TL:DR - find an experienced small ophthalmology practice where they treat their patients like family, not cattle.
I was recommended to go here by another dentist and everywhere I read pointed to the surgeon being the best in the area. That's not what I'm challenging. I can see really well, and he's a trainer for lasers so he is VERY skilled. That's the only thing this office has going for it.
Let's start at the beginning. You come in for a "free consultation" - they only do two tests that determine whether you can have Z-lasik. I warned them at this point that I have a large scar on my right eye from trauma so I've always been worried about qualifying. The "money guy" who is not a doc said that it's not a problem, they'll get me taken care of with Lasik. I was obligated to put a $1k of the $4k to continue all the tests that day which I was prepared to pay since he said I'd be getting lasik and I'd done my research on the surgeon before my consultation. Well after more testing and a condescending comment about my scarring, she told me I would definitely need ASA in my right eye instead of Lasik. Then I was whisked back to the money guy before I could get over the shell shock and ask questions.
I was terrified to schedule because ASA is a very different surgery and recovery than Lasik. It requires reepithelialization of your cells across your eye and can take months to years to heal to 100%. But even though they changed my treatment plan, I was stuck scheduling with them or losing $1000. I had so many questions about whether I'd still be able to work right away, how doing two different surgeries would affect my vision while healing, etc. And the money guy's response was just "You worry too much, you need to relax and trust us." That's not an appropriate response when you drastically change the treatment plan.
Then there was my major phobia. Every new person I met I informed of how phobic I was about touching or getting near my eyes. They all just kept saying that's normal, but mine is not just a normal fear. I visibly shake, sometimes hyperventilate and I can't control my phobia no matter how hard I try to. Yet this info kept not getting passed along. As a dentist, I treat phobic patients everyday and it's very important that we treat them with love and care so they're not made to feel guilty about their phobia and so we can try to rewrite their fear into a good patient-doctor relationship.
That brings me to today. The tech that was prepping my eyes didn't know I was phobic so I reminded her and requested that I sit with the Valium long enough to let it take affect, and to please tell Dr. Manrique of my phobia. Neither happened. I was given the pill and sat for maybe 5-8 minutes before a tech took me back. This is where I just couldn't believe how cattle method they were. The previous patient was literally getting off the table from their surgery as I was being brought into the surgery suite. I knew I wasn't fully relaxed, but I figured there'd be time where they set up the laser and chat with me. Nope. As soon as I layed down Dr. M started squirting a bunch of drops in my eyes and I gasped, and started shaking and squirming. He yelled at me and asked if I was going to be able to do the surgery today because I can't move at all. It was terrifying. He was terrifying. I kept my mouth shut and just sat on my hands because I was so afraid. It was the worst 10 minutes of my life. I was shaking when it was over and he's just smiling like "Look you can see, send me all your friends." I turned to him and said "I'm guessing no one told you how eye phobic I am." And he just brushed it off and said that everyone doesn't like their eyes touched. No matter how hard I tried to communicate that I'm not just a normal patient when it comes to eye procedures, they ignored me. It was so obvious that he did not care to get to know me and my fears because I was just another 10 minute cash cow coming through.
I was whisked off to another exam room with what I assume was an optometrist and was shaking so hard and crying because of how horrible of an experience the procedure was. No one apologized, no one asked if I was ok. They just gave me post op instructions and pushed us out the door because they needed the room for their next patient.
The thing is, I get that this is my issue. I get that it's annoying to have to be patient with people who are phobic. But I would NEVER start a surgery on a patient of mine without them being comfortably sedated. I'm constantly talking to my patients throughout and helping them stay calm and have as good of an experience as possible. This doctor failed on all those accounts and I will NEVER recommend anyone see him. He embodied everything that is wrong with medicine - uncaring, revenue driven, quantity over quality, "trust me I'm the Doctor" service. It's sickening. read more