Tuesday, February 12, 2019

A PATIENT'S IMPRESSION ON HIS CATARACT SURGERY


Though the average life expectancy of a male Keralite is 75 years, it is only when you hit your 60s that you feel to have reached the right side of your life span. It is now a few months left for me to hit that milestone to be officially callled a ‘senior citizen’. 

Generally it is observed that people in their late 60s or mid 70s will have the occasion to undergo cataract surgery of the eye but for me, it happened right at 59. Therefore, am l so lucky to do the cataract surgery this early? “Just don’t worry”, my ophthalmologist said when I was consulting him. “There had been many cases where people in their late 40s and early 50s getting the cataract surgery done. So, I don’t see anything exceptional in your case. Besides you are undergoing the surgery when you are healthy. So, it is good to get it done early”. His expert comments were reassuring. One way I have been lucky to undergo the surgery by the hands of Dr Sony George, a very knowledgeable, experienced and reputed eye specialist in Cochin, now heading ophthalmology department in Medical Trust Hospital, who also is my club member and a great fan of my oratory skills. So, we are a mutual admiration society!

During consultancy, Dr Sony enthusiastically advised me to go for a multi-focal lens than the normal mono-focal one,  describing its advantages for a person like me who read a lot, also saying that with a multi-focal lens, one could even do away with spectacles. Because the doctor was was my reliable friend, I purposely didn’t go online/google to fetch more details of the types of lenses and agreed to go for a multi-focal one. Was he disappointed because I did not go for the latest and best lens but decided on a medium multi-focal one? I cannot tell and I do believe that he was okay with my call. 

It was the right eye and we fixed the D day on 6th February, my 30th wedding anniversary day! Why did I chose the anniversary day for surgery? May be, doing a milestone surgery on a rememberable day, will turn the drudgery of surgery into a celebration! Why not?

Medical Trust is an old but reliable hospital, originally started by Dr Verghese Pulikkan, with financial, moral and administrative support from the great MKK Nayar IAS, then Chairman of FACT Ltd., the doyen in the field of Administration an Management in Kerala who shaped up FACT into the country’s top fertilizer manufacturing company. He was a visionary leader and a philanthropist too. Dr Pulikkan, a very nice, charming doctor caught the attention of MKK to be helped, to set up the state’s first corporate hospital! 

But being the first and therefore old, has its own disadvantages too. Its culture and legacy doesn’t match up with the 21st century new-gen hospitals. Everyone, from top to bottom behaves in the ‘giver’ mode and so you can’t expect behavioural niceties and courtesies like the one you get from a modern day institutions. However, MTH has an efficient working system and some of the doctors here such as Saji Kuruttukulam, Sony George etc are top notch in their field. And, I am safely in the hands of one such doctor. 

On the 6th morning my daughter from Bangalore wished me on WhatsApp with a graphics greeting saying, “keep calm and trust your ophthalmologist” and I duly forwarded it to the doctor. After an early breakfast at home Shali, my dear wife celebrating her 30th wedding anniversary with me, and I left for MTH and at 7 AM reported at the hospital and took the room. The nurses there took my measurements and gave me a tetanus injection and after changing into sterile OT clothes, I was wheeled into the OT at close to 10 AM. To go to the ophthalmology OT one has to pass through the Transplant ICU and there I saw an anesthetized patient spreadeagled alone on a slanted bed with all sorts of equipments and sensors connected to him. It was definitely not a reassuring view. 

We (the nurse and I on the wheel chair) reached the ante room of OT. Already there were two eye surgery patients and a orthopaedic one waiting in the room. Ortho OT is adjacent to the eye OT. I didn’t like it being there. Very insipid room with multi diseases patient on the queue having unimpressive chatter box nurses in very insipid green OT clothes frequenting it up and down. The nurses were efficient but not that empathetic and their conversation were businesslike (“acha, etha kannu, tetanus injection edutho? etc). The thoughts that splashed through my was the mobile phone alert “you are on the queue, please wait”. It was a good wait (my turn was second) and I dozed off. In between while sleeping, and I hazely remember Dr Sony walking in and wishing me before going to the OT.

My turn came and I was taken to the OT. A beaming Dr Sony welcomed me on to the OT bed. I didn’t have any fear or apprehension. But what came into my thoughts at that time was of Professor M Krishnan Nair, my son in law’s grand father, (someone whom I had read plenty and therefore revered) the renowned Malayalam critic and writer, seeking reassurance from his eye surgeon again and again of getting back his eyesight, even while on the OT table. Because, for him, a voracious reader, eyesight was everything and if he lost it that would have been the end! Though I thought of it, I wasn’t worried at all. 

The topical anaesthesia (something of a rarity that could only be performed by an experienced, skillful surgeon, otherwise it is local anesthesia which calls for a dangerous injection on the eye)  took the sensations away and doctor Sony went into work. I was asked to focus on the 3 lights coming from the lamps above my eyes. Then it was all the vroom sounds of the motors and different types of alarms. Occasionally, Dr Sony talked to me to be steady and not to move my head much. Frankly, I didn’t feel any incision happening or the multifocal lens being put inside. The lights, the frequently falling water on my right eye from the device above through the tube and instructions of Dr Sony to his team were all I remember of the operation. Some ten minutes later, Dr Sony said that it was over and I was aske sit and then get up. He got a photo of me made with him on the mobile phone camera with the V sign, I was asked to return to my room saying that he will meet me in the afternoon and he went back to preparing for the third operation of the day. I walked out with the nurse to the anteroom from where after a little wait, the ward nurse came over and took me to my room at the hospital. 

Actually, surgeries these days are hitech affairs. With anaesthesia on, a patient will hardly know what is happening. The equipment and the experience of the doctor using it are things that matter. In the end you hear that it is over and that is it. Since the doctor was known to me and the equipments were world class, why worry at all?

The first post operative phase is what I am on now. I wear a plastic transparent frame over my eyes so that my hands will not unnecessarily touch my eyes that could lead to infection. Actually the medication (5 or six different eye drops periodically being applied every 15/30 minutes have been a big challenge (notwithstanding the fact that I did nothing and it was all done by my dear wife). Still, lying on the bed, always being inside the home the with the eye sight slowly returning to normal, with all precautions taken to avoid infection (no head bath, no sleeping on the right side, always wearing the frame etc) need real discipline (that I do not have) and that was not all that enjoyable. These are the challenges of getting aged, you better take it in and undergo  it positively so that it will help you go through the phase better