Africa, Family & Kids, Free State, Vrystaat, KwaZuluNatal, Life, Nostalgia

A Fascinating Case History

I took Mom to the ophthalmologist in Pietermaritzburg. She’d had some visual phenomena and her description of a curtain falling over her vision against the wall made me decide she must be seen right away. My good friend and colleague Owen Hilliar gave me the duty roster and I phoned the surgeon on duty – Dr L – and arranged to see him Sunday morning 08:30.

What a nice man! He listened to her stories. Unlike her usual eye man, Dr A.

So for a case history on this wonderful 91yr-old qualified nursing sister, and myopic glaucomatous pseudophake, Dr L now has the following information:

There are patterns in my vision on the walls and on the ceiling. Like the patterned ceilings in Granny Bland’s house in Stuart Street in Harrismith. I was born in Harrismith see, and did my midwifery in Durban. We went to Durban as we thought maybe we’d meet some nice boys there. Dr L’s eyes widen and he looks at me. But I met my husband in Harrismith; he worked for the post office and he got on very well with my mother and she told me ‘Peter Swanepoel is taking us to the Al Debbo concert in the town hall.’ My grandfather built the town hall; and he sat between me and my mother and that’s how we met. Unfortunately his good relationship with my mother didn’t last. My grandfather and his brother were stonemasons from Scotland; they built all the bridges for the railway line from Durban to Harrismith; What? OK, Ladysmith to Harrismith. When they had been in Harrismith a while they said ‘We like it here; the air reminds us of the old country,’ so they stayed and built a hotel each, the Central and the Royal – but first it was the Railway hotel – every town had to have a railway hotel. Then they changed the name by royal decree to The Royal Hotel. Or with Royal permission. The one brother had seven sons – she holds up seven fingers in front of Dr L’s face – and the other had nine. NINE – holds up nine fingers. And only one of them had a son. Dudley. He was a bit of a sissy – here my eyes widen – but he had the only boy. Thank goodness he then had sons to carry on the name, although one died in a bike accident. Now Granny Bland had five sons and only two of them did anything; one died of malaria in East Africa. Bertie, I think. When? In the First World War; the others just hung about, didn’t do anything even though they had been sent to very good schools. Hilton or Michaelhouse, one of those; I mean, what did my father know about farming? Nothing. His father just bought him a farm and sent him farming. He tried sheep, that was a failure.

Erm, I interrupted . . No, don’t worry, the dilation will still take a while says Dr L.

See, he wants to know, says Mom and carries on. I was proud of her! She was on a roll! We even found out the Shetland pony’s name was Suzanne.

Anything else about your eyes? he asks when she pauses for breath. Just the patterns and colours on the walls and ceiling, says Mom – no mention of the ‘curtain’ which had made me arrange the appointment in a hurry. And this time she didn’t say she has to remove her son’s glasses to read. Oh, and Oupa Bain went blind; I can remember the older children reading the newspaper to him.

After peering in and then checking V/A’s 6/36 and 6/18 and pressures – low, Dr L re-assures her all is well in her eyes and the patterns may be happening in her visual cortex.

We’re free to go, with huge relief. No trip to Durban, thank goodness. I’ve been nil-per-mouth since midnight, so I must remember to drink lots of water to catch up, says Mom happily.

~~~oo0oo~~~

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Medical Rounds

7.30am Jessie to the dentist up the road in Westville. A filling dropped out. I leave her there – she can walk home.

10am Mother Mary to the ophthalmologist in Pietermaritzburg (PMB). R. 6/18 and L. 6/36 no worse than before; Pressures holding good with the drops; field loss very near to the macula. All much the same as a year ago, so at least that’s the good news. She’s around -2,50 / -1,50 and you know what? She can read much better if she removes her son’s glasses. Funny that . .

11.30am the old man to the optometrist in PMB. Thanks to my good friend Owen Hilliar we don’t need him to schlep to Durban this time. Ooh! His eyes widen and he sits up straight. This is a better optometrist! She’s young and female! He’s been saddled with an old bald plump male optom down in Durban for years. And: She, at least, laughs at his jokes!

He has lost his slight myopia and doubled his astigmatism to -1,50 so this should help a bit. Still only 6/15+ best though. Of course, he doesn’t actually need glasses, ‘I can see perfectly without them; just not when I have to read small print , or in poor light, or the score on the TV, or road signs, but otherwise PERFECT.’ But to humour his son he’ll get some glasses. ‘See this here? If I took it out into the sun I could read it no problem without any glasses.’ Ja, Dad, it’s overcast and raining today. Hmph . .

Read this: M S R U – ‘Um, Vee, Ess, Aar, Gee.’ OK, close. That was the 6/12 line, so she gave him 6/15+.

When we leave I try and pay or get them to claim from Medshield. Ooh, no, sir, we have strict instructions from Mr Hilliar not to charge you anything. Quite a guy, young Owen Hilliar!

I tell them all to take a week off in December, they’ve been so kind. They don’t believe I have that kind of authority. ** sigh **

~~~oo0oo~~~