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#25
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| On 3/20/06 3:20 PM, in article 1142896831.112240.159640[at]i39g...oglegroups.com, "topwebchoice[at]yahoo.com" <topwebchoice[at]yahoo.com> wrote: - quote - > Charles wrote:
is a small inferior detachment, it can stay OK for a "relatively" long time.> > I have to go along with William Stacey description of this as bizarre. > > I am somewhat dubious of the persons story as told because of their > > initial post about old fashioned surgery and gas bubble. From that post > > it sounds like they had been to the clinic. > What's so bizarre? > Not sure if you read my recent post above. > I have indeed been to an MD/ophthalmologist (now two weeks ago) who > indeed did see the detached retina himself. I had the impression it was > urgent but Retina Northwest (the 'retina specialists') must do some > sort of 'preop' consult (if I understand them correctly) before > scheduling surgery. That appt. was some time in the future (as set by > Retina Northwest) - so I had time (I felt) to consider my options > (other clinics). > The only thing bizarre to me is I'm getting conflicting information. On > the one hand, the ophthalmologist suggested it was urgent yet Retina > Northwest clearly does not agree (or does not have adquate staff to > schedule an appt. sooner.) People here seem to feel this must be done > TODAY. > Which must I believe, the 'retina specialists' (Retina Northwest) or > others? > Are there any retina specialists online here who can clarify for me > exactly where the truth lies? The urgency depends on whether the macula is on, threatened, or off. If it If it is superior, it will come off faster. If the macula is threatened, that is most urgent (<1 day). If the macula is already off, it it not urgent; the damage is already done, and can wait a week or so for repair. It all depends on the exam particulars, which you do not have. Unfortunately, it can also depnd on the adequacy of the staff, as you mentioned above. |
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#24
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| In article <dabel-ED19F3.14014220032006[at]nnrp-virt.nntp.sonic.net> , Dan Abel <dabel[at]sonic.net> wrote: - quote - > He said he'd call the eye doctor on call and see what he said. A
That is pretty swift. Sounds like a good hospital.> couple of minutes later the nurse came in to dilate my eyes, and said > the eye doctor was on his way. The eye doctor diagnosed a detached > retina and called the retinal specialist. I had gone in after > dinner, and was in the OR by 11PM. -- Charles |
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#23
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| Charles wrote: - quote - > I have to go along with William Stacey description of this as bizarre.
What's so bizarre?> I am somewhat dubious of the persons story as told because of their > initial post about old fashioned surgery and gas bubble. From that post > it sounds like they had been to the clinic. Not sure if you read my recent post above. I have indeed been to an MD/ophthalmologist (now two weeks ago) who indeed did see the detached retina himself. I had the impression it was urgent but Retina Northwest (the 'retina specialists') must do some sort of 'preop' consult (if I understand them correctly) before scheduling surgery. That appt. was some time in the future (as set by Retina Northwest) - so I had time (I felt) to consider my options (other clinics). The only thing bizarre to me is I'm getting conflicting information. On the one hand, the ophthalmologist suggested it was urgent yet Retina Northwest clearly does not agree (or does not have adquate staff to schedule an appt. sooner.) People here seem to feel this must be done TODAY. Which must I believe, the 'retina specialists' (Retina Northwest) or others? Are there any retina specialists online here who can clarify for me exactly where the truth lies? |
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#22
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| In article <200320060601552088%fort514[at]mac.com> , Charles <fort514[at]mac.com> wrote: - quote - > In article <dabel-44EF1E.02333520032006[at]nnrp-virt.nntp.sonic.net> , Dan > Abel <dabel[at]sonic.net> wrote: > > Because, based on what you have posted, you have an emergency. That's > > what they do. That's why they call it an "ER". > Would they do emergencty surgery if someone went to the ER and had a > detached retina or would they just tell you to see a retina specialist? > I suspect the latter. No. The ER is always in a hospital, in my experience. That's where they do surgery. I went to the ER for what I thought was a detached retina last July. I saw a couple of nurses and then a doctor who had no clue. He used a slit dingus but didn't dilate my eyes. He said he'd call the eye doctor on call and see what he said. A couple of minutes later the nurse came in to dilate my eyes, and said the eye doctor was on his way. The eye doctor diagnosed a detached retina and called the retinal specialist. I had gone in after dinner, and was in the OR by 11PM. -- Dan Abel dabel[at]sonic.net Petaluma, California, USA |
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#21
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| Dan Abel wrote: - quote - > In article
You didn't make it clear that they could do more than just> <1142829036.073716.162530[at]v46g2000cwv.googlegroups.com> , > topwebchoice[at]yahoo.com wrote: > > I dont understand why some in this thread have implied > > I've mishandled this situation. I was posting here for > > (hopefully) helpful information. If anyone knows of any > > retina specialty clinic here in Portland, Oregon which > > might be somewhat more responsive, I'd really consider > > it (and appreciate any helpful info, please). > > > Someone suggested I go to the ER. Why would I do that? > > I've already been diagnosed in no uncertain terms by the > > first MD/ophthalmologist with detached retina. What good > > would that do? > Because, based on what you have posted, you have an > emergency. That's what they do. That's why they call it > an "ER". diagnose it. They have eye docs at every hospital. They can admit you and operate or whatever as soon as indicated. I get the impression that the OP thinks they would simply diagnose and tell him to go home and make an appointment with a specialist (which is what they would do if it's not immediately threatening). -Quick |
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#20
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| In article <dabel-44EF1E.02333520032006[at]nnrp-virt.nntp.sonic.net> , Dan Abel <dabel[at]sonic.net> wrote: - quote - > Because, based on what you have posted, you have an emergency. That's
Would they do emergencty surgery if someone went to the ER and had a> what they do. That's why they call it an "ER". detached retina or would they just tell you to see a retina specialist? I suspect the latter. I have to go along with William Stacey description of this as bizarre. I am somewhat dubious of the persons story as told because of their initial post about old fashioned surgery and gas bubble. From that post it sounds like they had been to the clinic. -- Charles |
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#19
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| In article <1142829036.073716.162530[at]v46g2000cwv.googlegroups.com> , topwebchoice[at]yahoo.com wrote: - quote - > I dont understand why some in this thread have implied I've mishandled
Because, based on what you have posted, you have an emergency. That's> this situation. I was posting here for (hopefully) helpful information. > If anyone knows of any retina specialty clinic here in Portland, Oregon > which might be somewhat more responsive, I'd really consider it (and > appreciate any helpful info, please). > Someone suggested I go to the ER. Why would I do that? I've already > been diagnosed in no uncertain terms by the first MD/ophthalmologist > with detached retina. What good would that do? what they do. That's why they call it an "ER". -- Dan Abel dabel[at]sonic.net Petaluma, California, USA |
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#18
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| In article <1142829036.073716.162530[at]v46g2000cwv.googlegroups.com> , <topwebchoice[at]yahoo.com> wrote: - quote - > I dont understand why some in this thread have implied I've mishandled
I think some of us are surprised that you were not scheduled for an> this situation. I was posting here for (hopefully) helpful information. > If anyone knows of any retina specialty clinic here in Portland, Oregon > which might be somewhat more responsive, I'd really consider it (and > appreciate any helpful info, please). appointment sooner than the 28th. My experience was that I was schedualed right away. But I am only going on my experience as a patient, I am not a doctor, or an expert on the urgency. Personaly if they had schedualed me so far off for an appointment, and I had a solid black curtain in the top of my visual field I would have found another specialist, there must be several in a city the size of Portland or went to their office and talked them into seeing me sooner. One thing I find dubious is that your initial post stated that the clinic wanted to use old fashioned surgical methods rather than a gas bubble. If you havn't been examined by the clinic how do you know, or how would they know what method they might use? Any repair is going to be surgical. Whether they use a buckle or a gas bubble would be determined after an examination. In my case they told me they were going to use a buckle after the examination but changed their mind and did the gas bubble at the surgery. -- Charles |
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#17
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| Charles: To clarify, the ophthalmologist told me in no uncertain terms that I had retinal detachment with at least 30% vision loss in the left eye (solid 'black curtain' from the top right of visual field). He immediately ('stat' was his term) ordered his medical asst. to make the first appt. with Retina Northwest. I was present when she did it, and she clearly explained that it was for a retinal detachment. I called MYSELF last friday to tell Retina Northwest that my vision loss has gotten noticeably worse in the previous days, and they bumped up my appt. from the 28th of this month to the 24th. I dont understand why some in this thread have implied I've mishandled this situation. I was posting here for (hopefully) helpful information. If anyone knows of any retina specialty clinic here in Portland, Oregon which might be somewhat more responsive, I'd really consider it (and appreciate any helpful info, please). Someone suggested I go to the ER. Why would I do that? I've already been diagnosed in no uncertain terms by the first MD/ophthalmologist with detached retina. What good would that do? |
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#16
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| In article <cR8Tf.48426$F_3.2758[at]newssvr29.news.prodigy.net> , "Quick" <quick7135-news[at]NOSPAMyahoo.com> wrote: - quote - > immediacy in terms of hours. Your response hasn't seemed > go past expressing concern over the medical expertise > available in your area. Have you even called anyone? > The refering doctor? To tell him they gave you an appointment > for the 28th? The clinic to see if a doctor there is aware of > the condition you were referred for? The local emergency > room to see what they think about it? I got the impression > from the responses here that it's possible that you are hours > away from being permanently blinded. I understand (as a layperson) that it is more like months than hours to permanent blindness. It is a permanent vision loss that should be worried about. That's more a matter of hours. With my first detachment, I called. They wanted to see me *now*. Not tomorrow, not later this afternoon, not after lunch, but right now. I have suffered a permanent vision loss. My left eye sees fine in seeing to the right. However, my nose is in the way. I have to turn my head to see to the right. -- Dan Abel dabel[at]sonic.net Petaluma, California, USA |
| Tags |
| clinic, correct, detached, find, retina |
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