The Casual Blog

Tag: Dr. Mruthyunjaya

Eye surgery, yet again, and some bluegrass and big cats

Looking southeast at dawn, September 29, 2013

Looking southeast at dawn, September 28, 2013

On Monday at 5:15 a.m. Sally took me over to Duke Eye Center in Durham. It was my third eye operation in the past 10 months, and the routine was familiar. Again the hospital gown didn’t quit fit, and again they checked the various systems (temperature, blood pressure, reflexes, etc.). There were several checks to make sure they were working on the right eye – that is, the left – and checks to make sure I had no allergies or other ailments. As my preop nurse observed, I was a very healthy man, except for the eye.

The operating room was cold. I asked my nurse anesthetist if this was purely for hygiene, and she said it was also good for the surgeons not to get too hot. That sounded reasonable – I wouldn’t want them dripping sweat. As they got me situated and draped my face, I asked if they were planning to listen to music (which they did last time), and someone asked if I cared to hear anything in particular. I said that some Brahms would be good. There was no reaction, which I think meant this was not a choice they expected. Anyhow, there was no Brahms, or anything else. This was mildly disappointing, but at least they didn’t put on anything awful.

It is odd to be conscious when there’s work going on inside your eye. I could hear everything, and feel movement, but it was not painful. From time to time they asked how I was doing, and I gamely said, good, good. The surgeons’ comments mostly related to the job at hand, and there were no indications of unusual difficulties. The surgery took almost two hours. The nurse anesthetist held my hand, which I appreciated.

Dr. M and me

Dr. M and me

At my check up the next morning, Dr. Mruthyunjaya said that things had gone well both for the retina repair work and the cataract removal and lens replacement by Dr. Vann. My performance on the eye chart was not good (couldn’t see any letters), but I could distinguish one finger from two at three feet. It will be some weeks before healing is complete and it’s clear how much vision I’ll have in the left eye. I’ve gradually come to terms with the likelihood that it won’t ever be the same. There’s an irregularity in my macula that’s here to stay. I’ll cope.

Dr. M also enjoined me from vigorous exercise for two weeks. I tried bargaining about this (how about just the elliptical?) but he held firm. And so I missed yoga on Tuesday, my regular gym workout on Wednesday, my personal training with Larissa on Thursday, and my spinning class on Friday. I missed the movement, the stress, the relaxation, and the pleasant endorphin effects afterwards. And I missed my teachers, classmates, and adjacent strangers. The activity and the people are a part of me, and I look forward to getting them back.
13 09 27_4669_edited-1
On Saturday I drove out to Cary and took some pictures of ducks at Bond park, then came back to Raleigh for a walk through the IBMA festival, which we’re told is the biggest bluegrass conclave on the planet. We’re on a run in Raleigh with street fairs – in previous weeks we’ve had motorcyclists, SparkCon, and the Hopscotch music festival – and its great to see all the activity. For me, a little bluegrass goes a long way, but it was nice to hear a little, and do a bit of people watching.
13 09 28_4633
13 09 28_4616
13 09 28_4641

On Sunday, we drove out to Chatham County to Carolina Tiger Rescue, where we saw tigers, lions, cougars, servals, and caracals, as well as an ocelots, a bobcat, a binturong, and kinkajou. It was worth the trip. They were beautiful animals.
13 09 29_4684_edited-1
13 09 28_4725_edited-1

No illusions, but not disillusioned

DSC_0034
At my post-surgery eye checkup on Thursday, after being scanned, poked and peered at, I was happy to hear Dr. Mruthyunjaya declare, “I like what I’m seeing.” My retina was back where it was supposed to be. This doesn’t mean everything will be just fine. Vision in my left eye is quite blurry now, and it will be some months before we’ll know how much there will finally be. The likeliest answer is substantially less than before. But as Dr. M’s fellow, Dr. Martell, pointed out, even if there’s a lot of blur, it could still help with peripheral vision, and serve as a backup in the event of a right eye catastrophe.

Anyhow, it is what it is. The Nigerian novelist Chinua Achebe died this week at age 82. I have not read his work, but the Times obit made me think I might like it. It quoted Nadine Gordimer as saying he was “a writer who has no illusions but is not disillusioned.” A good way to be.

I was also happy that Dr. M cleared me to resume exercising, though he suggested I wait another week before my next killer spin class. So early Friday morning, my usual spinning day, I happily did a functional fitness routine and a half hour on the escalator stairs. The stairs are a relatively new machine at O2 Fitness, and they are remarkably effective at pushing up your heart rate. As usual, while sweating away I listened to some opera (the incredible second act of Mozart’s Marriage of Figaro) with my MP3 device and read on my tablet device.

I reread some on the ideas of Jonathan Haidt in The Righteous Mind: Why Good People Are Divided by Religion and Politics, whose name is pronounced “Hite,” as I learned this week when I heard him give a lecture at Duke. My earlier thoughts on Haidt’s theory are here, but I’m still processing his big ideas, which point dramatically away from traditional political theory and its reliance on rationality. His TED talk on the differences in ethical systems between liberals and conservatives is a nice introduction to his theory.

As Haidt observes in the TED talk, there are two types of people: those who like new ideas and experiences and those who prefer the safe and familiar. He notes that the latter are the people who like to eat at Applebee’s.

On Thursday Sally and I tried for the second time to eat at a new restaurant in our neighborhood, Dos Taquitos, and again failed. The place was cheerily hopping but the wait time was too long for us, so we went down Glenwood Avenue to the uncrowded Blue Mango for some Indian food. We had a delicious meal featuring masaledar allo gobhi (cauliflaur and potatos) and eggplant bhartha. We couldn’t finish it, and I asked for a take-home box, which I carefully prepared and then accidentally left on the table. Darn!

For more new musical ideas, I had a piano lesson with Olga on Saturday morning. It was invigorating! I played Liszt’s Liebestraum (Dream of Love) No. 3, a famously beautiful piece (here played wonderfully by Evgeny Kissin). She gave me a massive compliment, and I quote: “Wow!” She thought I’d vastly improved, and was getting a richer sound. But of course, it can always be better. We worked on getting a more stable connection between the body and the instrument, including not just the fingers, but also the back and the core. She showed me on a type of touch involving a very relaxed hand with mostly arm movement. She also gave me some new ideas on pedaling, including using a slow, slightly delayed release. As she noted, it makes magic.
DSC_0039