Latest / The Eye Believe Podcast / "Preparing for Eye Enucleation: What You Need to Know"
Transcript
- 0:24Fire drills.
- 0:26We practice
- 0:27because it helps us to know where to go
- 0:29and what to do.
- 0:31If we were to have a fire.
- 0:32However, in the moment, there's a fire.
- 0:35There are motions.
- 0:37Fight or flight,
- 0:38possibly roadblocks to plan.
- 0:40And actually,
- 0:41fire is very different than a drill.
- 0:44Think of the patch training.
- 0:46All of the things like a fire drill.
- 0:49It's not going to be the same,
- 0:51but it will help us all of the emotions.
- 0:54And when it's time comes
- 0:57more constructive as we begin to now.
- 1:00Hey everybody.
- 1:00Welcome back to the Eye Believe Podcast.
- 1:02Today we are joined once again
- 1:04by Tara Workman,
- 1:05who is an ocular melanoma patient
- 1:07as well as a stage
- 1:08four melanoma survivor.
- 1:09And she has a really interesting,
- 1:11way to just talk to you guys about
- 1:13how can you prepare for a enucleation.
- 1:15So, Tara, I'm just going to pass it
- 1:16right over to you
- 1:17so you can talk to us about
- 1:19what should you do
- 1:20if you're prepping
- 1:20for a enucleation surgery?
- 1:23Oh, thank you for having me again today.
- 1:26I'm so excited to be here.
- 1:28this is just something
- 1:30that I put together.
- 1:31I am mentoring patients from Ohio State.
- 1:35If you didn't,
- 1:37learn that in the last episode,
- 1:38you can always go back and listen.
- 1:40this episode,
- 1:41we're going to be diving deeper
- 1:42into what I did
- 1:44to prepare for the enucleation.
- 1:47So I put together
- 1:48this little bit of information
- 1:50and just
- 1:51keeping in mind that, you know,
- 1:53we're all individuals here.
- 1:55So what I might do
- 1:57might not be what you do,
- 1:59because you may have different needs,
- 2:02but it
- 2:03you can even
- 2:04even if you take one idea away from today
- 2:07to say, yes, that idea works for me.
- 2:10Then then we're winning somewhere, right?
- 2:12So we're going to throw out
- 2:14a lot of things that I did.
- 2:15But the goal is to be able
- 2:17to take one thing away. Today.
- 2:19If you are preparing for a enucleation,
- 2:21to be able to support you
- 2:23in that process.
- 2:25So we'll jump right in.
- 2:27I'm so excited for this.
- 2:28I like I wish something like
- 2:29this had existed
- 2:30when I had a enucleation surgery.
- 2:34yeah, this is in it.
- 2:35And when
- 2:36I was going into my enucleation
- 2:38surgery, there wasn't anything.
- 2:40So when I had asked my,
- 2:43ocular oncologist about, you know,
- 2:46was there a mentor program, she was like,
- 2:49no, we we don't have one right now.
- 2:52And I was like, well, why not?
- 2:53Why not, why don't we
- 2:55why don't we have one?
- 2:56So it was a couple weeks
- 2:57after the enucleation
- 2:58where social worker gave,
- 3:00picked up the phone
- 3:01and gave me a call and was like,
- 3:02we had a patient,
- 3:04that is going to be scheduled
- 3:06for enucleation.
- 3:07And we wanted to see if it was okay
- 3:09that we reach out
- 3:10and give her your information
- 3:12to be able to contact you.
- 3:14So that's when I started putting
- 3:15all these things together.
- 3:18I mean, I already had tons
- 3:20of notes in my phone, right?
- 3:22I, I wake up,
- 3:23I have no,
- 3:24I have
- 3:24like 260 notes in my phone
- 3:26of where I journal
- 3:28or write things down
- 3:29or the things that I'm doing
- 3:31throughout this whole process.
- 3:33so it was really just a matter
- 3:34of taking some of these ideas and,
- 3:36and throwing into a presentation
- 3:39so that I can have some type of system
- 3:42or procedure,
- 3:43like some way to monitor
- 3:45what I'm talking through patients
- 3:47with when I am doing that.
- 3:49Mentor process.
- 3:52So this is actually a picture of my
- 3:55a nucleated eye that's on the cover.
- 3:57So this is the I that I had removed.
- 3:59You can see through the picture
- 4:02some of the pigmentation that I that
- 4:04I have in on the outside of my eye there.
- 4:08So that was one of the things that I did
- 4:11that will, we'll talk about
- 4:12as we get into the presentation.
- 4:14So here are some of the things
- 4:16we'll talk about today.
- 4:17Home environment, lighting,
- 4:20some assistive technology,
- 4:22patch training.
- 4:24And I think you could probably,
- 4:27talk about mental
- 4:28health and support
- 4:29in any type of coaching
- 4:31in the medical field
- 4:33and then prosthetics.
- 4:36But first, this is at your request.
- 4:40I had, throw this in there,
- 4:43even though it's not part
- 4:44of my presentation for others.
- 4:47You said
- 4:47I'd love
- 4:48to see the graphs in our last episode.
- 4:51So this is a graph.
- 4:55when I started having floaters
- 4:58that I started tracking.
- 5:01And if you can see, there's,
- 5:03a thin red line.
- 5:05Straight line
- 5:06that's going upwards and a thin
- 5:10blue line.
- 5:11And those are trend lines
- 5:12that I added
- 5:13so that you can see the trends.
- 5:17the duration of the floaters is
- 5:20how many minutes
- 5:21it was happening throughout the day.
- 5:24And the blue line,
- 5:25the frequency of the floaters,
- 5:27is like the amount of incident.
- 5:31So like if it was one, it happened,
- 5:34you know,
- 5:34just when I woke up
- 5:35and didn't happen the rest of the day.
- 5:37And maybe it happened for 6 or 7 minutes
- 5:40and then maybe it happened
- 5:41four times a day,
- 5:42which then
- 5:43lasted a span of over 25 minutes.
- 5:46So this is what I was tracking.
- 5:48And you know this in this November
- 5:50time frame, over here is
- 5:54when I first
- 5:55talked to my doctors about it
- 5:58and they said it was nothing
- 5:59to worry about,
- 6:00and this is how often it was happening.
- 6:02And then you'll see that
- 6:03that gradual
- 6:05increase along this line of how,
- 6:08how many minutes of my day
- 6:10that it was happening
- 6:11and how often it was happening.
- 6:12So this was my data
- 6:14that I was tracking
- 6:15on my own to say, okay,
- 6:17there is something going on here.
- 6:19Like, I,
- 6:20I know that you're saying that right now
- 6:22that this is not something that we,
- 6:24that we are concerned about,
- 6:26but look at this, look at this data.
- 6:28This is what I've been doing on my own
- 6:30to track myself, to see
- 6:32that there's something happened in here.
- 6:34So anyway, I know that's off topic
- 6:36and I wasn't part of the preparing
- 6:39because at this point
- 6:40I didn't even a enucleation
- 6:42wasn't even in my mind.
- 6:43I didn't even know that I had
- 6:46cancer at this point.
- 6:48So this was just
- 6:50this was the preview to the cancer.
- 6:52And this is what led me
- 6:54to kind of push forward and keep pushing
- 6:56I doctors to know
- 6:57that something was going on. Well.
- 7:00And if you are wondering, wondering,
- 7:02and want to listen to Tara's story
- 7:04in depth,
- 7:04where she talks about this
- 7:06and talks about how she started tracking
- 7:08and her journey to being diagnosed,
- 7:10you can actually head to the
- 7:11I believe podcast
- 7:12and you can find her story there.
- 7:14It's one of the more recent episodes.
- 7:15It's only about a month or two
- 7:17behind this one.
- 7:18just for reference,
- 7:19but we will link it in the show
- 7:20notes of this episode as well.
- 7:23All right.
- 7:24So let's get started.
- 7:25So home environment.
- 7:28So this is one of the things
- 7:31I always ask the questions right.
- 7:33I don't
- 7:33I don't say like
- 7:34this is what you need to do.
- 7:36but asking these thought
- 7:38provoking questions
- 7:40to the patients that I'm mentoring,
- 7:42or thinking about these things
- 7:44in my own
- 7:45mind of the things
- 7:46that I needed to do in my house.
- 7:48Do your stairs have a hand handrail
- 7:51or have some type of rail for you?
- 7:53Doing the steps?
- 7:55is there something there
- 7:56that you can hold on to,
- 7:58whether maybe it's a rail,
- 7:59maybe it's a wall?
- 8:00But thinking about those steps
- 8:02in those in those first days,
- 8:04can you add anything non-slip
- 8:07stick grip or neon tape to your stairs?
- 8:11So, I did both,
- 8:14so I actually ordered this
- 8:16tape from Amazon that had nonstick on it
- 8:20and then also had a neon strip down
- 8:23the middle.
- 8:24So in the evening time
- 8:26when the lights were out,
- 8:28if I was walking around the house,
- 8:30and I was going up and down the stairs,
- 8:32I had this nonstick slip resistant,
- 8:36strip on the steps with this neon tape
- 8:39to provide me a better visual.
- 8:42One of the things where
- 8:44we walked around the house
- 8:46my husband, me, my kids,
- 8:48and we looked at are the pathways
- 8:51clear inside
- 8:52and outside of the house
- 8:53of tripping hazards.
- 8:55So one of the things was
- 8:58dog toys in my living room, actually.
- 9:01So I have a puppy and
- 9:03and actually we started to train my dog.
- 9:06My, my daughter is in animal management.
- 9:09They started to train my dog
- 9:11to put their
- 9:12own toys away in their bucket.
- 9:14that would have been a tripping
- 9:16hazard for me,
- 9:17you know, in my blind side.
- 9:19just thinking about,
- 9:21are there
- 9:22things that stick out around corners
- 9:24or around couches
- 9:26or around your bed, places that are high
- 9:29traffic, areas
- 9:31that could cause you to trip,
- 9:33that you might not see
- 9:35unless you know your
- 9:37your focus is in a different area?
- 9:41dark doorways at night.
- 9:44I know one of the things that,
- 9:46I had read about or listened to on
- 9:49the podcast
- 9:50is you might have some bruises
- 9:53on your side,
- 9:54on your shoulder
- 9:55from bumping into the walls.
- 9:58so one of the things I did
- 10:00is I ordered some glove strap right on
- 10:03in all my doorways, and it was eye level.
- 10:06It was actually,
- 10:07from around the top of my head
- 10:10to probably mid arm length,
- 10:13where I put a strip
- 10:15through all my doorways.
- 10:17So walking in and out of the doorways
- 10:19in the evening times,
- 10:20I had this glow strip.
- 10:21Even during the days, it's just a marker.
- 10:24You know, that visual marker
- 10:26of where
- 10:26those doorways are
- 10:27just kind of like your
- 10:28your hazard zone, right.
- 10:30to help you.
- 10:31And that doesn't
- 10:33let me preface with this.
- 10:34That doesn't prevent
- 10:35you from, from sometimes
- 10:37bumping the wall,
- 10:38but it's it's helpful in
- 10:41that if you're doing it
- 10:42in the evening time
- 10:43and it's dark
- 10:44and there's less light for you,
- 10:46some of those things that can help you
- 10:48in those initial stage stages
- 10:50when your body is, is adjusting
- 10:52to monocular vision,
- 10:55are your end
- 10:56tables on your unaffected eye side?
- 11:00So I, I,
- 11:01you know,
- 11:01you think of go to reach for a cup.
- 11:05you know, initially after your surgery,
- 11:10you know, turning, turning your eyes,
- 11:13you get some, some pain there.
- 11:16so I made sure,
- 11:18you know, I moved my furniture around,
- 11:21so I used to have
- 11:24my coffee table to the right side.
- 11:28I had my art, right, I removed
- 11:30I switched my furniture around
- 11:32and put my coffee table to my left side.
- 11:36So when I was reaching
- 11:37for the glass or a cup,
- 11:40if I'm sitting and watching TV
- 11:41or if I put my computer there,
- 11:43they are working at night
- 11:45when I'm reaching for something,
- 11:47I, I have it on my sighted side
- 11:49so that
- 11:50that was helping me
- 11:52with not knocking things over.
- 11:54When you reach for things or just having,
- 11:57you know, that function of being it
- 11:59to my, my sighted side,
- 12:01is you're
- 12:02seeding in a
- 12:03location with the blind side to the wall.
- 12:06So something that I found out
- 12:08really quickly is I had,
- 12:12my blind side to a high traffic area.
- 12:16and this was in my living room.
- 12:21So somebody would walk
- 12:23from the downstairs up, and, man,
- 12:26I would have the be scared out of me
- 12:29because all of a sudden, somebody,
- 12:31like, right up on me.
- 12:33And I had no idea that they were coming.
- 12:35And I don't know if
- 12:36that has ever happened to you,
- 12:39but it can sometimes sneak up on you.
- 12:42So it happens to me all the time.
- 12:44Yeah, it's really all the time.
- 12:45And I jump out of my freaking skin.
- 12:48Yeah.
- 12:50yeah.
- 12:50So, I mean, it takes an adjustment,
- 12:53you know? It's it's it's not as bad now.
- 12:56It's you get adjusted to it.
- 12:57But in the beginning,
- 12:58it was something that really startled me.
- 13:00and then I also positioned myself
- 13:04in meetings
- 13:05at work
- 13:06where the blind side
- 13:07would be to the wall.
- 13:09So when we're talking
- 13:09about our blind side
- 13:10to the wall
- 13:11versus to this open area
- 13:13where there's high traffic,
- 13:14so for me, in a meeting,
- 13:17I go into my meetings early
- 13:19and I always pick the seat
- 13:21with my blind side to the wall.
- 13:23So that way I don't feel like
- 13:25I have a person
- 13:27over here
- 13:28that I even know I'm not ignoring them.
- 13:30Sometimes it feels like I don't see them.
- 13:33So they're they're,
- 13:35you know, it's different in a meeting.
- 13:37Right?
- 13:37So when I'm surrounded
- 13:39at a conference table.
- 13:40So I take that
- 13:41same like blind side to the wall.
- 13:43And I also use it in work
- 13:46that when I show up at meetings,
- 13:48I show up a few minutes early
- 13:50just so I can pick my seat
- 13:52or when I'm in a restaurant,
- 13:55I always will pick the side of the booth
- 13:58where my blind side
- 13:59is to the wall instead of to the server
- 14:03that's coming up
- 14:04to the side of the table,
- 14:05so that blind side to the wall
- 14:08part can go.
- 14:09Not just your home environment,
- 14:11but thinking about
- 14:12once you are start like after you've had
- 14:15your eye removed
- 14:16and you're going out into the community.
- 14:18That's just a tip
- 14:19that can help you everywhere.
- 14:21Really, right?
- 14:22That,
- 14:23that we can put
- 14:24that blind side to the wall and it
- 14:26and it helps
- 14:27us in our social interactions as well.
- 14:31This is genius.
- 14:34additional tips to prepare safety staff,
- 14:37making sure, you know,
- 14:39you remove the rugs
- 14:40that have the ends
- 14:42that could be tripping hazard
- 14:44or maybe don't remove the rugs,
- 14:46but maybe you have
- 14:47some kind of sticky stuff that puts the,
- 14:50the tips of the rugs down.
- 14:52I know that that was
- 14:54one of the things that tripped me up
- 14:56a little bit.
- 14:58purchasing contrasting
- 15:00colored cups for hot liquids,
- 15:04light cups, dark liquid.
- 15:06So that way, you know,
- 15:08you're pouring your coffee,
- 15:09you got a coffee pot in the morning,
- 15:11and you're,
- 15:12you know,
- 15:12if you got a black inside of your coffee
- 15:14and you're pouring your coffee
- 15:15out of your coffee pot.
- 15:16Now, some people have Keurig now,
- 15:18so it doesn't really matter.
- 15:19But if you're a coffee pot user,
- 15:21which my husband and I
- 15:23use coffee pots on the weekends
- 15:25during the week, it's secure
- 15:26and because we're drinking coffee
- 15:27at different times.
- 15:29But, you know, having that contrasting
- 15:33liquid in your cup,
- 15:35I had my husband, he blesses.
- 15:39So he did awesome with this,
- 15:41but we had a set of bushes
- 15:44that sometimes would get crazy growth.
- 15:46And the,
- 15:47the bush
- 15:49bushes would go out into our walkway.
- 15:52And it's never actually been a big deal,
- 15:55because I just love the,
- 15:57the growing and the
- 15:58the nature and all of that.
- 15:59But now when I'm walking up from
- 16:04my groceries or from the hospital
- 16:06or the doctor's appointment
- 16:07or whatever it is, it's sometimes those
- 16:13branches that are there might
- 16:15be sticking out and I might not see them
- 16:18or realize how close they are to me.
- 16:21So we always are making sure
- 16:23that those bushes around
- 16:25all of our walkways outside are trimmed,
- 16:28which I think is very important,
- 16:31especially like in the evening time,
- 16:33if you're, if you're walking in.
- 16:34So if you have any bushes around
- 16:36your walkways,
- 16:37that's, it's
- 16:38a great way to stay
- 16:39safe is cutting those,
- 16:42oven mitts of course we, we all have.
- 16:45We all have, oven mitts. Right.
- 16:47but for me, I,
- 16:51I actually never use them on both hands.
- 16:54I would just grab with one hand
- 16:56and sometimes pull things out.
- 16:58I now I'm a little bit safer about it.
- 17:01Using both both hands.
- 17:03and sure, you have long
- 17:05handled brushes with sharp objects.
- 17:09I don't know if you.
- 17:10Have you ever cut yourself yet on.
- 17:12I chopped the tip of my finger off
- 17:14about three months
- 17:15after I lost my vision, so.
- 17:17Yeah. Yeah.
- 17:19So I have this potato slicer,
- 17:22and you, like, do one of these grates.
- 17:25On the. Potatoes.
- 17:26That's what I did.
- 17:27Yeah, I did the finger up.
- 17:29Ice right
- 17:30the top of my finger
- 17:32slice right off blood everywhere.
- 17:34I mean, it was it was terrible.
- 17:36So like not just the knives
- 17:38but you know, ensuring you
- 17:39have you know,
- 17:40you're using my husband's like you're.
- 17:42Never cutting vegetables again.
- 17:46yeah.
- 17:47Right.
- 17:47That's going
- 17:48to work because I know you're not quite.
- 17:50Yeah, yeah, yeah.
- 17:51Nice try.
- 17:53I like that you're trying to keep me.
- 17:54Safe, but.
- 17:56Well, there's also like a
- 17:57it's like a mitt.
- 17:58You can get like, a glove.
- 18:00And it's actually like a stainless steel.
- 18:02Like, like strongly knitted glove.
- 18:05I don't even know exactly what it is,
- 18:06but it's specifically made to
- 18:08to block a knife
- 18:09or to block a greater block
- 18:11a shredder or whatever you're using
- 18:13so that you can't just
- 18:14accidentally get too close and shave.
- 18:16Or chop. Or whatever.
- 18:18so that might be something to check for.
- 18:20you know, the Amazon place.
- 18:23Yeah.
- 18:23so non-slip mats and and showers
- 18:28and and baths.
- 18:29so this to me is, is super important.
- 18:33I'll tell you about
- 18:35an incident I had actually this last week
- 18:38where I think about when you step,
- 18:41and, I mean, it
- 18:42actually wasn't in a shower or bath,
- 18:43but where you step
- 18:45and you don't step far enough,
- 18:47or you step too close
- 18:49because your depth perception is off.
- 18:51So we have a boat.
- 18:52And this past week,
- 18:54maybe a week and a half ago,
- 18:56I went to step from the boat to the dock
- 19:00and I thought it
- 19:01was, closer than it was.
- 19:03And I missed the dock.
- 19:06And, you know, when you go to step
- 19:07and there's nothing there.
- 19:09So I went straight down into the water,
- 19:12hit my head off the dock,
- 19:15scraped up my arms, and my husband
- 19:18had to kick the boat into reverse
- 19:21and pull it back because I was between.
- 19:25I was like,
- 19:25sandwiched between the Pont,
- 19:27a pontoon boat and a dock.
- 19:30When we're pulling in, I mean,
- 19:32lucky enough,
- 19:32we were just cruising in because
- 19:34we were going to to,
- 19:38dock it.
- 19:39So we weren't going fast.
- 19:41But that was a true incident
- 19:43where I literally was just reaching
- 19:46and didn't step far enough.
- 19:47And I was like,
- 19:48that's the first time
- 19:49my depth perception
- 19:50could have actually hurt me.
- 19:52When I have this 20ft
- 19:53pontoon boat coming at me,
- 19:55I was like yelling to my husband.
- 19:57My my shoes were floating in the water.
- 20:00So the non-slip,
- 20:02slip mats and showers and baths to me,
- 20:05because sometimes you step
- 20:08and you don't you're
- 20:09you're not always stepping,
- 20:12you know, far enough, not far enough.
- 20:14And just being being safe there, that's
- 20:17that's my additional safety.
- 20:20Safety prep there.
- 20:23So any questions on any of those things
- 20:26so far?
- 20:28No, I think so far, that all make sense.
- 20:31I think just those
- 20:32these are just in general,
- 20:33these are all just things that
- 20:35I hope that people
- 20:36who are listening before
- 20:37in actual and affiliation surgery,
- 20:39even if you can't do every single thing.
- 20:41Right.
- 20:41Because, yeah, that happens to our brain.
- 20:43I think some of us get really anxious.
- 20:45We want to overprepare.
- 20:46But even if all you can do
- 20:47is just take 1 or 2 of these things
- 20:49and then just pick
- 20:50the things that you need
- 20:51as they come up, right?
- 20:52Like if you notice
- 20:53you're running into stuff
- 20:54all the time, the night time,
- 20:55then maybe you try to close
- 20:56to the glow strips.
- 20:57Yeah.
- 20:58But I really think this is,
- 21:00this is just, well, so
- 21:01well thought out and like,
- 21:02just so many, you just you really,
- 21:05you really dove in to, like,
- 21:06what is every possible scenario here
- 21:09that I would need to be prepared for.
- 21:11And and it shows.
- 21:13Well, and I will tell you
- 21:14that I didn't need
- 21:15all of these things either.
- 21:17And just like you're saying that
- 21:20you you may not need them
- 21:21all, and I didn't,
- 21:23but the fact that I did all of
- 21:25these things,
- 21:29made me feel so comfortable
- 21:32going into my surgery
- 21:33because I felt so prepared.
- 21:36So, no, you know, that's just,
- 21:40just a mindset
- 21:42shift is like feeling prepared
- 21:45makes you feel more confident
- 21:47of what's going to happen
- 21:48when you come out of surgery
- 21:49and you are monocular now.
- 21:51So if you take it as it is,
- 21:55you can do a couple
- 21:56and that can help you be prepared.
- 21:58And then you can refer back to this list
- 22:00and you could say, okay, I and I know
- 22:03we'll probably attach this
- 22:05to the, to the podcast notes, right.
- 22:07For people
- 22:08to be able to refer to,
- 22:10hey, I am having struggles
- 22:12with bumping into walls.
- 22:13What are some of the things I could do
- 22:15going back to that list to help me out?
- 22:17Yeah, this is absolutely a resource
- 22:19we can make available to people.
- 22:21Right?
- 22:22So in
- 22:22so informally assessing
- 22:24your house and areas
- 22:26that may need additional lighting,
- 22:29are they hallways bright enough.
- 22:31Can I add motion lights to
- 22:34or brighter bulbs.
- 22:35Or maybe I have to light in my bulbs.
- 22:37Maybe they're too bright.
- 22:39I think for me, we
- 22:41we have a really dark hallway.
- 22:44we have kind of a long hallway,
- 22:46and there's only one light in it.
- 22:49So on the other end of the hallway,
- 22:52adding motion lights into the plugs.
- 22:55So when I walked by it,
- 22:56you know,
- 22:57the motion lights
- 22:58would pick up and click on.
- 22:59So I had light in the hallway
- 23:01because the hallway was not lighted.
- 23:04Maybe you have a lighted hallway
- 23:05and it's not something you need, but,
- 23:07you know, just asking yourself
- 23:09these questions
- 23:10to make that informal assessment
- 23:12to see what you need
- 23:14and what you don't need.
- 23:15Do I have blinds in the windows?
- 23:17in places that I might need it
- 23:20to change the,
- 23:21the natural lighting if necessary.
- 23:23Maybe you have
- 23:25sun that's shining in one of your windows
- 23:28every day. Maybe it's really bright.
- 23:31Maybe you don't have light coverings.
- 23:32Maybe that's some place
- 23:33you might need to add blinds.
- 23:35But maybe your
- 23:37your house is on the opposite ends
- 23:39and there it's not getting in in
- 23:42any sunlight.
- 23:43Well,
- 23:44now you've done that
- 23:44informal assessment of your house.
- 23:46So you know that's not
- 23:47something you need to change.
- 23:50under cabinet lighting for kitchen areas.
- 23:53Is that something you need?
- 23:54Do you walk in your kitchen
- 23:56at night for a late night snack?
- 23:58Do your kids, you know,
- 23:59are you in there with your kids
- 24:01or are you trying to be quiet?
- 24:03Whatever. Maybe.
- 24:04Maybe I don't late night snack at all,
- 24:05but I need it at 5:00 in the morning
- 24:08because I'm an early bird
- 24:09and I'm trying not to wake up
- 24:10anybody in the house,
- 24:12so maybe I need some under
- 24:14the cabinet kitchen.
- 24:15Kitchen lighting?
- 24:18maybe I have lampshades
- 24:20or bulbs that I need to reduce the glare.
- 24:24task lighting is huge, right?
- 24:28in in your bedroom, on your couch.
- 24:31If you're not using
- 24:32some of that overhead lighting.
- 24:33Do I have task lighting?
- 24:35Is it enough for my computer
- 24:37or do I need to?
- 24:38I need to help work areas?
- 24:41dimmable lights and light switches
- 24:44if possible.
- 24:45Could be something
- 24:46that you use, lighting for any,
- 24:49any kind of pathways at night outside.
- 24:54I know we added a bunch of
- 24:55solar lights to our our pathway outside.
- 24:59because that was something that we have
- 25:02in all Greystone.
- 25:04so it blends in at the night for me.
- 25:08And and the patterns that it was,
- 25:10was difficult for me.
- 25:12So adding
- 25:13lighting to my pathways at night.
- 25:16So there is also a link,
- 25:19in here
- 25:21for some vision research since
- 25:27you're going to share this tab and said
- 25:29so this is just a link
- 25:31up, I'm getting a pop up.
- 25:33Sorry about that.
- 25:35lighting clocks,
- 25:37eye chart, assistive
- 25:39blue light pitch protection.
- 25:41So this is.
- 25:42Yeah, this is
- 25:44just some of the things
- 25:45that you can see here
- 25:48that there's all kinds of different
- 25:50vision, Aids here,
- 25:53blind or low vision devices
- 25:55for independent living.
- 25:56So that that's just a resource
- 25:58that was linked there.
- 26:01That is incredible.
- 26:03Like, that's such an exhaustive list.
- 26:05Like how neat that
- 26:06there are so many resources available.
- 26:08Yeah.
- 26:09And and I actually got on there and,
- 26:11and the thing that I ordered off there
- 26:13with actually sat on my coffee cup.
- 26:16So I have my coffee cup in the morning
- 26:18when I am using my coffee pot,
- 26:20I stick my, my, gadget.
- 26:24I actually don't know what it's called,
- 26:25to be honest with you.
- 26:26I got it off of this
- 26:28because it's super helpful,
- 26:29so I stick it on the edge of my cup.
- 26:31So when I'm put in my coffee in there,
- 26:33when it gets to the top,
- 26:35or close to the top,
- 26:37it starts to be so I know to stop pouring
- 26:41so that I had purchased that.
- 26:44And that's wonderful for me.
- 26:46You know,
- 26:46when you don't have
- 26:47one of those contrasting cups,
- 26:49if that's one of the
- 26:50the things that your depth perception
- 26:53has changed for you.
- 26:54So there's a lot to
- 26:55resources on on there
- 26:56for low vision product.
- 26:59All right. Assistive technology
- 27:02I mean
- 27:03on your iPhone or your Samsung device,
- 27:06whatever you use
- 27:08there's always a place
- 27:10for assistive technology.
- 27:12I think one of the things that,
- 27:15you know,
- 27:16I don't know
- 27:16if anybody uses their phone
- 27:18or their email for work
- 27:20or anything like that.
- 27:21I know phones are widely used now, right?
- 27:24And we do a lot from our phones.
- 27:26There's an accessibility feature
- 27:29on your phone,
- 27:30and when you go to the
- 27:32accessibility feature, then you can look
- 27:35for all of the audio and visual features.
- 27:41And when you go to the audio
- 27:42visual features
- 27:44that can help you decide what
- 27:48what assistive technology that you need.
- 27:51Do you need your font to be bigger?
- 27:53So your, your one eye is not straining?
- 27:57do you need it to be bolder?
- 27:59do you need it to be smaller?
- 28:01I don't know, there
- 28:03there could be many things
- 28:04that you could use in
- 28:06that's the one thing that I made sure
- 28:09that I did is
- 28:11I actually went through the features
- 28:13one by one.
- 28:15So by doing the the,
- 28:18the vision settings one by one,
- 28:20I was able to say, okay,
- 28:21what change did this make?
- 28:24And then once that change was made,
- 28:27I looked to see what it did.
- 28:29And then I would turn that feature off,
- 28:31and then I would
- 28:32in turn the next feature on to explore
- 28:35what it did to the phone.
- 28:37And then I turn it off and so on.
- 28:40So I went through all of the features,
- 28:42so I didn't change anything on my phone
- 28:45at that time
- 28:46because I didn't know what I would need.
- 28:49So I just explored the features.
- 28:51So I felt prepared.
- 28:53And if I needed something,
- 28:56then I would be able to
- 28:59then go back and say,
- 29:00okay, this is what I need.
- 29:02I need it to be bolder.
- 29:04so here's how I
- 29:06here's here's
- 29:07where I need to go to make it bolder.
- 29:09Because sometimes
- 29:10when you explore
- 29:11multiple of those features,
- 29:12you're not sure what you need and
- 29:14and what's going to be good
- 29:16for you at the time.
- 29:17So I just took a few minutes
- 29:19and it doesn't take long
- 29:20to to explore all of those features.
- 29:24I also
- 29:25I put in here there are some apps,
- 29:30for low vision
- 29:31that you can look through.
- 29:34this is another,
- 29:37another thing that I linked in
- 29:39to the presentation.
- 29:40So any of these could be things that you
- 29:44you might want to look into or explore
- 29:48on your, on your apps.
- 29:55There's there's so many things.
- 29:57So I would say
- 29:58at least just start with the phone
- 30:00and the accessibility there.
- 30:02And then you could explore
- 30:03the apps apps later if needed.
- 30:07Just
- 30:08any any questions?
- 30:11I have a couple.
- 30:11So you see all of the different options
- 30:14like just to see what's available.
- 30:15I think the key thing
- 30:16we maybe want
- 30:17just people listening
- 30:18to take away is like, okay,
- 30:19this is a lot of information,
- 30:21take what works for you
- 30:23or just know that it's here
- 30:24and you can come back to it,
- 30:25because you may not feel like
- 30:27you have the capacity to, like, explore
- 30:29all of these options right now.
- 30:30Maybe all you do is you try one
- 30:32and that's it.
- 30:33but just maybe utilize
- 30:35this, bookmark
- 30:35this, this episode
- 30:36as a resource that you can come back to.
- 30:38You can explore the presentation
- 30:40Tara is presenting here.
- 30:41And just,
- 30:42you know, just know that you
- 30:43can come back to this.
- 30:46100%.
- 30:47So this one requires no resources, right?
- 30:50Except maybe a patch
- 30:51or some kind of bandana.
- 30:53And, you know,
- 30:54this is something
- 30:55that I will take out of Clay's playbook.
- 30:59Kit, playbook.
- 31:00Butler had talked about patch training
- 31:02is that I'm pretty sure he did.
- 31:06so
- 31:08to me, patch training,
- 31:10is like a fire drill, right?
- 31:12It's.
- 31:13And that's how I described it.
- 31:14In here,
- 31:15we practice it
- 31:16because we help us know where to go
- 31:19and what to do if we need a fire.
- 31:22It's completely different.
- 31:23When you have the fire.
- 31:25There's emotions, there's crazy chaos.
- 31:29There's phone calls
- 31:30being made to emergency services
- 31:33and all of the things
- 31:34that are happening around us.
- 31:37But and that's
- 31:38what it's going to feel like maybe when
- 31:40when you have your eye removed, there's,
- 31:43you know, your
- 31:44you have doctor's appointments,
- 31:46you have check ups.
- 31:47You, you know, you have that,
- 31:48you wake
- 31:48up, you have this
- 31:49tennis ball thing on, on your face,
- 31:52you know, it's a little bit of the fire.
- 31:55You're being thrown into the fire.
- 31:56So whenever we think about patch
- 32:00training, it's not, you know,
- 32:03it's not going to change
- 32:04all of the, the emotions and things.
- 32:07But what it is going to do is it's.
- 32:11It's.
- 32:11Going to help you
- 32:12be more calm in the moment.
- 32:15as you begin to navigate
- 32:19the new world that you're in.
- 32:21So patch
- 32:22training for me,
- 32:23like your brain's not set up.
- 32:25You know, your brain set up for two eyes.
- 32:29and so when you cover it with a patch,
- 32:31you know, it's nothing like what it's
- 32:34going to be like
- 32:35when you're actually monocular.
- 32:37But I will tell you, when I did it,
- 32:39I went outside in the dark, I,
- 32:43I realized I put it on,
- 32:45I walked down my driveway,
- 32:47I went
- 32:48for a walk with it on, and I was like,
- 32:50double checking myself.
- 32:51was I step in too close
- 32:53to the side of the road?
- 32:55Was I step in too close
- 32:56to the middle of the road
- 32:57when I was taking a walk?
- 33:00when I was walking down
- 33:00my driveway at night,
- 33:03I had to turn my head all the
- 33:05way to be able to, like,
- 33:07listen to the noises of the crickets
- 33:09in the dark.
- 33:09You know, when I hear a rustling and,
- 33:12you know,
- 33:13was there a rabbit or whatever
- 33:14it is, and you look,
- 33:15but you have to turn all the way.
- 33:18So it's really it it's really just about
- 33:22practicing for the fire,
- 33:24just like we do a fire drill.
- 33:27So that's that's genius.
- 33:28That's literally
- 33:29like the best way I've ever heard it.
- 33:31But like.
- 33:33Well.
- 33:33I, I work in a school.
- 33:35So that's how, you know,
- 33:36I equate the fire drills
- 33:38preparing kids, right,
- 33:39where
- 33:40you never actually getting
- 33:41the emotions of the fire.
- 33:43But it's the preparation
- 33:44and the muscle memory
- 33:46of when the fire comes. What do I do?
- 33:51So patch training
- 33:52is is another one of those
- 33:55right strategies to to support
- 33:58mental health.
- 33:59staying connected.
- 34:02You know,
- 34:02this is one of the most important pieces
- 34:04staying connected with people.
- 34:06connecting with joy.
- 34:08I know in our last episode,
- 34:09I talked about staying connected
- 34:11to Joy, doing the things that
- 34:14are important to you
- 34:16and that bring you joy.
- 34:17Whether you're a golfer,
- 34:19whether you like to walk in nature,
- 34:22whether you just like going out to dinner
- 34:26to certain places,
- 34:27whatever it is that brings you joy,
- 34:29make sure you continue
- 34:31to do those things.
- 34:33and staying connected
- 34:34with a positive mindset and gratitude.
- 34:37I mean, for me,
- 34:38it was never really about.
- 34:40And that's again, this
- 34:42my personal journey and
- 34:43and piece in my story that I'm sharing.
- 34:46It was never really about the fact that,
- 34:49losing, the sight of one of my eyes.
- 34:53It was, I never really focused on that.
- 34:56I was focusing on, like,
- 34:59kicking cancer's, but, like,
- 35:01this is coming out.
- 35:02I am going to do the thing,
- 35:05and I'm going to stay alive.
- 35:06And that's what's important to me.
- 35:08I'm not worried about losing that.
- 35:10I. Because I'm still alive.
- 35:11I'm still here,
- 35:13and I'm still living for my kids.
- 35:15I'm still going to work every day.
- 35:19I'm still impacting the lives of others.
- 35:21Like staying
- 35:21connected to the things
- 35:23that you are thankful for,
- 35:25not the things that you know,
- 35:27the thing that you're losing,
- 35:29the safe thing,
- 35:30you know,
- 35:31just stay connected to those things
- 35:33you have, not what you don't have.
- 35:35So I know that's that's sometimes
- 35:37hard to do.
- 35:38It's easier said and said than done. But,
- 35:42that's, that's
- 35:43that's what I do every day
- 35:46being active.
- 35:48in the things that you
- 35:50that you enjoy again,
- 35:52meeting with homies for support, rest,
- 35:55relax, cessation techniques,
- 35:57sleeping, meditation,
- 35:59all those things are to support, mental.
- 36:03Health.
- 36:05And I think one of we have
- 36:08another slide here that I would say,
- 36:12you know, hospital resources
- 36:14are are really important.
- 36:16Talking with your doctor
- 36:17if you are struggling with anxiety
- 36:21or depression, you know, this
- 36:25this journey is different for everyone.
- 36:28And a lot of times,
- 36:31you know,
- 36:32there are people that do struggle
- 36:33with that anxiety and depression.
- 36:35So if you are in a place,
- 36:37make sure you're reaching out to your
- 36:40to your care team
- 36:41and making them aware of that.
- 36:47do you have anything else to add there?
- 36:50I, I just, I mean,
- 36:51I just for a second that
- 36:52I think that if you need the support
- 36:54or even if you think you
- 36:55might need it in the future,
- 36:57it's always
- 36:58it's always
- 36:59something that is worth
- 37:00pursuing for sure.
- 37:02And when I think about this.
- 37:05So the reason why I'm saying, saying
- 37:08this is
- 37:08if you need other support
- 37:10to make sure you reach out for
- 37:12it is
- 37:12one of the things that my doctor
- 37:14had shared with me was that sometimes
- 37:18people go through a grieving process,
- 37:21after a enucleation,
- 37:24and they equate the grief
- 37:25grieving process of losing the eye,
- 37:29to the grieving process
- 37:31of losing a loved one.
- 37:33And you go through the stage
- 37:35stages of grieving,
- 37:38that part of your body.
- 37:40I personally never had that
- 37:44and never went through
- 37:45that grieving process
- 37:47and never experienced anything like that,
- 37:51because I do believe it's partly
- 37:54because I worked so hard
- 37:55in the preparation area,
- 37:57and I was very comfortable
- 37:59with all of the things that I was dealing
- 38:02with,
- 38:03and I never had that
- 38:04anxiety or depression
- 38:06or any of those things,
- 38:08that I needed support with.
- 38:11But it's okay if you do.
- 38:13It's normal if you do.
- 38:16there's there's nothing to be ashamed of.
- 38:19If you do need that support.
- 38:21So keeping that in mind
- 38:24is that if you do need that support,
- 38:26please, please, please
- 38:27reach out
- 38:28and stay connected to the community.
- 38:30Stay connected to your health team.
- 38:32because the mental health
- 38:33piece is so important.
- 38:35And if you are
- 38:36if if you do go through
- 38:38that grieving process,
- 38:39there are people there
- 38:40to support you in that.
- 38:43Absolutely.
- 38:45the last thing to talk about
- 38:47is the prosthetic,
- 38:49ensuring that you study the process
- 38:52so you know what to expect.
- 38:56researcher Oculus
- 38:58so you feel comfortable with them.
- 39:01I think that is one of the things
- 39:03that was really important to me.
- 39:06We did
- 39:06we did talk about this
- 39:08a little bit in our first episode.
- 39:10Is making
- 39:11the decision
- 39:12of whether you want to have a fun eye
- 39:15or you want to have your,
- 39:18you know,
- 39:18along with your with your look like I,
- 39:22I did a photo shoot of the
- 39:26of both
- 39:27my eyes together from multiple angles.
- 39:30I did a photo shoot with just the that
- 39:33I so I could have it to remember.
- 39:36those are things that I did for me to,
- 39:39to have a memory of,
- 39:43So those are just little tips.
- 39:45But the prosthetic is definitely part
- 39:47of the healing process, right?
- 39:49Because now we're weeks after surgery
- 39:52and we're probably ready
- 39:54to see what we're going
- 39:56to look like moving forward.
- 39:57Well, you know, feeling
- 39:59like we're whole again
- 40:00because we have a prosthetic.
- 40:03so whatever your personal preference
- 40:05is, if it is an empowerment eye,
- 40:07studying the person
- 40:09where you want to get
- 40:10that empowerment I or I from,
- 40:14maybe it is the lab that's local to you.
- 40:17Maybe it's not.
- 40:19So this part is like the last piece
- 40:22to the puzzle.
- 40:23After you have your eye.
- 40:25It's it's almost like closure, right?
- 40:27It's like that closing piece.
- 40:29I've.
- 40:30I've made it through the process,
- 40:33I survived it.
- 40:34I'm moving on
- 40:36because I got my prosthetic.
- 40:38So that's really important to be able to
- 40:41to be able to make this your own
- 40:44and do whatever suits your needs.
- 40:49I have a question.
- 40:50Yeah, yeah.
- 40:51So on this, this piece of right,
- 40:53you know,
- 40:54adjusting to having your own prosthesis,
- 40:56having it made
- 40:56in the way that it makes sense to
- 40:58you be it
- 40:58a look alike
- 40:59or an empowering eye
- 41:01that is kind of more fun and cool.
- 41:02I am curious,
- 41:04do you think that, the people
- 41:06that you've met and mentored,
- 41:08that having some level
- 41:09of personalization,
- 41:10whether it's like a tiny tattoo
- 41:11on, like the look, a lot of eyes,
- 41:13but I've seen a lot of
- 41:14or having something
- 41:15that is a glitter eye or,
- 41:17you know, just done
- 41:18intentionally different.
- 41:19Do you think that the mental health
- 41:21of the patients that you've seen
- 41:22go through enucleation
- 41:23and choose to do
- 41:25that is better or the same, or,
- 41:28you know, just not as good?
- 41:29have you noticed the difference
- 41:31in the patients you've mentored?
- 41:33I would say their confidence level
- 41:35and feeling comfortable
- 41:37with their prosthetic, is impacted
- 41:41at least by ten, right?
- 41:43If if they're feeling confident
- 41:45with the way that their,
- 41:47their prosthetic looks that is impacting
- 41:50their mental health tenfold.
- 41:54yeah, absolutely.
- 41:55I mean, there's
- 41:56nothing like
- 41:58looking at yourself in the mirror
- 42:00and not feeling comfortable,
- 42:04with the way that you look at yourself
- 42:08or you look at your eye,
- 42:09or if you feel like you're
- 42:10looking in the mirror
- 42:12and you're
- 42:12reminded every day of this negative piece
- 42:17where you're not comfortable,
- 42:20that that can be long term trauma,
- 42:23you know?
- 42:23So when I look in the mirror at myself
- 42:27and I look at my empowerment,
- 42:28I, I'm excited
- 42:31because I am for staying true to myself
- 42:35and being who I am by, you know,
- 42:38shaping myself
- 42:39with the type of
- 42:40I that I'm wearing every day.
- 42:43and I think that goes for I don't think
- 42:46I shouldn't say the words think,
- 42:48because that's a guess.
- 42:49I know that
- 42:50I have been told
- 42:51that it is very empowering.
- 42:55to to have that confidence in
- 42:57yourself when you get your prosthetic
- 42:59and you feel comfortable with it.
- 43:01I, I did me
- 43:02so actually,
- 43:03I came across the person,
- 43:05that she actually does my hair
- 43:08now, so she,
- 43:10she has a prosthetic eye,
- 43:11she's monocular.
- 43:12She's from she's from the community.
- 43:15And I found her.
- 43:17She's about a 45 minute drive.
- 43:19So I drive there to to get my hair done
- 43:21because I'm supporting
- 43:22my monocular friends.
- 43:24but I go to her,
- 43:27and she told me about an experience.
- 43:30She actually went to the to a lab
- 43:33that I had been referred to,
- 43:34that I chose not to go to,
- 43:36and she had a very uncomfortable
- 43:40experience at the lab,
- 43:43and she was not comfortable
- 43:45with her prosthetic eye.
- 43:46And she, in the long
- 43:49term,
- 43:50ended up going somewhere else
- 43:51to get an eye,
- 43:53a prosthetic new prosthetic eye.
- 43:55And in that time,
- 43:56where she went to somebody else,
- 43:58it made a world of difference for her.
- 44:01because now she felt much
- 44:03more comfortable with herself and her eye
- 44:07when she looked in the mirror.
- 44:09So that is just one specific example
- 44:11that I have.
- 44:12If I knew how much it impacted her
- 44:15not to have a prosthetic,
- 44:17that she was comfortable.
- 44:19Oh, that's so impactful.
- 44:21and and it makes a difference,
- 44:23right, to have the opposite experience
- 44:25and be able to share that.
- 44:26Like for you
- 44:26to have had a good experience
- 44:28with your ocular rest
- 44:29and to then be able to refer people
- 44:31you mentor
- 44:31locally to that
- 44:32ocular is based on
- 44:33that experience feels so good.
- 44:36I'm like,
- 44:37I mean, just knowing
- 44:38from referring people myself,
- 44:39I would bet that
- 44:39it feels so good for you too.
- 44:41Yeah, yeah it does.
- 44:43So absolutely.
- 44:44All of this, in summary, to say is
- 44:47you can do all of these things.
- 44:49You can do one. You can do none.
- 44:51This is your journey
- 44:53and you need to make it
- 44:54what you want it to be.
- 44:55These are all just tips,
- 44:57you know, from my self
- 44:58that has gone through the process.
- 45:01I know many, many other people
- 45:04have been through this process
- 45:06and probably
- 45:06have even additional things to share.
- 45:09So make sure that you're,
- 45:10hopping on these podcasts
- 45:12because like I said,
- 45:13I listen to over 40 of them, so it's
- 45:16definitely
- 45:18something a way to educate yourself.
- 45:20So I think making
- 45:23making whatever
- 45:24you need to make out
- 45:25of your journey, please,
- 45:26please do that
- 45:27and just know
- 45:28that, you know, there's
- 45:29lots of available
- 45:30resources out there for you
- 45:33all.
- 45:34Tara, this has been fantastic.
- 45:36Do you have a minute
- 45:36that we could just give you
- 45:37a couple questions? Sure, sure.
- 45:40Okay, so my first question is,
- 45:42as far as ocular melanoma
- 45:44specifically goes,
- 45:45were there any support
- 45:47groups that you utilized?
- 45:48You mentioned support groups
- 45:49and like kind of
- 45:50reaching out to your community,
- 45:51did you specifically reach out
- 45:52to just local people or,
- 45:54and, you know, as
- 45:55you found them,
- 45:55or did you also find
- 45:57some online community?
- 45:59So I went to Tuesday
- 46:02night for with insurance site.
- 46:05and then I got into some Facebook groups
- 46:10and in those Facebook groups,
- 46:12there's a one eyed Facebook group,
- 46:14that I had joined in ocular melanoma.
- 46:18So there are a couple
- 46:19Facebook communities
- 46:20out there for online.
- 46:23those are,
- 46:24you know, ones that I had shared
- 46:25play was in one of them.
- 46:27There's multiple out there
- 46:29to choose from.
- 46:30I don't know the names of all of them
- 46:32because there are multiple,
- 46:33but I joined a couple of those
- 46:36to to stay connected to the community.
- 46:39So I think
- 46:41and then again
- 46:42Ohio State, now I'm mentoring with them.
- 46:45So that's a whole nother
- 46:46community through my, my local area.
- 46:49So making
- 46:50sure you reach out to the hospitals
- 46:52and seeing if they have anything
- 46:54that they already have in place,
- 46:56you have adherence, right?
- 46:58And then you have lots of kind
- 46:59of social communities on social media.
- 47:04So good.
- 47:04Okay.
- 47:05This this is something
- 47:06that I didn't even
- 47:07really fully think about.
- 47:08And I don't know
- 47:09if this is even something
- 47:10you've thought about.
- 47:11but insurance and prosthetic eyes.
- 47:15Have you ever talked to the people
- 47:18you mentor about, like,
- 47:19anything that you needed to do
- 47:20ahead of time to prep
- 47:22for trying
- 47:23to get insurance to cover your eye?
- 47:24Or have you just found that,
- 47:26you know,
- 47:26it was your experience
- 47:27that you just had to pay cash for it?
- 47:29So I actually didn't have to pay cash
- 47:31for it. So,
- 47:34insurance for me, I actually did
- 47:36some of my own research.
- 47:38And that's a great question
- 47:39because I've never actually had anybody,
- 47:41ask me that question.
- 47:43I was told by my ocular oncologist
- 47:47that I would probably have to pay part
- 47:49out of my pocket,
- 47:50and then get reimbursed for
- 47:52for some of it.
- 47:54but I reached out as soon as I had
- 47:56my enucleation scheduled,
- 47:58and I and I chose my Oculus.
- 48:00I reached out to my Oculus right away,
- 48:03and I got on to the calendar
- 48:06for scheduling,
- 48:07and I worked with their team
- 48:10and they already sent pre authorization
- 48:13from the Oculus to my insurance company.
- 48:17So it was rolling.
- 48:19before before I got before
- 48:22I even got there
- 48:24to get fitted for the eye.
- 48:26So I actually had nothing
- 48:28coming out of my pocket.
- 48:29So my tip would be is
- 48:31as soon as you know,
- 48:32you're having that, that
- 48:34a enucleation piece
- 48:35and you've chosen
- 48:36your oculus
- 48:37is to reach out to whoever it is.
- 48:40Now my phone I so your insurance
- 48:43usually pays for that initial eye
- 48:45and in any eye after that.
- 48:47So my phone I pay out
- 48:50I paid out of pocket for but you know,
- 48:53I had that initial cost
- 48:54for my first eye that was covered.
- 48:56And then I paid $500 for another phone.
- 48:59I but,
- 49:01you know,
- 49:02according to some of the other things
- 49:03that other people pay out of pocket,
- 49:06I didn't feel like it was that bad,
- 49:08but it was something
- 49:08that my family and I had planned for.
- 49:12going in.
- 49:12We actually planned
- 49:13because at my ocular oncologist
- 49:15told me
- 49:16that I would probably
- 49:17have to pay out of pocket
- 49:18and being reimbursed,
- 49:20so when I didn't,
- 49:21I was like, oh, this is like a party.
- 49:23Like, I'm excited.
- 49:25But I would definitely
- 49:26that tip would be
- 49:27as soon as you find out,
- 49:29get, you know, get paperwork going,
- 49:31get on the schedule, get get scheduled,
- 49:34talk to there.
- 49:35there
- 49:36medical claim people
- 49:37and their insurance people
- 49:38to get that ball roll
- 49:39in as soon as you can
- 49:40so that maybe
- 49:41we will hopefully reduce the amount
- 49:44you have coming out of your pocket.
- 49:46Now, that's such a good point.
- 49:48Okay,
- 49:48I think this is probably
- 49:49my last question.
- 49:50And then we'll wrap it up
- 49:51and let people
- 49:51just get back to their days.
- 49:53but I am wondering
- 49:55when you had your eye on nucleated.
- 49:57Usually what happens after that is
- 49:58you have a conformer, right?
- 49:59So that's that like bubble eye that they,
- 50:01they put that temporary piece
- 50:03in that holds the socket open.
- 50:05Did you have the same size
- 50:07Conformer the whole time?
- 50:08or did you see your oculist
- 50:11and find that it was better fitted
- 50:12after you saw your oculist
- 50:14before you even had that I made.
- 50:16So I had my conformer made,
- 50:19and then my ocular oncologist
- 50:23actually offered me to say,
- 50:25do you want a painted conformer?
- 50:28so she came in and she was like,
- 50:33here are the colors
- 50:34that we have to choose from
- 50:36for your painted conformer.
- 50:38So she said, you know, insurance
- 50:40doesn't pay for the painted conformer
- 50:42you would have to pay.
- 50:43I think it was $120
- 50:45or something like that.
- 50:46But we could order
- 50:47you a painted conformer
- 50:49so you didn't have to have
- 50:50to clear one in
- 50:51until you get your prosthetic.
- 50:53So I did the thing
- 50:54I ordered the painted conformer,
- 50:57and when I ordered the painted conformer
- 51:00and I put it in,
- 51:01it was a different size
- 51:03from so from the clear conformer.
- 51:06And it was very uncomfortable for me
- 51:10the size that it was.
- 51:11And so the painted conformer
- 51:15that was ordered for me,
- 51:16I didn't end up wearing
- 51:18because of the discomfort,
- 51:19and I ended up
- 51:20keeping the clear conformer in
- 51:22and putting it back in,
- 51:23because that's
- 51:24what was comfortable for me.
- 51:26and then I kept that clear.
- 51:27Conformer for the rest of the time,
- 51:30I will say,
- 51:30I do want to add this
- 51:31one, this one other tip.
- 51:34because this wasn't in there.
- 51:35One of the things
- 51:36that I had learned after,
- 51:38and I'm sure you probably know
- 51:39this is immediately
- 51:41after when you have your eye removed.
- 51:46when you move your eyes
- 51:49and you kind of look,
- 51:50that's when you feel the pain.
- 51:52That was really the only pain
- 51:53that I had is
- 51:54when I was looking
- 51:55to the side or whatnot.
- 51:57So things that I did,
- 51:58I tried to move things at eye level,
- 52:01so I wasn't like up and down,
- 52:03but one of the things that I did is,
- 52:06if I had to look at something to my left
- 52:09or my right, I would close my eyes,
- 52:13turn my head,
- 52:14and then open my eyes to look so that me
- 52:18trying to move my eye
- 52:20to the left or right,
- 52:22didn't cause a lot of pain.
- 52:24So in the first couple
- 52:25days, that strategy of closing your eye,
- 52:28turning your head
- 52:29opening and looking,
- 52:30and I know that seems
- 52:31kind of difficult tonight.
- 52:32I have I have to do that all the time.
- 52:35So that would be my biggest tip of
- 52:37like when you come out of surgery.
- 52:39I didn't, I wasn't prepared.
- 52:41nobody told me
- 52:42that I was going to have that
- 52:44that initial pain, like moving
- 52:46and looking around
- 52:47that room was going to be painful for me.
- 52:50so that was one of the things I,
- 52:54would maybe.
- 52:54Practice.
- 52:56Because it's not natural
- 52:58to close your eyes
- 52:59and turn your head
- 53:00and open your eyes to look.
- 53:01The natural thing
- 53:02is, I'm just going to look to the side
- 53:05or I'm going to look.
- 53:06I'm going to look to the left.
- 53:07I'm going to look to the right.
- 53:07I'm going to look down.
- 53:09You know,
- 53:09that's the natural thing
- 53:11that we don't turn our
- 53:12our head for everything.
- 53:13We just turn our eye.
- 53:15and that's when you get the most pain.
- 53:17So practicing that like it could be
- 53:20when you do your patch training or,
- 53:24you know,
- 53:24something like that,
- 53:25that you're practicing
- 53:26for the fire again. Right.
- 53:28We're we're back to the fire drill.
- 53:29So I'm going to practice
- 53:31doing some of those things
- 53:33because it's it's
- 53:34not a natural thing that you do.
- 53:36So it will definitely help with the pain
- 53:39when you come out of surgery.
- 53:40So that's another tip
- 53:41that I probably need to add
- 53:43into this slide show for people is like,
- 53:45when you come out of surgery,
- 53:46here are some tips for
- 53:48right when you come out of surgery.
- 53:51Well,
- 53:51all things
- 53:52considered, I felt like this
- 53:53as far as just things
- 53:54you can do to prepare.
- 53:55I'm like you said,
- 53:56kind of the point
- 53:57of this
- 53:57whole presentation
- 53:58that when you made this mentoring program
- 54:00or kind of started,
- 54:01this was to help people duplicate
- 54:04some of the process of what you did
- 54:05and to just mentally
- 54:07prepare a little bit more,
- 54:08maybe not,
- 54:09so that you could actually do
- 54:10all of these things
- 54:11or even need all of them.
- 54:13But it was more of that mindset
- 54:14of feeling
- 54:16like you said, like the fire drill.
- 54:17Like it just helps
- 54:18you feel like,
- 54:19okay, this is a little bit
- 54:20more muscle memory.
- 54:21And now I can think logically through
- 54:23what I'm experiencing.
- 54:24I felt like that was such
- 54:25a good way to explain it.
- 54:26So the fire drill analogy,
- 54:28like absolute chef's kiss,
- 54:30and just for like reference
- 54:32for anybody listening to this podcast,
- 54:34we do have a couple of enucleation panels
- 54:36that I'm sure Tara has listened to.
- 54:38And those are enucleation panels,
- 54:40multiple patients
- 54:41talking about things
- 54:42like things to prepare for pain
- 54:43and just kind of
- 54:44what was the surgical pain
- 54:45like and how long did it last?
- 54:47So if you're interested in listening
- 54:49to those podcast episodes,
- 54:50we will link them in the show notes.
- 54:52and they have people like Clay.
- 54:54And then there's,
- 54:55you know,
- 54:55a host of other patients
- 54:56like Tara who have awesome things
- 54:58to share with the community.
- 55:01Thank you
- 55:01so much for having me back again today.
- 55:04You're so welcome, Tara.
- 55:05This was fantastic, I loved it.
- 55:07I love the hat.
- 55:08And like, seriously,
- 55:09this was so much fun.
- 55:10It's such a style.
- 55:11Like it's such a style.
- 55:13as we wrap it up, you guys,
- 55:15I just want to thank you
- 55:16again, our listeners,
- 55:17for being here, for tuning in to the
- 55:18I believe podcast.
- 55:19If you wanted to catch those zoom nights,
- 55:21we do have those Tuesday nights at 7 p.m.
- 55:24eastern time.
- 55:25You can find the link on social media,
- 55:27on our Facebook page
- 55:28at a Cure Insight
- 55:29or Instagram Addiction site.
- 55:31And as always,
- 55:32if you'd like to join the newsletter,
- 55:33stay in the know.
- 55:34With anything going on,
- 55:35you just make sure to head to appearance.
- 55:37I talk and hit the button at the top
- 55:39that says join the newsletter.
- 55:40We'll see you guys next time.
- 55:41Thanks for tuning in. Just.