I went to an optometrist today and told him upfront why I was uncomfortable to be there. Each step of the way I told him what was making me uncomfortable. He was receptive and really helped me through each moment. Even when I felt really uncomfortable he would let me take a break and even helped me with my breathing. So it had probably been about thirty years since I could do the puffed air. So he helped me do that and I was successful. So yay!