Friday, June 06, 2014

eye eye matey

so i continue to do more of what i do best, google, and i found that my injury is dealt with by a very specialised field of ophthalmologist. oculoplastic. an ophthalmologist who does surgery for the orbit area, eyelid and surrounding area. there are only a handful of oculoplastic surgeons out there, even less with many years of practical experience in trauma injuries and blow out fracture. simply because that specialty encompasses double eyelids plastic surgery and you can guess which one is the more money-making popular surgery which most of the doctors will prefer to concentrate on. so thus began my search for an oculoplastic surgeon with experience in blow out fracture.

most hospitals do not have an oculoplastic doctor. however, i found a lady doctor in this famous posh eye centre, as opposed to a clinic because they have trucks-full of ophthalmologist in all specialties there but they have only one, 1, sole, single, singular, oculoplastic doctor. two technically, but the other was a really pretty young lady who spend many years in korea and los angeles, the plastic surgery heaven of the world, so i am guessing she is more into the aesthetic part of her field.

this new lady doctor took a look at my eye and scheduled another appointment a week later
for pre-operating follow-up. a week sounded long, but i needed some time for the swelling to go down, and hopefully for the eye to escape its prison (fat hopes! doc said there is no such chance). actually this very delicate timing is a topic of much research and debate because too long and it will lead to fibrosis of the tissues, the orbit floor will have begun to repair across the entrapped muscles as well as scarring. freeing and repositioning of the soft tissue will also become more complicated. too soon and the area will still be swollen. plus there is always the chance that the double vision will correct itself in a week or two. low perhaps but there is always a chance. oh yes, somewhere along the way i forgot to mention that i have double vision. hence why i need the surgery. direct straight vision is a-okay but somewhere north, south, east and west, and all the in betweens i am seeing various degree of doubleness. two lava chocolate cakes, two diamonds, two eye-candy, dream come true? it's most disconcerting, confusing and unnerving. i'm hoping it won't be permanent.

so, i finally found someone who can actually help me in my predicament. hurray, right? life is never that easy. the catch is that the centre is located in one of our busiest and hottest shopping centre. hence there are no overnight stays or round-the-clock nursing care and monitoring as in a normal hospital. perhaps most eye surgeries are simple basic procedures which patients can return to the comfort of their own home for recuperation. in my case however, sigh, i have a heart arrhythmia which i have not really seek professional attention for, which means i have a heart that prefer to beat to kylie minogue rather than the usual boring steady beats. even my heart is full of character. tak boleh tahan. i have seen a cardiologist, for like 5 minutes a few years back, but she couldn't catch the irregular heart beat with a 5 second ecg (or what to my annoyance felt like 5 seconds) and since my heart was of a regular size, she concluded that i have a structurally sound heart. never mind the knock, knock, knocking on heaven's door that i get in my chest every so often. so, since madam cardiologist says live with it and mr google pretty much confirms that, i never had it seriously looked into. that and the acid reflux and gastritis which are pretty much causing the arrhythmia. ha! bet even some cardiologist won't see that link. well, apparently the world is full of people like me. no, not cute adorable ones with a lovely sense of humour even when she is at a risk of going blind but people with harmless heart arrythmia as a result of digestive conditions. see? how the things we don't take care of all comes back to bite us at the same time? that is always the irony of life so pay attention and learn a lesson. take care of all the little things in your life.

with GA (general anaesthesia) suddenly this is something that i have to bring to their attention and post-operation attention seem more imperative somehow. it's probably not likely that people who have already woken up from GA collapse in the middle of the night from a heart that dances to pop music but who knows, i have not googled enough about the heart to be a full-fledged cardiologist yet. so better to be safe. even the ophthalmologist wasn't too sure if it was going to be a problem. it was left to the GA doctor to decide. so, it doesn't look like this eye centre day-care thing will work for me.

another thing was this lady was going to make a incision right under the lower eyelash. and then she will glue it up. haha. glue. elephant or uhu? not the most ideal way to go in considering it will leave a scar. one way or another i seem to be getting closer to my interview as full-fledged pirate. some doctors may go in through the underside of the lower eyelid and hence no scar will be seen but apparently this is not how she intends to do it. scarring is not a big issue in her book. :( er, why not???? it should be right up there with concern no. 1: correcting my vision and concern no. 2: not killing me. how can one be so nonchalant about scarring someone, especially when one has an option. i conclude that she is not experienced enough.

so my adventures continue.......

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