Sunday, December 14, 2008
Friday's Dream - G's disobedience
I was at a party center with G and Little One and a woman who, though they weren't there, had grown children of her own. She was playing with us. Julie from Hillcrest C.B. was there too - I recognized her hair. The woman was driving us home and she let us out. G just ran across the street without looking. I was yelling at him....Julie was speeding up behind us and almost hit him. G turned around and was almost hit by a car going the other way. I spanked him and took everything I could think of away from him - computer, games, tv.....when I woke up. And when I was awake I was still mad at him.
Wednesday, December 10, 2008
Map Dot Fingerprint Dystrophy - Hope
So I saw Dr. Kitzmann today from the Cleveland Clinic who knows all about Map Dot Fingerprint Dystrophy and ABMD (Anterior Base Membrane Dystrophy) and, here's the catch, she was nice! She listened and had input and was super friendly. I just realized, looking back at my erosion journal, that I've had 12 erosions since the end of May. I wasn't sure if that was a lot and Dr. Kitzmann said it is and that, given that I've been religious with my Muro, it's time to take it to the next step. She was ready to do it then and there but we, together, decided that we'll wait for my next erosion once the new year starts (because that's when my deductible starts over again) and I'll come in on an emergency basis. She'll do an abrasion and micropuncture (stroml or stromo something - I don't the technical name for it) but that I don't need to do the lasik because my problem is very localized. She said that I'll have blurred vision for a few days and some discomfort and that I'll be seen by her for 3 months for follow ups and then a few more after that but that she thinks I'll be able to end my torture, that this will work for me. In the 5-10% chance it doesn't we'll try the procedure one more time.
I still have a long way to go. I have to wait for an erosion and then I'll have 3 months of daily antibiotic drops and contact bandages....and I'll hae to continue the muro until I'm sure that my eyes are lubricated enough on their own, but there seems to be an end in sight (no pun intended) even if it is a long-while off. YEA!
Tuesday, December 9, 2008
Israel
I was in Israel with a group trip. My kids were with me. We first stopped at a house where we were to become accustomed to the time change. We were all up and dancing, singing, eating. It was a ton of fun. I walked through the house looking for a restroom. While in there two men, soldiers, came in, talking to each other. They didn't know I was there. It turned out that I knew one of them from summer camp. (Note: The person in my dream wasn't someone I knew from summer camp, although I have met a lot of Israelis there.) I ran over to him and gave him a great big hug. He remembered my name and made fun of me for not remembering his. We were on a tour bus that had open windows and large flapping canvases and we stopped by a small stand to purchase trinkets. We were attacked by someone in the jungle (Israel - jungle - I know, I know). Then I couldn't tell if the soldier I knew was a good guy or a bad guy, though I'm thinking he was good.
The next stop on our tour was to a beach. It was dark and there wasn't a lot of sand. All of the sand there were in these large dunes and the waves were crashing, crashing very fast.
Monday, December 8, 2008
A Visit to the Hospital
I was at the hospital. I saw a relative, cousin or aunt, who was also being admmitted to the hospital, but I don't know for what. Dave was with me - being supportive. They put my relative and me in the same hospital room and my aunt B and cousin Emily came to visit us. All of a sudden I had to find out why Hulk (the wrestler) Hogan was choosing the musical path he was choosing. We had some starstruck people at the hospital want to stop by our room because of our affiliation with him. I was questioning him and we were all talking about it.
Gotta love the normalcy of the beginning of the dream to the "You're definitely in a dream" of the ending.
I'm thinking this was a sign that I should have my eyes checked again. I'm crossing my fingers that my boss can pull some strings with his ophthalmologist friend and that he actually knows something about Map Dot Fingerprint Dystrophy.
Sunday, December 7, 2008
Rocky Horror Picture Show
Friday, December 5, 2008
Research Study
Can anyone tell me what PTK using an excimer laser with low pulse energy and low number of pulses means? I was told by one doctor, whose authority I would want a second opionion on, that I should have a procedure where a hypodermic needle punctures my membrane. Is this the same thing or different?
Purpose: Patients with comeal map-dot-fingerprint dystrophy suffer typically from recurrent corneal erosion, disturbed vision, or both. The purpose of this study was to assess the morphologic and functional long-term results of minimal invasive subepithelial phototherapeutic keratectomy (PTK) for corneal map-dot-fingerprint dystrophy. Methods: Of a total of 390 PTKs performed between October 1994 and January 2004, 15 PTKs on 15 eyes of 11 patients were included in this single-center study. All patients had symptoms of recurrent comeal erosion; in 12 eyes, reduced visual acuity was observed. The median duration of complaints was 18 months. Using 193-nm excimer laser (MEL 60/70; Carl Zeiss-Meditec), a manually guided spot profile was applied in 7 cases (pulse energy, 12 mJ; repetition rate, 2/s or 3/s; 189-425 pulses). In 8 cases, a scanning slit mode was chosen (intended ablation, 1 μm/scan; repetition rate, 20/s; 150-483 pulses). In each case, a broad deepithelialization of the Bowman layer was followed by application of defocused overlapping laser pulses. Results: Complete epithelial closure was achieved after an average of 3.5 ± 0.6 days (median, 3 days). The mean follow-up was 4.8 ± 3.0 years, with a maximum of 9.3 years. Best corrected visual acuity increased from 0.7 ± 0.26 preoperatively to 0.9 ± 0.16 postoperatively. The keratometric central power remained constant (preoperatively, 43.0 ± 1.6 D; postoperatively, 42.6 ± 1.0 D). The average keratometric astigmatism remained constant (1.3 ± 0.9 D, preoperatively; 1.0 ± 0.5 D, postoperatively). In the early postoperative stage, subtle superficial comeal opacities ("haze") were observed in 6 eyes (40%), being completely reversible during the follow-up in 5 cases. No recurrence of corneal erosion was observed during the follow-up. Asymptomatic dystrophic signs in the midperiphery became visible in 2 eyes 3 and 5 years after PTK. Conclusion: For corneal map-dot-fingerprint dystrophy, PTK using an excimer laser with low pulse energy and low number of pulses can be considered an effective and minimal invasive treatment modality to achieve a fast and durable epithelial closure, to prevent recurrent corneal erosions, and to increase visual acuity in most patients.
Thursday, December 4, 2008
Torture
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