
This past week has been one in which, to an extent, my time was not my own. What time was my own, I mostly spent running errands - two trips to the quilting store, a trip to the credit union (checking our locked box - trying to find a couple of Hunky Husband's rings that he has misplaced), a trip to the gardening shop (for bags of top soil with which to fill holes left when I transplanted some daylilies), buying groceries, taking Bogie's quilt top and backing (Paint image, above) to the quilter, having my car serviced and the GPS database updated. Well, I did get one book read and about half of another.
Wednesday, I did my usual thing by picking up Elegant Friend, taking her to lunch, stopping by the Kansas Vacuum Center that is near her apartment to see if the Miele cannister vacuum that I had ordered had come in (it had not), then stopping by the Kansas State University Sedgwick County Research & Extension Office to walk about amongst their plantings to enjoy the roses (not seen anywhere else as they are experimental breeds) and other flowers and vegetables that they have on display.

Thursday, I took HH in to Team Vision Surgery Center for cataract surgery on his left eye. Oh, my, it hadn't occurred to either of us what an ordeal it would prove to be. He was downright giddy from the way all of the women of the surgical team, including his surgeon (photo, above), treated him. According to HH, they must have gone out of their way to put together a team of personable and good-looking professionals! Of course, as his "care taker", one of the team went over his post-operative instructions with me (the patients are not legally competent due to the anesthesia to which they have been exposed.) Trust me: For HH, the lingering effects of the anesthesia have not been trivial. He was really knocked for a loop, cognitively. He could not, as the saying goes, have thought his way out of a paper bag for the first 30-40 hours following surgery. Toward bed time that evening, HH was so disturbed that he told me not to worry about it - that he would worry enough for the both of us. Not on my watch! We are in this together.

Friday, I took HH in for post-operative exam and consultation with his surgeon. Unfortunately, he declined my presence during the post-operative consultation, so I'm not quite sure what went on. There is a time/date on the paper they gave him that implies to me that he was given an "extra" post-op appointment for Monday. HH has no memory of his discussion with the surgeon and I didn't see the paper until after closing time for the facility, so I shall need to call to confirm whether he does or does not have an appointment at 9:45am, tomorrow. I stopped by the vacuum cleaner place, on our way home, to pick up the vacuum (photo, above) that had come into the store while HH was in surgery on Thursday. The next post-op exam about which I had been informed on the day of surgery is next Friday. Perhaps HH's cognitive condition indicated the need for an extra exam. We shall see.
[ADDITION of 9/16/2019 7:52am - Sitting here killing time until the surgeon's office opens at 8:00am to confirm/deny HH's "extra" appointment, I've just been told by HH that he's received a text from that office telling him not to forget to come in for his 9:45am appointment, today. That settles that question!]
[ADDITION of 9/16/2019 11:52am - It turned out that the reason HH was given an "extra" appointment was that his intraocular pressure had been too high on Friday. That was also the reason for the extra prescription that he was given – another eye drop to lower the pressure. The pressure is better, but not great. He was told to continue the new eye drops until he sees his surgeon for his normally scheduled post-op exam on this coming Friday. His mother had glaucoma, so we watch those pressures, closely!]
For the rest of the day, Friday, it was evident that HH was struggling, cognitively, still. And it was worrying him. I had to continue assisting each time he had to use the eyedrop medications per the schedule he had been given (four different medications) - mostly by continuing to assure that he used all of the drops and that he did not use the same drops twice at a scheduled time (as he had attempted to do on Thursday), and by timing the intervals between drop applications (3-5 minutes between each of the four medications). Again, HH became concerned about his lack of mental acuity; so, I did some online research about the effects of anesthesia given old people having cataract surgery. I printed out the latest relevant paper that I found, marked the passages that I found most important, and gave it to HH to read while telling him that, according to my reading of the information, cognitive effects were often observable for as long as one week.
Addition of 9/16/2019 11:53am -
Referenced paper: Prevention of Cognitive Dysfunction after Cataract Surgery with Intravenous Administration of Midazolam and Dexmedetomidine in Elderly Patients Undergoing Cataract Surgery
Another paper addressing possible effects of cataract surgery on cognition, but not addressing anesthesia, is one that I found interesting: Cataract surgery and age-related cognitive decline: A 13-year follow-up of the English Longitudinal Study of Ageing

Yesterday, HH arose and removed his night-guard eye patch (photo, above) before I even saw him. It was obvious that his mind was in much better cognitive condition. However, late in the day, when I mentioned the paper that he had read, he had no idea what I was talking about. Oh, me. We are getting there. It is just very frustrating - particularly for HH. Last evening, it took 10-15 minutes for him to find where he had put the eye patch that he was to wear, again, last night and tonight.
Today, HH went out to walk (no running until cleared by his surgeon). He is more himself, today. It will be interesting to see how his memory is working. I'm thankful that I was 11-12 years younger, than now is HH, when I had my cataracts removed. I'm certain that my mind was not impaired by the anesthesia and that I was the perfect patient. (Oh, yes, we all believe that.) Truly...neither of us remembers my mind being impaired; but, who knows?
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