Newly diagnosed with cataract
Posted , 3 users are following.
I was diagnosed with the start of cataract in both eyes, with the right one more advanced but still mild adn the left one hardly there. I'm seeing the eye people again later today to pick up my new glasses and discuss options with them re the right eye cataract and also for them toi check that a detached retina has healed itself, which I'm sure it has bc no symptoms for weeks now.
I'm concerned that I keep hearing "they" won't operate on cataracts until they're really bad, although this doesn't seem to apply to people with private health cover (in Australia).
What do people do in the meantime in this situation? I live alone & fairly isolated and can't socialise at night any more without other people's help, bc oncoming headlights blind me. I've had two falls on steps & stairs because my hand missed the right hand railing and I'm continually dropping, breaking and spilling things.l
I'm also VERY concerned that if this isn't fixed by next summer I won't be able to see to drive out of town in a bushfire situation, which is fairly common where I live and I can't stay in smoky conditions because I also have COPD.
I guess what I need to know is the delay in operating a medical issue or a financial one? If the latter I will kick up a HUGE fuss! Australia is supposed to be a "classless society" but guess what, not always when it comes to medical treatmentF!
1 like, 14 replies
jude65855
Posted
derek76 jude65855
Posted
I had an eye appointment for another problem and was surprised to be asked if I wanted my cataracts done now or in the future. They were not causing me a problem but I chose the now option.
jude65855 derek76
Posted
Bumblebea jude65855
Posted
.
jude65855 Bumblebea
Posted
I'm seeing my gp next week for a referral to an eye specialist and I'll be asking him to do a letter requesting it be attended to ASAP rather than I be put on a years long waiting list. I want it sorted before next summer: living in a high bushfire area is difficult enough at times without having to worry that I wouldn't be able to get out and away from the smoke if necessary.
softwaredev jude65855
Posted
The issue with insurance/government payment is that many cataracts don't have much of an impact on vision for many years (sometimes a decade or two), and elderly patients sometimes die therefore before the cataract is actually causing them problems so if they have surgery on an early cataract not causing trouble it may in turn out not to have been necessary in the long run. So they wish to wait until there is actually some noticeable visual impact before having surgery, with the guidelines varying by insurance or government entity throughout the world so you will need to check on your situation.
For example here in the US a common standard is payment if an eye's best corrected visual acuity is below 20/40 (i.e. even with glasses or contacts it isn't possible to see that well), which is what is usually the visual minimum required for a driver's licenses. *Some* payers are realizing that since cataracts can cause things like glare at night (with the added monetary pressure for them since it can lead to accidents and more medical bills) it makes sense for them to cover surgery if there is any sort of visual impairment from the cataract that is interfering with normal functioning (like driving at night). So it is possible you may be in luck and the treatment may be covered now. I would suggest checking with whatever government or insurer is paying, a GP may not have reason to be up to date on the current rules. Even an eye doctor may not always know, though the staff might since often they leave it to their staff to deal with payment issues.
If you had the means to pay for it yourself without coverage then you should be able to find a surgeon who will operate whenever you want if you personally think your vision is problematic.
jude65855 softwaredev
Posted
Insurance is not an issue as I don't have any, and nor is paying for it myself, so it will be a matter of dealing with the public health system to have the surgery quickly before my life is further restricted and endangered.
The procedure is covered by the public sysem, it will be a matter of how long the waiting list is to get an appointment with a specialist and then for the surgery itself.
I'm hoping to find at least one other Australian on a pension with no insurance who's successfully negotiated the health system to get the surgery: anyone out there, please?
derek76 jude65855
Posted
jude65855 derek76
Posted
Let's face it, in advanced countries none could be as bad as the US!
I'm grateful for the postivies but don't ignore the negatives ....
derek76 jude65855
Posted
We have to pay some charges for NHS dentistry but with most dentists (if you can still find an NHS one) they will not do work they lose money on. The NHS maximum cost for dentures is just over £250. I could not get on with an upper one I had years ago and asked about a light weight one. No way would they do that except privately for about £1000.
jude65855 derek76
Posted
derek76 jude65855
Posted
The trouble when the NHS started was everyone wanted at once everything they could not afford before. Nowadays few people would want glasses from the limited NHS range.
jude65855 derek76
Posted
Medical specialists can be seen at public hospitals for nothing, but there's often a waiting list and to see them privately costs an arm and a leg because the greedy pigs charge heaps more than the government covers.
Dental care is all over the place and for some reason teeth are seen differently to all other body parts and not covered by Medicare: the only political party with a policy to include teeth with everything else is the Greens. There are community health dental clinics which vary in how much they charge (they used to be free) and in Melbourne a really good Dental Hospital: I was there yesterday for new dentures and received excellent treatment by final year students under supervision.
Community Health Centres have free or low cost physiotherapy, some have low cost podiatry but it all depends where you live. Some counselling used to be available via Medicare but this has been cut back from 20 sessions a year to 12 and is now at 6.
Eye examinations are bulk billed and low cost glasses are available at least in Victoria from a college attached to the university.
Lots of prescription drugs are subsidised at $6.50 each for health card holders - again this used to be the "free list" but is slowly creeping up and up.
So it's very fragmented and sometimes it works really well (eg emergency heart surgery) and sometimes very badly.
derek76 jude65855
Posted