use this 1-month period wisely by:

  • Continuing drops,

  • Avoiding steroid-like medications,

  • Managing stress.

🔬 If no vision improvement or OCT shows fluid again after 1 month, go ahead with the FFA test, which is necessary before any laser treatment.

Popular posts from this blog

SAP CPI : camle expression in sap cpi , cm, router, filter and groovy script. format

-
Image
  --------------------- Using Camel Simple Expression Language Cloud Integration  supports a subset of the expressions defined in Camel Simple Expression Language (see  https://camel.apache.org/components/next/languages/simple-language.html  ). You can use Camel Simple Expression Language when configuring the following components: Components that Support Camel Simple Expression Language Component Use Camel Simple Expression to ... More Information Content modifier Define: Message body Message header Exchange property ( Type  parameter set to  Expression ) Define Content Modifier Write variables Define a variable. ( Type  parameter set to  Expression ) Define Write Variables Router Define a routing condition. ( Expression Type  parameter set to  Non-XML ) Define Router Content filter Define conditions for XPath elements. To review some examples, see  Examples . Define Filter Expressions Supported by Content Modifier and Write Variabl...
Read more

SAP CPI camel conditions and xpath conditions

-
  ------------------------------------ Context You perform this task when you have to specify conditions based on which the messages are routed to a receiver or an interface during runtime. If the message contains XML payload, you form expressions using the XPath-supported operators. If the message contains non-XML payload, you form expressions using the operators shown in the table below: Usage of Operators in Non-XML Conditions Operator Example = ${header.SenderId} = '1' != ${header.SenderId} != '1' > ${header.SenderId} > '1' >= ${header.SenderId} >= '1' < ${header.SenderId} < '1' <= ${header.SenderId} <= '1' and ${header.SenderId}= '1' and ${header.ReceiverId} = '2' or ${header.SenderId}= '1' or ${header.ReceiverId}= '2' contains ${header.SenderId} contains '1' not contains ${header.SenderId} not contains '1' in ${header.SenderId} in '1,...
Read more

pss book : శ్రీకృష్ణుడు దేవుడా, భగవంతుడా completed , second review needed. 26th April 2024

-
శ్రీకృష్ణుడు దేవుడా, భగవంతుడా. నేటి ప్రజలందరికి తెలిసిన ప్రకారము దేవుడనినా, భగవంతుడనినా రెండు ఒకటే అను భావముతో ఉన్నారు. చాలామంది స్వామీజీలు కూడ తమ తమ ఉపన్యాసములలో సృష్టికర్త అయిన పరమాత్మను గురించి తెలుపునపుడు ఒకప్పుడు దేవుడని, మరొకప్పుడు భగవంతుడని పలుకుచు చెప్పుచుందురు. దీనినిబట్టి ఇటు ప్రజల దృష్టిలోను, అటు బోధకులైన స్వామీజీల దృష్టిలోను దేవునికీ, భగవంతునికీ ఏమీ తేడా లేదనీ, అందువలన వారు ఇలా ఆ పదములను వాడుచున్నారని తెలియుచున్నది. ఆధ్యాత్మిక రంగములో ఇది చాలా ముఖ్యమైన విషయం అందరికి అవసరమైన విషయము. కావున దేవుడు మరియు భగవంతుడు అను పదములకు శాస్త్రీయత ఉందా? లేదా? అని యోచించవలసిన అవసరమున్నది. అంతేకాక ఒక పనిని చేయుటకు ఒక కారణముంటుంది. అలాగే ఒక పదమును పలుకుటకు కూడ కారణముంటుంది. అటువంటి కారణమునే హేతువు అంటాము. ఇక్కడ 'దేవుడు అనుటకు, భగవంతుడు అనుటకు హేతువును చూపకపోతే అది హేతుబద్దము కాదు. హేతువాదులు ఒప్పుకోరు. నాస్తికవాదులు ఒప్పుకోక పోయినా ఫరవాలేదు. కానీ హేతువాదులు తప్పక ఒప్పుకోవలసియున్నది. ఎక్కడైతే శాస్త్రీయత ఉంటుందో అక్కడ హేతువాదమునకు జవాబు ఉన్నట్లే. ఎక్కడైతే శాస్త్రీయత లేదో అక్కడ హేతువాదమున...
Read more