• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Laser Treatment

St4rbucks

Newbie
Messages
1
Hi

I have a bit of a worry, and I'm hoping someone here will be able to set my mind at rest. I'm currently living in France, due to my work. We don't speak French in the office, so my French is limited to that which I pick up in shops and bars.

I was pointed in the direction recently of an 'English' speaking diabetic specialist doctor, since I was enquiring about having an insulin pump installed. I had an appointment with her, and was admitted to the local hospital since she thought my Lantus dose was too high, and she wanted to get my dosage right before a pump could be given. At least, this was what I understood.
I found out whilst in the hospital that no pump would be given until my French had improved significantly, and would be unlikely to be given within 6 months.
However, more disturbingly, I was given an eye test which found there was a problem with the back of my eyes. Through research on the internet, I can only guess that this is bleeding in the blood vessels. A fluorescent injection was done, to highlight the blood vessels, and lots of pictures taken. A further appointment was made the following day for me to 'see the doctor about your eyes'.

I was given drops (again, same as the day before with the fluorescent injection) that I had to administer myself, something I'm not too good at and then left for 50 minutes until I was taken into a room marked 'Laser'. The drops were to make my pupils dilate. It was then that I realised they wanted to do 'laser' treatment there and then. Of course, I burst into tears, especially when the doctor (who spoke no English at all) started talking only in French, pointing to the images that were the result of the previous days examination. When I tried to explain that I was worried, and didn't understand, she just 'huffled' off (best way I can describe it) and came back 10 minutes later asking about my 'ami's' (friends). The only friend I have who speaks anywhere close to decent French was at work and couldn't just drop everything to accompany me to the hospital. She then proceeded to put a drop into my eye, pull my head towards what turned out to be the laser treatment, and place something onto my eye that prevented me from closing it. Then the laser treatment started and lasted what felt like hours - I guess it was around 10/20 mins. This was then repeated on my other eye. I have to confess, for the first eye, I was in tears during the whole treatment, and her only comment was "I must do this, it is important" in a heavy French accent.

Afterwards, still feeling upset, they found a nurse that could speak English, who told me that I would have to return for at least 5 more sessions, the next one being in 8 days time. The doctor told me "I must do this fast, fast, fast!". I was then sent home, a journey of over an hour on the metro. I was home by around 8pm (the apointment having been made for 2:30pm), in exteme discomfort which then turned into pain - I assume this is due to the laser treatment.

So my questions are (and I'm sorry for the length of this post, but I am very worried at present and realise my best hope is for full details as to the background):

*Is it ok for me to take pain killers (anadin ultra or nurofen) just prior to the next apointment, so hopefully I am not in pain afterwards?
*Should the treatment have made my currently ok-with-glasses eyesight become blurry even with my glasses on when I look at things further than about 30cm from me?
*Is it normal to now see black marks floating in my vision when I look at anything light or white (ie my desk which is white or the clouds in the sky)?
*Can I ask the doctor to stop the laser treatment when it gets 'too much' for me?
*Should I ask for the treatment to last less time? I'm ok, I understand that I have to have it done to prevent me from losing my sight. But does each session have to take so long?
*Can I expect future sessions to leave me feeling so uncomfortable, even on the following day?
*Should I request that the treatment is done on a Friday, so that I can recover over the weekend without having to use a pc for 8 hours the following day?

Any advice would be very gratefully received. Thank you for reading this lengthy post!
 
I suppose the whole episode tells you why they want to put off the pump operation until you can understand what they're actually telling you. And you can make sure they understand your concerns.
I can only assume the laser treatment was very urgent, otherwise they would have organised a translator be there. I think translators are arranged in the UK if they have enough notice to organise it. But I don't know!

Maybe your employer could help with a translator? My Mum does voluntary work for a voluntary bureau in the UK, and they provide some 'unofficial' translators. I don't know whether there is a similar type of set-up where you live. Maybe the hospital could help if there are a reasonable number of their patient who only speak English?

I hope everything works out with no further problems quickly. The thought of treatment is scary enough without a doc not being able to communicate with you!

Take care,

E
 
Sounds like they are trying to do their best to save your sight. Nevertheless scary!.
Long periods of high Bgs cause the tiny capillaries in the retinas to seep and sometimes to proliferate and then leak.This seepage can obscure the part of the retina which receives the light. thus blind you. the laser, concentrates energy at a seepage point and seals it.
May I politely suggest that you ask at the nearest British consulate if there is someone who would be willing to go with you to the hospital and translate. You need someone who can handle medical terminology.
To rush you in so fast suggests that the situation was grave. and to need several treatments means the damage is extensive.
You need a proper explanation,so you can understand. Google "Diabetic retinopathy".
Had you not had your eyes checked before?
What kind of BGs were you recording and what have your HbA1cs been over the last couple of years or so?
The best that you can do to help whatever the situation is, is to let them treat you and to keep our BGs VERY TIGHT as near as you can to Non diabetic( 5 or 90)
good luck! I think you are in good hands
 
France is well known for cracking a nut with a large building when it comes to health issues.

My suggestion would be to try to get a conversation with an expert on these issues and one that speaks English. Is it possible to arrange a telephone conversation with a British consultant?
My other suggestion is not to undergo anymore bullying or, quite frankly, treatment without your consent (probably a law-suit in this country) and last of all, beg, borrow or steal someone who speaks both French and English. If not in person, then by phone.

When it come to the issue of eyes, I know nothing, so can't help there.
Try NHS choices maybe? http://www.nhs.uk/Pages/homepage.aspx

sent with much support

wiflib
 
I agree with the first two posters. laser surgery can indeed be needed very fast to save sight That you were brought back the following days suggests that intervention quickly was needed
You must find someone who speaks sufficient French/English to help you.
You don't say where you are but if you aren't able to contact someone near you,the 'local' Anglican Church might be able to help find someone. Here is a list of their churches
http://anglicansonline.org/uk-europe/europe.html
 
Back
Top