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Cataract with complications - 1/17/2010 8:52:44 PM   
Termyn8or


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Now I know that out of the members here who might number 50 or 100 thousand, nine million are going say go to a doctor. And I will when I am ready. Time is getting close. But I am of course, a pain in the ass.

So, since I was a kid I had allergies, this resulted in snot like stuff under my eyelids and a few other problems. It was worst when we went to the farm. I learned to clean it out, with an eyewash or whatever, and have been managing it for a long time. Sometimes my eyelids would swell, uncomfortable but I could deal with it and it always went away on it's own.

I learned how to desensitize myself. It was not easy, every time it bothered my nose, which is where it started for me anyway, I would inhale the fumes from an entire book of matches. For like two decades after I thought I was cured, but I was not, I was just desensitized. In other words I had done what I accuse the medical profession of doing, just treating symptoms.

Before I did that I had a whole load of elixirs and whatnot, and one day I gave it all up, thus my aversion to pills and other things. I went down to no drugs whatsoever in one day when I was about 14. I was seemingly cured.

So now, though I am not really flush right now, I still have personal standards. I could easily get this all done for free if I play my cards right but I don't want to. There is a public hospital in walking distance and if you don't pay them, they are fine, subsidised. But I don't want that. There is a private charity hospital way over on the east side I might consider, because then I can make a donation, if they don't botch the job of course. But before even dealing with the money, the procedure needs to be considered. Even if I pay cash, there are other issues.

Right now I have developed a severe cataract in my right eye, which used to be my better eye. It is bad enough that I don't even attempt to read with it. It is just barely enough to give me sufficient depth perceptiion to function, like to drive and work, things like that. I know I have to do something about it and I know that the longer I wait the worse it can be. I think right now they might still be able to measure the error in my visual accuity (I have been nearsighted all my life) to do a fine job. To actually improve my vision from it's "stock" state. But if this goes on too long, it will be pot luck as they replace the lens.

The major problem is that my right eyelid is in a state of revolt right now, and knowing what I know there is no way they would do the operation under these circumstances. The eye does heal quickly, but that requires the right environment, not what I have now.

Now remember at least a good part of the money for this is going to come out of my pocket. Should I see a dermatologist first or what ? There is no way in hell any competent opthamologist would perform the surgery like this, so what are my best options ?

My right eye is starting to be painful, like out in the sun. I also am irritated by car headlights at night. Glare shinig off a paper or a circuit board at work makes my eyes water so bad that I have to stop sometimes. Sometimes even looking at a monitor is too much after a time. And this is both eyes, so I assume the good eye is also growing a cataract.

What I was hoping is that this eyelid problem would just go away, like it has in the past. But now I do need to get mine eyeball fixed. I know I have to go in there, but where and to whom ? (no, I don't think I need a kink aware opthamologist LOL). But I thought I would bring the issue up to the current intelligencia and see what others have to say.

T

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RE: Cataract with complications - 1/17/2010 9:07:13 PM   
LafayetteLady


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It isn't really clear whether the "gunk" is on the skin of your eyelid or the underneath IN your eye. If it is in your eye, then you go to an eye doctor, not a dermatologist. Honestly, you would probably be better off going to the eye doctor regardless, as an eye doctor is going to be much more cognizant of things that won't irritate your eye.

So choose the one you would prefer perform the surgery and let him decide what needs to be done to get rid of the "gunk."

Good luck with the surgery.


PS. You know you really shouldn't be driving like that right? Try to keep that down to only the bare necessity. You can be a danger to others on the road. I developed vision problems at night a few years ago and avoid driving at night whenever possible. It isn't simply that I can't see, but it is dangerous for other people.

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RE: Cataract with complications - 1/17/2010 9:54:36 PM   
Termyn8or


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Lady, what I would really like is to go to the doc for a quick inspection and dialogue, but so many just want you out the door. But I guess that seems logical, let the eye doctor figure out what's good for the eye. That makes sense to me anyway.

Driving ? The world is lucky that I am an expert at spatial reasoning and all that, with my reduced accuity. I am exceedingly careful, and even as such have been surprised by a walker in the street. He was Black, wearing all dark colors at night and I did catch it. However in this case it was too late to check see if I could gety over. I did anyway because a car can take the hit alot better than a human body. Luckily nothing happened.

I do limit my driving, but I have to go to work to the grocery, to the bank, the post office and whatever. I'd like to go down south again and kick it with some of the crazies I know down there, but that just isn't in the cards right now. By the time I got there my tears will have soaked the front of me, my shirt and the seat. If not for a wet shirt everybody would think I pissed myself.

I know my limitations,

T

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RE: Cataract with complications - 1/17/2010 11:55:08 PM   
LafayetteLady


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quote:

ORIGINAL: Termyn8or

Lady, what I would really like is to go to the doc for a quick inspection and dialogue, but so many just want you out the door. But I guess that seems logical, let the eye doctor figure out what's good for the eye. That makes sense to me anyway.

Driving ? The world is lucky that I am an expert at spatial reasoning and all that, with my reduced accuity. I am exceedingly careful, and even as such have been surprised by a walker in the street. He was Black, wearing all dark colors at night and I did catch it. However in this case it was too late to check see if I could gety over. I did anyway because a car can take the hit alot better than a human body. Luckily nothing happened.

I do limit my driving, but I have to go to work to the grocery, to the bank, the post office and whatever. I'd like to go down south again and kick it with some of the crazies I know down there, but that just isn't in the cards right now. By the time I got there my tears will have soaked the front of me, my shirt and the seat. If not for a wet shirt everybody would think I pissed myself.

I know my limitations,

T


I'm sure you know your limitations and believe me, I know about having to go out to take care of the necessities like work and groceries. I'm lucky that it's only the dark that makes it difficult for me.

But honestly it sounds like you have developed a nasty infection in that eye. I had one of those years ago. Came on while I was at the shore with some friends. I had to drive the 3 1/2 hours back home wearing TWO pairs of sunglasses and it was not a bright sunny day. These things can lead to completely losing sight in the infected eye.

We ALL know how much you dislike doctors, but please don't put it off for much longer. This doesn't sound like something you can find an at home cure for.

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RE: Cataract with complications - 1/18/2010 12:59:07 AM   
Termyn8or


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Well, what I'm thinking is going to the peeps doc first, but optimally I would be able to talk to him for a quick on the phone to let him know what's up.

The peeper doc might say to mjust go elsewhere first. Even his staff could probably tell me if a current physical is required before they even start. Within the last year or two or some such. I hae no problem with that, but I just wish this shit would go away again and I could just go take care of this. The way it looks I think they'll throw me on antibiotics, which will limit my drinking ability :-(, but so what.

Thing is, I seem to be more vulnerable overall since last year, when I caught the whiff of black mold. It is quite possible it destryed part of my immune system. And understand, my immune system was really strong before.

Decisions decisions, see what I mean ? I just want to streamline he process and be as little of a pain in the ass as possible. And I want the best care and will cooperate the best I can. I also would like competence on the other end of course.

Thing is, I think if I go to a dermatologist right now they would have me sent by helicopter to a specialized facility with Air Force One guarding. The crowd at the dermy's might have one zit, and it's the end of the world. Have a look at this !. [take my sunglasses off]

I'm sure something would beep, honey took my gun, sixteen guy entered the elevator at the same time that could only mean, that I am the Man in the jar. Oops, just one of those temporary tangents.

I think soon I will find out as much as I can about the subject, VERY soon.

Thanks;

T

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RE: Cataract with complications - 1/18/2010 10:15:04 AM   
LafayetteLady


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quote:

ORIGINAL: Termyn8or

Well, what I'm thinking is going to the peeps doc first, but optimally I would be able to talk to him for a quick on the phone to let him know what's up.

The peeper doc might say to mjust go elsewhere first. Even his staff could probably tell me if a current physical is required before they even start. Within the last year or two or some such. I hae no problem with that, but I just wish this shit would go away again and I could just go take care of this. The way it looks I think they'll throw me on antibiotics, which will limit my drinking ability :-(, but so what.

Thing is, I seem to be more vulnerable overall since last year, when I caught the whiff of black mold. It is quite possible it destryed part of my immune system. And understand, my immune system was really strong before.

Decisions decisions, see what I mean ? I just want to streamline he process and be as little of a pain in the ass as possible. And I want the best care and will cooperate the best I can. I also would like competence on the other end of course.

Thing is, I think if I go to a dermatologist right now they would have me sent by helicopter to a specialized facility with Air Force One guarding. The crowd at the dermy's might have one zit, and it's the end of the world. Have a look at this !. [take my sunglasses off]

I'm sure something would beep, honey took my gun, sixteen guy entered the elevator at the same time that could only mean, that I am the Man in the jar. Oops, just one of those temporary tangents.

I think soon I will find out as much as I can about the subject, VERY soon.

Thanks;

T


Well, you already said that you are nearsighted, so I assume you have a regular eye doctor that you go to for your glasses, right? He should be willing to talk with you on the phone first. If you have never met the doctor, you aren't their patient yet so they tend to not want to have phone "consultations."

Honestly, it sounds like the cataract is so secondary to the discomfort you are feeling, you shouldn't even concern yourself with it at the moment. But with your eye tearing, oozing and the whatnot, the eye doctor is where you need to get your butt to and fast, before the infection damages your cornea and you don't need to worry about the cataract at all because you will be blind in that eye. I'm not joking or over dramatizing that at all. I have multiple health problems, and see my doctor regularly about them. But there are also a lot of things that I just don't bother going to the doctor for at all.

As for the antibiotics forcing you to curb your drinking....that's the other reason to go to the eye doctor instead of the dermatologist. The eye doctor is very likely to give you antibiotics in the form of eye drops. Then you can drink yourself silly.

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RE: Cataract with complications - 1/18/2010 4:42:03 PM   
angelikaJ


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In my state both optometrists and opthamologists are qualified to treat infections and other conditions of the eye.

An opthamologist is an MD and so they wouldn't require you to see another doctor first as their specialty is eyes.
If you call the opthamologist and make an appt s/he will be able to treat your eye infection/allergy issue and assess your cataract.

Many antibiotics do not necessarily require you to stop drinking and as LL stated your treatment may be something topical... but yes, if given the choice between drinking and seeing, I would pick seeing.

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RE: Cataract with complications - 1/18/2010 6:14:29 PM   
DesFIP


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See the opthalmologist, because it is an eye problem. He can give you steroidal drops which will calm down the condition. But remember, you put the operation off too long he will pull your license.

The implanted lenses are great. No more nearsightedness. But being in our 50's you will still have some farsightedness. If you're a long haul trucker you should ask for lenses to allow you to drive. If you read or focus on things in front of you get the lenses to fix that. I need mine for driving and for watching tv from 6  or more feet away.

You need a EKG before they do the operation though. Mine always show an abnormality and then I need a stress test which always comes back fine. But expect it.

Find the best surgeon you can. And somewhere in the next ten years you will need laser surgery. Good surgeons have patient rates closer to the ten year mark. Poor ones have it within the first year. Ask when his patients get theirs. I'm overdo to visit my surgeon because it's 11 years now, and I can tell I need the laser surgery. Can you say chicken?

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RE: Cataract with complications - 1/18/2010 10:12:05 PM   
Aswad


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No OTC or home remedies here, Termyn8r.

Get on the phone with the ophthamologist, right now.

Get the eye under control, then assess your options afterwards.

There will be eye drops, possibly a needle into your eyeball, but prolly no pills.

And do mention the mold. It's exceedingly unlikely¹. But (s)he should know about it, just in case.

Health,
al-Aswad.

¹ "Praise the gods!" - BG


< Message edited by Aswad -- 1/18/2010 10:19:59 PM >


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RE: Cataract with complications - 1/18/2010 10:32:55 PM   
ThatDamnedPanda


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Another option would be to just keep driving around half blind. It won't be long before you kill someone, and one of the results will be that you'll have free medical care for quite a few years. 

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RE: Cataract with complications - 1/18/2010 11:45:33 PM   
Termyn8or


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OK, I do not have a regular eye doctor. I have let my prescriptions age a bit, because at least in my family, whatever makes us nearsighted does not give up easily. Get a new pair of glasses every year and you will be wearing Coke bottles. It tends to progress with morre correction. My uncorrected vision was about 20/450, average of both eyes. Left eye is about the same but the right eye is the problem.

I had not considered the possibility of an infection causing this, mainly because I've had the eyelid problem repeatedly and it never did this. However things do change, and there is a chance I am screwed. However looking at my eye, it really doesn't seem like a cornea problem. As bad as the vision has gotten, I think there would be some external indication.

They probably will want at least an EKG, then I guess we'll see who I take after. Dad, at seventy had the heart of a teenager. His problem was strokes. But Ma and that quad bypass is another story. The stress test is not going to come out all that great I'm sure, I am out of shape. When I was sick there was a time I could barely walk. I am still recovering from that, it will take time to build back up. But it's a far cry from where I was. At one point at work I had to tell them I lift nothing. Not purely weakness, but there was a bit of loss of equalibrium. I did not want to drop expensive things. The half a block walk between where I park and work seemed like a mile, now it seems like nothing.

One thing this condition left me with is that I am always cold. My bedroom is about ten degrees hotter than the rest of the house and I might still be cold. When winter came I was sure that I was going to drop dead going outside, but surprisingly it wasn't that bad. I'm just hoping whatever is causing that won't cause a problem for this.

I called the clinic today to see what I could find out, but they were closed for the holiday I guess.

I know there is no home remedy for this, at least not something I can do. Recently an old paper from Linus Pauling has turned up that asserts that flooding the body with vitamin C can help such a condition, as well as greatly improve one's cardio health. If I recall correctly this paper was the first he had ever written that was rejected for publication in the journals and such. In same he asserts that the required level of vitamin C is many times more than the RDA. I am not qualified to argue that point either way, and I am not going to attempt using it as a treatment in lieu of an eye doctor.

As I sit here right now, it seems the swelling has gone down, and that condition might be abated by the time I actually get in there. It does go away on it's own, I'm just hideously ugly until it does.

The choice between my beloved beer and seeing is an easy one, I like dogs, dogs like beer, the right seeing eye dog would be invaluable. But I am joking of course. All it would mean is going to the store and getting a case of bottled water instead of beer. No problem.

No matter what I need to get better and stay that way because I am never going to retire. When I can no longer function I will welcome death, but I just don't want that day to come too soon. When I was ill I actually considered it as I was useless, but I used my most powerful argument against it. I have counselled others during some of those bad times and I would tell them "First of all, what is going to happen tomorrow ? Well you can always do it tomorrow then right ?". Something like that. It was not time. I could have as much as a good twenty years left in me, I am not going to give up all that easily.

I need to regain the rest of my vim and vigor, and then I need to be able to see what I am doing. I don't want to be running around like Mr. Magoo. I used to like that show, but in time I changed. That character was a menace to society, and I no longer find it funny.

Truth be known, my eyesight never was all that good. Light and dark have been a problem since I was a kid, but I learned to live with it. The way I see it though, is even though some can run a three minute mile, I appreciate being able to walk a mile. In other words I would like to at least keep what I have.

I might have to call tomorrow at work. I don't usually make personal calls at work but I guess I could call this equipment maintainence. A blind bigscreen TV tech is not very useful. Once fixed it will be great. I'll be able to see the screen on my laptop I think, which is a big thing. I bought the biggest screen laptops I could afford, they are 17" wide, and I can barely make things out. Even before the onset of this, I had two pairs of glasses, one for driving/outside and the other for reading computers and such. My weak pair is very old and are now too fragile to carry to work, so it is a bit worse. Matters not though, my prescription is going to change, so when I get new glasses after all this I will just get two pairs. I cannot wear bifocals or progressives due to the nature of my work. I have to be able to see if something is square and true, and that would be quite difficult. Using the old glasses for this worked well, but now they are made more out of glue than anything else, seriously.

My last script was for bifocals, but I just had them make them to the strong spec, figuring I would get a weaker pair later. Never got around to it. In fact my last script, now that it comes to mind, was right after that big power outage we had across half the country years ago. While everone else ran amuck, we say calmly in my dark house and at one point I took my glasses off, said "It's pitch black in here, what the hell am I looking at ?". Of course they were gone, only to be found $200 later. What was that 2005 ?

I did intend to get that other pair, but never got around to it. I could plainl see that the old glasses were not correcting my astigmatism, or actually after looking at the script, I think they were overcorrecting my astigmatism which is just as bad. It used to run in around 45 diopters, but the last script said like 15 in one eye and 0 in the other. Something had actually improved. The overall lens strength was upped about 50 diopters, but this was in about 8 years. I am pretty sure if I had a new script every year I would be wearing Coke bottles. When you get up to around -500 diopters, even small plastic lenses are a bit heavy.

At any rate, thanks so far for the advice. I wll be calling and getting this taken care of. Anything else is also appreciated. Actually now that I think of it, I believe I know someone who knows a really good opthamalogist, I might just get a crack at a free phone consultation at the least. However this is someone I would have to pay. The clinic I can get it done and then later make a donation. I really don't want to eat up taxpayer money for moral reasons. If they don't botch the job I will be happy to send them a couple grand. Just give me a little time to go make the money rather than throw it on the card. This time of year is financially hard for me, because I do not get paid holidays and I do not have an income tax refund to which to look forward. I usually recover sometime in April or May. By about June I should be able to send them some money, and I will, but I want to see now.

We'll see how it goes, pun HOPEFULLY intended lol.

T

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RE: Cataract with complications - 1/18/2010 11:58:55 PM   
ThatDamnedPanda


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I wouldn't fret too much about the drinking, Term. Most antibiotics only run 7 to 10 days anyway. If you're used to drinking every day, the first couple of days are certainly an adjustment, but you can get through it for a week or so. Good luck, whatever the heck it is. Scary shit, eyes that don't work right.


< Message edited by ThatDamnedPanda -- 1/19/2010 12:01:49 AM >


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RE: Cataract with complications - 1/19/2010 9:30:32 AM   
Termyn8or


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Not fretting at all about the beer. I also know I won't be able to smoke right after the operation. But not to worry, as much as I may enjoy my intoxicants I do not depend on them. To me the worst part about taking antibiotics is knowing that my body failed, that it needed help.

Well, years ago I conceded and went in for an ear infection that followed a very nasty flu that I beat myself. I didn't want to be deaf. I guess this is about the same situation. I am not going to pout about it..... much. LOL

T

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RE: Cataract with complications - 1/21/2010 9:38:24 AM   
WayHome


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I'm not sure you need surgery.

You have self-diagnosed a cataract but it sounds more like a scratched cornea from a stye (scar tissue) on your inner lid from chronic conjunctivitis. You need to see an opthamologist ASAP. Don't hold off thinking it's going to be a big hairy deal like surgery. Go now for a simple exam and find out for sure what's wrong. You might just need eye drops and a lot of patience (scratched corneas heel slowly and styes recur).

No excuses like "it's not the right time for surgery" or "too expensive". Just get the exam (less than $100) THEN you can make excuses and decisions when you actually no wkat's wrong.

Leto

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RE: Cataract with complications - 1/21/2010 6:22:47 PM   
Aswad


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Incidentally, such scratches are liable to cause infections that aren't as (comparatively) harmless as conjunctivitis.

Dilute fluorescin sodium drops and a blacklight lamp in the mirror will reveal scratches, incidentally.

They are no substitute for an eye exam, but a nice supplement between exams.

Getting an exam will let him know what's up, as you say, and deal with the "right here and now" issues.

Long term options are for pondering after one gets home from an exam.

Health,
al-Aswad.

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RE: Cataract with complications - 1/21/2010 7:28:55 PM   
DesFIP


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Many surgeons will not operate if you are a smoker because the rates of healing are compromised. You may have to quit beforehand for a couple of weeks.

But you're guessing about cataracts, don't do that. As has been pointed out, you can't diagnose this yourself. Get thee to an opthalmologist. And fast.

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RE: Cataract with complications - 2/1/2010 10:00:59 PM   
Termyn8or


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OK, I finally got moving on this. I found out some interesting things about the financial end of it as well. While I am not fond of the idea of taking government money, well I guess I could always give it back. This condition makes it hard to work and function normally. However what I heard today was not very encouraging anyway.

First of all unless I am on medicare or something, no matter what, they will not pay. OK, but the reason is that they consider it elective. But I was polite and diligent, and also was informed that alot of working people qualify for a certain discount and that I probably would. I can rationalize that if it means good eyesight. So they will rape me less than they rape the insurance companies. It's OK with me really, and I never expected all of this to be free anyway.

However with a loosely projected discount for which I would qualify means $1,750 per eye. That's right, the regular price is $3,500 per eye. Seven grand a pair, half that for us poor folk. Having talked to a few people a couple of things came up. For one, there is a contingent of the population who pay for things like this out of pocket, some insurance doesn't cover it. So somewhere out there is a place that is probably cheaper, where market forces have more impact. Less money, I slide my plastic and can see well in a few days, that's great. I will be looking for a place with a decent rep, probably in the burbs or something. See what I can find (while I can still see LOL).

At any rate, the knuckle dragging, shotgun toting, beer drinking gut in me doesn't really want to take from the gov. Someone I was discussing this with said maybe I should just get health insurance for a time and then just walk in there covered. A valid option sure, but the math does not bear out so well. From what I'm told, since I have not ever sought treatment for this conditoon it is therefore legally not preexisting. However I did give my SSN to a couple of people who wanted to see my records. I had told them I had none, and I am sure that was the result of their query on the computer. However there is a record of every call most likely. Add to that the fact that I would have to be stupid to get health insurance and the next dat walk in and say "Doc, my eye just clouded up on me". Even if I would do something like that, I would have to pay the premiums for a few months first, and then where are my savings ? I would do almost as well with a Cristmas Club account.

I do have a couple of more options to explore, I'll see where that goes (pun).

brings up a point, does your insurance provide eye insurance ? The existence of these places that do it on a COD basis along with what one of the financial advisors to whomI spoke today indicates that many people pay for this out of pocket, even with insurance. Sure you can go down there when you get sick or hurt, but not every policy covers you bumper to bumper. How many with great insurance who wear glasses or contacts pay for their own ? Alot more than I thought. You think it is something separate. Kinda a given. Why ?

Of course dental is separarte, goes without saying. What about hearing ? The last time I took an antibiotic was for an ear infection and I paid for the doc and the pills and everything. Would you with your current plan ?

So it seems that I am not in worse shape here than many who are supposedly insured. I will keep my caveat emptor intact.

In the meantime, the swell in my eyelid has not completely gone down, but it is on it's way so maybe hopefully it will be good by the time I get there. Even paying at the local, I can't get an appointment for three weeks. That gives me plenty of time to look into other options.

It needs to be done and it will be done.

T

(in reply to DesFIP)
Profile   Post #: 17
RE: Cataract with complications - 2/1/2010 11:08:03 PM   
calamitysandra


Posts: 1682
Joined: 3/17/2006
Status: offline
You still have no idea what it will cost you, as you still do not know what is wrong with your eyes. You need to have a simple eye exam to determinate what the problem is, then you can start shopping for the best price.

_____________________________

"Whenever people are laughing, they are generally not killing one another"
Alan Alda


(in reply to Termyn8or)
Profile   Post #: 18
RE: Cataract with complications - 2/2/2010 6:05:23 PM   
DesFIP


Posts: 25191
Joined: 11/25/2007
From: Apple County NY
Status: offline
You still haven't been diagnosed so you don't know if this is a cataract.

Beyond that, once it is at a point where they will pull your driver's license it is then not elective surgery.

_____________________________

Slave to laundry

Cynical and proud of it!


(in reply to calamitysandra)
Profile   Post #: 19
RE: Cataract with complications - 2/2/2010 9:20:53 PM   
LafayetteLady


Posts: 7683
Joined: 5/2/2007
From: Northern New Jersey
Status: offline
They are using the term "elective" because it isn't an emergency. I found that out with the surgery for my ankle. The doctor called it "elective," because even though I needed the surgery, it wasn't life threatening and needing to be done immeidately.

The government is not subsidizing the discount. It is something the facility does to help patients who financially qualify. It is a write off for the facility, not a government program.

Basic medical insurance doesn't cover vision or dental. Those are supplemental.

You are attempting to self diagnose and avoid going to get the exam for a proper diagnosis.

You know there is something wrong with your eye. You might be correct and it's a cataract, but it might be something else entirely. Either way, it isn't like getting an eye exam means you have to have that eye doctor perform the surgery if that is what is needed.

You have 3 options right now.

1. Keep complaining about it being government subsidized, not having insurance, not wanting to pay the expense, blah blah blah,

2. You can swallow your damn pride and go get the eye exam.

3. Make excuses until you go blind and then you won't need to worry about it anymore.

In other words, how important is your eyesight to you? You don't seem to care for animals much, so don't you think it might be a good idea to get the problem resolved and avoid needing a seeing eye dog?

(in reply to Termyn8or)
Profile   Post #: 20
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