Hi sarkac
Thanks for such an interesting link !
it mentioned several things I’d been meaning to bring up for a while, but wasn’t sure how to lead into them. I must confess I didn’t have the courage to read through the “full” version, but the key points seemed to capture it all. The take-away for me was the emphasis on a “holistic” approach. Too often I think we end up – in terms of our treatment – as being “salami sliced”. By which I mean, we’ll see an optometrist for the lenses, a ophthalmologist for the management of the disease and surgical options, perhaps a GP or pharmacist for allergies and maybe left to largely our own devices for cleaning solutions and wetting drops. Each actor looks at their own small part, but no-one ever looks at the whole.
But nutrition, exercise, a sensible sleep pattern and managing stress are not unimportant tools and techniques in helping us to live successfully with Keratoconus. When was the last time anyone heard about those from the people we see ? Perhaps never, because it isn’t their role to do that. That’s the problem isn’t it – it’s no-ones role. So it gets forgotten about.
To which I would add, we often in our culture seem to regard our bodies as not unlike pieces of machinery. If they pack up in some way, off we trot to whoever we think can “fix” them, where we set out our complaints and expect them to do a bit of tinkering or replace some dodgy parts and then off we can go, back to how we were. I’ve come to think that it’s not quite as simple as that. Without getting too “mind body and spirit” on this, I don’t believe that is how it is supposed to be. I think we’re not here to demand that we should at all times be totally free physical ailments. While that would be very nice indeed, I’m not sure that’s a reasonable expectation.
While I am absolutely in agreement that we should do all we can to obtain the best outcomes we can in the treatment and management of our condition, I think we’re missing out on something important if we don’t try and learn what that journey is trying to teach us. What benefits – however well hidden they may seem to be at times ! – it is bringing to our lives.
Not at all easy of course when you’re fed up, aggravated and left feeling low – we’ve all been there I’m sure. But I find if I try to at least be willing to look for the gift in all the adversity, then just once in a while I find that I’ve learnt things I otherwise wouldn’t have, found hidden strengths I never knew I had or maybe got a helping hand from the last person I would have expected to receive it from...
The only thing I didn’t entirely agree with was the writer’s suggestion about fitting a flat fitted, aspheric RGP lens. Hmm... well, yes, a flat fitting lens is likely to be more comfortable. But it is also just a likely to be pressing harder on the cone and/or be less stable. The optometrist will as part of the fitting process go through a range a flat-to-steep designs. They’re probably best placed to assess what the ideal balance between the two variables is. The trade-off between comfort vs. long term eye health is just one of the compromises they have to try to achieve. Not sure how the optometrists we go to would react to us demanding “I want a flat one !” Still, it is probably a good discussion point to have with them. I wonder how many of us never even have a chat with the optometrist about why they’ve chosen this- or that- variable over another ? The more we know, the better, I’ve found, so no harm at all in asking the question.
And no, I too can't take seriously how even the most diligent attention to dietry, stress and sleep factors can
reverse the progress of Keratoconus. "Slow the progress" -- a qualified "maybe". "Reverse" -- nope, not convinced ! Wish it could be that simple
Thanks again for the link sarkac
Cheers
Chris