u/Accurate-Response-93

hi there, I am an extrovert and expressive person and have friends who run the gamut - various levels of extroversion mostly, a few introverts who I treasure dearly and some ambiverts who share / speak in small groups but will switch to engaged listener mode with more than 3 or 4 people present.

I have a newish family member (in law) who shows no enthusiasm - no hugs, smile, good to see you! welcome! when we visit each other. she sits quietly and has extremely flat affect but is also not on her phone or distracted. she doesn’t ask a single question / inquire how we are doing but will reply with short answers when we ask her questions. she doesn’t express excitement or enthusiasm but will sometimes laugh wryly.

help me understand what is going on? it has become uncomfortable to be around this person because of the complete lack of expressiveness or emotion or warmth. we asked the spouse if we have done something to offend and were told “no keep being yourselves“ but how does one continue when it is entirely one sided and unrewarding? it feels so painful. We have not yet found a magical topic of conversation that lights this person up. what should we do?

Hi all, I'm new to this group so bear with me as I share some context. I was diagnosed with MGD ten days ago after developing Pingueculitis in one eye and being told it was a result of chronic dry eyes.

I don't have daily discomfort per se but I do have *light* daily redness which has become more apparent in the last few years, and especially on days that I ski, when my eyes become borderline bloodshot 😞

I have worn contact lenses since I was 12 and been on daily disposables for perhaps 15-20 years now. I work on a computer so have lots of screen time.

It is also perhaps worth noting that I have followed a keto diet for close to 3 years now. (I dont know if that is related to dry eyes, because sometimes i see people recommending it for a reduction in inflammation and improvement in eye issues and sometimes I read that it has caused dry eyes!)

Anyway, the opthamologist I visited here in SF prescribed 7 days of steroid drops to calm the inflammation from Pingueculitis and told me absolutely no contact lenses. This *mostly* worked (some residual redness around the pinguecula) and I was told at my 1 week follow up that I could return to wearing contact lenses but that I have MGD and she showed me the results of my meibography. I knew nothing about this disease and was quite alarmed.

She told me she herself does lipiflow once a year and can do it on me as well and highly recommends it. Given the cost ($1500 out of pocket) I told her I would do my research and decide. Fast forward, I've gone deep on Dr Maskin, via a Facebook group and learned that MG probing may be the preferred path rather than IPL or Lipiflow (both of which often do nothing or do very little).

I have a quote from Dr Maskin and have also procured quotes from Dr Fishman in Palo Alto and Dr Silani in Beverley Hills (both of which are similar in price). Im seeking opinions from former patients of both. Please can you share your experiences working with either of these doctors on gland probing? And on overall care and treatment and results?

Thank you so much in advance!