Hi! It’s been a while. I haven’t had a lot to report, which is always good. Now there are a couple of things going on that are easier to explain in a post, so here goes…

As reported in August, I had a vitreous hemorrhage in my left eye last July. Same thing that happened in my right eye in December, 2016. I had a bunch of shots and lasers in the hopes it would resolve without surgery, but while my vision has cleared a lot, it’s now clear (hah!) that it won’t get fixed without a vitrectomy, which is a surgical procedure to remove the vitreous humor gel.

It’s the same surgery I had on the right eye, so I know what to expect. It’s fraught with risk, so having to have it is a bummer, but the prospect of getting my eyesight all the way back is worth it. And the doc I’m seeing (hah again!) is fantastic. The retina specialist I was seeing fired me in essence because I had the gall to ask to be treated with a measure of respect, but it ended up being a good thing because Dr. El-Jabali is aces.

I go in for one more shot on April 2, and the surgery will be scheduled within a couple of weeks after that.

On April 3, I’m having a heart catheterization (coronary angiogram). My last echocardiogram was good and my blood tests are fine, but I’ve been having some symptoms that concern Dr. Mackie. Arterial blockages are twice as common in women who have Type 1 diabetes as they are in the general population, and the symptoms present differently. So whereas a man without diabetes might feel crushing chest pain, women with Type 1 diabetes get just a bit of a twinge in their chest. Also, my risk level is further increased by my cardiomyopathy. So I hit the risk factor jackpot…except the prize is one nobody wants to win.

The symptoms I’ve experienced aren’t drastic–nothing that made me run to the emergency room. Pains in my chest and left leg, but not awful or debilitating ones. My feet get pins and needles all the time. Some other stuff. All of this could be because I’m on a ton of medication or just a function of the conditions I have. An arterial blockage is the worst-case scenario, but one that needs to be ruled out.

As you might recall, I was supposed to have a heart cath in October, 2014. That was before I had health insurance, though, and it was going to cost more than $40,000, so I had a different test instead. Most people with cardiomyopathy have had and do have heart caths, though, so really, I’m overdue.

It’s an invasive procedure and does come with some risk, but it is the only definitive way to identify (and fix) blockages. If Dr. Mackie finds a blockage, I’ll need a stent to fix it. Should this happen, one of the interventional cardiologists in his practice would put it in. Stents are installed through the same tube used for the catheterization.

So. More hospitals on the horizon. I’m trying to focus on being grateful that I have access to fantastic healthcare and doctors I trust implicitly. I’m a little frustrated, if I’m honest, at having to get this stuff done and somewhat anxious, too. But it’ll be fine.

I was thinking the other day about how long it’s been since I started writing these updates and how grateful I am for every single one of you who reads them. I really am. Thank you.