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Old 09-15-2021, 12:42 PM
 
Location: Paradise
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Ask a pharmacist.
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Old 09-15-2021, 01:39 PM
 
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Quote:
Originally Posted by lunetunelover View Post
Ask a pharmacist.
That’s a great idea!
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Old 09-15-2021, 04:15 PM
 
7,098 posts, read 4,823,070 times
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Quote:
Originally Posted by lunetunelover View Post
Ask a pharmacist.
Actually, I believe mike1003, above, IS a pharmacist.
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Old 09-15-2021, 07:24 PM
 
2,391 posts, read 1,406,327 times
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Quote:
Originally Posted by mike1003 View Post
Way too many words to read. Please summarize in short, easy to read, paragraph and I'll try to answer
Sorry, when I get frustrated and emotional, I guess I just pour it out.

I’ve actually made a little progress with my earlier problem … “cutting to the chase” and avoiding the testing.

Now the issue I am having is: Why do I find so many medical articles stating that the medical aftercare of cataract surgery is “controversial,” with many presenting what seems to me to be compelling evidence that NSAID eyedrops are just as effective as corticosteroid eyedrops. Even though I really want to the NSAID eyedrops, I try to be even-handed about it and have read quite a few articles arguing for corticosteroids & NSAIDS together or only corticosteroids. None of these articles — the ones arguing for or against any combination of NSAIDS or corticosteroids or both makes a slam-dunk argument.

So, on the one hand I have that, while on the other hand I have my experience with cataract surgeons (or their nurses on the phone) who all say: YOU MUST HAVE CORTICOSTEROIDS eyedrops. This might appear to slightly contradict what I said in my OP, but if I explain any further, I will not have cut to the chase.
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Old 09-15-2021, 07:30 PM
 
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You need your heart doctor and your eye doctor to communicate. Period. Otherwise you end up with the total madness in the original post. If I had both time and money to burn, I wouldn't waste it in the way you're describing. You need something like a PCP to help you if the heart guy won't/can't do it.
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Old 09-15-2021, 07:41 PM
 
2,391 posts, read 1,406,327 times
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Quote:
Originally Posted by NYC refugee View Post
You need your heart doctor and your eye doctor to communicate. Period. Otherwise you end up with the total madness in the original post. If I had both time and money to burn, I wouldn't waste it in the way you're describing. You need something like a PCP to help you if the heart guy won't/can't do it.
To be honest, I am kind of on the outs with my heart doctor (my electrophysiologist). I don’t want to go on and on about it, but in a nutshell, he too is perplexed and incredulous about my only having afib with corticosteroids. I have one case documented (the first one) because I went to the ER and it is in the records. The seven other times I had the problem, I did not go to the ER for various reasons (I now had meds to take at home, was afraid of catching Covid, was living in special cancer lodging with my sister as an attendant and if I had been admitted to the hospital, my sister risked being kicked out of the lodge, had learned that afib isn’t actually a life-threatening emergency) I know for a fact that that is what I had (it felt just like the first time; I have an Apple Watch which diagnoses afib; I understand how the Apple Watch overdiagnosis afib and take that into account; I have taught myself how to read EKGs and know if there are P-waves or not). So, I know, but my electrophysiologist just shrugs his shoulders.

Worse yet, he doesn’t seem to care. His view is that afib is a progressive disease, and I just need to get an ablation (buring the upper chambers of the heart in the hopes of preventing afib in the future) But afib is not progressing with me. I only get it at certain times ….

On the plus side, he is very smart and can actually explain things unlike my previous EP.

And this is what will happen if I go to my PCP. I will explain everything. He will go, hmmm, hmmm, then say: “When was your last Pap smear?” Or something like that. Under no circumstance will he intervene for me. He doesn’t even write referrals to specialists at all, at least not individual specialists. He will say: You need to see an endocrinologist. You can use Google.”

Actually, this is also what my retinal surgeon said when he said I needed a cataract surgeon. He just said to Google it. Do people not do referrals anymore?

Last edited by Jill_Schramm; 09-15-2021 at 07:54 PM..
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Old 09-15-2021, 10:58 PM
 
37,315 posts, read 59,869,570 times
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Quote:
Originally Posted by Jill_Schramm View Post
I am not actually 1000% against the drugs. I want to do what is best for me and I would like professional help determining this. I am about 95% sure that the NSAIDs would be perfectly adequate. But who knows? Maybe the studies that I read are all a bunch of crap. I don’t think so, but ???
Do you have a heart dr after going through all that a fib?
ok didn’t see that last post
And I guess some drs won’t give referrals—afraid of lawsuits

If so call the heart dr and have him or her call the eye surgeon

And fwiw, I know two men who lost vision in one of their eyes during cataract surgery
The surgeon screwed up but of course denied he made a mistake
Blamed bad luck or the patients for moving or something

I don’t take any eye surgery lightly
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Old 09-15-2021, 11:49 PM
 
3,633 posts, read 6,173,914 times
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Quote:
Originally Posted by loves2read View Post
Do you have a heart dr after going through all that a fib?
[color="Teal"]ok didn’t see that last post


And fwiw, I know two men who lost vision in one of their eyes during cataract surgery
The surgeon screwed up but of course denied he made a mistake
Blamed bad luck or the patients for moving or something

I don’t take any eye surgery lightly
I don't think any of us who have had cataract surgery did, and the vast majority of us are extremely happy with the results. Your comments don't have anything to do with the OP's question. It's not about the surgery, it's about one of the eyedrops commonly used post-surgery. Trying to scare people if you don't have helpful information related to their actual concern is uncalled for.
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Old 09-16-2021, 07:02 AM
 
37,315 posts, read 59,869,570 times
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Read an article in NYTimes Medical Diagnosis section about a woman who had problem with eye drops

Read the article and also the Comment section…which is often more informative and helpful

There is a preservative in most eye drops BAK that can cause a very negative response in some users because of their own physical issues…not an allergic reaction but still a negative one

https://www.nytimes.com/2021/08/11/m...ucoma-bak.html

Maybe this is more helpful…
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Old 09-16-2021, 07:20 AM
 
Location: Beautiful Rhode Island
9,290 posts, read 14,905,031 times
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One thing you might consider is whether you have afib or anxiety or a little of both. Anxiety can easily cause rapid heart beats and the angrier and more fearful and frustrated you get the worse it gets.

We all know how easy is it to get angry with doctors when they are inflexible and always "by the book".

The contemplation of eye surgery would be enough to send many around the bend. I am NOT saying "it's all in your head", what I am saying is that many physical reactions can come from fear and anxiety and frustration. Maybe a valium in recovery might help the afib reaction regardless of the cause. You've said it only occurs infrequently.

Something to consider anyway. Best of luck to you and whatever decision you make!
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