Join Early Retirement Today
View Poll Results: [See scenario below] I'd prefer if my doctor...
said nothing to me about the finding of cataracts. 3 2.80%
told me about them, and educated me on the likely course and future options 102 95.33%
told me and advised surgery at my soonest convenience 2 1.87%
none of the above (please explain in a post) 0 0%
Voters: 107. You may not vote on this poll

Reply
 
Thread Tools Search this Thread Display Modes
Tell me everything or tell me nothing
Old 07-07-2009, 12:51 PM   #1
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
Tell me everything or tell me nothing

This stems from the recent cataract thread. Assume that cataracts can take 5-10 years to seriously affect your vision, that treatment is effective and safe whenever it is done, and that you have no symptoms now. Your eye doctor discovers small cataracts on exam. Which action would you prefer on the doctor's part?
__________________

__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 07-07-2009, 12:58 PM   #2
Give me a museum and I'll fill it. (Picasso) Give me a forum ...
REWahoo's Avatar
 
Join Date: Jun 2002
Location: Texas Hill Country
Posts: 42,120
Why would I pay for an eye exam unless I wanted to know what, if anything, was wrong with my vision? I voted "tell me about it and about my options".

BTW, this is exactly what happened at my last exam. The eye doc said he saw the early signs of a cataract in my left eye.
__________________

__________________
Numbers is hard

When I hit 70, it hit back

Retired in 2005 at age 58, no pension
REWahoo is offline   Reply With Quote
Old 07-07-2009, 12:59 PM   #3
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
I would definitely want to know...then I would have them removed right away. I can't afford having more problems with my eyes.
__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Old 07-07-2009, 01:00 PM   #4
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
freebird5825's Avatar
 
Join Date: Feb 2008
Location: East Nowhere, 43N Latitude, NY
Posts: 9,017
This is a no brainer!
I was told 2 years ago I could be a glaucoma candidate down the road, and my doc is rigorously following up on that with annual tests. He told me if I experienced any vision or physical changes, come see him IMMEDIATELY.
I already know what my treatment options will be.
So far so good...
__________________
"All our dreams can come true, if we have the courage to pursue them." - Walt Disney
freebird5825 is offline   Reply With Quote
Old 07-07-2009, 01:00 PM   #5
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
Aaarrggh - I meant to vote for Tell me, but hit the wrong button (don't tell me). So all you polsters can add one to Tell me, and subtract one from Don't tell me.

I don't think the mods can undo my errant choice.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 07-07-2009, 01:03 PM   #6
Give me a museum and I'll fill it. (Picasso) Give me a forum ...
REWahoo's Avatar
 
Join Date: Jun 2002
Location: Texas Hill Country
Posts: 42,120
Quote:
Originally Posted by Rich_in_Tampa View Post
I don't think the mods can undo my errant choice.
Yes we can... Note: The preceding is not a political statement.

Done. No math required for poll participants.
__________________
Numbers is hard

When I hit 70, it hit back

Retired in 2005 at age 58, no pension
REWahoo is offline   Reply With Quote
Old 07-07-2009, 01:03 PM   #7
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
Quote:
Originally Posted by Rich_in_Tampa View Post
Aaarrggh - I meant to vote for Tell me, but hit the wrong button (don't tell me). So all you polsters can add one to Tell me, and subtract one from Don't tell me.
Having problems with your eyes?
__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Old 07-07-2009, 01:06 PM   #8
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
Quote:
Originally Posted by bbbamI View Post
Having problems with your eyes?

Yes, but I wasn't going to tell you about it.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 07-07-2009, 01:08 PM   #9
Give me a museum and I'll fill it. (Picasso) Give me a forum ...
REWahoo's Avatar
 
Join Date: Jun 2002
Location: Texas Hill Country
Posts: 42,120
I always suspected when I got old I'd drive a Cataract.
__________________
Numbers is hard

When I hit 70, it hit back

Retired in 2005 at age 58, no pension
REWahoo is offline   Reply With Quote
Old 07-07-2009, 01:08 PM   #10
Moderator
ziggy29's Avatar
 
Join Date: Oct 2005
Location: Texas
Posts: 15,612
Quote:
Originally Posted by freebird5825 View Post
This is a no brainer!
I was told 2 years ago I could be a glaucoma candidate down the road, and my doc is rigorously following up on that with annual tests. He told me if I experienced any vision or physical changes, come see him IMMEDIATELY.
I already know what my treatment options will be.
So far so good...
My grandma and my oldest brother had/have glaucoma, so it's something my eye doc checks for closely on an annual basis. So far so good, but it's something we know to keep an eye on (pun intended)...
__________________
"Hey, for every ten dollars, that's another hour that I have to be in the work place. That's an hour of my life. And my life is a very finite thing. I have only 'x' number of hours left before I'm dead. So how do I want to use these hours of my life? Do I want to use them just spending it on more crap and more stuff, or do I want to start getting a handle on it and using my life more intelligently?" -- Joe Dominguez (1938 - 1997)

RIP to Reemy, my avatar dog (2003 - 9/16/2017)
ziggy29 is offline   Reply With Quote
Old 07-07-2009, 01:08 PM   #11
Administrator
W2R's Avatar
 
Join Date: Jan 2007
Location: New Orleans
Posts: 38,905
I would rather be told - - but also to have the implications explained. I voted "told me about them, and educated me on the likely course and future options " but feel like expounding upon that answer...

(1) I would want to have it explained that I may not even notice any vision problems for many years, but that if I do that something can be done to improve my eyesight dramatically.

(2) I would like to have it explained to me that the surgery is done all the time (if it is), and how successful it usually is these days. He should tell me if it is often an outpatient procedure and how many days it takes to recover from. Preferably he should also give me a brochure in case I am listening with "deer in the headlight" non-comprehension.

(3) I would like for my doctor to tell me when I can know that I am ready for it, and who to contact in that event.

(4) And then, I would like for my doctor to tell me that right now, my vision is quite good (if it is), to cheer me up!

Thanks to you and all doctors who are thinking about these issues!

Frank's father had cataract surgery, and as I recall it was done on an outpatient basis and he just wore a patch over one eye for a few days. It was surprisingly convenient for him. Until I saw this, I thought cataract surgery probably involved a week in the hospital, eyes covered with bandages for weeks, and a good chance of failure (probably I have been watching too many old movie dramas involving eye surgery). I don't know if cataract surgery is usually as easy as it was for Frank's father, but if so, then reassuring the patient might be in order.

Edited once again to add: Nine years ago, a very very young opthalmologist probably right out of school told me "I can see evidence that you have some macular degeneration". I freaked! Then, he said, "I meant to say, that you have the usual amount of macular degeneration for someone of your age." OK, then I felt older than Methuselah, but wasn't nearly as worried. However, it was (in one sense) good to have a handle on any visual problems that I might experience on down the road.
__________________
Already we are boldly launched upon the deep; but soon we shall be lost in its unshored, harbourless immensities.

- - H. Melville, 1851
W2R is offline   Reply With Quote
Old 07-07-2009, 01:09 PM   #12
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
freebird5825's Avatar
 
Join Date: Feb 2008
Location: East Nowhere, 43N Latitude, NY
Posts: 9,017
Quote:
Originally Posted by REWahoo View Post
Yes we can...
__________________
"All our dreams can come true, if we have the courage to pursue them." - Walt Disney
freebird5825 is offline   Reply With Quote
Old 07-07-2009, 01:29 PM   #13
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
Quote:
Originally Posted by Rich_in_Tampa View Post

Yes, but I wasn't going to tell you about it.
Ahhh...I see. You will tell me nothing...
__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Old 07-07-2009, 02:09 PM   #14
Moderator Emeritus
Martha's Avatar
 
Join Date: Feb 2004
Location: minnesota
Posts: 13,212
Do like my eye guy said, "there is some evidence of cataracts developing, which is not unusual at your age with your long use of inhaled steriods. You probably won't notice anything for years."

It prepares me for when they become a problem down the road.

Or, as my GP said two years before I had a hysterectomy: There are things we can do, but most likely you will end up having a hysterectomy in a couple of years.
__________________
.


No more lawyer stuff, no more political stuff, so no more CYA

Martha is offline   Reply With Quote
Old 07-07-2009, 02:21 PM   #15
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
TromboneAl's Avatar
 
Join Date: Jun 2006
Posts: 11,199
Is there anything that can be done (like, say, eat more wheat bread) that will slow the progression of the cataracts?

If so, then I'd say it's malpractice not to mention it to the patient.

[typo alert: "effective and safe"]
__________________
Al
TromboneAl is offline   Reply With Quote
Old 07-07-2009, 02:24 PM   #16
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
Quote:
Originally Posted by TromboneAl View Post
Is there anything that can be done (like, say, eat more wheat bread) that will slow the progression of the cataracts?

[typo alert: "effective and safe"]
Wheat bread? uh oh......
__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Old 07-07-2009, 02:32 PM   #17
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
Quote:
Originally Posted by TromboneAl View Post
Is there anything that can be done (like, say, eat more wheat bread) that will slow the progression of the cataracts?
Alas, no (other than risk avoidance). There was early interest in vitamin supplements but none proved effective in controlled trials. Examples include beta carotene, vitamin C, vitamin E, vitamin A.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 07-07-2009, 02:40 PM   #18
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
freebird5825's Avatar
 
Join Date: Feb 2008
Location: East Nowhere, 43N Latitude, NY
Posts: 9,017
Quote:
Originally Posted by bbbamI View Post
Wheat bread? uh oh......
Huh?
__________________
"All our dreams can come true, if we have the courage to pursue them." - Walt Disney
freebird5825 is offline   Reply With Quote
Old 07-07-2009, 02:45 PM   #19
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
Quote:
Originally Posted by freebird5825 View Post
Huh?
Wheat Bread Poll
__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Old 07-07-2009, 02:52 PM   #20
Thinks s/he gets paid by the post
 
Join Date: Dec 2007
Posts: 4,764
I want to know it all.
__________________

__________________
Notmuchlonger is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


 

 
All times are GMT -6. The time now is 08:42 AM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.