Thursday 12 November 2020

How November Began

As in many other parts of the world, November began with stricter rules regarding what activities are allowed and possible. Here in Germany, restaurants, bars, museums, cinemas, gyms and many other places are closed. Schools are open, as are hairdressers and most shops. Masks are now mandatory not only inside shops but also outdoors in "high density areas", i.e. town/city centers. They were mandatory already at bus and train stations and on public transport. We are still able to move freely, but travelling is discouraged. Everyone who can do so is supposed to work from home. Meeting others is limited to a max number of 10 and of no more than two different households. Heavy fines await those who are caught crossing those limits or wandering about without a mask in a designated high density area.

For me, not much has changed because of that. I have been working almost exclusively from home since March, with a brief period from July to October when I visited a client's office once a week. I can still see my parents and my sister, I still go shopping and still spend my weekends with O.K. Also, the only limiting factor to my walks is now the time of year and the weather; sunset is just before 5:00 pm now, around the time I finish work most days. Lunch-time walks are hard to fit in, as I often have online meetings and phone conferences all morning and starting again right after lunch. Also, I need time to prepare my food and eat it, plus clearing up afterwards. I miss those after-work walks and jump at every chance I get to walk in the day time.

Monday, the 2nd of November, was such a day.

I had my regular 3-monthly eye examination, complete with those drops that make it difficult to see properly for a while. On such days I usually take the morning off, or even the entire day, as it is hard to predict from what time onwards I will be able to work again.

The examination revealed that I will need another operation some time next year - we hope to postpone it until the corona situation has eased up enough for the whole procedure to be less of a hassle. 

2 1/2 years ago, I had surgery on my left eye's retina. In preparation for that, I was told that a follow-up operation was unavoidable because eventually, the operated eye would develop a cataract. This has now begun, and I can see less and less with my left eye. The right eye is still "fine" (as fine as it can be when one is as myopic as I am), but my doctor explained to me that she would still want me to have both eyes "done" at the same time. 

The main reason for that is that afterwards, my myopia would be very much reduced, from what is now -14 on the left and -9 on the right eye to only -2 on both eyes. If I had -2 on the left eye but the right eye would stay at -9, it would be extremely difficult for my brain to get the two different signals together and form a coherent picture; also, having specs with such a big difference between one glass and the other would be almost impossible. Usually, this kind of surgery is very much routine and happens with local anaesthesy and the patient going home right away. In my case, we plan for full anaesthesy and at least one night in hospital.

I can't say I am looking forward to it all, but I believe it will be worth it, and I know from my 2018 operation that I shall be in most competent hands and will be very kindly treated at the clinic.

Anyway, back to that Monday. I took advantage of the time off and met an old school friend. She lives less than a km away from me but we rarely manage to see each other. She was able to take the afternoon off, too, and we walked across the beautiful, park-like cemeteries. Originally, the plan had been to meet for a walk in the palace grounds, but they are now closed to the public again. Also, we both really like our cemeteries, with beautiful old monuments and large trees. 


We have known each other since we were 9 years old, and are never short of things to talk about. It was a good way to spend the afternoon, and a good start of November for me.

27 comments:

  1. Old friendships seem to become more and more rewarding the older we get. I'm glad that you are able to find time to meet. Some cemeteries - such as The Necropolis in Glasgow - are wonderful places to walk.

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    1. It is rare that I have time on a weekday afternoon, and most weekends I am either away at O.K.'s or he is here, so I take advantage of a chance like that.
      From when I was a little girl, I have liked visiting the Old and New cemeteries here in town, and also the one in the next town. I never found them scary or uncomfortable places.

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  2. Sorry to hear about your myopia and dimming vision due to a cataract.

    What was your initial problem? You don't make that clear. However, and I speak from experience, I'd go easy. Take your time. No one but no one, and I am surprised this is recommended in Germany of all countries, should have both eyes "done" at the SAME time. You do one. Let it recover. You have the other a few weeks later. And no, you don't get new glasses till a few weeks later anyway. Your brain will sort the difference in the meantime. And yes, downside, you will not be allowed to drive.

    I played chicken with one of the most revered experts on eyes in the world. I had so many consultations, he showed such patience with me, we might as well have shacked up if I were the marrying kind. I just couldn't bring myself to have the op. I am not talking weeks. I am talking years. I stalled, I stalled and then some. Anyway, by the time life was a fog, I wouldn't recognize anyone on the street till they were right in front of me and my next sight test showed (-17/-19 respectively) that no new prescription glasses could do anything for me any more I took the plunge.

    Meike, I am as good as new. It's amazing. I remember the morning after the first op, taking off the eye pad and I went outside. I walked the neighbourhood, the park. I was in awe. Two months later the second op. I hugged my surgeon.

    The funny part? It'll take you ages to not reach for your glasses/contact lenses first thing in the morning.

    Good luck,
    U

    PS Why a "full" anaesthetic? To me a risk best avoided. Trust me. I was given a mild sedative, a local injection, and a kind nurse I asked to hold my hand let me squeeze it. I'd describe the procedure as MILDLY discomforting. Nothing like going to the dentist.

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    1. Thank you for your encouragement, Ursula. The initial problem was an epiretinal gliosis. I posted about my 2018 operation here:
      https://librarianwithsecrets.blogspot.com/2018/04/not-really-back-yet.html
      You are the first person I "meet" whose myopia (thank you for the proper spelling - I shall correct that in my post) was worse than mine!

      Forgive me if I rather listen to my doctor's advice than yours, however much it is based on experience. My doctor has known me and my eyes for years, and I trust her completely. The full anaesthetics is mainly my own wish; I simply do not want to know anything. And since my body handled the 2 hours I was "under" so well the last time, I don't see why it should be different next time, especially since it will be much shorter, probably just about half an hour.
      My brain is having difficulties sorting the different pictures (-14 v. -9) as it is; I can only work at the computer or read for a while before needing a break, and even when walking, I have to make a conscious effort to see (more or less) properly.

      Driving? No problem - I have never learned to drive, and am absolutely not interested in starting that now :-)

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  3. Sounds like something to try not to think about too much but it really is incredible what medicine can do now. At one time it would have been untreatable.

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    1. That's what I keep telling myself, Tasker; it is amazing and I am very, very grateful for everyone who decides to work in that field - from the nurses and nursing assistants to the surgeons and scientists who keep developing new methods.

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  4. I read this post and Ursula's comment above with interest as my eyesight is poor with cataracts waiting to 'develop'! I hope all goes well with your treatment. I would advise asking LOTS of questions before any procedure.
    Childhood friends are very special, even when you meet them only rarely there is always an immediate reconnection.

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    1. You are right about the childhoof friends, that is exactly my experience, no matter how long ago we have last met.
      Don't worry, I have begung asking the questions already when I was there last Monday, and I know there will be several more appointments specifically for that purpose. It is even mandatory here in Germany to have such appointments before an operation. Last time, I took notes before and had my sister come along for them because I was nervous and knew I was probably going to forget half of what I meant to ask.

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    2. Rosemary's comment about asking questions is good advice. I had a blood test not so long ago following a telephone consultation with the doctor. After two weeks of not hearing anything I phoned the surgery and the receptionist told me my notes said everthing was all tight, no further action. Happy, yes, but I wish I'd asked the doctor more details about what he wanted to test for. All he said at the time was he would do a blood test and then take things from there. It can be hard to think of all the right questions at the time, but I'll be ready to ask more about blood tests next time.

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    3. Exactly, that is why I usually prepare for such converations with a doctor and, when it is something as major as eye surgery, take my sister along so that there are two of us to hear the answers - she may remember a detail that I don't, and the other way round.

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  5. I am sorry to hear about your ongoing eye problems. If you have to have surgery, I hope it can wait until the situation with the pandemic has improved. I have a macular pucker and cataracts and I think you once said that you had something like the macular pucker? You are very brave because the thought of eye surgery scares me to death!

    It's wonderful that you could get together with an old friend for a walk. I love walking in cemeteries. They are so peaceful and beautiful. I enjoyed seeing your pictures and the beautiful Fall colors. Take care Meike!

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    1. Bonnie, I am the least brave person I know! Me being scared is the main reason for the full anaesthetics - I just don't want to know any of what is going on.
      You remember correctly, I had a pucker but it was the retina in my case (epiretinal gliosis).

      I have always had a thing for cemeteries, the older, the better. They are like parks and give me a lot to think about.

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  6. We are experiencing a difficult time just now. Thankfully we have food, can go for walks and communicate via technology. We must remain positive but I do miss meeting and hugging friends and family.
    Good luck with your eye op, which I hope will be able to take place in the near future.

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    1. Thank you, Linda!
      As I personally have no real difficulties because of the pandemic, it is easy for me to remain positive. But I am aware that not everybody is that lucky.
      Of course I also miss seeing and hugging friends and family.

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  7. Glad you were able to connect with your childhood friend.

    Wishing you all the best with the planned eye surgery. Only you and your (trusted) doctor can determine the best course of action that is appropriate for you and your circumstances. Clearly, you are an intelligent woman quite capable of weighing the pros and cons for yourself. :)

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    1. Thank you, Mary.
      Yes, it was a really pleasant afternoon with my friend, so nice to see her again.

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  8. All the best for the eye surgery. It must be daunting waiting for it but great benefits.

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    1. Thanks, Dave! Anything to do with my eyes is daunting to a certain extent, but this one still feels quite far in the future... on the other hand, I know how quickly the weeks and months can race past, and all of a sudden it will be time to go in for pre-surgery appointments!

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  9. All of us are very happy that you feel confident about the clinic and about your surgical team, Meikie. Anyone would feel daunted. Physical courage of the kind you talk about is almost non-existent. Soldiers I know who experienced war all said they were afraid constantly but they were trained to get through it together. The hospital patient can feel alone. It calls for a different courage and cheerfulness. You have both.

    It is not any comfort, I know, but one of my sisters had similar eye trouble.
    Eye surgery on her retina necessitated a second operation because of cataracts.
    Like you one of her eyes has never had much vision.
    In the second operation the surgeon replaced her natural lens with an artificial one. She paid for this privately because going NHS would have meant a wait of two years or more. The new implanted lens has not made that much of a difference (as she was warned) and she continues to wear her contact lenses.

    You are in a good place, in spite of the doom and gloom we are exposed to, and you have a good heart in which to face this operation. I will pray for its success.

    It is hardly much comfort but one of my sisters had eye trouble quite similar to yours.

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    1. The last sentence is redundant, Meike. Somehow it magically jumped down from the top of the second paragraph!

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    2. Not to worry, John. (It is John, right?)
      That lens replacement is what is planned for my eyes, too. I am on the German equivalent of your NHS but usually, the waiting list is not that long; it is more a question of me planning what to do when.
      In these Covid-19-dominated times, it is of course different; in hospitals, everything that is not urgently necessary has to take a back seat in order to leave the staff free to care for covid patients.

      Courage, me? I am not shy and have never been afraid of presenting or talking in front of others, no matter how many or how well (if at all) I know them. But anything to do with my eyes scares me big time!

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    3. I am pleased that the waiting list in Germany is not long, Meike. So it is just a question of *when*. In Scotland we may be in total shut-down again. The Prime Minister in London has to isolate for 14 days. And I know from your posts that there will be no Christmas Fair in your town. It is hard for the children in Germany.

      Courage is so difficult to define because we all have fears. The American novelist James Jones, who was a professional soldier before America entered WWII, said that men in battle never talk of bravery; he said it was a word only used by politicians and the general public. There is a documentary about him on YouTube.

      Anything to do with the eyes is ultra sensitive. My cousin in London, George Hamilton, is a professor of cardiovascular surgery and teaches at the Royal Free in Hampstead; you can look him up online. He told me that at the start of his career he had considered eye surgery, but the thought of it made him squeamish.
      No wonder you are concerned and apprehensive.

      I have a double hernia which gives me no discomfort or pain, and I have put off having surgery for years. I have pre-cataract in both eyes, my optician said it may never require surgery. There is not a day when I do not think about the extraordinary nature of eyesight: no wonder Darwin hesitated before writing about eyes in The Origin of Species. To be conscious of seeing is like being conscious of mind. If we have Mindfulness why not Sightfulness?

      I was christened John Haggerty but have been called Jack since infancy. My cousin George had an Italian mother, so I have always looked to the culture, landscape, and food of continental Europe with delight. It is why I enjoy your posts with its descriptions and photographs. Keep on blogging !

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  10. Sorry you have to have another operation but as you say, you are in good hands! That makes such a difference. Old friends...I just went for a socially distanced walk on Saturday with one of my oldest friends. I have known her since I was 13...so 50 years now! Did my heart good, it truly did. Take care!!

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    1. I fully understand how meeting your friend did your heart good, dear Kay! You too take care.

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  11. My thoughts are with you Meike right now. . . .and certainly will continue over the coming months until your surgery is over and you are seeing so much better. Eyes are so important and just thinking about what can be done these days to correct vision is almost unbelievable. I know all will go well and you will be in the best of hands, your longtime ophthalmologist who knows you well.

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    1. Thank you, Mary! I, too, am confident that all will go well. Yes, it is wonderful what can be done in terms of medicine and surgery today.

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