Blog Entries With Tag: sight


Posted: Apr 7, 2011

Last November I wrote about having scratched my eyeball with an eyelash separator and previous to that I'd written about another blog on my eyes - all within a month of each other (when it rains it pours).  It was not a pleasant experience with having the scratched eyeball, and trying to seek proper medical help was a pain in the behind.  Trying to see my opthomologist who I see every 6 months was not an option and the only way I could see her or any other eye specialist besides just the clinic GP I saw required a ER reference from the attending GP I saw which they felt was not needed.  According to them, they could not detect much damage, gave me some antibiotic drops - good bye.

Forward now to the month of April, 5 days of torture with an eyeball - yes THAT eyeball - feeling like it's been playing in a sandbox in the beginning, and then the eyeball itself becoming a massive red, weeping mass in the eye socket.  Having to attend the JDRF Symposium on Sunday in this condition was not fun at all!  This experience was as unpleasant as what I went through back in November.  Due to a dermatologist telling me that having rosacea leads to scratchy eyes, dry eyes - I thought that I had the same condition as what my Mum suffers from - blepharitis (I mean - I have inherited most health issues I have now from her side of the family - e.g. diabetes, receding gum line, etc.).  I thought that this is to be my karma.

Wrong!  I lucked in on seeing my regular GP with an appointment rather than just the clinic GP and a 5-8 hour wait on Monday.  She told me that she'd never heard of rosacea causing dry eyes, etc.  That floored me abit, since according to Internet sites - it says otherwise - as well - the dermatologist she sent me to before had said otherwise.  She prescribed some antibiotic drops, and actually insisted that I see my opthomologist giving me an ER referral – I was amazed I didn’t have to beg for it this time!

So, two days later, I get to see my opthomologist.  It turns out that the original GP who examined my eye back in November should have given me the ER referral.  She was very shocked by that not being done, especially since I was diabetic (and trust me – I flaunt my diabetes to GP’s/etc. if it can get me one step ahead of the masses seeking medical help IF it is an emergency).  She said that the tear to the cornea (I was told by the November GP that there was nothing that they could really see) – was the cause of my latest problem – and sadly – it will flair up from time to time.  She didn’t say (and I didn’t ask but will when I see her in 3 weeks follow up) – that if it had been treated properly the first time – if it would have healed up.    The main thing is – it’s scared the crap out of me that doctors don’t all have the same perception of things and that if perhaps further damage could be done.

So, because of this “scar” to the cornea – and the thinning of my lenses (some folks have thin / thick – it varies for all of us – diabetic or not) – this will be another little problem my opthomologist will be watching carefully over the years.  As usual, she is amazed at my length of time with diabetes and the health of my eyes.  I’m amazed as usual at my stupidity at my stupidity for not having been pushier and having demanded an ER referral right from the start.  You’d think I’d know by now at my age!

For now, treatment of my corneal edema is being treated by very salty eye drops to reduce the swelling of the eyeball (which is what has been distorting my vision) and a similar gel drop I place in my eye at night.  All the other things that were prescribed by earlier GP’s which did not help at all – in the bin!

I am hoping I have learnt my lesson here to be upfront (but polite – I am a Canadian after all) – just like many of the D-OC (diabetic online community) Americans are with their health system and how they are treated!  
 


This picture was taken BEFORE any eye probs! If I'd had a willing photographer to snap my eyeball before - it would be posted here instead!

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Tags: edema (1) corneal (1) optometrist (1) sight (1) eye (1) opthomologist (1) ocular rosacea (1) eyes (1)
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Posted: Nov 29, 2010
Sorry for the wait in finishing up this story (I had to tell my parents on the w/e as they were getting impatient).   Things have been crazy here at home, with trying to get meds all in order for upcoming holiday along with falling behind in work due to this latest eye glitch.  On top of that, trying to help out a diabetic friend with her new insulin regime of Lantus.  She's having a fun (NOT) time of dealing with roller coaster blood glucose (BG) rides.  I'm telling her to hang in there!

So, the final chapter begins - hopefully the wait was worth it .....

In the end, I saw the on call GP at 17h30 - by then I was about ready to flake out and go to sleep having had no food, water, and sitting on my plump buttocks all day (except for the ER drive home to change my infusion set/reload insulin cartridge into Salvador Dali).  Along with the two occulusion alarms (which I think probably was due to air bubbles in the tubing as all went well after priming the tubing again) I was literally toast. 

The GP was abit unsure about my eye at first as she didn't seem to see anything wrong (here I am with eyeball flooding out tears as she shines light in my eye).  She went off to consult with someone (maybe she went to the Internet) and came back first to place a topical anesthetic into my eyeball.  What a relief that was!  It felt like my eyeball was normal again, but she warned me that it would wear off.

At that point she placed some yellow drops ( with a strip of special paper that help detect damage to the eye.  From what I learned later on at home, at this point she would have used a fluorescent light to detect any abnormalties, but she just used a regular flashlight. 

In the end, she said I had a corneal imbrasion, handed me some drops to put in my eyes called Ciprodex to help counterbalance any infection I might get and said not to worry.

What did occur though when I got home over the next few days was that my eyesight didn't seem to be improving and when researching Ciprodex online I discovered that it's not recommended for eyes (it's for for ear infections).  I started to question what the GP had done - which I'm sure would be going through your mind as well. 

I had called up my
Ophthalmologist office on Monday to see if I could see her about my eye - and because of my diabetes they wanted to see me right away BUT only if I had an Emergency referral from the attending GP that I'd seen a few days before.   To make a long story short, in the end, between my endo's office trying to help out, I never was able to obtain the referral and can only see my Ophthalmologist in April which is my next 6-month check up.  Crazy medical system we have here in Quebec - but most of the times it does work - but can be frustrating as all hell at times.

In the end, I've spoken to my Optometrist, telling them of what had happened along with the use of the Ciprodex.  They told me that this is something they don't normally prescribe for eyes and said to stop using it.  Also, that normal eyesight with a corneal imbrasion takes from 1 - 4 weeks.  This was all done over the phone, and I am very lucky that I was not charged for this consultation!

So, as you can tell, I cannot wait to be able to see clearly out of that eye, so for now, I'm finding it difficult to work at my PC with the way my vision is.  I will be patient and that evil little eyelash separator brush that I posted a link for a picture of in my previous blog - gone to the land of trash - evil little tool of eyeball distruction - GONE!!!

To read more about corneal abrasions - you can go to this link - written by Nurse Practitioner, Sue Wingate.


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Tags: sight (1) injury (1) eye (1) Animas 2020 (1) glucose (1) blood sugar (1) BG (1) pen needle (1) pump (1) insulin (1) alarm (1) occlusion (1) abrasion (1) corneal (1)
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Posted: Nov 24, 2010



Last Thursday, I did something that I’ve never done before and hope to never do again.  My eyelash brush – a device that separate eyelashes after they’ve been gooped up with mascara – to look more “full and desirable” (those ads are highly misleading did you know that?).  That evil little metal brush scraped up against my eyeball.  Right away, I’m looking myself in the mirror, ready to do combat duty in the depths of the jungles, except I don’t believe in warfare and guns!  As I silently cursed, I wiped the entire gunk off wondering “what the heck have I done?”

I went on with my day as best as I could – not seeing the greatest out of that one eye (and of course – this is the eye that I blogged about a few weeks ago was discovered to have a cataract developing -  ).  I start to wonder if K2 (aka Kelly Kunik) felt the same way when she started to have problems with vision in one eye (but hers was not done by a stupid move like mine).

Next morning, as the saying goes with Dorothy in Wizard of Oz - “I don't think we're in Kansas anymore Toto.”   My eyeball was in pain/bruised/blood shot; feeling like it had been dragged thru’ the sandy beaches of Florida – up and down the east / west coast and tearing up even though I wasn’t watching a sad movie.  I immediately called my ophthalmologist, to find out she wasn’t there, and only one ophthalmologist was available in the clinic and unable to see me.  Their suggestion, go to one of the many walk-in clinics that we have on the Island of Montreal.  So in less than 5 minutes flat, I got changed and with one eyeball functioning, got myself to a clinic nearby.  Lucky 39 was my number and it was only 9h30 and the clinic had been open for only an hour.  I knew I had a long waiting game ahead of me with hacking folks surrounding me.  Oh joy – and with not being able to see properly – not able to pass the time with my head sunk in a romantic trash novel.

By 10h00, I decided to test my blood sugar (BG).  Before I’d left, I’d tested my BG, and it had been at 4.2 mmol/l (75 mg/dl).  Since I’d rushed out, I’d had no food.  The theory behind a basal insulin is that if it is correctly set, you can go without food and maintain a steady blood sugar … in a perfect world that is.   My BG was now 3.1 mmol/l (55 mg/dl) – I was going down.  Luckily I’d grabbed an oatmeal bar, so rammed that in my mouth.

10h30 comes around – triage is calling 21 and a man walks up – he explains his situation of having high blood sugars in the 17 mmol/l (300 mg/dl) range.  He goes and sits down to wait for his number to be called to see the doctor next.  I feel for him, and am ready to go over and sit with him and talk to him, as I’m having issues with not being able to Tweet (yes – I’ve become hooked).  I glance down at my insulin pump and discover … 1 unit of insulin left in Salvador.  I start to go into freak out mode internally.  I completely forgot in my rush out the door to change my infusion set and reload my juice of life. Frack!

I go up to the counter and explain my situation and ask if I can go home (20 minute drive one way) to change my insulin cartridge.  The person does not understand what a insulin pump is and eventually she gets that without insulin I’m not going to be very well.  She then says in my case, she will let me keep my number, and will process me shortly despite my number being what it is.  Half an hour later, I get “processed” and of course, a few people with earlier numbers get in a huff, and I try my best to tell them my situation.  My day is going really well – and it’s only 11h00 now.

11h45 – I’m back at the walk-in clinic – armed with pen needle and other spare parts for insulin pump that I DID NOT HAVE before heading out in the morning.  BTW, did you know driving the speed limit to the “t” gets you to your destination faster?  I never had to stop at any of the lights that are along the route I take. 

12h00 – Occlusion Alarm.  I’ve never had one of these before in my 3 years of pumping.  WTF? I follow the instructions and start pumping again.  BG has gone up since I rammed that oatmeal bar into me – am at 13 mmol/l (234 mg/dl).

14h00 – BG is not budging.  My buttocks are getting tired of sitting for so long. Wishing I had sunglasses from car - bright lights are making my eyeball leak like a sieve.

15h00 – Number 22 has been called and patient is seeing doctor.  Feel like I’m in Las Vegas at the craps table, roll the dice, come on, come on, number 39!!! I decide to give injection with rapid insulin as BG’s are now hovering in 15 mmol/l (270 mg/dl) range.  A few folks that have been around since 08h30 – ask about my insulin pump – they’ve never seen one before.  They look away as I inject with the juice of life with my pen needle.  Come on do your stuff and start lowering my blood sugars!

16h00 – Occlusion Alarm - second one in 4 hours!  Now I’m really beginning to freak out - I'm using a steel infusion set - so cannula can't be kinked - urrrhh.  Call up hubby at home to tell him to pull out Animas 2020 manual and see if there is more explanation as to why this is occurring.  

…. to be continued

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Tags: sight (1) injury (1) eye (1) Animas 2020 (1) blood glucose (1) blood sugar (1) BG (1) pen needle (1) pump (1) insulin (1) occlusion alarm (1)
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Related posts:

Type 1 vs. Type 2  |  Keeping track  |  In a slump and scared  |  Surviving the Holocaust with Type 1 diabetes  |  My 13 year old self describing her DKA in the 70's  |  Edmonton man denied insulin for 20 hours  |  Twist and Shout – Sleep Apnoea  |  Crack Free #ShowMeYourPump  |  Jenna and The Hypo Fairy  |  Wearing a dress with medical gadgets
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