Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Tuesday, June 21, 2011

My (Right) Eye Surgery Story

My (Right) Eye Surgery Story

Missing only a trench-coat and an eye-patch!
I had to wait about eight weeks to get my right eye operated on after my left eye was done. It was originally scheduled for four weeks, but the Saturday before my surgery, as I was dripping dry in a Harveys from a rainstorm and trying to figure out what on the menu that I could safely order so that they didn't throw me out the door to float until I found a stray Ark, my cell phone burped so that Dr. Galic's nurse could tell me that I would have to wait some more.

I wasn't terribly surprised. This was my original appointment date for my second surgery. My initial appointment for my left eye had been scheduled and then pushed back three weeks, so I wasn't surprised that history repeated itself, but as I squelched under the withering eye of the Harvey's cashier, I thought to myself that her timing could have been slightly better.

See, I make this patch look good!
While I had one good eye and one terribly bad eye, I found reading and working on the computer very difficult and a bit disorientating because frequently I could read better up close with the terrible cludy eye than I could with the non-cloudy operated on eye.

Finally, came the day of the second operation. I would say that I got up early, but that would imply that I spent a lot of time sleeping the night before. Even though I had gone through the eye operation once before, I was still a bit of a nervous wreck.

Which might explain why I got to the hospital forty minutes early instead of only fifteen minutes early like I did the first time around.

Steve Nash makes this look good too!
The first time, I was the last man in a line of about twenty patients. Even with one clerk at long-term admissions and one at day surgery, it took so long to go through the line that the nurses from the eye clinic were calling to make sure that I was there. This time around there was only one clerk at the long-term admissions, but he processed me while the waiting room gradually filled up.

I was scheduled to be operated on third, but the first and second patients were trapped behind everyone else in the waiting room. I saw them both but by the time they joined me on the 4th floor, I was processed, in a gown and ready to go. That, and the fact that I am diabetic allowed me to jump the line.

The Even Gayer Pirate!
The other thing that made me a bit of Nervous Nellie is that compared to the last time, this time I could actually see where I was going. The time before, the cloudy gauze of cataracts insulated me from my terror a bit. Everything sounded the same, but now I could match images to sounds.

The first time they had sedated me. This time around, they set me up for sedation but never followed through. The surgery itself was unnerving, but not painful. I was soothed a bit by the banality of the conversation between Dr. Galic and his Saudi Arabian assistant who was complaining about having to go back to Saudi Arabia to work for a hospital there, as part of the deal where his government paid for his medical education. To be fair, what he was complaining about wasn't going back to home to serve, but going back to work for a hospital that was only willing to schedule for 4-5 operations in a month, when he was used to doing 4-5 operations before lunch!

Doll-Man: Eye Enemy!
After the first operation, I could see better seconds after the operation was over. This time around I was slightly disappointed that my vision was still fuzzy - if better than before.

Over the next 24 hours, my right eye got stronger and stronger until it was hard for me to tell the difference between my right eye and left eye. I guess after the first operation, the left eye was dramatically better than my cloudy right right away and I never noticed that the left eye got even stronger as that first day wore on.

I mentioned this to Dr. Galic when he was inspecting his handiwork the day after surgery and he grinned and commiserated sarcastically that I could only see 20/20 out of right eye. He gave me a clean bill of health eye wise, two weeks later, so other than a visit in six months to follow-up with him (and keep a preventive eye out for diabetic retinopathy), my eye surgery odyssey is virtually over.

The only hurdle left for me is to go visit my optometrist after my birthday on Canada Day to have her check what kind of reading glasses that I will need. Dr. Galic's assumption (and mine) is that I will probably only need pharmacy reading glasses, but I will still visit my optometrist to be sure. After all, it was her suggestion that started me on my eye surgery odyssey in the first place.

*****

Wednesday, April 6, 2011

My Eye Surgery Story

My Eye Surgery Story

I have mentioned it before, but I was diagnosed late last year with cataracts in both my eyes, a condition that had literally crept up on me. While my diabetes made the situation worse faster, it was not the cause of the problem. In other words, I do not currently have to worry about diabetic retinopathy (which would be really bad news - possible eventual blindness bad news.)

But it did mean that to get my vision back to a state where it doesn't feel like I am looking at the world through a thick bridal veil, I would need to have surgery. The left eye first and then the right eye.

NO! NOT MY EYE!!
While outwardly I projected calm (not always successfully) internally, I was freaking out. Eye injuries have always been a bit of a phobia of mine. I suspect partly this has to with the fact that I have been a comics reader since I was about 6 years old when my Dad bought me my first comic, a Dr. Strange illustrated by Frank Brunner I think.

(My Dad really bought the comic for himself and used me as his beard. When I had my own money to buy comics, I began a love affair with the Legion of Super-Heroes.)

Comic books have long had a perverse fascination with eye injuries. This might have something to do with the fact that many comic book artists worked as freelancers and relied heavily on their eye-sight to be able to earn a living. Of course, one might wonder why there isn't a similar fetish for hand injuries?

Seriously, I had nightmares.
Joe Shuster, the Canadian-born artist of the original Superman comics, eventually went blind. It was partly his condition that shamed Warner Brothers into giving Siegel and Shuster a life-time pension and health benefits when the first Christoper Reeves Superman film was about to come out. One could argue that the eye injury motif was an unconscious expression of the anger and guilt felt by comic book artists over the neglect of a man whose artwork essentially launched the comic book industry. Great theory, but since much of the eye-injury artwork happened before Shuster started going blind, it requires a very mischievous time-travelling editor to make it work.

My first surgery was scheduled for last Tuesday. Because I am diabetic I get to be operated on first thing in the morning, with my surgery scheduled for 7AM. I got to the Royal Vic a little after 6:30 AM just as they were opening the doors to the admitting department and taking people's health cards and hospital cards. My hospital card had my name misspelled ("Micheal") and the name of my street catastrophically misspelled ("Watcohrn") but my general philosophy with stuff like that is not to complain to people who can do a lot worse to you than spit in your soup.

And some daymares.
(As it turns out, the admitting secretary was a bit of a stickler for details and eventually corrected all the mistakes which I appreciated.)

Once the door was open, the waiting game started as about twenty-five people, some patients, some friends and family of patients patiently waited for thehir names to float to the top. I was eventually seen about 7:15 AM. As soon as I sat down, the phone rang on the secretary's desk,

"Yes, he's here. He's right in front of me. No, he wasn't late. Yes, he will be up in five minutes."

And from that point onward I was being rushed around like a white rabbit with someone else holding the watch and yelling that I was late, late for a very important date. Which naturally led to me being even further late as the admitting nurse led me to the changing room, left me to change, but never bothered to mention that I was supposed to come back to her office when I was done changing.

No, not this kind of dream.
Then the other huge obstacle was that I had to choose my new lens, a choice that no one had bothered to mention until that point I would have to make. The admitting nurse was quite cross with me that I was unable to give me a quick choice.

"The hard lens is free. The soft lens is $300.00."

"What's the difference?"

"The soft lens is better for diabetics."

"Why?"

"You will have to ask your doctor."

All of this time, every time someone has something to say to me or ask me they are simultaneously dropping a small river into my left eyeball, so by the time I make it down to the operating room, my left eye is better hydrated than a fish and I am confused and petrified.
Knife to the Eye! the surgeon said.

The operating room roll call is guy who is wheeling me from the eye clinic to the operating room, operating room nurse, anesthesiologist,  anesthesiologist's assistant, Dr. Galic, my eye doctor and surgeon and Dr. Galic's British sounding assistant who finally explained, literally seconds away from me being sedated, why I wanted the $300.00 soft lens instead of the free hard lens.

"We can fold the soft lens so we need to make a smaller hole to insert it."

"Is there a lens where you don't have to make a hole at all? Because I would like that one."

"Fraid Not."

"Right. I am all in favour of smaller holes in my eyes. Soft lens it is."



The Gay Pirate
And with that it is all happy drugs, look up, look at the ceiling, look up, look at the ceiling, keep looking at the ceiling, seriously the ceiling watch it, I don't mean to alarm you but that ceiling seems suspicious better keep an eye on it and we are done and I am being wheeled back to the elevator and the eye clinic. .

They stuck a blue and silver eye-patch (perforated with holes so I could see) on me and my vision improved immediately like flipping a switch, even if I ended up looking like a gay pirate according to my girlfriend. Because I was wearing a patch, the left side of my vision saw perfectly clearly for the first time since Vladimir Guerrero played right field for the Expos, while my right side was cloudy like there was a roll of gauze between me and the world. Which was always there, but I was never really aware of it, because I had nothing to compare it to and my eyesight had deteriorated so gradually and in both eyes.

I have seen the world through Harvey's eyes.
With one side super sharp operating at 110% and the other side limping around at about 20%, I quite litearlly felt like I was seeing the world the way that Two-Face does.

(When I mentioned this to my Dad, he said, "... Or Jonah Hex" because he is a secret comics nerd.)

The next day in Dr. Galic's office (where I spent two hours cooling my heels and resting my eyes) I got my marching instructions: two different sets of eye-drops each one drop four times a day with a five to ten minute gap between each drop. (As I am sure you can imagine for a klutz like your truly getting the drops into my eyes rather than anywhere but, is a bit of an adventure.) I am to wear the patch at night when I sleep to prevent me from pawing at the eye, a bit like making a dog wear those goofy plastic collars. I don't have to wear the patch during the day - which is a good thing, because besides making me look like a Gay Pirate, wearing the match also makes me invisible to waitresses and taxi drivers.

I was expecting Dr. Galic to ask me to wear sunglasses to protect my new left eye, but in fact he wanted me to do the exact opposite,  to exercise the eye as much as possible. he did warn me that since the retina of my left eye was dilated, my vision might be a little wonky at first and in fact that Wednesday, St-Catherine's did seem over-exposed like a badly taken or badly developed photograph.

We are here for your eye sir.
It has also proved a bit challenging getting my two eyes to operate in stereo with one being so much stronger than the other. (Although oddly, the right eye is better at reading - what little of that that I am doing currently. It is also somewhat better at helping me work on the computer and do things like write this blog.

I am scheduled to have the right eye done at the end of April. About six weeks after both eyes have been done, I may need to get reading glasses for reading and using the computer.  I also haven't quite got around to paying the Royal Vic for the lens. (I am still a bit ticked off about not being told about the options ahead of time.) Think they will send Jude Law to repossess?

Wonder if that enlarged eye helped make Jonah a better tracker?
Until then, I am Two-Facing (Jonah Hexing?) my way around life with a strange blind spot in my right-side peripheral vision. 

*****


One Final Post-Script

After apologizing for my medical team leaving me so poorly briefed on my lens choices, Dr. Galic explained another reason for soft over hard lenses.

"Since we started using the soft lens, we no longer have 70 year-olds who have had this surgery falling down and their globes splitting open like a grape."

YIKES!
All things considered, I am happy that I picked the non-exploding eyeballs option for my lens.

[UPDATE]

It occurs to me on re-reading this that a casual reader might assume that I am somewhat less than grateful to my doctors. Nothing could be further from the truth. I am delighted to be able to see this well out of left eye and desperately looking forward to being able to see this well out of my right eye.

On the other hand, it can be a bit annoying to go to your eye doctor's clinic, arrive on time for a scheduled appointment, pay $40 for eye-drops and then wait for 2 hours to be seen.

($40 for eye-drops that probably cost them a nickel, because that is legal to do while charging $40 to see the doctor and giving you the eye-drops for free is illegal. "The Law is a ASS")

On the gripping hand, sometimes I'm a dick.

[/UPDATE]