Health, laws, Military, Rheinland-Pfalz

Optimizing the Ramstein optometry option…

Featured photo is the logo for the optometry clinic at Ramstein Air Force Base.

About a month ago, Bill and I visited Ramstein Air Force Base, so I could get an eye test done for my Texas driver’s license renewal. That visit happened on a day when the only staff member working was an American woman who was an ICU nurse in a prior life. I managed to pass the eye test, but it was a struggle. She really stressed me out, and when I was done with that ordeal, I felt like I needed a drink.

One thing that happened during that visit was that the lady set me up for an over 50 eye exam. Today, that exam happened. Bill and I got up early, ate breakfast, walked the dogs, and made our way back to Ramstein, which is about a 90 minute drive from our home in Wiesbaden. As freaked out as I felt last month, I owe that lady a debt of gratitude. She really did me a favor. She gave me an appointment two days before they opened up appointments. If she hadn’t, I might have been out of luck!

I was impressed when we went through the gate. A sharp looking young man, Bill said he was a senior airman, checked our IDs and smiled as he saluted Bill. I took it as a good sign when he welcomed up to Ramstein. It was nice to see a servicemember on gate duty, instead of a security guard. He was very professional, and actually seemed to enjoy the job.

When we parked the car, I realized I needed to pee. So we headed to the restrooms, only to find them blocked off for cleaning. We knew there were bathrooms near the optometry clinic, so we headed for those. Again, blocked. I was annoyed, because people have to pee, and we had an appointment to make. Luckily, Bill found a restroom for employees that was open and unguarded. I ducked in there and whizzed, and we went to the optometry clinic.

Oh, come on. Why clean all of the toilets at the same time? People have to PEE!

After a welcome, I was handed paperwork to fill out, and a nice lady with turquoise colored feather earrings invited me to get some initial screening done. I was a little nervous, because healthcare folks often tend to scold me, and that gets me upset. But this lady was really cool and friendly, so I was at ease. And then I met the optometrist, who is, unfortunately retiring at the end of the month.

The optometrist was quite nice, and I enjoyed talking to him. He’s an American from Ohio, married to a German woman, has German kids, and plans to stay here after he takes one last trip home. He gave my eyes a thorough look-see, and informed me that I don’t have macular degeneration or cataracts (yet).

Then, I got my eyes dilated, and he looked closer at the dark spot in the back of my eye. I had been told by an eye doctor in Texas that it was a freckle, but the eye doctor today said it was a CHRPE— (chirpie). He tried to get a picture of it, but their camera apparently couldn’t capture it because of its location. The doctor also said the camera isn’t very good, which doesn’t surprise me, since we were at AAFES.

The doc said he likes living in Germany and plans to retire here. We were both talking about how we enjoy living in Europe. I added that I despise Trump, and he concurred. I almost wore my “Is he dead yet?” t-shirt today, but decided it might not be a good idea, given the people who frequent Ramstein. The eye doc also said that in Germany, there are opticians and medical eye doctors/surgeons. They don’t seem to use optometrists, as we do in the United States.

I got new prescriptions for contact lenses and glasses. It turns out that for all the drama the lady last month stirred up, my prescription didn’t change that much. I opted for the multifocal lenses, because they allow me to read, even though my vision isn’t as sharp as it is when I wear toric lenses. The doc also said I didn’t have to get bifocals unless I want them, since I rarely wear my glasses. I’m not sure if I’ll get them, anyway.

The visit was $288, which wasn’t bad at all, given all they did. My eyes are finally about normal again, hours later. But when we went to lunch at Romano’s Macaroni Grill (an American Italian restaurant chain with a location on base), I couldn’t read the menu. Bill had to read it for me.

It was kind of weird eating at Macaroni Grill. It reminded me of being back home. But I settled on seafood ravioli, and Bill had Cacio e Pepe Pasta, which was basically Fettuccine Alfredo with chicken and black pepper. My ravioli was stuffed with “seafood” and came with shrimp and tomatoes. It wasn’t the best Italian food I’ve ever had, but it tasted okay and filled us up for the drive home.

The waitress was okay, although I noticed she sat down with the two guys at the table ahead of ours while dealing with them. That’s behavior I’ve noticed in casual American restaurants. I enjoyed a glass of white wine and some San Pellegrino. We decided that was enough for us and came home. First, we stopped by that cool Italian store in the AAFES mall, and picked up some more Italian goodies.

More pasta, wine, and cheese! A different lady helped us today, but she was also Italian.

I’m really glad that’s over now, although the appointment went surprisingly well. I actually enjoyed the staff at the optometry clinic. I hope they find a new doctor, so the ladies working there won’t have to go work at the BX/PX, or wherever AAFES “needs” them. The lady I dealt with today was surprisingly knowledgeable. I heard her on the phone with someone who apparently got new contacts to correct astigmatism and needed some advice on getting used to them. She really handled that person professionally. Her talents shouldn’t be wasted straightening clothes or stocking personal hygiene items.

Aside from that, American people over here with the military need to be able to see a US licensed optometrist, so they can renew their driver’s licenses. The Trump regime has made it a lot more challenging than it once was, and now people have to go get their eyes checked, rather than just take a simple test.

It’s illegal for Americans to drive with expired US based driver’s licenses if they are here on SOFA status. A lot of people do it, but it’s technically unlawful, and can result in troubles. I remember back in 2015, German cops were busting Americans with expired licenses, and it caused a huge amount of ass pain for Americans. They eventually straightened everything out, but ever since that issue, I’ve not wanted to risk having an expired license.

My new license has since arrived, and is good until 2034. By then, who knows where we’ll be? It was actually lucky that mine needed replacement now, and I was able to get it done before the optometrist’s last day. Otherwise, we might have been shit out of luck. I’m also glad we did this today, instead of last week, when I was pretty sick with a cold.

Anyway, that’s done now. We are mostly over our colds, too, except for an annoying cough. Next week, we head off to Bern, Switzerland, for my birthday, and then onward to the Jung Institute in Küsnacht, so Bill can take his psychoanalysis classes. The travel blog will soon come to life with actual travel content, so watch this space!

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Multiple overlapping blurred Snellen eye charts with various letters decreasing in size
Military, Rheinland-Pfalz, United States

I really needed a drink after yesterday’s eye exam ordeal…

Bear with me, folks. It’s a surprisingly long story… The featured photo is AI, but it kind of looks like the eye test from yesterday, only it’s not as blurry.

Bill and I were greeted with beautiful sunny skies yesterday morning. The temperature was perfectly comfortable. It would have been a great day to drive my Mini Cooper convertible, which really could use the “exercise”. We decided to drive the Volvo, instead, and made our way to Ramstein Air Force Base, so I could take care of my vision test for my driver’s license renewal.

Ramstein is about a 90 minute drive from where we live. It’s not far from the French border– maybe 45 minutes or so. The area around the base is really beautiful, although it’s pretty much a mini America. Ramstein has many facilities and is a convenient perq for those of us with military privileges, living in Germany. Although part of the usual route we take is currently closed for renovation, we made it to the base with plenty of time before the optometry clinic would be closing (3:30 ish).

I didn’t think the test would be a huge deal. We already had the passable results of the eye test I had struggled to take in Wiesbaden last month. However, the optical shop in Wiesbaden couldn’t do the apparently newly required peripheral vision test, so I had to get a new exam done at Ramstein. At least the test in Wiesbaden was free of charge.

The Texas driver’s license officials had indicated that they only needed proof that my peripheral vision was passable, since my vision test results from Wiesbaden were passing. I thought our visit would be brief and uncomplicated. We definitely hadn’t planned on spending so much time with the optometry technician in Ramstein, a tiny white woman who appeared to be about Bill’s age. She immediately made an impression as we approached.

The lights in the optometry clinic were turned off, and she was sitting behind the desk, barely noticeable from outside. At first, I was afraid the office was closed. But then we saw her, and the hours posted on the door. The lady behind the desk– I’ll call her “Mary” (likely not her real name)– was very friendly, but as soon as we started trying to explain what we needed, she broke in and told us that the clinic was going to be shut down in July. Then she started ranting about the driver’s license exams, and how they would not be able to do them, because the two optometrists at the clinic are leaving and there are not any plans to replace them.

I started to worry that she was going to tell us she wouldn’t be able to help us, but then she said the magic words.

“I’m going to take care of you today. We’ll get you squared away.”

She addressed me directly, which I appreciated. After a few moments listening to Mary, I definitely got the sense that I was one of the lucky ones coming in under the wire for services at Ramstein. Unless, of course, something happens, and they get new optometrists to work in lovely Germany, so that people like us can be taken care of by Americans with American credentials, and still be able to renew our driver’s licenses, so we’ll be legal to drive.

I listened to Mary talk about how the requirements for the exams could not be met once the doctors left, because the driver’s license offices in the United States required stamps from licensed US based optometrists. I was thinking about all of the times I’ve renewed my driver’s licenses in person. Never on any of those occasions have I had to submit paperwork from a licensed eye doctor. I just did a very basic test involving looking into a machine with both eyes, conducted by the government flunky handling my request.

I guess things have changed. To hear Mary explain it, officials in the States are getting a lot stricter about eye tests for driver’s licenses. I gather it’s because officials don’t want anyone getting a driver’s license who isn’t “legal”. 🙄 But maybe it really is about public safety. Who knows?

I explained to Mary that I’d already (barely) passed the eye test in Wiesbaden, and the Texas officials had only requested a peripheral vision test. Mary told us she had to charge us $34, whether we did the whole thing or just a part. She seemed to think I needed a new test, and scoffed at what they’d done in Wiesbaden. She even said we should get our money back, and laughed when we said the test had been done for free. I didn’t really care about the $34, I just wanted to get this over with… but Mary seemed intent on doing her job, so I did the whole thing over again.

Thank GOD I brought my glasses with me, because if I hadn’t, I would not have passed. I certainly CAN see well enough to drive, but I am in need of a new prescription. I have astigmatism that isn’t currently corrected by my multifocal lenses. I can see better if I wear toric lenses, but I can’t read with the toric lenses. I can read with multifocal lenses, but my vision isn’t as sharp. My prescription is way off anyway, because it’s been years since I last went to the eye doctor. In Germany, you can just buy your lenses without a prescription. I’m pretty sure I need bifocals.

Mary was very nice, but she was really stressing me out during the exam. She exuded the slight shaming and judging one gets from medical professionals when patients don’t do things exactly as they should or haven’t been “living properly”.

I didn’t use the eye cover exactly right, and she corrected me for that. She was a little disapproving because I had dusty glasses, as I only wear them to watch TV at night, and then only for a few minutes. She chastised me when she did the peripheral test for turning my head as she talked to me. I hate it when medical people act that way. I have authority issues as it is, but it’s especially annoying when you have to pay for that treatment.

Another example of that kind of behavior…

My husband, Bill, has had to take blood pressure meds for almost as long as I’ve known him. He gets nervous when he goes to the doctor, so his blood pressure goes up. One time, he went to see the doctor, and the nurse who took his blood pressure gave him a disapproving look, implying that he wasn’t taking his medication. Bill is an excellent patient. He takes his medications religiously. But the nurse wasn’t convinced, because his pressure was high during that visit. Her castigating was making things worse. She was stressing him out with her disapproval, making his blood pressure rise even higher.

Bill later got diagnosed with white coat hypertension. I, too, was diagnosed with that, back in 2007. But now, I’m pretty sure I have high blood pressure and need to be on meds… and that will require a doctor’s visit, which really freaks me out.

Moving on…

I really wanted to pass the test, even though I almost never drive, because I just wanted to get this pesky chore done. I don’t want my driver’s license to expire, in case there’s an emergency. It wouldn’t be the end of the world if I didn’t pass, but it would be a huge pain in my ass. Mary said that US officials won’t take German doctors’ signatures on the forms (which seems rather preposterous to me, especially if the optometrists are going away). I can’t stand dealing with medical people, and find addressing healthcare issues a huge hassle. I didn’t want to have to come back, or find somewhere else to go.

Mary warned that if I let my license expire, I would end up having to take the driver’s tests again. This was precisely why I have been bugging Bill for a year about completing this particular bureaucratic chore. I knew I’d probably have to furnish a lot of documents and official signatures, thanks to Trump’s micromanaging style of “leading”. I still have six weeks or so until my license expires. Mary was making it all seem so catastrophic and difficult, and this was the last hurdle I needed to clear before I’d be done with this process.

The last thing I want to do is retake the driver’s tests in the US, or have to take them in Germany (although I believe Texas has an agreement that would allow me to just trade in my license). I wasn’t going to argue with Mary, though, because she seemed to think she was 100 percent right about all of the current policies in the USA and Germany. Perhaps she is… but I got the sense she was making much more of a big deal of this than was actually required. All I wanted to do is pass the fucking eye test so I can stay legal to drive, in case I need to in an emergency.

As time passed during my exam, Mary could see I was getting progressively more upset, so as she was chastising and disapproving, she was also reassuring me. She kept saying, “You’re going to pass! Don’t worry!” she chirped, as she made me read off numbers to prove I’m not color blind. (good LORD!). When it came time to do the peripheral vision test, she had me do it without my lenses in. I could see her hands and fuzzy outlines of her fingers as she moved behind me. Thankfully, I did pass that part of the test with no issues. That was what I had come in to do.

So finally, at the end of the exam, as many medical professionals have before her, Mary “passed” me, with a stern warning that I need a new prescription (no shit). She warned that if we tried to call them tomorrow, it would be total bedlam. There are very few appointments left until July, when the office will be closed. I got the sense that maybe a main part of the reason Mary was so angsty is because people were going to be losing their jobs. Bill paid her the $34, and she set me up with an hour long appointment for June 13th, a week before my birthday, and before my license will be officially expired.

At some point, Mary told us that she’s a nurse. AHA! That explains her authoritative, but friendly, demeanor. She also said she’d worked in ICUs. I got the sense that maybe she missed the action of the ICU, given the relative drama of this appointment. Good thing no one else was waiting!

As Mary was signing me up to see the doctor– a man she says is a “talker”– she warned us to show up on time or face a $40 no show fee. And she reiterated that I needed a very thorough exam, which will involve dilating my eyes. I’m sure that will come with a lecture about my blood pressure, which probably does need correcting…

The question is, though… am I strong enough to deal with either authoritative military doctors at Landstuhl, or another German doctor who treats me like dog shit scraped off of their shoes? Time will tell. But I do look forward to getting a new prescription, at least. I do need one.

After my time with Mary, Bill and I decided to have lunch. Ramstein has a huge food court, and a Macaroni Grill. There’s also a Five Guys in the place where a Burger King once stood (and later burned to the ground). We decided to go to the German restaurant, which was set up to look like an indoor Biergarten. They had brews on tap, and I really felt like I needed one. As for lunch, I had a Munich Burger, while Bill had Schnitzel. Neither came with sides, which was a good thing, as the items were huge and messy. I could barely finish the dripping burger, but it did taste pretty good.

After lunch, we stopped in an Italian gourmet shop in the mall. The lady running it was an absolutely adorable and friendly Italian, who was very helpful and spoke with a delightfully thick accent! She was impressed as she watched us loading up on products, and asked us if we were PCSing back to the States. I wanted to get some olive oil and balsamic vinegar for Bill’s younger daughter, who has never had any of the “good” stuff from Italy. I threw in a bag of pasta, too. We also got some stuff for home, including Orangello.

Then I heard music coming from the food court. It looked like a band consisting mostly of high schoolers were playing jazz. They were quite good. The young lady who was singing was very impressive. She had a lovely voice! If I hadn’t been so stressed out by the eye test, I might have stayed to listen for a bit longer, but we needed to get back to the dogs. I wanted to slip into something more comfortable and take a nice deep breath as I recovered from re-entering the “little America” of Ramstein Air Force Base.

Hopefully, the people in Texas will accept this last bit of proof of my worthiness for a Texas driver’s license. Mary said we were lucky. She had to fly back to Mississippi for hers. I guess Mississippi doesn’t make exceptions for people who live on different continents, but vote in Mississippi. I thought I’d have to go back to Texas, too… which, frankly, I would barely prefer over going to Mississippi. No offense to my Mississippi based friends. 🥰

I do appreciate Mary’s help. All in all, she was very kind to me, and I do need to get this taken care of. But it really was a lot more stressful and involved than I was expecting. I pray yesterday’s visit will be the end of the saga, at least in terms of getting my license renewed.

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