Tag: adjusting to vision loss

  • Letter from the Editor 2020

    Letter from the Editor 2020

    Dorrie Rush, Chief Content Editor of OEPatients.org

    2020 Is A Year for Clarity

    We’re kicking off 2020, a number which, by my Google Assistants definition, also denotes vision of normal sharpness.  A wonderful thought, but for many of us normal vision is not likely to become reality any time soon.  There is, however, so much we can do to improve the lives we live with vision loss, and that is our mission, at OE Patients, for the foreseeable future.  The numbers of older Americans living with low vision will double in coming years, and according to the American Academy of Ophthalmology (AAO), “most of the people impacted believe nothing can be done to improve their quality of life.” 

    Twenty years ago, I was a member of this misinformed population.  I distinctly recall posing the questions to the ophthalmologists as my vision loss progressed. “Is there somewhere I should go? Someone I should see? A class or course I can take to learn how I can continue living with severely impaired eyesight?”  The response was usually a variation on, “Nothing can be done.”  Although, it seems implausible two decades later, this may very well be the answer patients are still hearing today.

    Is it possible this error in communication comes down to a huge misunderstanding?  Physicians collectively and correctly view their role as healer.  When there is no treatment for the disease, no correction for the visual loss, they may feel the next stage is not in their jurisdiction.  Patients also conflate the declaration, “Nothing can be done (medically),” with “There is nothing YOU can do (either).”  Both physicians and patients take part in this mix up, and both can do their part to fix it.

    Many ophthalmologists today do take a moment to encourage patients to begin making adjustments from the earliest stages of vision loss and to recommend helpful resources.  They also refer to a low vision specialist who will evaluate the best ways a patient can maximize their remaining vision, utilize available low vision devices and adjust the vision settings on their personal technologies.  On the patients side, we certainly know many today, like our OE subscribers, are savvy self-advocates, actively engaged in the process of adjusting to, and living with vision loss. 

    In 2001, I joined the staff of Lighthouse International and began to understand the services offered by a vision rehabilitation agency.  I was advantaged by the full access to expert and professional resources and advice, from which I benefitted greatly.  An essential factor in my ongoing successful adjustment to progressing vision loss, was that I got an early start.  Most patients are not referred for vision rehab services until they are legally blind, which is the threshold for reimbursement.  Waiting to qualify for legal blindness, can also create an insurmountable set back. 

    In 2017, the Association for Macular Diseases and Ophthalmic Edge joined forces to launch OEPatients.org with the objective to elevate awareness by offering an added level of empowering information, not typically available in the physicians office.  Our digital magazine format has an option to “Listen” instead of read, at the top right menu on every page.  In the fall of 2019, we added the OE Patients Podcast (on OE, Apple and Spotify) to expand our content offering on Adjusting, Technology, Health and Voices of Experience

    Let’s work together to make 2020 a year for improved communication and focus on Living Better with Low Vision.  We’ll all benefit. Join Us!

     

  • Making Excuses, Breaking Excuses

    Making Excuses, Breaking Excuses

    We all make excuses, it’s human nature.  In the case of vision loss, it is often an attempt to defend or justify a lack of action.  For a time it serves a purpose, keeping us from becoming even more uncomfortable than we already are, or so we think. 

    Implementing small changes, in place of excuses, will deliver significant benefits.  So, why not, every now and then, get your excuses in check.  No need to induce a guilt trip, instead think of it as a strengthening exercise.  There are great rewards awaiting you, right outside your comfort zone.  In time, you will surely feel the gain totally outweighs the pain.

    Here are some examples you may, or may not, recognize.

    “There’s no point in going back to the doctor, he/she said nothing can be done.”

    Although there may be no medical treatment for your vision loss, regular dilated eye exams are key to preserving the vision you have and your best bet for early detection of secondary issues.  Be An Informed Patient and ask the doctor to explain their statements clearly.  You should also ask your physician for a referral to a low vision specialist and vision rehab services, which can help you maximize remaining vision and compensate for the loss.

     

    “I love to read, but I don’t like audiobooks because I need to hold the book in my hands and turn the pages.”

    The joy of reading is usually connected to the content, getting involved in the story.  It takes a bit of effort, but many people are able to adjust to audiobook and continue consuming literature.  It certainly couldn’t hurt to try holding a book while listening to the audio.  Or hold a Fire tablet and say, “Alexa, Read My Book.”

     

    “I’m not good with technology.”

    More people say this than not, but you don’t have to be “good” with technology to use some of it.  Using a smartphone app that reads text, or using dictation instead of typing, does not require aptitude, it just requires some practice.

     

    “I don’t like the sound of the voice.”

    This is again, a matter of adjusting.  For example, if you couldn’t read your favorite news everyday, would you prefer to totally give it up or adjust over to a voice reading to you?  Just like audiobooks it takes some getting used to.  There are also many voice options, so if you don’t like one, switch to another.

     

    “I’m quitting my job because I can no longer see the computer.”

    Here is a good example of how small changes can keep you in the game or on the job.  Microsoft Windows supports an inclusive workplace with settings that customize your screen.  Make a friend in IT and begin making adjustments including: large text, custom colors, use of Magnifier or Narrator, and more. 

     

    “I don’t need a cane.”

    This is fairly common and can be translated to “I don’t want a cane.”  Sometimes a fall precipitates a change of perspective about the long white cane, but whatever gets you there, many who cross over have no regrets.  It restores a sense of confidence.

    If you have any experience you’d like to share or advice about excuse breaking…send us a note.