Sunday, November 12, 2006

Time Out

If I had a remote control for my life, I'd have pressed the pause button recently.

I'd like to hibernate for the winter and wake up when my tulips are up brightening my garden (I went through a bit of a tulip obsession recently - in different areas of my garden I planted vibrant orange ones, barbie pink ones, dark mauve 'queen of the night' and a lovely velvety purple variety.

Now Muttley doesn't need to be watched at all times I've been raining some attention back on my garden. I've only killed a few plants so far but hey i'm a learner and my argument is I like to instill a little survival instinct in my plants if you know what I mean. My gran's gardening advice (my mother tells me this all the time) is that a plant has two choices: live or die. So I don't feel bad about that geranium, calla lily, chrysanthemum, hosta.... you get the idea. ha ha.

So anyway, back to the subject, I've been a little stressed out. Work is not going great, well no to be precise work is going shite. Mutual trust and respect between myself and my employers is about zero. I think it's important to like the people you work for. So I'm looking elsewhere.

*Waves to the bosses if they're reading this*

Ultimately I need to be self employed. Doing the writing. I won't bore you with the details again, because this blog is supposed to be about proving what I can achieve, not talking about what I want to achieve. So, with that, I'm off to write another few words of my novel.

Thursday, October 26, 2006

Best not to think about it

A friend asked me recently what my biggest regret is. At the time I said I have a daily regret each night that I did not write enough of my novel that day.

Driving in to work this morning I found myself reconsidering the question and deciding that actually my biggest regret is not getting a job I once applied for. It would have been my first proper job. I would have been working in London, at one of the big players in Direct Marketing.

Not many minutes ago out of sheer curiosity I looked at this company's website - www.tmw.co.uk - and browsing through some of the features I saw a shot of a creative team with their names given under the pic. I was looking at a picture of one of the girls I met on the interview day, doing the job I wanted, the job I could be doing right now, if I hadn't been so feeble back then.

Now because I seem to be in a depress-myself kind of mood I then found myself googling this girl's name and I saw she came second in a young creatives award, with the other recruit from these awards coming in third.

"She beat over 900 applicants and took up the position of trainee copywriter in November 2003."

I beat over 900 applicants too, sounds pathetic that I try to raise my confidence in this way I know, but I've got to do something, I'm wallowing in regret here. There were 10 of us that beat 900 applicants, and 2 places up for grabs.

I thought I did okay at the interview. I was quietly hopeful. Turns out the quietness was the problem. My rejection letter said that while I had what it takes (blah blah - who actually finds that crap comforting when you're staring at a big fat NO), the fact was I was quieter than the other applicants. I spent nearly a whole day crying about that rejection. How pathetic is that.

And even more pathetic, it still bothers me.

But hang on a minute, let's think about things. I know I'd hate working in London. For starters there's the commute, then there's the over-confident arseholes I'd probably encounter regularly, probably even within the company. There's the drinking, partying culture I'd feel compelled to join.

The fact is I like where I live. I'm happiest pottering around my home, and I'm absolutley loving doing up my garden, and there's no way I'd have my gorgeous Jasper if I was working in London. Yes I know it's all for the best and this is just a temporary 'grass is greener' syndrome but ouch does regret sting.

I should use this. I should concentrate all my energy into doing what I really want to do. I want to make enough money from my writing so that I can stay at home and do that full-time.

I've been thinking about sending off three chapters of a 'just-for-fun' story I've been writing to a well-known romance publisher. It's been so easy to write and if I use a pseudonym it doesn't need to interfere with my other, more serious writing! Shall I do it?

Friday, September 29, 2006

Jasper Rascal

More pics of the little monster as promised.

Here he is at about 7.5 weeks >

What a little angel, eh? Truth is I was holding a treat in my hand to keep him still. Seconds after gobbling his reward he took off to the back of the garden and launched himself into my ornamental grass ('japanese blood grass' just in case you're interested). Thankfully it seems to recover from his frequent bellyflop attacks pretty well, and I can't help but laugh every time he does it.

Oh and that's not his tail you can see, that multicoloured bit of rope, that's one of his many toys.

Unfortunately his favourite toy seems to be humans. Hands, feet, elbows, ankles, whatever part of you he can reach really. Try and play with him, he'll mouth you. Try to ignore him when he wants to play, he'll mouth you a little harder.
< Here he is at about 10 weeks in action on my hand. I was letting him mouth me because my boyfriend and I wanted to capture his 'bitey face' on camera.

What is the 'bitey face'? It's a crazed expression with wide eyes and lips snarled back to show his gums. It's the face he pulls as he stalks you, primed and ready to attack. My slippers are usually the prey. It makes trying to walk interesting at times.

Tuesday, September 26, 2006

What happened?

Yes, I've been away for ages haven't I. It's a fascinating story though: I was walking across the car park to my car one evening in the middle of May, when suddenly a space ship appeared, sucked me up in a laser beam and whisked me off to the other side of the galaxy.

Honestly, it really happened. I could draw you a picture of the aliens that held me captive and everything. Oh alright, I'm lying.

The truth is I committed the cardinal sin of bloggers, I forgot about my blog. General life, laziness, and a puppy took over my world. But I'm going to get a grip and struggle on.


Here he is, or was rather, at 6.5 weeks. Jasper - part Golden Retriever, part monster.

Looks cute doesn't he? He hadn't discovered the joys of biting at this age. He's 12 weeks old now. I'll show you another picture later.

So anyway, back to business: Laser eye surgery

Have I had it done? No.


Why?
Short version: It's a lot of money; I didn't want to give up my holiday time to recover from an operation; I really really want to write the novel that's been in my head since I was 16 and the thought of damaging my vision before I managed to complete this really scared me.

I had a consultation with my contact lens specialist recently and we're trying new lenses until we find ones that I can cope with. I owe it to myself, my health, my vision, my future as a novelist (ha!) to find a suitable alternative that doesn't involve such high risks.

I'm not saying never. I'm just saying not now.

Wednesday, May 17, 2006

Optimax / Ultralase consultation comparison

I want to make it clear that this is merely my personal experience of consultations at the Ipswich Optimax clinic and Chelmsford Ultralase clinics. If you’re trying to choose a laser eye treatment provider I strongly urge you to do your own research and go and have a few consultations with different providers.

(Ultralase = U. Optimax = O.)

Location:
O – Central Ipswich, no parking but car park is 5 minute walk and access for cars to pick up following surgery.
U – Central Chelmsford. Again no parking, but 2 min walk to car park and cars could mount pavement to collect after surgery.

Reception area:
O – Room full of cream leather chairs that remind me of airplane chairs (they look like they fold back for sleeping). Not unpleasant but not a place I’d like to spend too much time. Drink machines provided.
U – Modern, well maintained. TV, magazines and drink machines provided. Reception desk as soon as you enter the room.

Staff:
O – Receptionist who also did the tests on the machines, surgeon who does the consultation (and will also do the surgery). Both seemed a bit bored (it was 5.30pm on a Monday night) and not too enthusiastic. Surgeon did not seem interested in answering my questions – he could tell I’d researched and so didn’t bother explaining things too thorougly or checking what I'd heard.
U – Receptionist / Personal advisor, Ophthalmologist who does the tests. Answered all questions and Ophthalmologist made sure that what I’d researched was correct.

Equipment:
O – I noticed some condensation in some of the lenses used when checking my prescription. The testing machines weren't connected to a computer.
U – Seems brand new or else very well maintained. Some of the machines were plugged into a computer so the Ophthalmologist knew instantly whether to re-do the test.

Tests:
O – Completed and then had to wait to see if needed doing it again. I needed to go back at the end of my consultation to have one test repeated as it hadn’t come out clear. Receptionist was not too communicative about what was happening.
U – Did each test a few times so that there was an average result achieved. Ophthalmologist chatted to me throughout, telling me when to blink and what the results were each time.

Advice:
O – Surgeon asked what laser eye surgery I was interested in as I was apparently suitable for either LASEK or LASIK. In a split second I asked myself if I trusted this man with a microkeratome (hand held cutting device) and my cornea. The answer was no, so I said I was interested in LASEK. He advised me this was safer. He wasn’t too concerned about me working with a VDU all day.
U – The Ophthalmologist informed me that I have ‘steep eyes’ so actually Intralase or LASEK would be the most sensible options as with steep eyes the risks of flap complications are greatly increased. He advised me that using a PC all day would make LASEK the sensible option. Overall the Ophthalmologist was great at giving me advice, which was based on both his own experience of laser eye surgery, and his experience with patients.

Price:
O – Cheap. For Epi-LASEK I would be paying under £800 for both eyes.
U – Expensive. For Ultralasekplus I would be paying £2990 for both eyes.

Results:
The only appealing factor about choosing laser eye surgery with Optimax is the price. For everything else – staff, equipment, level of advice provided and my confidence in the company – Ultralase is in a completely different league.

If this was a car getting me from A to B then sure I’d choose the cheaper, old banger, option. But this is my eyesight, the quality of my vision, the quality of my life we’re talking about here.

It’s going to be Ultralase, because I’m worth it (swish of the hair).

Sunday, May 14, 2006

Consultation with Ultralase

Ultralase, Chelmsford, 2pm.

I've now had my second (and hopefully last) laser eye surgery consultation. The first with Optimax, the second Ultralase. It's fair to say I know a fair bit about my eyes now, which can only be a good thing. I'll post a detailed comparison of the two different companies and their consultations later, but for now here's the 'fly-on-the-wall' account of my experiences today...

First impressions of the Ultralase clinic are good. It has a modern, comfortable feel and instantly you feel like you're in the hands of a company that cares about giving a good impression.

I walk in and get given a form to fill out with my details and a few questions. I tick boxes to state why I'm interested in laser eye treatment (options: convenience, long-term financial benefit, sport, personal appearance, other); how long I've been interested in having laser eye surgery (options: less than 6 months, 6-12, 12-24 months, more than 2 years); what has prevented me from having laser eye surgery before now (concerns about success, finances, fear, other); and what expectations I have of laser eye surgery (complete freedom from glasses/contacts, reduced dependency from them, other). Then I have to list my main concerns today. Mine are finding out if I'm suitable, what is recommended for my prescription, and cost.

Next part of the form is health - where I list any medication I'm on and check the boxes for diabetes, history of glaucoma and all those sorts of things. Thankfully I'm pretty healthy.

Then I hand the form back and while I'm waiting I flick through a portfolio of client testimonials. I consider what a great sales tool it is to have so many snapshots of glasses-free people smiling out at you alongside their handwritten notes on how great life is with just two eyes. I try not to visualise myself amongst them just yet.

Before long the Clinician - Jay - calls me in and we start the tests. There are four machines in total and I go to each one in turn, Jay chatting away to tell me what's happening and counting so I know when to blink. I come to the conclusion that I'm a blinking addict as two of the tests we have to repeat because the results have not been clear, but Jay takes several from each machine anyway because he likes to have an average to give to the surgeon. I like his thinking.

Jay tells me as we're going that my eyes are quite steep, and already he can tell that LASEK (no cutting) and Intralase are my best choices. Bingo - they are my choices. I'm still liking his thinking.

At some point in the process drops are put in my eyes to expand the pupils. Next we head down the corridor to a standard opticians room where Jay looks at my eyes under microscopes and more tests are done (red light, green light, which line can you read without squinting, yellow drops to check for dryness, numbing drops and ultrasound to check my cornea thickness etc. etc.).

Then we start talking about my work environment and the fact that I'm prone to dry eye because I work with computers all day, he says that LASEK would be best for this as LASIK procedures (cutting the cornea) can cause dry eye problems during the healing process. He also advises that while I don't have thin corneas, my corneas are towards the thinner side of normal and if retreatment were needed (this would be free of charge) then LASEK is the much better option as less tissue is removed. Because the cornea does not regrow when it is removed, you are limited by what you have. I like the fact that he is upfront and honest about retreatment being a possibility. One of the questions I ask Jay is how long before I'll want to be back at a PC after LASEK, he tells me I won't want to be back until at least a week. I like the way he doesn't fob me off with the knowledge that all patients are different, but advises me what the average is, based on his experiences with other patients.

All the equipment used during my consultation is clinically clean and either brand new or well cared for. I'm sure I don't need to explain why this gives me peace of mind. Jay himself has had LASIK laser eye surgery three years earlier and somehow that naturally makes me feel confident that he knows what he's talking about on a personal level besides facts and figures.

I ask a few questions as we go and he really takes his time to answer my questions fully. One thing we keep coming back to is wavefront. From the research I've done I have to say I like the sound of this. Basically it's 3d mapping of the surface of the eye so the laser can make the best cutting for your individual eye, rather than a one-size-fits-all job where too much or too little might be cut away than is necessary for the best vision. Because I'm not an expert though, I'll refer you to Ultralase's webpages about wavefront: click here to read about it.

Jay shows me some as-yet unpublished statistics which can determine my chances of success. Basically I have a 99.1% chance of having driving standard vision and 81.1% chance of achieving 20/20 vision without glasses after laser eye surgery. Jay also advises me that after any laser eye surgery you should try not to evaluate the success of your surgery until at least 6 weeks after, to allow for any fluctuations and healing.

After I've asked all my questions Jay hands me over to Kate, my personal advisor, who tells me first about the procedures - things like I won't be able to let my eyes near water for 2 weeks and I should bring sunglasses on the treatment day to both protect me from the light and also to act as a physical barrier to stop me from touching my eyes. She also advises me that no matter what surgery I have, I would have a next day check up, followed by a further one at 4 to 7 days. We go over the fact that with LASEK I won't be able to drive for around 10 days.

Next we chat about her experiences and she advises that with LASEK the most uncomforable thing is the bandage lenses. I won't pretend I won't be scared if I do go ahead with LASEK laser eye surgery, but only scared of a bit of discomfort not of actually developing flap complications or of anything going wrong.

I leave the surgery with absolutely no pressure to book surgery. Jay himself recommended that I go away and think about things. So enough of all this, let me do some thinking...

Monday, May 08, 2006

Intralase Laser Eye Surgery

I'm having a free consultation at the Chelmsford Ultralase clinic on Sunday. One thing I'm really keen to find out more about is the new Intralase procedure of laser eye surgery.

The reason I'm more interested in LASEK (no cutting) over LASIK (surgeon cuts cornea) is because of all the complications you can have from laser eye surgery, it's the healing and cutting of the flap that seem to cause the highest number of complications. Microkeratome, knife, whatever...I don't really like the idea of a man cutting into my eye.

Intralase then is 100% laser. Instead of a man with a knife, you get a man with a laser - or a computer with a laser - or rather, you get a man putting information into a computer, which sends it to a laser, which cuts your eye. Something clever like that.

I'm no expert, I'm only the (insert word here - genius, mug, heavenly creature) thinking about having it done. Here's a link to a site that has lots of information: http://www.intralasefacts.com/FAQ/

I've been in contact with someone who had Intralase done at the Chelmsford Ultralase clinic (thanks to the Ultralase forum) and she was really happy with it. Now I've just got to wait until Sunday to find out if I'm eligible for treatment this way.

Friday, May 05, 2006

The Cost of Laser Eye surgery

Numbers aren't my strong point. My other half would undoubtedly agree that being frugal with my pennies isn’t my strong point either - I know how to make money but I know how to spend it too.

One thing a few people have said to me about having laser eye surgery is that it’s expensive (as if glasses and contacts are cheaper). Now forgive me for a moment while I go a bit mathematical on you, but let’s just think about this:

I’m 25. If I had successful laser eye surgery it should hopefully last until I reach at least 40-45, after which I’ll get presbyopia or old-age shortsightedness as every good sighted person does. So at minimum that should be 15 years of good sight.

At a bare minimum I would want to update my glasses every 4 years, and the most recent pair cost me £200.

Now the maths bit: (For the sake of my simple brain I’m now going to round up my years of good sight to 16)

With a change of glasses every 4 years that would mean 4 pairs of glasses, which seems like an obscenely small amount. That’s £800. 4 years is a long time to wear the same piece of furniture on your face every single day. Some people have ‘going out’ specs and ‘office wear’ specs etc. I don’t do that but I can see the attraction. (Must point this out to other half later to show that I AM frugal with my money thank you very much!)

So where was I… oh yes, £800 on glasses. Now what about contact lenses?

I currently pay at least £20 a month for monthly contact lenses and solutions.
That’s £240 a year. Over 16 years that comes out at £2880.

That’s £3680, and realistically glasses get broken, scratched, go out of fashion and just get boring – so this is likely to be just a starting figure for realistic costings.

Now, how much does laser eye surgery cost? Ultralase quote basic LASIK or LASEK at £1990 for both eyes.

Conclusion of this experiment: Yes, as a lump sum laser eye surgery would be expensive, but over the years it actually works out cheaper than glasses and contact lenses as a method of correcting my vision.

Thursday, April 27, 2006

Optimax vs. Ultralase

Let's recap. I had a consultation for laser eye surgery with Optimax on Monday.
At that time I was pretty sure I wanted the epi-LASEK procedure (involves no cutting of the cornea, instead an alcohol solution is used in order to move the epithelium aside).

I was told I was eligible for either epi-LASEK or LASIK, and my chances of having 20/20 vision after surgery was around the 95% mark. So why haven't I booked my surgery already?

Well, first off, my friend who had epi-LASEK late last year is currently investigating whether he needs to have re-treatment, and has to wait 3 months to see if his vision has improved from the -0.50/-0.75 or so that it is now. As far as I am concerned, this is not great. This has put me off slightly.

Also, my gut instinct, my women's intuition, the feeling in my water... whatever you want to call it...was not giving me a good feeling. I'm not talking about psychic feelings here, I'm talking common sense alarm bells that something just wasn't right. I'm sure he is a perfectly brilliant doctor but do I trust him with my eyesight? I'm not so sure.

So... today I have booked a free consultation with Ultralase at their Chelmsford clinic.

First impressions of the company are excellent. I completed a form online for them to give me a call to book a consultation and a really nice man phoned and talked me through everything: Whether I have any medical conditions that mean surgery would not be an option, how long the consultation will take, the fact that they'll put in blurry eye drops, the fact that I won't be able to drive home. He was very thorough, very friendly and I'm already impressed.

Ultralase are much more expensive. But what price do you put on your vision, or even, your peace of mind?

Tuesday, April 25, 2006

Optimax consultation

Here's what happened. (Imagine this like a movie, where I'm played by Keira Knightley, only with a slightly less posh accent, and more meat on my bones, and with blonde hair...oh and I'm also wearing glasses. Goodness it's like you were there with me!)

5.15 Arrive
What does the Optimax laser eye surgery place look like? I think I'm expecting a standard doctor's surgery but I'm greeted by a room filled with comfortable-looking chairs, with a few doors and corridors off it and a long reception desk.

Immediately the receptionist has me over at a little computer in the corner of the room filling out a health questionnaire - am I on any medication, do I have any allergies and then I scan through options and tick boxes that apply to me. These are things like do I have a family history of glaucoma, have I ever had a heart attack, am I epileptic, etc. etc. A few of them I tick yes to: yes I have hayfever, yes I am due to have surgery soon (having a mole removed). Worryingly it says at the top of the list that any ticks might mean I'm unable to have the surgery.

Once I've finished I go and tell the receptionist and she then leads me off to have some tests done. I sit at three machines in turn and have to stare straight ahead and try not to blink. It's quite hard not blinking when all you can think about is not blinking. Mostly I tried to blink a bit before what I thought was the crucial time - but two of the tests she needed to repeat quickly so I was probably rubbish at predicting when the crucial time was! One of the tests was also one I'd read about where a puff of air is blown into your eye. Even though I knew it was coming it still made me jump the first time.

After that the show really started. I guess the time now is about:

5.30
The doctor comes out and calls me in. He's short, not of English origin and wearing a suit. I couldn't tell exactly where he was from, not that it matters of course. I enter the room.

First impression is that he's a typical, professional, no-nonsense doctor. On the one hand you could say he is abrubt, with poor beside manner I suppose. But on the other - and this is my experience with most doctors - he's just doing his job and he isn't there to hold my hand or make me feel at ease. He's not a salesman. If he were, if he was sitting me down asking how I am and am I ready to change the way I view the world and make my life ten times better?... I'd be running out the door right now.

He does some standard tests you get with glasses or contacts - looking at my eye, my prescription etc. He asks if I brought an old prescription along and I give him my old glasses which he goes off to measure to get the prescription.

When he comes back he puts drops to numb my eyes and then uses this instrument to measure the depth of my cornea. To do this he puts something against my eyeball for a few seconds. It's weird to have a numb eye - my eyelid feels kind of bouncy when it closes. Then he puts yellow dye in my eyes to have a look at their health through the microscope.

Next we go through my health form and I discover that my hayfever is not a problem, my upcoming surgery won't make a difference. Then he tells me that from his tests he can tell me that I am a candidate for either epi-LASEK or LASIK laser eye surgery. He asks if I know the difference between the two and I nod and say that it's basically the start of the procedure flap cutting with one, alcohol solution removal with the other. He nods as if he can tell I'm 'one of those ones that does their research' and asks which I prefer.

I say that epi-LASEK appeals more because of the lower risk factor. He then tells me that it is a surgery and as such can never be 100% guaranteed or safe. In my prescription case he tells me that there is a 95% chance I should have 20/20 vision. He informs me that when I reach 45 or so, I will need glasses for short distance again, as do the majority of people who have good eyesight for most of their lives.

I ask him about night vision problems. He tells me that my pupils are actually on the smaller size of normal so this is unlikely to be a problem for me. I say that while 20/20 vision is important, I also do not want to lose any contrast sensitivity. I ask if Wavefront would lessen the chances of this. He tells me that if this is not a problem now, it is unlikely to be a problem after surgery, and because the shape of my eye is pretty much average Wavefront is unlikely to make much difference to me. I ask about how long before I'm comfortable at a computer and he tells me it will depend on my personal recovery - most people can be fine after about a week to ten days but others can be more.

Mostly I get the impression from him that it's impossible to predict exact times. Every case is different in the pain threshold / speed of recovery etc.

After this we get to the fun part - where I get the pupil enlarging drops in my eyes. He tells me this is so he can view inside my eye. It feels fine for a few minutes but once he turns the lights back on after looking through the microscope at me I realise my close vision is a little blurred. Lights have also started to be a little bright.

He asks if I have any more questions and as we've covered all the ones I could think of I say no. And that's it, I'm done and dusted. The receptionist asks if I'd like to make a booking, I ask her to write a few available dates down at the end of May / early June as I need to check with work for booking a week off that will be followed by a few quiet days.

It's about 6.20 at this point and I walk back to the car with my boyfriend. The lights are hurting my eyes and my long distance and very close vision is blurry so there's no way I'd be able to drive. I start to wonder how weird it would be actually having surgery. I decide I have to give myself a few days to let everything sink in before I make a decision.

Wednesday, April 19, 2006

Laser eye surgery - pre consultation jitters

My consultation for laser eye surgery at Optimax is next Monday. I'm both excited and nervous. I'm hoping by then I'll have a much clearer idea of whether I'd like LASIK or epi-LASEK surgery. Realistically, I probably won't know until I've chatted with the consultant and then thought it all through.

When I booked the consultation I received a letter which advised me not to wear contacts for up to 2 weeks before the consulation. But I haven't worn my contact lenses for ages now, actually I think the last time was Christmas, mainly because they're just uncomfortable. One of my eyes is astigmatic (rugby ball shaped) so I have to have a weighted contact in that eye to keep it in the right place, except it still moves and I have to blink to get it back.

Also with the documentation was a risk form - part of the contract you have to sign when you undergo treatment with Optimax. It outlines all the possible risks and side effects and you have to initial each item to show that you have read and understood. It's quite a daunting list but it's standard legal stuff. Just imagine if you had to sign a contract before you were born and you had a list of all the horrid things that could happen to you in life - injury, financial struggles, heartache etc. etc. It's not often you have all the risks of your decision laid out in front of you like that, and of course they don't mention the benefits, because that makes it look like they're trying to give it a positive spin.

But I'm not too concerned. The idea of facing freedom from all that blinking and dry eyes in contacts is like a dangling carrot. And glasses can be a pain too: endless lens cleaning, slipping in hot weather, freezing metal on your face in cold weather, eyelashes brushing on the lens. Yes it would be great to be free of these things. People who don't rely on glasses have no concept of what it's like. I feel like a completely different person when I wear contacts, I'm sometimes amazed that people recognise me - not because I look different but because when you wear glasses it can feel like you're hiding behind them.

Here is my updated list of questions for the consultant:
- Which would I personally be most suited for - epi lasek or LASIK surgery?
- What is the success rate for my prescription on either surgery (my prescription is -2 sphere and -2 cylinder in my right, -4 sphere in my left)
- How long does pain last on average?
- How will I control the pain?
- How long before my vision would be at driving standard?
- How long before I'll be able to use a computer comfortably?
- How long should I take off work (will probably be determined by the answer to the previous question)
- What happens if my vision is not improved, or is improved but still needing glasses?
- What about hayfever, will sneezing or itching eyes be a problem - will I be able to take Clarityn as I have done for about the last 5 years?

Monday, April 10, 2006

LASIK or epi-LASEK laser eye surgery?

Having booked my consultation I'm now finding myself thinking more and more about laser eye surgery. From a hazy 'oh yes, that would be good' to now really concentrating on the risks and benefits, the pain, the recovery time, the after care treatment, the chance of success... and all those other things that start your head swimming if you don't organise your thinking.

My main question at the moment is whether I prefer the idea of LASIK or epi-LASEK laser eye surgery. Here are the basics of the two as I understand them:

--------------------------------------LASIK----------------------------
Anaesthetic is dropped into your eyes to prevent any pain. You will then have a layer of your cornea surgically cut and 'flapped over'. The laser reshapes your cornea beneath and then your 'flap' is placed back onto your eye. It will stay in place by natural suction but you will need to wear a protective eye shield for around 24 hours to prevent yourself from rubbing your eyes and disturbing the flap as it settles back.

Pain: Less than epi-LASEK laser eye surgery as the flap of cornea is put back right where it was before. Pain is usually said to come on a few hours after surgery and last for around 24 hours. Most things I've read have likened the 'pain' to just a level of discomfort - like having grit in the eye or an uncomfortable contact lens.

Recovery time (when can I go back to work?): I've read that people can often go to work the next day after LASIK laser eye surgery! Realistically I think I could have the surgery on a Thursday or Friday, have the weekend off and then be fit for work on the Monday - obviously so long as all goes well. Clear vision is usually within 2-3 days.

Risks: Because there is a physical cut made into your cornea there are much more risks with this form of laser eye surgery. Besides the potential for surgical mishap (who doesn't shiver at the idea of someone cutting into their eye?) there is also issues about the flap growing back not exactly as it was before. The cornea is also thought to be weaker following the surgery and it's not recommended for anyone likely to encounter physical contact - sportsmen / police officers etc.

Next after care appointment: You go back the day after your surgery to check all is well.

My concerns: Potential for dry eye and concerns about working with VDU's.

---------------------------------------Epi-LASEK--------------------
After anaesthetic drops are put in your eyes, an alcohol solution is put into your eye to weaken the cells so that a layer of your cells (epithelium) can be moved aside. The laser reshapes your cornea and then the cells which were moved are replaced. You wear 'bandage lenses' non stop for 3 days to keep your epithelium in place.

Pain: Little is felt for the first 24 hours thanks to the anaesthetic drops, but then it comes on a lot stronger for around 3 days. I have yet to read what people compare the level of pain to - but then we all have different pain thresholds so it wouldn't be a great guide anyway.

Recovery time (when can I go back to work?): I would need to take at least a full week off and possibly would only just be able to drive again after 7 days following epi-LASEK laser eye surgery.

Risks: Much less than LASIK laser eye surgery because there is no cutting made, but the risks of the laser and vision - overtreatment, undertreatment, halos etc are all still there.

Next after care appointment: You go back after 3 days to have your 'bandage lenses' removed and to check all is going well.

My concerns: Length of time for recovery - will I be fit to drive after a week?
Pain - how much and how controllable will it be?


Links:
Royal College of Opthamologists - Patients Guide to Excimer Laser Refractive Surgery [PDF download]
www.optimax.co.uk

Tuesday, April 04, 2006

Blooker Prize Awards 2006

I only just heard about these by reading about them on the BBC news site.

For anyone even less clued up than me (if that's at all possible?) a 'Blook' is a book based on a blog or website. I knew that many bloggers somehow manage to get book deals based on their blogs, but didn't realise just how big this thing is getting. Can you hear my mind clicking away as all this information is processed?

The winner, Julia Powell, spent a year cooking from some French cookbook, because I'm such a good person and I like to share the information I find out, I will even give you a link to her blog here.

The official website for the Blooker Prize is http://www.lulublookerprize.com/.

Monday, April 03, 2006

I've booked my laser eye consultation!

I'm going to my local Optimax branch - which is Ipswich - on the 24th April. It's only a consultation but I'm already excited. Oh but what if it turns out I'm not suitable for treatment because my cornea's are too thin / thick or, I don't know, they find out I have some rare genetic thing which means I'm destined to wear glasses for the rest of my life? That would be awful. Fingers crossed I'm an 'elligible candidate'.

It could have been as soon as this Wednesday, but as the consultant advised me I wouldn't be able to drive home afterwards because of the solution they put in my eyes I need my boyfriend to come with me. He also wants to be there to be sure I'm not going to just get all excited at the prospect of not wearing glasses or contacts, and be blind to any general dodginess of the place. Yes that was intentional use of the word blind. No I am not thinking about going blind.

Tell someone you're thinking of having laser eye surgery and what's the first thing they say? "Oh I couldn't do that, I'd be scared of going blind!" Do you know anything about laser eye surgery and the chances of blindness? "No, but going blind, that's a scary thought?" So is getting run over by a bus but it doesn't stop me crossing roads. You get the idea.

The consultant asked me if I wanted to book my surgery for the same day, but I opted out because if I have epi lasek I believe I'll need to book a week off work to allow for my eyes to be of driving and computer work standard.

Questions I will be asking the Optimax consultant:
- Which would I personally be most suited for - epi lasek or LASIK surgery?
- The success rate for my prescription on either surgery (my prescription is -2 sphere and -2 cylinder in my right, -4 sphere in my left)
- The recovery rate
- The length of time before driving
- The length of time before vdu work (I have read that near vision can take longer to recover, particularly with epi lasek treatment)
- The risks of complication (yes, that does include blindness)

And others which I have yet to think of but will post on this blog later....

Thursday, March 30, 2006

It looked like a runway...

A pilot flying a passenger plane from Liverpool to Ireland's Londonderry airport landed on a nearby military runway instead of the airport one. The passengers had to take a bus to complete their journey.

Apparently the skies were empty so the pilot had no need to refer to his equipment and just used his eyes instead. Which is quite scarey if you ask me. I know when I look out of a plane I think I see runway and it's actually a motorway. Perhaps that's why I'm not a pilot.

Me thinks the pilot is going to regret that one, even if they allow him to pilot a plane again he's never going to live it down from his colleagues. "And where will be landing today exactly?"

Read the article on the bbc: http://news.bbc.co.uk/1/hi/northern_ireland/4859716.stm

Wednesday, March 29, 2006

Can't believe it's almost April

That means we're fast approaching being a third of the way through 2006. Already. Blimey. What have I done so far?

Novel: written 20,000 words (all in January - tut tut)
Weight: lost 6 pounds - February. Since then have been up, down and round the houses but always ended up back at only 6 pounds lost.
House: Getting garden sorted soon - patio, shed and bit of lawn. Then my fingers will become green because I want to get planting and start it being an 'established' garden - at least until puppy comes to make amendments!
Puppy: Plan is to get house / finances sorted and I am hoping that my gorgeous boyfriend will let us get one by about September. That way we can take a week or two off work and make our new family member welcome.
Work: My job is going well. I really like the guys I work with and hope I can grow with the company. Ultimately of course, I do want to be a novel writer but until I can pull my finger out and get on with that, this is a decent, challenging, alternative.

Friday, March 24, 2006

Modern impatience

Is it just me or do people not make such an effort to stop when a traffic light turns red anymore?
I'm guilty of it myself at times, but only when the light is still on amber, never on red.

This morning the lights at a junction changed as I got near them. The car in front of me had loads of time, I had just enough time, but the car behind me that was a little way back should have stopped, but guess what, he didn't. I seem to be seeing it more and more recently.

I believe modern society makes us impatient. That's a bit thoughtful for a Friday afternoon isn't it? But it makes sense, at least to me.

I suffer from that disease where you have to keep opening up your email account to see if you've had a reply to an email yet. My frequency is every 20 minutes. It's becoming like blinking, I just do it automatically. My work email account does this for me, which is probably a good idea seeing as I'm not sure I'd get any work done if I was checking for emails all the time, but while at work I have to go to an external website to see my private emails.

I can't stand waiting in a queue either. I know I'm British and it's meant to come naturally but honestly it doesn't. Perhaps it's my Viking ancestry - I just want to grab whatever I want when I want it.

And what about when you're walking purposefully along a pavement and you get stuck behind someone who's dithering? Arrgghhh how annoying is that?

Perhaps I should think about anger management? I'll be calmer when I have a puppy.

Wednesday, March 22, 2006

Laser Eye Surgery

I am going to have it done soon. No appointments booked as yet, but watch this space.

I've worn glasses since the age of 14, and have never really got used to them. From the age of 17-19 I wore contact lenses most of the time but recently I hardly wear them (I'm 25 by the way) and when I do I can only tolerate them for a few hours because my eyes feel really dry. I also do this strange twitch thing because one of my eyes is astigmatic (rugby-ball shaped as opposed to regular round) and that means the contact lens on that eye is weighted so it isn't meant to move - but it does - so I twitch to get it back into place. It's something I'm very conscious of and has put me right off wearing contacts.

One of my friends had epi-lasek treatment last year and from talking to him I would definitely like to go ahead with it. My boyfriend was originally against the idea "I don't want you going blind! / Is losing your eyesight really worth it just to get out of wearing glasses?" But now we know someone who's had it done he's a lot happier about the idea. Fear of the unknown and all that.

It is pretty expensive. But there are bargains to be found, such as Optimax listing their service on ebay which is the way I plan to go.

Wednesday, March 08, 2006

Puppy

I want one. But I work full-time a half hour drive from my home, so does my boyfriend (his drive is in the other direction so no we couldn't move closer and solve the problem).

I grew up with dogs and I know it's not all about cute puppies - they are seriously hard work especially for the first 2/3 years - but I can't explain how lost I feel without a dog. Especially as it's not even a possibility until our circumstances change.

Yes I could get one, and leave if for 6 hours a day. Maybe I could ask my neighbour to let it out for the toilet a few times a day or a walk if they take theirs out, but what kind of a life would that be for it? See I'm trying to talk to myself calmly and flatter myself for being such a good person for not letting myself get a dog if I can't give it a good life, but you know there are plenty of people who have one who work full time.

Do you know the thought that is in the back of my mind whenever I think about having a dog, I think well, if you were to write that novel and maybe get some money out of it, you might be able to stay at home and housetrain a pup. It's a crazy motivation for writing a novel, but you know crazy often works. I've done almost 500 words today.

Tuesday, March 07, 2006

The Sims 2

You know I said I shouldn't allow myself to buy the new expansion pack for The Sims 2? Well I was right. I shouldn't have done. Unfortunately though I did. I ordered it from Play.com and it arrived on the day of release - Friday 3rd March. I've played it every day since, and just about all day Sunday. Novel? What novel?

The only plus side is that I get so distracted I don't snack between meals. If it weren't for my lovely boyfriend though I wouldn't be eating meals at all!

Thursday, February 23, 2006

Instant weight loss...

...Does not exist, I know that. Oh how I wish it did. But there's that old cliche "You didn't put the weight on overnight, so you can't expect to lose it overnight!"
- Maybe not but you know I had fun putting that weight on. I ate chocolate and doughnuts and ice-cream and cookies.

Ah, but didn't I eat a cookie the other night? Yes. Am I going to lose weight again this week? Yes. So you can have your cookie and lose weight? Err....yes, but you know it helps if it's Weight Watcher cookies you're eating.

For lunch today I had my age-old mid-menstrual cycle craving for grated cheddar on a baguette with salt & vinegar crisps. Honestly, smack bang mid cycle up it pops at least every other month. But what does that lunch spell to you? FAT FAT FAT.

So how to cope? I went to Sainsbury's and bought a small baguette (about 8 inches), some low fat grated cheese and a packet of walkers salt & vinegar. When I returned to the office I cut off half of the baguette including the 2 ends, and using about a handful of the cheese I made my 3 inch baguette roll. Then I pointed it all. It came to 8 points.

A lot for a lunch yes, but for dinner I am having pasta and a low point tomato based sauce which is only around 5 points.

I almost can't believe I actually cut the baguette up and threw it away. Yes I'm sure there are people out there who would think me stupid to eat a baguette when I'm trying to lose weight, but I know me, and I know how this is the actions of a changing woman!

You can eat whatever you like, just lower your portion sizes.

Friday, February 17, 2006

On the right path

I went to ask restaurant on Wednesday night with my boyfriend.

I spent a good few minutes looking at the menu wondering whether to have a starter and a main or a main and a dessert. A low fat starter such as olives, followed by a healthy tomato based pasta seemed like the best idea. But they do a lovely Del Figone pizza with Gorgonzola and I was really tempted to have that. I'd estimate that to be around 12 Weight Watcher points, so where did that leave me for dessert? Up chocolate creek without a spoon, that's where.

So what did I do? I skipped starter and had the pizza. Then my boyfriend had a chocolate cake, and I had...nothing. Yes you heard it first: the fat girl chose being slim over a cheesecake!

I felt very saintly but you know the annoying thing about wanting to lose about 3 stones is that it's a long and slow process. Even after skipping a cheesecake on a night out I did not wake up the next morning 3 stone lighter, even though I think it would be perfectly fair.

I'm sad to say that despite my sneaky weigh-ins all week I am still the same as on Monday. I've just got to lose at least 1 lb this week.

Tuesday, February 14, 2006

Being female...

...can be a pain in the belly.

Make me happy today and I might burst into tears. Make me angry today and I might burst into tears; then I'll hit you around the head with whatever comes to hand first.

There are days when I need to stay at home and shut the world out. I won't deny it, going to work is more of a necessity than a pleasure for me. If I didn't have to put food on the table or moisturiser on my face (yes, that's a necessity) I'd be at home writing full time, or watching Fern and Phillip - or whoever they have on nowadays - on This Morning, yeah that might be closer to the truth but anyway you get the point. Home is where my heart is.

Ask my boyfriend and he'll tell you this is part of my normal monthly routine. There are the days when I loathe having to leave the house to go to work, or even leaving the house altogether. Then there are days when I can't stand sitting in front of the telly for more than two minutes:

me: Why can't we do something instead of sitting in front of the TV like zombies?
him: You said you wanted to watch this yesterday.
me: We need to do something with our lives. We stay in far too much. Let's go out.
him: (staying silent, it's the sensible option).
me: I'm going to write my novel.

If you're male and you think women are a foreign entity, you should try being female. It's an experience to say the least. When you're a woman, you just never know what mood you're going to be in when you wake up each morning.

Thursday, February 09, 2006

Addicted to isketch.net

It's an online pictionary and I only discovered it recently. I was browsing online games sites on my lunch hour and got hooked. Incidentally this was about the time that I wrote my last few words of my 20,000 for January. Yes, the two are connected.

I need to stop playing it, or I'm never going to get the novel done. I can't let myself buy the new Sims 2 expansion pack when it comes out either. Why? Oh because besides the end to my novel and occasional exercise dreams, it would also mark the end of sleeping as I know it. I do think that if the Sims had never been released I would have written a novel by now. I certainly would have achieved higher than a 2.1 result at University. I am aware that blaming a computer game is a convenient way of denying how plain lazy I am. But it makes me feel better, so there.

So I met up with some ex-colleagues last night. It was a good evening, and I was being saintly to begin with. I ordered a salad and was avoiding the dressing. But then when it came to desserts one of the girls really wanted one, but the rest of us didn't. When she realised this she said, "Oh no, I can't be the only one, I won't have one." So of course I HAD to have one then didn't I? I would have felt guilty because her eyes had really lit up when she saw the dessert menu. I made the two others have a bite too.

I'm being extra good today to make up for it. Now I know having a fattening chocolate brownie dessert is not the answer if I want to lose weight, but initially I had decided not to and I felt confident that I didn't need to have one. Choosing to have one was an act of friendship.

Is anyone else noticing that I tend to blame other things / people for my failures?

Wednesday, February 08, 2006

When is a diet not a diet?

I have read that I need to make a serious lifestyle change in order to lose weight and keep it off. So strictly speaking I am not on a diet I have just chosen a healthier lifestyle. I guess I'm just trying to get the right mindframe about all this. Positive thinking and motivation go hand in hand.

I know I shouldn't have, but this morning I couldn't resist hopping on the scales (no not literally, the truth is I only stepped onto them) but I did find that I've lost a pound, which was pleasing. Must not let myself do this again though because it's not the actual number of my weight I'm interested in, it's how I feel and how my clothes fit. There's nothing more depressing than feeling slimmer and then getting on the scales to see that you've lost a grand total of nothing.

I'm off for a meal tonight with some of the girls from my old workplace. We always have a giggle when we get together. I've been training my mind all day so that when I pick up the menu I will only notice the healthy options. If I don't even see that I could have a scrumptious sounding rich chocolate cake with chocolate sauce then there won't be a problem will there! Oh wouldn't that be cool if you really could train your mind like that? If you could block thoughts just like you can spam filter and block unwanted emails? When I'm at work I wouldn't let myself think about how great it would be to snuggled back in bed, and when I'm snuggling up in bed I won't let a single work thought into my head. Bliss!

Words written last night: 0
No I am not proud of this. Although I did read through my latest chapter yesterday trying to get back into it and I was actually impressed, there are problems with it and it will need a lot of reworking. But I can't let myself start editing. I really think the key to getting this done will be to get the first draft finished and then go back and rework.

Obviously with going out I won't get any words done tonight either. And as it's now the 8th Feb and I haven't done any of the 20,000 words for this month - I'm going to have to do 2,000 one day and then 1,000 every other day for the rest of the month. Way to go Emma!

Tuesday, February 07, 2006

My first posting

This is all new to me so I'm not sure exactly what to put. Obviously this blog is designed to be an ongoing thing, tracking my progress like a diary. Here's where I am right now:

Words: 20,000 (all in January). Weight: 14 st 1lb.

By the end of the year I need to be about here:

Words: 80-100,000. Weight: 11 st (maximum)

It's going to be a long journey but fingers crossed I can make it. No, scrap that, there's no fingers crossed mumbo jumbo about this any more. I WILL do it.

How? First step I am planning what I am going to eat every morning and sticking to it. I am going to get out of work at lunchtime and walk around the block, and I am also going to stop moaning about why I put on weight when I eat crap. The simple answer is surely to just stop eating crap isn't it? Then for the writing, that's much more sedentary, I just have to make sure I sit down and write between 500-4000 words a day. I'm aiming for 1000 a day but between work, socialising and exercise this might not always be achievable so my main aim is 20,000 words a month.

Weigh in will be every Monday morning. Words written should be a daily thing.