redbird: closeup of me drinking tea, in a friend's kitchen (Default)
( Apr. 16th, 2019 07:24 pm)
Dr. Lazzara told me something today, as an "if this happens, we can deal with it easily, but you need to know about it." cut for people who don't want to read about cataract surgery )
redbird: closeup of me drinking tea, in a friend's kitchen (Default)
( Apr. 16th, 2019 05:42 pm)
I saw Dr. Lazzara this afternoon, for the last post-surgery check-up. He is happy with how my eyes look generally, as well as specifically with the eye pressure and my corneas. I have an eyeglass prescription, and he suggested I could get either progressive lenses or bifocal computer glasses. I can in fact see without my glasses; what I can't do is read without them, and it's annoying to have to pull out reading glasses to do things on my cell phone. Meanwhile the non-prescription reading glasses don't work well for distance, and I can't use the same ones to read a book and look at the computer screen.

I will go to the optician in Arlington Center in a couple of days and talk about eyeglass options and prices. (I may also consider going online for reading glasses that correct for the astigmatism; I had poor results in the past trying to mail-order my complicated bifocal/progressive prescription.)

That was the second medical appointment of the day.

I've had an annoying cough for more than a week; over the weekend I decided that since it wasn't getting any better, I should talk to a doctor, make sure it's not pneumonia, and find out if I need an antibiotic. I called Davis Square Family Practice first thing this morning, and they gave me a 1:30 appointment. After asking me some questions, and listening to my lungs very carefully, the doctor said that this is in fact just a lingering cough left from an otherwise-gone respiratory infection. I have a prescription cough suppressant, and an okay to go back to my regular exercises, including walking—"just don't run a marathon." This is disappointing in the sense that she couldn't say "take these, you'll feel a lot better in 48 hours," but it also means that no, calling the doctor Friday would not have been better: I had to remind myself a few time yesterday and Sunday that any plan involving a time machine can be safely disregarded.

I saw a lot of forsythias in bloom today, as well as a few cherry trees, the first maple flowers, and many daffodils; I'd stayed close to home the last few days, and saw a nice variety of bulbs and one dandelion, but no flowering trees.
I just instilled the last post-surgical eye drop in my right eye. I am glad; I'd gotten comfortable with the process, but I will now have less to keep track of, and fewer medications to take with me if I'm going to Adrian's overnight.

The one-month follow-up appointment is a week from tomorrow, and I expect to walk out of there with an eyeglass prescription to take to the nice optician in Arlington Center. I need a pair of glasses that I can use for reading and to correct the astigmatism. I don't know yet whether I want bifocals; that will depend partly on what Dr. Lazzara says, and what amount of correction my eyes need now that they're healed after the surgery.
I seem to like, or want, my apartment to be brighter now than before the cataract surgery, which is counter-intuitive. A month ago I had (mild) cataracts in both eyes, and was wearing photo-sensitive glasses that were old enough that they were always very slightly dark. Now, I'm using over-the-counter reading glasses, with clear lenses, and am comfortable with a level of light that seemed like too much pre-surgery.

My guess here would be that, pre-surgery, my pupils were dilating a bit more, to make up for the cataract blocking some of the light. But that's a guess. What I know is that I'm now comfortable with the overhead light on when I'm exercising on the bedroom floor, rather than needing to turn off everything except the lamp on my bedside table.

I'm also adjusting more easily than I'd expected to walking around without glasses, either in the apartment (when not reading) or outdoors at night and on cloudy days.

(I had been wearing glasses essentially all the time--taking them off only to shower and sleep--for many years, so I literally don't remember what it was like to go outside without glasses.)
redbird: closeup of me drinking tea, in a friend's kitchen (Default)
( Mar. 13th, 2019 08:43 pm)
I got up at 6:30 this morning to go to the eye doctor. He looked at my eyes, after an assistant checked the pressure in both eyes, and says I'm healing reasonably well. medical bits )

I have another follow-up appointment this coming Tuesday, after which I hope to be able to go back to most normal activities, but Dr. Lazzara said he likes to wait for the one-month follow-up before writing a new eyeglass prescription. Right now I'm trying to decide whether to go look at over-the-counter reading glasses tomorrow, because the pair I've had for a week isn't quite right for the left eye, or give the right eye another day or two to heal first, which would also mean I didn't have to go anywhere tomorrow..
The second eye surgery also went smoothly, despite the minor annoyance of what felt like a long wait in the pre-op area. My vision now seems a lot better in that eye as well; I'll be surer of how much better when I take the eye shield off, either briefly to put in eye drops, or tomorrow morning. For now, I have the drugstore reading glasses on over the eye shield, which means I'm reading mostly with my left eye.

Like the first surgery, this was easier than I expected. The anesthesiologist predicted I'd remember more of this one, that being how Versed tends to work when given twice in a relatively short period; instead, I remember significantly less, which is fine with me.

Less cheerfully, the doctor's office called while I was in the pre-op area (with my eye dilated etc.) and left a message that they were rescheduling tomorrow morning's appointment to *8:45* instead of 11. I called back after listening to the voicemail and they had nothing later available; the receptionist said Dr. Lazzara was going to be in surgery most of the day, which I assume means something came up on short notice. Elizabeth is a hero of the revolution--her response to this news was that she could do that, but will need a wake-up call. I thanked her, and we discussed the fine points of me handing her a thermos of strong tea when she gets here.
I started on the pre-operative eye drops for my right eye this morning; the spacing of today's doses would have been slightly simpler if this wasn't the first day of daylight saving time. So far, I'm doing okay with one set of pre-op instructions (for the right eye) and a different one for week two of post-op on the left.

I have also arranged a ride to the eye surgery center (and possibly back; if not, [personal profile] cattitude, the responsible adult of my choosing, and I will take a Lyft home). I talked to the surgical coordinator on Friday and rescheduled the one-week follow-up appointment to actually be one week later, instead of ten days. (When we were scheduling, back in January, they had no available appointments for the 19th.)

I expect this recovery to be slightly easier than the recovery after the left-eye surgery, in part because I don't usually onto my left side in my sleep, so the plastic shield taped over my right eye is less likely to wake me. Also because it is the second eye: I have more practice with eye drops, and I hope to be able to read with the non-prescription glasses I got last week, even if prescription reading glasses turn out to be a good idea.

I saw Dr. Lazzara yesterday afternoon. He was pleased with how well I'm healing, and suggested I either buy non-prescription reading glasses at the drugstore, have the glass removed from the left side of my spectacles, or both.

We stopped at the CVS on the way home, told them I don't need those eye drop prescriptions yet and might not ever, and I bought a cheap pair of (+2.5) reading glasses. Those turned out to work okay for the operated-on left eye but, unsurprisingly, not so well for my right eye. So after dinner [personal profile] cattitude got out one of his tiny screwdrivers and took the left lens out of my glasses, and I'm doing pretty well that way.

My pupil is still dilated enough from the eyedrops they put in Tuesday that I'm seeing random bright flickering on my left in any well-lighted room, but this has diminished significantly since yesterday.

Cattitude and I went for a walk after lunch, because he felt the need and I thought it would be fun. Blue sky, bright sunlight, and fresh snow reflecting the light, so I got out an old pair of vaguely goggle-shaped prescription sunglasses to see if they would protect my eyes sufficiently to enjoy a walk. To my pleased surprise, I could see quite well as we walked down the Community Path to Davis. I got these glasses more than seven years ago, and had stopped using them, I think partly because my vision changed over time and partly because I decided the self-darkening kind were more convenient.

I am having to remind myself that I am recovering from surgery three days ago and shouldn't push myself. Yes, it's minor surgery, nothing like when I had my gall bladder out, but healing takes some of the body's energy. (And now it's time for another dose of one of the eye drops.)

After a night's sleep, I can see better with the left (operated-on) eye without glasses than with the right eye with them on. I spent a bit of time last night with the glasses on over the eye shield, so I could read a little, but took it off after the morning dose of eye drops (except that I wore it in the shower, to help remind me to keep water well away from my eye).

The interesting colored halos I was seeing yesterday seem to have gone away. I had trouble falling asleep last night because my eye hurt, but then actually slept through the night, and it didn't hurt when I woke up. When I see the doctor this afternoon, in addition to whatever he wants to cover, I'm going to ask what "heavy lifting" means in this context, and whether it makes sense to try on drugstore reading glasses now, or whether I should wait a couple of days, or even until I've had the second eye operated on.

My eye isn't really happy looking at the bright screen right now, so I am going to go sit down with a paper book.
I am just back from having the surgery on my left eye. It was much easier than I had feared, and I can already see better through that eye. @Cattitude and @Adrian_Turtle came along for moral support, mainly to reassure themselves. The only problem now is that I can't put my glasses on (because of the eye shield), so I can't read. Elizabeth kindly drove us there, and to Lizzy's for ice cream afterwards. I see Dr. Lazzara for follow-up tomorrow.

No heavy lifting or strenuous exercise, and no floor exercises for a week. I'm very glad I did those particular exercises this morning.

I may not be reading responses for a bit, because of the difficulty with my glasses. I am using Adrian's eyes to post this.

I have just had (and I hope resolved) an unfortunately exciting batch of phone calls. I was discussing the plans for the eye surgery, and specifically for practicing with the drops, in email with [personal profile] rysmiel. That led me to check my instructions, and discover I am supposed to be taking three kinds of eye drop with me on Wednesday. Of which I have two. After multiple conversations with Dr Lazzara's office and the pharmacy, he is going to leave some free samples at the front desk of the Arlington office for me to pick up on Monday.

This is all left over from discovering that this prescription isn't covered by my insurance, and the pharmacy confusing me about whether I needed a discount card from the drug manufacturer. When I mentioned that they were going to be sending me a discount card the clerk said that the copay on the ones they were giving me was "reasonable" (by American standards), which led to me paying for two kinds of eye drops, putting them in the cabinet, and not thinking about it, until [personal profile] rysmiel asked. The pre-surgical instructions are to use one kind four times a day, and the other once a day; the paperwork I hadn't looked at recently tells me to bring all three with me, after instructions including that I should wash my hair the night before and that I can have a light meal the morning of the surgery.

The surgical center called this morning with scheduling information: they want me there at 1 p.m., and it's okay to have a "light meal" beforehand. I'm also supposed to take my regular morning medications at the usual time.

Also, my doctor's office doctor sent me the lab report on the pre-surgical blood testing, with the comment "looks good."
I left a message for Dr. Lazzara last week, because I was confused about why he thought we should correct my distance rather than near vision. He called me back an hour ago, and explained: while subjectively "near-sightedness" and "far-sightedness" are two different things, physically what I have is hyperopia, severe enough to cause problems with seeing things at any distance. Plus astigmatism.

It would be physically possible to over-correct [sic] that, and then I might not need glasses for near vision, but they don't generally do that, and he thinks it's a bad idea because I'd still have the astigmatism.

So, the plan for the cataract surgery is to (we hope) leave me needing glasses for near vision, and I might or might not also need them for distance (because of the astigmatism) but not as strong a prescription as I have now. Last week he said I might need only drugstore reading glasses post-surgery; this afternoon he said I might still want progressive lenses. But that's all secondary; we're fixing the cataracts because they are an additional vision problem, one not correctable with eyeglasses.

Also, I have apparently decided not to get the toric lens (to fix astigmatism) in my right eye, but I'm going to hold off on telling Dr. Lazzara, because they need that decision a week before surgery for the right eye, so around March 5th.

(This post is mostly so if I go "wait a minute" three days from now, I can look it up.)
!markup
I just heard from my eye doctor's office. One (?) of the eye drops I will need to take isn't covered by my insurance. So they are sending me coupons (she should have handed them to me Monday, but didn't think I'd need them). When I get them, I should call the company to activate them (this may be three calls, one for each medication). Then I take them to the pharmacy and tell them that the 12/31 expiration date doesn't natter, because they company hasn't gotten around to printing new coupons, and they can call the pharmacy to confirm that.

This reminds me of @siderea's post about the hidden cost, to patients, doctors, and everyone else involved, of all sorts of pointless medical paperwork. I also know some of the insurance paperwork is meant to delay things so they can hold onto the money longer, and maybe the person will get better on their own, or change insurance and then this company won't have to pay for whatever it is, or die while waiting for treatment.

Single-payer would be fairer, it would produce better health outcomes, and it would free up enormous amounts of time that people could use doing actual useful work, or playing, or even sleeping.
!markup

I saw my eye doctor today. First someone measured my eyes so they can figure out the appropriate replacement lenses to use for my cataract surgery. Then I discussed that, and other aspects of the surgery, with Dr. Lazzara.

@cattitude came with me, for moral support and to help make sure I didn't forget anything important. It's very cold right now (4°F/-15 C), and the buses are running on a Saturday schedule, so we took Lyft both ways. That worked fine except for having to back into a driveway to avoid someone who came the wrong way up the steep, narrow one-way street next to our building. (She blamed her GPS and then claimed not to speak English.)

The measuring was less uncomfortable than I had feared/expected; it mostly involved looking into, and being photographed by, a variety of high-tech machinery. They dilated my eyes a little, but not enough to make my vision blur much.

There will be eye drops both before and after the surgery, including an antibiotic. Dr. Lazzara warned me of the risks of the surgery. cut in case you're squeamish )

I will need reading glasses even after the surgery on both eyes is done; over-the-counter reading glasses might be sufficient. The tricky bit will be the time between having the first and second eyes operated on; some patients just remove one lens from their eyeglasses, and I may well do that for distance/walking around. (We discussed whether to leave me with just near-sightedness or just far-sightedness, and his explanation for fixing the far-sightedness seemed to make sense at the time, but what I remember of it doesn't, and I may call back and ask about this again.

They will send me home after surgery with a shield to cover the eye in my sleep for a week or so. I asked about wearing it during the day as well and he said that would be fine; given my tendency to absently rub my eyes, this would almost certainly be a good idea.
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