
Sunday, May 10, 2009
Happy Mother's Day Part 2

Saturday, May 9, 2009
Monday, May 4, 2009
Macular Hole

A macular hole describes a central defect in the retina. The macula is the central region of the retina, and is responsible for critical vision including reading, driving, and watching television. A hole develops as the vitreous gel ages. This gel which fills the eye has the consistency of jello. The vitreous gel goes through changes with age which frequently results in floaters. Abnormal adherence of the vitreous to the macular region may result in traction or pulling resulting in a macular hole. There are 4 stages of a macular hole, all of which can result in some degree of symptoms. The most common symptom includes distortion and reduced vision for both near and distance. A macular hole is diagnosed by the ophthalmologist after dilated retinal examination. Optical Coherence Tomography (OCT) helps evaluate macular holes.
Refinements in the surgical treatment of macular hole has steadily improved outcome. The procedure involves the removal of the vitreous gel (vitrectomy), placement of a temporary gas bubble in the eye and often removal of a membrane surrounding the hole. Surgery is typically performed in an ambulatory setting under local anesthesia, although general anesthesia can be utilized. The gas bubble is put in the eye so the hole can close under “dry” environment, the fluid in the eye can keep the hole open. In order to keep fluid away from the hole while it closes it is necessary for the patient to remain in a prone (facedown) position anywhere from several days to 2 weeks. It may take up to 6 weeks for the air bubble to completely resolve from the eye.
So for up to 2 weeks after the surgery she will have to be either lying one her stomach or walking around with her head bent down looking at her shoes. Luckily my dad can drive and she has lots of friends in town that can help them out if need be. Liam and I are headed there for our vacation on June 24th. I hope the dates of our visit don't overlap her recovery time, as she is really looking forward to spending the week with Liam.
Saturday, May 2, 2009
I dreamt about the horses
Last night I dreamt about the horses.
Again.
It's been a long time since they have visited my sleep.
I wish they had stayed away longer.
I stand at the sink and gaze out the window.
As always, it is summer.
I never remember the winters.
I wonder why?
The window is open.
There is the tiniest of breezes.
Just enough for the faint smell of manure to waft towards me.
I close my eyes and inhale.
I kow what I have to do,
but I feel glued to the spot.
What will I find when I open the door?
I am filled with dread.
I never remember the walk to the door.
I am just there.
It is dark inside.
What does that mean?
Now I am inside the barn.
The smells surround me.
The feelings engulf me.
I know it is only a dream,
but I can't wake up.
Do I want to wake up?
Will this dream be different?
Will I revisit a wonderful time of my life,
or will the horror of the other dreams return?
It is the same as all the other dreams.
There are no horses.
Just the stale stench of old death.
but there is still work to be done,
so I begin.
In the morning I awake.
Not refreshed, but lost.
The feelings and smells stay with me all day.
Slowly it fades, but flits back again when I don't expect it.
What does it mean?
Why does this dream keep returning?
When will it come again?
What did I do?
This is a recuring dream that I have once or twice a year. I did indeed have horses at my parents house (where this dream takes place) when I was a teenager. They did not die. When I moved out of my parent's house I sold 1 horse and moved the other 2 to a stable that I ended up working for and living at. However, a 19 year old girl living on her own and supporting herself could not afford to stable 2 horses for long, so I eventually had to sell both of them as well.