Paul & Craig talk shelter-in-place eyecare with Thomas Casagrande of 20/20 Eyecare of Fresno.



Transcript: Transcribed by AI (not 100% accurate)

[00:00:00] Paul Swearengin: all right, Craig. You ready to go?

Craig Scharton: I am ready.

Paul Swearengin: All right, let’s do it. Okay. Welcome to the show, everyone. Hi, everybody on Facebook, we love your comments. Let us know you’re watching out there. It’s time for a two guys talking Fresno podcast.

Craig, we’ve gotten a little irregular with these, but it’s good to be back together

Craig Scharton: again. We have, I know we both had things taking over our lives and And

Paul Swearengin: like our jobs and our income and

Craig Scharton: yeah, those little things, it is a catches catch can, which we said at the beginning, but we were more, we were pretty regular before and I think.

Maybe after the new year, we can get back to our a once a week. What do you think?

Paul Swearengin: I think 20, 20, 21, 2020 has been odd for everybody. And so when we get to 21, I think maybe it’ll get back on course here a little bit. We hope, but

Dr. Tomas Casagrande: maybe it’s just a number to

Paul Swearengin: be, could be, but I was going to say, speaking of [00:01:00] 2020.

That was going to be the perfect transition. We have Dr. Thomas Casagrande from 2020. I care. Is that right? Did I get them

Dr. Tomas Casagrande: well? It’s the tuna is 2020 optometric of Fresno, and I picked that name in 1986 and I never thought that someday it would. I thought I can’t wait for 2020. It’s going to be cool. I don’t 2020 in 2020.

and then boom, March.

Paul Swearengin: you haven’t changed the name. That’s good.

Dr. Tomas Casagrande: Yeah. Yeah. we’ll keep the name because 2020 means, as you all know, if you have 20, 20 vision that’s normal vision. So that was the idea there behind them.

Paul Swearengin: Yeah. So we’re glad to have Dr. , we’ve all been doing a lot of screen time, Craig, and I see that you have glasses that are built to help you with that.

Craig Scharton: Yeah. and, Dr. Casa grandad doesn’t know it, but, when you, and he [00:02:00] talked about having him on. Paul said, it’d be really good because of all the screen time and how it’s messing up people’s eyes. So when I went to my, Kaiser appointment, I said, Hey, I hear that the screen is messing up people’s eyes.

And they said, yes. So we’ll give you a glass of this specifically with, at the distance of your computer. So even though I went through Kaiser, cause that is my insurance company talk, Dr. Costa grandad still steered me in the right direction. So I don’t know that I ha I didn’t help you financially that way, but in karma, You just got even better car, but

Dr. Tomas Casagrande: that’s right.

as long as you can, as long as it’s done properly, we’re happy.

Paul Swearengin: So is that true? People doing a lot more zoom meetings working remotely? Is it having impact on eyesight?

Dr. Tomas Casagrande: what’s happening is when the, I think if you think of what we were doing a hundred years ago, 200 years ago, [00:03:00] a thousand years ago, we, weren’t looking at something so close for eight hours a day, which is going on right now.

And then people there eight hours a day, and then they come home and they’re on a furnace four or five hours. And I wasn’t made for that because when it looks at that, something that close it’s, there’s a lot more muscle action in the eye causes a lot of eye strain. That’s where you get the burning eyes.

you’ll get a little brow headaches. Some people they’ll even go, I’m playing a little headaches right here, right above, right inside their eyes. If you get that, these are all symptoms of minor eye, conditions that are easy to correct with the right pair of glasses, but it’s done.

And then you could be clear and comfortable on your computer. So yeah, we’re seeing the kids, especially because they’re all zoomin. we’re, I’m seeing. Oh, easily, double or triple the amount of problems since, since, since they all started [00:04:00] going, I call it zoom. And since they all started zooming, so it’s, it is definitely a, an issue that we deal with daily.

Paul Swearengin: So Craig styling, new glasses there have a purple tent on them. Is that

Dr. Tomas Casagrande: what it is? What we’ve learned over the last years or something. there’s high energy wavelengths that come off the computer it’s called, they call it blue light. And actually it’s little light with a little bit of ultraviolet light.

Somebody figured out that certain wavelength causes the small gland and your there’s a small gland called the pineal gland. That’s in the brain, little smaller than the pituitary gland that produces melatonin, that allows you to sleep well. The blue light. So to speak off of the computer, it stops that from being produced now you can’t sleep.

I have had patients, there are, especially when you go to one or two screens, then [00:05:00] three screens, that’s more blue light. So if you have the filters that a really good one, I know Amazon sells Swan and a few other ones, you want a really good, Quality one, that’s going to block some of the glare off and really get rid of that blue light.

And what happens is now your prenatal gland works better, produce melatonin and you sleep better. I’ve had patients before they, we put the filter on, they were on to a second pills a night and they got their glasses. They were all seated pills. The next day. Which is this crazy, amazing stories, but, there that, that really does happen.

Paul Swearengin: You noticed the difference, Craig.

Craig Scharton: Yeah, it’s and melatonin, connects to our circadian rhythm. like when it gets dark and the melatonin starts, it prepares you for sleep a couple hours earlier. And so it’s really important. that’s a lot of people take melatonin, but [00:06:00] you shouldn’t take it right at bedtime.

When you want to go to sleep, you take it a couple hours before. And it’s exactly what the doctor is saying. I’ve been sleeping like a baby since I started using these, it’s really

Dr. Tomas Casagrande: pretty interesting technology.

Craig Scharton: I’d never had that. I didn’t think about it from this, but I was getting at an eye headache.

Even while I slept and I’ve never had that in my 59 years. And it’s going away now that I’m wearing these, grown-up

Dr. Tomas Casagrande: glasses.

Craig Scharton: I’ve never had, I’ve never had real glasses in my life to last week.

Dr. Tomas Casagrande: What I was going to add too. Not only does it deal with the mental toll on him, but. The high energy wavelengths that gets all absorbed in the front of the eye, which is the cornea, mostly the cornea that’s where you get the burning eyes and the eyes can aid.

So the type of filter that you have, it blocks that. So now it’s [00:07:00] not that high as you will a wavelengths not affecting the cornea. So it’s definitely makes a difference there too.

Paul Swearengin: what do you recommend do we step away from our computers periodically through the day? Does that,

Dr. Tomas Casagrande: there’s a couple, there’s a couple of things.

You got to do. One try and I’m gonna, I’m going to try and do this. Let’s see where my hand is there. What’s your hand out to where your computer is and where your fingertips are and that’s a good rule where you should put your computer. You don’t want to put your, you want to have your computer about 26 to maybe 30 inches away, 26 to 30 inches away.

You don’t want to be. You don’t want to be the closer people think. I want to get closer things look bigger, but when it’s closer, you’re making the, I have to over-focus and you and computers make our eyes or focus too much anyway. So you’d never one. You don’t want to be too close to try and get a good distance.

Number two, if you’re [00:08:00] wearing. Those of you who are older wearing progressive lenses. Remember your progressive lenses that the bottom half of the lens is where you want to see for the computer. So that means you want your computer down and I’m going to show you here. I want it down like this. I don’t want it at eye level.

I want it down about four inches below eye level. That’s very important. You can’t believe the amount of people that don’t do that because we’re, if you’re looking at eye level, you’re looking through the distance portion of your progressive lenses. So very important that you lower that computer about four inches below the Midland w where your, your eyes are looking.

So those are very important points. I’m gonna

Paul Swearengin: have to work on

Dr. Tomas Casagrande: that very important points. Yeah. And if you, now that some of you can’t move your screens down, that’s when you go see your eye doctor and say, Hey, I’m having trouble because of my neck’s getting SARCs, I’m doing this. and he’ll make you a pair of [00:09:00] computer glasses with your exact prescription set at 28 inches, 30 inches, 26 inches.

And now you wear those for those of you who are on computers for eight hours a day. That’s not a bad idea because you got to think about it for eight hours a day. You’re in the wrong prescription. If you’re looking through the distance portion of your glasses, if you’re over 42

Craig Scharton: and that’s what minor for that there.

I just leave them on my desk. They don’t go in the car. They don’t do anything else. So

Dr. Tomas Casagrande: they’re just for the computer. And when you think about it, Like I’ve got patients, they’re there, they’re on the computer and then they go home and they play games on their computer. They’re on there 12 hours a day, and they’re using the distance.

They’re using a pair of distance glasses. They need a pair of glasses for those 12 hours set at that distance.

Paul Swearengin: I was just at your office yesterday. I may have to change my order real quick.

[00:10:00] Dr. Tomas Casagrande: Yeah, those are progressors. Yeah. You need to look down a little bit. Yeah.

Paul Swearengin: Yeah. I’m going to have to work on that. So remind me of what, so the distance is in the middle, on the progressive

Dr. Tomas Casagrande: no, that’s distances in the, from the, if you look here, I’m going to show you right here.

So the top half of the lands on my glasses here. The top half that’s set for infinity for driving. Okay. so the bottom half. Okay. About two thirds of the way down, maybe for this, the way they were, my finger is that’s the sweet spot for the computer. So in order for you to see that you have to put the computer down so you can look at that spot without moving.

So your head doesn’t have to move up like that. Gotcha. So

Paul Swearengin: very important. And that’s, if I have the 26 inches,

Dr. Tomas Casagrande: yes, it’s very important. You don’t want to have your computer any closer than that.

Paul Swearengin: Okay. All right.

Dr. Tomas Casagrande: Now the other thing too lot of people say, I don’t wear glasses for distance and I’m fine, but when I’m on the computer, I’m getting all this, [00:11:00] I’m getting some eyes eyestrain and I’m only 35.

you may have a very light prescription. That’s not a big deal for distance becomes a big deal when you’re on the computer, because. If the eyes aren’t working exactly well together. it’s, you’re on it for 10 minutes. You’re not going to notice for the Shriner for four or five hours. You’re going to notice it.

That’s when you get the eyes straight and that’s when you gotta come see your eye doctor, get an eye exam so he can balance the vision out in both eyes. Cause you got a memory of eyes. Don’t work independently. They work together. So if one prescriptions off just a little bit, it will cause some eye strain.

And you have to correct that. So very easy to do with a thorough eye exam. You want to make sure you get a thorough exam with somebody that with an eye doctor is going to listen to everything about where your computer set up, how far away it is, how many computers are on, they’ve got there’s a number of questions that [00:12:00] you should getting a thorough exam that, that needs to be gone over.

Paul Swearengin: J Craig, before you ask your question, let me jump in and say, we do have some folks on Facebook with us and Jeffrey’s watching and Jeffrey are two Jeffries. Becky David wan. Anybody wants to ask a question of Dr.  on Facebook, commented in there, but we have Dr. Thomas Casagrande with us from 2020 optometric office over on Blackstone and Shaw, or there’s that the only officer do you have more than one?

Dr. Tomas Casagrande: it’s funny, you said that because when I was a young. 30 year old. I thought I’m going to have 2020 out to medical, Fresno, and then a Visalia and Clovis. But what I found was you can’t split your, you need, people want to see you, so you can’t be in three places at once. So I decided let’s just have one nice place.

We’ll make it the best that I could make it. Have the best selection of eyewear, have a lab that we can do our own quality control, have the best lenses, give the best service so on place. And I’ve done that for 34 years right [00:13:00] here. it’s on we’re one block North of Shaw on Blackstone on East Blackstone.

We’re more, it must be a number of the more, furniture storage right in that center right there across the cuttings golden horse. And I’ve been here 34 years and God willing, we’ll be here another 20. So

Craig Scharton: I’ve been in there cause you’re, not just an eye doctor. You’re also an inventor.

Dr. Tomas Casagrande: That’s right.

We’ve got the, I’ve got a patent now, on a piece of equipment that’s going to make like the progressive lenses that Paul’s where it makes them more accurate. and so we’re very excited about that. very interesting. when you develop something from scratch, I’ll, it’s a, it’s an interesting journey, getting it and getting it, The prototypes had gone through seven or eight prototypes testing.

And we finally happy with what we have or excited about. I’m excited about getting that to market because it [00:14:00] turns out in our industry anywhere from 10 to 30% of progressive people that are wearing progressive lenses, their measurements are off. So this type, this machine will make them more accurate.

now the. The practitioner, whether it’s an optician or an optical dispenser to get the measurements correct. And Mo some of you out there weren’t progresses that, you’ll have one pair. I like these glasses. I don’t like these other ones. That’s good. It’s probably because the measurements are off and it’s very common, especially in, eye care practices where you have new people that you’re getting to train.

If we work in half millimeter steps, you can be off a half a millimeter. It makes a difference. this new invention wrong, make it’ll make the glasses more accurate, makes for a better pair of glasses for her patients. And it’ll be easy to make it easy for the, it’ll make it easy for the optician to get the measurements.

That’s pretty cool. That’s

Craig Scharton: real cool, because 10 to [00:15:00] 30% waste means that

Dr. Tomas Casagrande: price it’s millions of dollars. Yeah. When you look at it and in our industry, it’s the biggest, one of the biggest problems is making sure your measurements are correct.

Craig Scharton: And then there are a lot of people that are not as comfortable and happy as they would be if they worked right.

Dr. Tomas Casagrande: there’s a lot of you out there that have tried Progressive’s and you go, Oh, it didn’t work for me. it may be that the measurements were off. Cause that’s the national average, it’s not 30% redo in every office, but a lot offices. It is it’s, common to be 10 and 15% off.

so we, we think we can knock that under 4%, or 5%. That’s what we, that’s what we’re finding with the w we’re using, some prototypes in our office right now. We have been for a year and it w we’ve seen it work. So what we want the automatic version of the unit, because nobody wants to work on [00:16:00] something that’s they have to like the analog it’s they want the automatic version.

We’re working on that right now.

Craig Scharton: I just think it’s really cool. Smart, creative people, never their brains never stop. Always trying to find a new, better

Dr. Tomas Casagrande: way. I have to thank Mr. Diaz, my little dog, because I walk him every morning and I was walking up one morning. I was mad about some, a patient had progressive lenses that were off the measurements and my Mr.

Gibbs stopped at a Bush and I’m waiting for him because he’s doing this thing on the Bush and. th the revelation came to me. Oh my God. that’s a good idea. And then I went home and I jotted it down and brought it to the office. And Matt that works in the back of my it guy goes, I got an idea for something, and he looked at it.

He goes, Whoa, that’s a good idea. So then boom, that was on January 24th, 2017. So it’s taken three years. Excuse me. So it’s been almost three

[00:17:00] years,

Paul Swearengin: mother necessity. That’s how we get our inventions. It’s

Dr. Tomas Casagrande: amazing how it just it’s been. It’s been fun though. Cause it’s, and I’ve showed it to people in the industry and they’re like, wow, why didn’t I think of that?

Paul Swearengin: So I have, somebody clay on Facebook is asking prebiotics slash probiotics and vision. Any relationship.

Dr. Tomas Casagrande: Prebiotics. Yeah. So

Craig Scharton: is it any of that stuff? So with gut health, they’re doing research now,

Dr. Tomas Casagrande: how

Craig Scharton: gut health helps everything helps or hurts everything in our body.

Dr. Tomas Casagrande: Yeah. The only thing I’ll say about that is what we’ve learned is you want to take the, you got to get, there’s a lot of micronutrients that you need for the retina and the optic nerve, and you want to make sure you’re getting.

Good absorption. A lot of pills out there. You’re not, you’re getting like 20% absorption, especially the ones that are a solid pill. And I forgot that’s not working. Yeah. So [00:18:00] you want to take the vitamins that have the powder in them or a liquid. they get absorbed better. And that’s what that gets to the cellular level.

Otherwise you’re just, you’re not getting all the nutrients. Now that’s a good question. Does the knee, does that, have you seen a difference? Have I seen a difference in my office? Absolutely. Especially, but only with the people that have that diets, you’re eating and we’re not going to go or that everybody knows you gotta eat fresh vegetables, eat your berries, walnuts, almonds, get, eat your vegetables and have lots of color.

But not everybody does that. And then they don’t get the right nutrients, your carrots, your beta carotenes, I see it all the time. People come in, I’m not seeing very well at night. Then I’ll put them on carrot shoes and tell them, start eating raspberries, blueberries that come back like a mustard, a wow.

I am seeing so much better just cause they were nutrient, they were deficient in [00:19:00] certain nutrients, but you gotta be careful because people will say, I’ve taken. Vitamin B12. And I’m taking this. you want to take a, well-rounded vitamin a with everything and Sears there’s ones out there that have certain herbs that are good for us too.

Like the Gingko and, all there’s a few other ones. There’s a lot of the ones that I could talk about zeal, xanthan, is not, herbs, but, the lutein. people talk about, you’ll hear a lot of talk about, Oh, I’m going to take lutein by itself. If you eat one spinach salad a week, you’re getting 64 times the amount of leaching that you’d get in a pill.

so it’s, you’re you want to get it in your diet, the best that you can, and then you’re doing all that you can, but those of you that don’t, that just don’t eat very well. Go get your vitamins, get them, get the right vitamins and better absorption.

Craig Scharton: Yeah. And clay works with a really cool company, helping farmers with a [00:20:00] product that is going to help the plants pull more nutrition out of the soil.

So then you have healthier plants. So if you’re eating healthier plants, you’re going to become healthier too. It’s really a very amazing company. So they do. Products for health as well as for our ag industry. So it’s all going back to that same thing. If you’re not feeding your plant, the right minerals and vitamins, and you’re eating that finish, that’s not healthy.


Paul Swearengin: not going to

Dr. Tomas Casagrande: go, we used to call that crop rotation. Yeah. Proper rotation. Yep. You get the nitrogen in the soil. The farmers all know about crop rotation. Yeah.

Craig Scharton: he’s a cool guy. He was with our Fresno EDC for a number of years. And. Found this company and he’s taking it all over it’s gang gangbusters.

Dr. Tomas Casagrande: That’s great.

Paul Swearengin: Let’s do our, no, your guest segment, we like to learn a little bit about you. When we have guests on doc, as we’ll call you, they call you at the golf course. So [00:21:00] tell us where you grew up. Where did you go to high school? All that usual stuff.

Dr. Tomas Casagrande: I’m I’m native California, born and raised in Taft, California.

The oil town West of Bakersfield. So I’m a current County boy, worked in the oil fields out of high school college. So I could get my, get myself through school, working on the rigs and other things in the oil fields. And then we went to Fresno state, 1976, loved Fresno when I moved here, after graduating from chaff college.

And I got a degree in zoology from Fresno state and then, met a lot of great people in Fresno. worked downtown back then, as a bartender going through school just, and the friends I met in Fresno are still my best friends today. and then I went onto, optometry school in Southern California college of optometry in Fullerton, stay down there for five years and then decided.

I want to move back to Fresno. Cause I love to [00:22:00] fly fish. I love to backpack. So Fresno was a good place. I love the people of Fresno Clovis it’s that was a no-brainer to come back. my twin brother, is Tim. He worked for the County health department. He was, he was in charge of the environmental health department for 32 years.

He, he was already always up there, so it was easy to come back, be with my brother. So that was, the, so in that, so I’ve been outside. I started 2020 author metrics, in 1986. And, then here ever since, and, I love my Bulldogs. Love my Dodgers. I even love the giants, when they’re, with, with chick Chancy, I love, I love all kinds of sports and, a lot of my, Clovis, East Timberwolves.

So that’s where my kids went to school. I have three children. my wife, April, of course, we’ve been married for, it’s going to [00:23:00] be, 30 years in 2021. And then I have, two, two children that are teachers one’s in Parlier teaches the Parlier high school. The other one teaches, Fancher Creek. Madison teaches math and Aleisha teaches in Parlier.

And then I’ve got a son that’s down San Diego and he’s working down there. So I got, and I got two grandchildren that I love to death too. One, one, one to two, son-in-laws one, two to be in one, and then they’ve all hit the ball farther than me in golf. And they’re great.

Paul Swearengin: It scared me for a second, third, cause you said two grandchildren that you love to death and two sons in law one.

And then I thought you could say one who,

Dr. Tomas Casagrande: Madison they’re trying to get married with COVID. They were supposed to get married in July and then it got moved to November now. No it’s next July in case get a move [00:24:00] because of COVID, which is happening to a lot of people that are getting married.

Paul Swearengin: Why’d you major in zoology? what was your goal?

Dr. Tomas Casagrande: I figured I was either going to be an optometrist or I was going to teach biology and I did teach for a little bit before I got enough time with your school. And But that was the emphasis. Sarah was, I got worked towards a teaching credential and, but I loved zoology.

We used to, it’s, was a great major for Fresno because we’d go up. you could go to the, you could go to the mountains and trap animals. we went to the coast and worked on the, at the tide pools and you work, we went to the desert. California was that’s. That was a great major for California.

I always felt sorry, the people in Kansas, they just go to the, where do they go? They go to the wheat fields. Not much no, it was, and, stuff as well. You study animals, which is humans are animals. And of course I TA, chemistry when I [00:25:00] was at, in, at, in junior college and ITA human anatomy with the cadavers when I was in Wednesday night, optometry school.

the zoology degree, w I took a lot of anatomy, physiology, and psychology, and a lot of classes that you believe it or not. You use it in this, in my, what I do. I, it helps you to understand what’s going on with your patients. Yeah.

Craig Scharton: my zoology, professor at Fresno city, Dr.

or, McHenry, he was brutal because he said some of you are going to end up being doctors, and you’re going to know what you need to know, and you’re going to be proud that you came through my class. It’s every one of us and like zoology 10. Had to add, to be learning just everything just in case we were a doctor someday.

So it was pretty intense. Did you take any classes from Dick Haas at

Dr. Tomas Casagrande: Fresno? Yeah. I had that from, I had one class with Dr. Haas. Yeah. I went to the [00:26:00] desert with him on a field trip and that was pretty cool. It was Dr. Mohs doctor. I had Dr. WoodWick, which renowned, histology teacher. And, Dr. Oh, Stein there was, I had some great teachers that president doctor, Dr.

Woodward was there. it was, I was very fortunate. They were all older teachers, but they had seen, and

Craig Scharton: then all over the world.

Dr. Tomas Casagrande: Yeah, they had, they were, they had such a wealth of experience. They brought to the classroom that. That was just, incredible.

Paul Swearengin: I remember Dr. Haas saying some people remove the H in the, a, at the front of my name and add an S onto the end of

Dr. Tomas Casagrande: that.

H a S right? Yeah. Yeah. Dr. Haas. Yeah, he, I always thought about, the little eggs, Pause. Pause. Pause.

Paul Swearengin: Yeah. Oh,

Dr. Tomas Casagrande: Yeah.

Paul Swearengin: 30 what’d you say 34 years. Is that right? From 86. So what has [00:27:00] changed in optometric since you started your business?

Dr. Tomas Casagrande: so much, it’s not even funny. I was talking to a patient yesterday, when you have a melanoma in the eye, when I graduated, you just took the eye out.

And then the patient ended up dying because of metastasized to the rest of the body. Now you put a little radiation pellet back there. If you see a melanoma, what’s, you’re pretty rare, but then, the patient doesn’t die because the eye that the cancer doesn’t metastasize. that’s one issue.

what else has changed a lot’s changed, but a lot stayed the same because physics is physics. No, you’re still bending light to correct people’s vision. Whether it’s with the contact lenses have, have gotten more breathable, more comfortable, the ones that we were using early on, they didn’t raise very well.

I’ve caused a lot of infections. And then, I was w I was one of the first doctors to. To actually, do LASIK. I [00:28:00] co-managed LASIK in 1996, 95, when I was sending them to Canada, just CA it was approved in Canada. I about a year before it was approved here. So the ones that say, Oh, I want to go, okay, let’s go to Toronto.

So we fly to Toronto. So I was on the early ones of, of lace of doing laser surgery. But I got to be on the early, see all the early laser, how lasers can improve and save vision with diabetics and with, other conditions that we can treat lasers with, not just, not just LASIK, but then, there was R K early on in the eighties where you did the cutting, I wasn’t, I got to see that.

and then as we moved into the nineties, the technology on how we look at the eye has gotten so much better when we can take, we can do we have machineries now machinery in the office now where we can take a 3d picture of your eye. we can look at the, [00:29:00] at your retina, the 10 layers of the retina and find out where there’s a problem we can look for glaucoma, get, we can figure out whether you have a coma a lot earlier now.

because of the new technology that we have that we didn’t have even 10 years ago, some of you have had an Optum map done where it takes a huge, very, a 200 degree picture of your whole retina. That’s very interesting because it picks up, conditions in the eye that sometime years ago would get missed, like certain retinal tears and, Retinal holes or even cancer on the, I would get missed you.

Don’t miss it. Let the optimum out of it’s very easy to see.

Craig Scharton: one of the things that I just found out was a huge improvement is, the law. When I went in a couple of weeks ago, they don’t do that thing where they blow your eye on you.

Dr. Tomas Casagrande: Yeah, we have. Now we have a little unit. [00:30:00] That it’s magnetic. So those of you who are like, there’s a lot of you out there that won’t come for an ice edge, you don’t want the airport.

I know. Yeah, because it’s the air puff. it’s like traumatizing. So for a lot of people, we, this office side, my office, we don’t use it. We haven’t used it for about five years, probably half the offices in town, still, probably more than half still use the aircraft, but you don’t have to there’s other technology now.

Craig Scharton: I was very happy. I was very happy about that. I never understood why I didn’t like it, cause it didn’t really hurt, but I really hated it.

Dr. Tomas Casagrande: I told a patient that I saw yesterday. I go, you, she goes, I w I haven’t been here in cheers. I remember that airflow. I said, Don’t you hear my great personality first and then the air puffs.

Second. What does no, I remember the first, then you’re a good personality. Second. I said, okay. I take a second seat. So the air, but it’s funny because most people are, remember, [00:31:00] they look around for it and they go, where is that thing? I don’t know. When are you going to do that? I always tell them we’re not doing that today.

Paul Swearengin: Now we just get that really bright flash in our eye.

Dr. Tomas Casagrande: It’s a map. That’s the optimum. The other thing that’s changed is, the lenses of Don thinner, the frames of dot and the wider, a better technology with a better selection of frames. then it was, when I graduated. And then also the progressive lenses have gotten now there are called digital wishes, but really that doesn’t mean anything to patients can say they’re digital or WhatsApp.

Me really, the distortions are less in the Progressive’s. There they’re much easier to adjust to than they were even three years ago, four years ago. So that’s been really neat for patients because. a lot of times we’ll take them three months to adjust to a progressive lens. Now it takes, just take just a couple of days

Paul Swearengin: and you got rid of the lines on the bifocals to [00:32:00] remember my grandmother’s.

Dr. Tomas Casagrande: yeah. that’s what that does.

Craig Scharton: Yeah. So I have to, so I mentioned before we started that, I finally got my first pair of grownup glasses and I got them, I think last week and I’ve already scratched them. w what do I do


Dr. Tomas Casagrande: take now,

Craig Scharton: or,

Dr. Tomas Casagrande: you want to, if, you want to go back and make sure that, you want to make sure there’s a good scratch coat.

Whenever you get an anti reflective coating that you want to make sure there’s a good scratch. Go put on it. Otherwise the coding will scratch off and. We need to know about those glasses, whether it had a good scratch.

Craig Scharton: Okay. So I’ll go back and check. I can’t just take it out with my buffer and,

Dr. Tomas Casagrande: you can’t both off people asking the outside.

Can you buff off the scratches? Oh, I can do it, but then I’m going to put a wave in the lamps. And then you got a real fine grit

Craig Scharton: sandpaper in the shed.

Dr. Tomas Casagrande: Yeah. Yeah. That won’t work either. I remember whenever you both [00:33:00] everything on a lens, you’re changing the prescription.

Craig Scharton: Yeah. I’ll take him back in

Dr. Tomas Casagrande: hundreds of a millimeter.


Paul Swearengin: here’s a V Oh, go ahead, Craig.

Craig Scharton: When you think about sunglasses, I’m horrible at wearing sunglasses.

Dr. Tomas Casagrande: it’s a good question. If you were a D if you’re outdoors and you were, and you liked wear hats, that’s good. You want to keep that helps believe it or not keep a lot of the ultra bright light out of your eyes.

is you’re outdoors a lot though, and you’re getting a lot of sun from, work, then a good quality sunglass of it. It has a UV 400 filter is always better because it’s going to ultraviolet light will age the eye. just put your newspaper outside for a week. It turns yellow.

That’s from ultraviolet light. So it’s doing the same thing to your eyes. It does it to the front of the eye and mainly all the way to the lens, but, so you’re going to get cataracts sooner if you’re outdoors a lot. You’ll [00:34:00] see people that I had a lady in yesterday as a patient. She’s 75 years old, her lenses inside her eye, they look like they were like a 45 year olds.

I go and I asked her that and I said, Hey, when did you start wearing glasses? She goes, I started wearing when I was eight. that kept the whole smile line out of her eyes. It was a great test. A great example. she had glasses on since she was eight. She just kept fields probably a lot out at horizon.

Sure. She has 75. she had the lenses. Just Claire. You’re her natural lenses inside her eyes. So

Paul Swearengin: a really important 2020 question, not 2020 vision, but the year 2020 is how do we keep our glasses from fogging up when we’re wearing masks?

Dr. Tomas Casagrande: It’s not an easy answer there isn’t we’ve tried a lot of different things.

I had a patient that patients come in with home remedies, like shaving cream doesn’t work. I had one says I put vinegar on it. don’t put vinegar on your lenses. That’s an acid [00:35:00] over time. That’s going to eat them up. we have, we’ve found a, there’s a spray that we sell here and I can’t tell you the name of it because we just put it in the bottles that helps some, but there’s not a really good answer.

The best answer is try to wear a mask that seals right here. that’s, where you’re sealing it right here. And that’s the best it can do, but it’s, there’s not an easy answer, wearing a mask all the way up, a little further up. so it’s. But if you have a good seal, then that’s probably the best answer, but we haven’t found it.

Paul Swearengin: I’ve been using this. I don’t know if you could say it’s called cat crap, but it. Cat crap. Yes. That’s the name? Cat crap. I can’t get it to focus on it, but

Dr. Tomas Casagrande: you get that in your backyard.

Paul Swearengin: I heard that skiers use it for their goggles.

Dr. Tomas Casagrande: Yeah. yeah. And the sprays do help. We have one, they’re not they’re enough. You They do work.

[00:36:00] Paul Swearengin: That would be my answer on it. It’s better than nothing, but it’s not.

Dr. Tomas Casagrande: Yeah, I know. We’ve it was backward. When we ordered, the spray, I kept asking them, Hey, we’re gonna start spray.

It’s backward. It’s backward because they ran out because the whole country was using.

Paul Swearengin: and, so Jeffrey says on Facebook, the way to keep from fogging up your glasses is not to breathe. I’m not sure. That’s great advice.

Craig Scharton: Jeffrey, that’s very funny. That is a perfect, Jeffery, humor, encapsulated right

Dr. Tomas Casagrande: there.

I have a lot of some patients, they just wear the shield, And then they don’t wear the mask that I tried to wear the shield. It distorted too much for me.

Craig Scharton: Also, if he has a stigmatism, Kenny do LASIK.

Dr. Tomas Casagrande: The answer is yes, but you have to have an evaluation by some, by a good optometrist that knows [00:37:00] that’s a LASIK that does that.

Like I’ve done about co-managed about 10,000 LASIK patients since 1996. So some most astigmatism you can do, it’s gotta be done right by the, by the right surgeon. Some surgeons are better at, than others. Depends on the amount of astigmatism. And it depends on, but th the answer is probably yes, probably 90% of the time.

Craig Scharton: we’ll bring you some of his probiotic.

You guys can barter.

Dr. Tomas Casagrande: I’m always open to, to anything that will help my patients.

Paul Swearengin: So I found out a little bit yesterday at my visit to your office, that cataracts are both of my brothers who are both older than me have had cataract surgery. And that’s our cataracts, just a natural part of what happens as we get older, or how do we avoid cataracts?

What do we do about them?

Dr. Tomas Casagrande: Okay. If you, all of [00:38:00] us live long enough, we’re going to get cataracts. Now I had a lady in a month ago. She’s a hundred, we just did our first cataract. She goes, what do you think? Do I need my other one? I said, you’re a hundred. So that’s the extreme on that. And what’s interesting.

I see a lot of Indian patients that come from India and over there, they’re not very, good about wearing sunglasses over there. It’s not a big deal, but they’re along the equator and they would come over here and I would see these 45, 50 year olds with cataracts that were just like, Where I’d usually see them when they’re 20 years older.

So what am I saying? A lot of ultraviolet light causes cataracts, and that’s, so you want to, we’re in Fresno, so there’s a lot, there’s a lot of ultra light if you’re outdoors. So where are your sunglasses? if you’re wearing your sunglasses, you’re probably gonna save yourself 10 years before you, if you’re going to get them at 70, you might get them when you’re 80.

if you’re really [00:39:00] good about that? I will say this, that if you’re looking at what your mom went through, if your mom got cataracts at 75 and you’re 50. Yeah. You’re probably going to get them at 75 too. it’s genetics has a play. I see that a lot. We’re finding out that genetics as a play and usually from mom’s side on a lot, what goes on in your eyes, but you’re going to start for Fresno.

W we start seeing most people are going to get cataracts past 70, but unless it’s in your family tree where yeah, my mom got them on, she was 50, 52 that happens. And that’s not that’s a genetic marker. Also, if you’re diabetic, get your diabetes under control because.

Metabolic conditions like that will cause cataracts and they can be aggressive growing cataracts where it’s like, what’s going on. I’m 48 years old. Why do I, why am I getting a [00:40:00] cataract it’s a diabetic condition to do that so that there are some other. other things besides this growing old, that causes cabinets.

Paul Swearengin: So you can get asked an interesting question to that in any, tie between COVID and vision. Have we ever seen anything?

Dr. Tomas Casagrande: we do know that COVID causes, what’s called conjunctivitis, which is the white part of your eye turns red. I. It’s not a big issue. We haven’t seen vision loss from COVID.

so that, so I would say we have that COVID we haven’t seen any problems with that, like side effects, from the virus. We do know that if you wear it for those of you are in situations where there’s, COVID around, maybe you’re working in a hospital setting, wearing your glasses is a protection.

Because remember the [00:41:00] droplets, they just have to hit a mucus membrane. there’s mucus membranes in your eye. And so if you want, so you want to wear your mask and you want to wear your glasses. If you have glasses, And that’s that offers protection from COVID because COVID can get into that.

So they can’t get into the body through the eye. that’s it’s a well known, back on that,

Paul Swearengin: ah, interesting stuff. so do you want, Craig, should we do what’s on my mind?

Dr. Tomas Casagrande: I want to say this about cataract surgery, so don’t worry about cataracts. If you have them nowadays. It’s stitched us procedure, no blood, no stitches.

You walk in, you walk out the cert that, the surgeons that we have in town are very good at it. you’ll, we’ll probably not need glasses for distance, or if you do, it’ll be a very small prescription. there’s actually multifocal now lenses. We could put in your eye where you’ve been read and seen the distance there.

the techno, when he asked me what’s [00:42:00] changed in technology, that’s a huge thing because we used to put stitches in the eye and make you sit with sandbags. when we did cataract surgery, that doesn’t happen anymore. So you’ll walk in, you’ll walk out, you’ll see right away. It pretty much, you’re not laid up at all.

You’re not in the hospital. So it’s, it’s, that’s a huge, But then when I first graduated,

Craig Scharton: we almost lost the co-host on that one.

Paul Swearengin: All right. We, w we didn’t prep you on this doc, but we do, we always finish with a segment called what’s on my mind where we talk about something totally unrelated to everything else we talked about. so be thinking of. Just something that’s on your mind in general, in the world. and, we’ll so we’ll take you last.

So you have a little bit of time

Dr. Tomas Casagrande: to think about it. I do. I only get one thing I bought 20 things.

Paul Swearengin: No, just

Dr. Tomas Casagrande: my number one thing,

[00:43:00] Paul Swearengin: Craig what’s on your mind.

Dr. Tomas Casagrande: You’re not going to be the Raiders. Okay.

Craig Scharton: we’re going back into the lockdown, now and, it’s a, an interesting, continued interesting reaction from the public, but I do know a business in town and I won’t mention who they are, that their entire executive team got it because they’re all in proximity to each other.

And, I thought that was really interesting because I tend to think of. one person gets it here and one person gets it there, which is how I’ve seen it unfold. But if you think about many of our businesses, if you lose the CEO, CFO, HR director, all the way down that whole core, it’s just like how people.

don’t write in the same plane or the same car, because if it’s just a disaster for the business to have everyone go out for two or three weeks. And, I just want people, even though, some people are still having to work and, get [00:44:00] out there just still be really cautious.

I have had between Suzanne and I, we know at least 10 people in the last. 10 days or so that have gotten it.

Dr. Tomas Casagrande: So

Craig Scharton: it’s really out there folks. And, it’d be nice to keep our numbers down and not have it affect you. Yeah, I, my, housekeeper, one of the three housekeepers got it. And the other two didn’t because they wear masks while they were cleaning houses together, they still were able to avoid getting and get from one to the other three.

and they were in my house, and I wear a mask when they’re here. And it just, you really just have to be on your toes and not get too

Paul Swearengin: comfortable. Yeah, definitely something to watch out for. And there was a story yesterday, a pastor in Fontana of a church down there that was, they’ve been.

Broaching the orders of the state and one of their lead pastors died, this week, which was tragic. But yeah, so it [00:45:00] sounds like if we can just hang on for a little while longer, there’s vaccines coming and things can turn around. And, in fact, I just heard Dr. Fowchee yesterday, they were asking him, you like sports doctor cost grounded.

They were asking, when will we see fans back in arenas and stadiums for sports? And he said, Joe, Like the July NBA playoffs are probably too early. We probably won’t see fans in arenas, particularly indoors by then, but he said by the fall he suspects fall of 2021, we will see full football stadiums again.

And so that was hopeful to hear.

Dr. Tomas Casagrande: That is really good news. I didn’t think he would say that.

Paul Swearengin: Yeah. Yeah. So that was good. Considering how my fantasy football has been totally screwed up by the Baltimore Ravens, getting COVID or getting everybody on the COVID list. It’s been a little bit brutal.

Dr. Tomas Casagrande: That’d be worse. You could be a Denver fan and have your you’re tied in be the quarterback.

Paul Swearengin: Yeah. At some point you’re like, why are you even play the game on [00:46:00] that one? so what’s on my mind today is the social media platform, Tik TOK. I don’t know if you guys are on Tik TOK, but. Yeah, it’s all my fault.

I jumped on to tick talk, because social media folks are giving me advice said, Hey, if you’re trying to reach a younger audience, go to Tech-Talk. Now it used to just be like 15 year olds dancing doing lip sinking songs, but it’s expanding some and. So I was at six followers on Tik TOK and woke up the next morning a couple of weeks ago and told my wife something’s wrong.

I have 2200 followers on Tik TOK. It says, so they’ve got something wrong here. but it turns out I had a post going viral, as they say. And now to this point 440,000 people have watched that video. And I now have some 22,000 followers on Tik TOK and, So I am now officially an influencer on Tik TOK, invited into their [00:47:00] creator fund and all these other things.

So yeah, it’s been fun. Everything is 62nd videos at 60 seconds or less. So you have to be really creative, how you share a message in 60 seconds. but just everything I put out there get a ton of people interact with it. it’s a pretty cool audience. So I’m having a lot of fun on Tik TOK.

Craig Scharton: I wouldn’t be on there if it weren’t for you, but, but it is, it’s always interesting to learn these new formats. My question was, Like with Twitter. If I woke up and saw that there were 2000 notifications on my Twitter account, I’d probably have a heart attack. Cause that your first response is, Oh my God, what did I do?

Paul Swearengin: Did

Craig Scharton: you have that? Did you have that moment?

Paul Swearengin: Absolutely. Absolutely. And, and I’m thinking who, seeing this now, and it was funny cause I had actually three. Children of friends of mine say, Hey, you popped up on my, for [00:48:00] you feed on Tik TOK. I know you. and so I did start hearing from a lot of people.

I hadn’t heard from it a long time. Most of them saying my kids said they saw you on Tik TOK. So

Dr. Tomas Casagrande: that means you’re irrelevant.

Paul Swearengin: Yeah, that’s right. That’s right. I am I, whatever the word is for hip these days,

Dr. Tomas Casagrande: Yeah.

Craig Scharton: I think

Dr. Tomas Casagrande: the only time you hear him now is a replacement.

Paul Swearengin: Yeah. I think I’m closer to the replacement than I am to actually being at, with the young people today.

But yeah, that’s been a, that’s been a lot of fun.

Craig Scharton: It’s been fun to watch it and I’m dying to actually have some time to. Ask you how you produce all of those. Cause it’s really cool. It looks very

Paul Swearengin: good. I’m learning as I go. I made one today, actually that is, I tried to do the ending to every eighties movie that’s ever been made.

every eighties kid movie, you know how back then the, every movie ended with somebody starting the slow clap and then everybody else would join [00:49:00] in and they’d be clapping. So I did it. I did my rendition of that today.

Craig Scharton: You’re having too much fun.

Dr. Tomas Casagrande: I liked what you said the eighties. Not you didn’t go back to the seventies.

Paul Swearengin: Nah, I’m a little, I’m not quite there. I’m an eighties kid for sure. All right. Dr. Cuss grinding what’s on your mind.

Dr. Tomas Casagrande: a lot is always on my mind because it’s always moving, but probably the number one thing on my mind right now is. You go on the freeway and you see the sign that says this, this section of the freeway is, supported by such and such.

And that’s what I found out was that all goes to one entity that’s in LA. That’s supposed to take care of picking up the trash and all that. And our freeways, especially 41 Oh one 80. It is the worst I’ve ever seen it. And I’ve been here since 76. I was here when the water tasted good, I can deal with that with water purification in my [00:50:00] house, but I can’t deal with going down the freeways and seeing all the trash it’s just disgusting.

And we need to all call. The our people, our elected officials made to find out where’s that money go, that we that’s, if you look into it, these people, we pay money to have that done and it’s not getting done and everybody sees it. it’s it’s. And when people come, through Fresno to go to Yosemite, there’s a lot of people and they see that.

they go back and they tell everybody else what a dirty city that we have. So not only is it, we don’t like it, but it’s the people that come here. They’ll give us a bad name. And then maybe some buddy wants to come here and open a business. And they think, I don’t know if I want to open a business there.

So we all need to talk to our elected officials, whoever they are from the mayor on down and from to Jim Patterson, to. [00:51:00] To Jim Costa to whoever else will listen. Supervisors.

Paul Swearengin: I think that’s Caltrans. Isn’t it?

Dr. Tomas Casagrande: Chris trans Caltrans is, but who’s Caltrans. who’s lighting a fire under their feet, so you’re right.

It is Caltrans, but it’s not getting done.

Craig Scharton: Yeah, no, that’s, it’s the state representatives for sure. Need to hear about that. And, and this you’ll be an example of no matter who they are. If I agree with them regardless to party or what their other stances are, I agree with them. And I’ll disagree with someone Gary Bretta filled with on almost everything.

Really, almost everything has been on the forefront of trying to get the freeways cleaned up. And

Paul Swearengin: I give him credit for that.

Craig Scharton: As you said, what is Gary Bretta felt then that you like that’s, that would be the only thing that comes to my mind. But he, he has been on the bandwagon for [00:52:00] this and making a lot of noise and really that’s what it takes is the whole council to be passing resolutions and people calling, my friend Joaquin and Jim Patterson and, Andrea’s Borgias and the other people at the state level.

And just tell them, don’t pass the budget until Caltrans has the money to fix these things up. And. Yeah, by the way, we have a bunch of unemployed people. why aren’t we putting people to work,

Dr. Tomas Casagrande: doing

Craig Scharton: what we need to get done? Let’s connect the dots, unemployed people that need skills, job that needs to get done

Dr. Tomas Casagrande: together.

let’s try make it out and do it. Yeah. Yeah, absolutely.

Craig Scharton: When did we see the idiots throwing stuff out of their cars? Like the entire bags of a KFC or whatever? I heard one time there was an interview and they were saying, how many thousand dollar fines for littering do you really do? And it was like one I’m like, that’s bullshit.

Either have the deal or don’t have the deal. But I want to know some [00:53:00] people are getting their ass handed to them for throwing crap out onto that.

Dr. Tomas Casagrande: It looks so bad that then people go, I’ll just throw it out. I’m just going to add to it. Nobody cares. And you can’t have that. No care attitude.

Craig Scharton: and like you said about a business and think about like people coming up to consider going to Fresno state or not, they’re coming up 41 turning off on Shaw and going nah, I think we’ll pass. If these people don’t give a crap, then they’re not going to give a crap about anything.

Dr. Tomas Casagrande: Yeah. I think that’s very true.

Paul Swearengin: Yeah, we were driving by and then Blackstone 41 entrance just yet yesterday or the day before. And one of my kids pointed out like, look at that mess over there. and he’s like, why doesn’t somebody fix that? And my wife was saying, nah, that’s Caltrans. Like that’s even in the city. But see that’s it’s their job,

Dr. Tomas Casagrande: but see, here’s my thing.

Maybe it shouldn’t be Caltrans. Maybe it should be the rotary club. [00:54:00] Maybe it should be lions. Maybe it should be, all of us getting together and say, Hey, let’s all get together on a Saturday with some paper bags and let’s crank out a mile. Let’s crank out a fourth of a mile and just get that done and what’s wrong with them?

Close off the close off part of the freeway or whatever, with some orange cones and let’s go clean up our city. If they’re not going to do it, why isn’t it? Why does it, let’s talk to Brandao over at the, and talk to the city council. Somebody should say, they’re not going to do that. And then let’s do it ourselves.


Craig Scharton: always wanted to do a big blockade. I think we should just get a whole bunch of people. We’ll all throw couches and stuff. A block off the freeway and till they get it fixed, what do you think?

Paul Swearengin: I think you’re going in the opposite direction. that’s what, the doctor’s talking about here.

Craig Scharton: I will park all of our, all of our trucks and block the freeway.

How does that sound?

Paul Swearengin: Yeah, I think the [00:55:00] other thing on the freeway is I’ve heard talk of a, a toll. at the North end of 41, because we’re going to be, Fresno is going to carry the brunt of all these people driving from Madera County, and, the maintenance of the roads and things.

And so there is some talk that maybe we help people help us offset that as they’re driving in from their homes North of the river.

Dr. Tomas Casagrande: Craig, that day you do that. I think I’m busy that day.

Paul Swearengin: All right. Very nice.

Craig Scharton: That’s it? There’ll be

Paul Swearengin: golf carts.

Craig Scharton: Yeah. Will blockade with golf

Dr. Tomas Casagrande: carts.

Paul Swearengin: Nice. All right. Hi, Dr.

Casa Grande day. Appreciate you coming on and tell us everything there was to know about the eyeball in 2020.

Dr. Tomas Casagrande: we scratched the surface and there’s a lot more there.

Paul Swearengin: Optometrists humor. I like it. All right, Craig. Good talking to you again.

Craig Scharton: Good to see a Tom.

Dr. Tomas Casagrande: Good to see you both.

Paul Swearengin: And thanks to [00:56:00] everybody who joined us on Facebook and all the gang.

So always

Craig Scharton: this will help a lot of people. Thank you. Wear your

Paul Swearengin: mask up. Everyone. There you go. I like it. Alright guys, we’ll see you take care.