Archive for the ‘Family’ Category

New Reading Aid for My Mom

Yesterday my mom had an appointment with her ophthalmologist. It was her third check-up after having a lucentis injection for her AMD (Age-related Macular Degeneration) treatment on August. Last month her doctor said he would check if my mom still need another injection on her next appointment.

Thankfully, after seeing my mom’s tonometri result yesterday, he said my mom’s eye has responded well to the injection, so no need to do the second injection. Her vision was already stable at 30/100. Her eye condition post glaucoma surgery was also good, with IOP (intraocular pressure) around 9-12 mmHg. So now my mom can continue her life without worrying too much about her eye condition, but her eye still need to be checked-up every month.

9X illuminated magnifier for my momA 36D hand-held illuminated magnifier for my mom

After the appointment, her doctor sent my mom to Low Vision department to find a reading aid for her. Ever since she got AMD disease, my mom’s reading ability has dropped significantly. She could not read her Bible anymore as the letters were too small. This has become her main concerns as, for her, Bible was her source of life. She used to read it regularly every morning and for the last few months she was not able to do it. Her doctor said she needed a low vision aid to read small print.

After testing several lenses on her, the optician at the low vision department recommended a hand-held illuminated 9X (36 Diopters) power magnifier with built in LED light as her reading aid. It was actually not an ideal type for reading book as its lens size was only 35 mm so she could only read few letters at a time. But my mom said the most important thing was she could read her Bible again. She would need time to adjust with her new reading aid.

New Member of Our Family

Baby boy
Introducing the new member of our family. He was scheduled on October 10th but he decided to come early. Well, you can’t say no to the baby who wanted to see the world, so there he is 5 days early :)

By the way, for those who curious about the Chinese Calendar prediction, now I can confirm they’re correct, it’s a boy!

Thanks for stopping by everyone.

Time to Visit In Laws

Ramadan is over, today all Muslims in the world are celebrating Eid ul-Fitr or Indonesians call it Hari Lebaran. In Indonesia, this is the time when Muslims visit their family and friends to ask for forgiveness for any wrongs they have committed in the previous year. We will say, “Mohon Maaf Lahir Batin” which means “forgive me from the bottom of my heart/soul”.

My in laws are Muslims so we’ll be visiting their house today to wish Selamat Lebaran. We expect to eat ketupat there also. Ketupat is a type of rice dumpling, made from rice that has been wrapped in a woven palm leaf pouch which is then boiled. As the rice cooks, the grains expand to fill the pouch and the rice becomes compressed. Here ketupat is traditionally eaten during Eid, usually served with various vegetable and meat dishes. Most (if not all) of the accompanying dishes are cooked in spicy coconut milk.

Unopened cooked ketupat

Unopened cooked ketupat


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My Mom’s AMD Treatment

Yesterday we had another appointment with my mom’s ophthalmologist. It was her second appointment after having lucentis injection for her AMD (Age-related Macular Degeneration) treatment last month. She took an OCT (Optical Coherence Tomography) test yesterday and the doctor seemed pleased after seeing the result. He said the abnormal blood vessel that blocked her central vision (macula) was significantly reduced.

This is her OCT result before treatment (notice the abnormal blood vessel in the white circle):
OCT Result before injection

This one is her OCT result after treatment:
OCT result after lucentis injection

We have to wait another 4 weeks to see the maximum effectiveness of the treatment. After that he will see if she needs another injection.

AMD is a degenerative condition of the Retina in which the central portion of the Retina, called the Macula, is damaged as a result of the hardening of the small arteries supplying oxygen and nutrients to the Retinal tissue. It is reported as the leading cause of blindness in people over 50 years of age.

When my mom was diagnosed with AMD last month, her ophthalmologist offered two types of drugs for her treatment, lucentis and avastin. Lucentis costs Rp 11 million (US$ 1100) while avastin costs Rp 2 million (US$ 200). The big cost difference between two drugs made us think twice before we decided which type of injection we should choose. The doctor said, “If money is not the problem, use lucentis as it’s already world-wide approved for AMD treatment.” Even though many eye-doctor use avastin as cheaper alternative for AMD treatment, the drug was initially developed (and later approved by FDA) for colon cancer, not for AMD. But he also reminded us that it’s going to be a long run treatment, and he couldn’t tell how many times my mom need the injection. It will depend on the each injection result that will be evaluated every two months.
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Avastin or Lucentis?

My mom had an appointment with her ophthalmologist this morning, it was her routine check-up after having cataract and glaucoma surgery last year followed by capsulotomy procedure three months ago. She’s been worried because her vision becomes blurry lately.

After seeing her OCT (optical coherence tomography) test, the ophthalmologist said she had an AMD (Age-related Macular Degeneration) disease and had to be treated with avastin or lucentis injection. The difference? Avastin costs $200 while Lucentis costs $1100. I don’t have time to check further deep about those drugs yet, when I agreed to have a lucentis injection for my mom. Hopefully I will get more information before the procedure tomorrow.