Memoirs of an Optometrist Dr. Abraham Bromberg 2020
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MEMOIRS OF AN OPTOMETRIST DR. ABRAHAM BROMBERG 2020 1 Translation by: Amalia Paredes Fernandez Cover designed by: Gerardo Gascon Edited by: Lizbeth Zavala Mondragon Editorial assistance: Sandra Karina Hernandez Millan and Norma Eloisa Hernandez Millan © Abraham Bromberg Alterowicz, 2020 © Consejo Optometria México, 2020 The total or partial reproduction of this text without the express consentment of the copyright holders is forbidden by the current legislation. Hecho en Mexico / Made in Mexico 2 TABLE OF CONTENTS Preface ................................................................................................ 5 How it all began ................................................................................... 7 My time in Berkeley ............................................................................22 Back to Mexico ...................................................................................34 The optometry associations, a fundamental part of professionalization ...........................................................................................................40 Professional practice ..........................................................................46 My time in Houston .............................................................................49 Back to Mexico ...................................................................................53 The publication of books, another field that optometrists must explore ...........................................................................................................74 My recent activity in optometry in Mexico ...........................................78 What the future has in store for us ......................................................90 Annexes .............................................................................................92 3 I dedicate this book to my lifelong friend and tireless defender of optometry in Mexico, Dr. Jose Francisco Matos Santos, R.I.P. 4 PREFACE Many will think that, because it is May of the year 2020 and the famous coronavirus keeps us in quarantine, I had nothing to do at home and began to write the memoirs of my life as an optometrist. The truth is that I had been thinking about this project for a long time, especially because I was lucky –or because I stick my nose where it does not belong– to experience many of the passages of the great changes in optometry in Mexico during the last 56 years. The time has come to share those memories, because I consider them historical and can help so that this profession continues growing and obtains the recognition it deserves. What I write in this book are authentic stories and they occurred just as I describe them. Optometry is a very old profession, as ancient as the use of eyeglasses, since 1623, or perhaps before, because there were optometrists or eyeglass masters, as they were called at that time. Since then and up to now, technology has made us have equipment that gives us information that we never dreamed of before; the development of new materials for contact lenses, progressive lenses and new drugs that allow us to give solution to the multiple problems that patients suffer. Today, the profession has changed very much. Before, we only prescribed eyeglasses and contact lenses. Now, we see to the primary and general visual healthcare of the population. Patients come to the offices with problems of visual health derived from cataracts or glaucoma, or diabetes, brain tumors and many other diseases, and we are in charge of diagnosing them and channeling them for the 5 adequate treatment. Sometimes, the diagnosis can be very hard for the patients as well as for the optometrists; however, there are also great satisfactions, like observing the face of a boy when we give him his first eyeglasses and he can see clearly, or when we know that a patient with low vision to whom we have given a special aid can read or see the photographs of his grandchildren. Over more than 50 years as an optometrist, for me it is a reason to be proud and satisfied to see how this profession has changed and how it has gradually gained the recognition it deserves. Today, the education that the university students receive in Mexico is the best of Latin America. In addition, practicing it has allowed me to share extraordinary moments with colleagues, and some very disappointing ones too. However, we have remained in the front line to achieve a better visual health for the inhabitants of Mexico. As you can see, I am in love with this profession. I hope that this book helps you who are beginning to study optometry or for those who have practiced it for 50 years to appreciate it. 6 HOW IT ALL BEGAN Frequently, when I give a lecture or talks to groups of students, they ask me why I studied optometry. In reality, there were many events that led me to the decision, and they began since childhood. When I was three years old, my parents noticed that my left eye deviated to the left and they took me to one of the best ophthalmologists of that time, Dr. Anselmo Fonte, who diagnosed Myopia –I think I had almost five or six diopters– amblyopia and strabismus of the left eye. He told my parents that I did not need surgery and not to let anyone operate me. At the Optica Panamericana on Madero Street, they adapted my first eyeglasses. All the optical shops were then on that street; the most renowned ones were Optica Economica, Optica Mazal, Optica Madero, Optica Lux and Optica Panamericana. My prescription changed as I grew up. In those years, the fifties –I was a teenager– I met an optometrist graduated from the National Polytechnic Institute (IPN, by its abbreviation in Spanish) working at the Panamericana. As much as I try, I cannot remember his name, but when I visited him, we talked about his profession, his activities and where he had studied. Having used eyeglasses at such an early age affected my life in many ways. The kindergarten teachers did not let me play with my classmates because they were afraid that my eyeglasses might break –or I don’t know what they thought. Therefore, they had me sit with them during recess, which was not so bad, it had its advantages. I was one of the few children with eyeglasses at that time, if not the only one, which was surprising. In elementary and secondary school, perhaps due to my vision, I was very bad at sports (soccer, baseball.) When 7 teams were organized, they always picked me last and with an expression of “Too bad, Bromberg is on our team.” I was a shy and skinny boy with very thick glasses; however, I managed to make some good friends. In class, I was an average student, I did not excel. In the last year of secondary school, one had to choose the area of studies before enrolling in upper middle school: biological sciences, physics, mathematics, social sciences or arts and humanities. My uncle was a doctor; he suggested I study optometry, he thought it was a good profession, and I thought it was an excellent idea, something different; a profession I thought I knew well. Then, I went to ask for information at the IPN and was told that I had to enter the technical high school to be able to study my desired profession. My parents wanted me to study at the School. The IPN informed me what subjects I had to study: physics, chemistry and biology, which represented a problem, because biology was from one area and physics from another. These studies at that time were for a two-year period. The Institute approved that I study one area in the first cycle and the other in the following cycle. First, I studied physics, but, at the beginning of the second year, the Biology teacher whose name I forget, and would rather not remember, made a big scandal because she thought that if I had not studied the first course of biology, I should not study the second one. Since the school gave its authorization, the teacher failed me in all the exams. If it wasn’t for my mother who became her friend and asked her to give me private remedial classes in her house, I would have failed and would not have been able to enter the Polytechnic. 8 The Superior School of Medicine, IPN. The Superior School of Rural Medicine offered two professional degrees: medicine and optometry. It had that name “Rural Medicine” because they wanted the graduate physicians to work in the towns of Mexico, where their services were needed. Later on the name was change only Superios School of Medicine (ESM, by its abbreviation in Spanish). The degree in optometry began to be taught in 1950 after a series of events. In the forties, the Association of Opticians and Optometrists was established, and optometrists who graduated from universities of the United States and Germany joined, as well as Mexicans who had learned empirically and had been practicing for some time. They began to teach and give updating courses. However, aware of the fact that optometry was a university profession in other countries, the members approached the National Autonomous University of Mexico (UNAM, by its abbreviation in Spanish) to propose its creation, but were not successful. It was then that they approached the IPN, where it was approved as a technical course, for which only secondary studies were 9 required, and they did not grant a degree. It was not until 1960 that they began to require high school. After several legal battles from the graduate students, they achieved that a professional degree be granted. I was unaware of all this information when I approached the Superior School of Rural Medicine. I