truepenny: artist's rendering of Sidneyia inexpectans (Default)
Appointment at the Wisconsin Sleep Clinic this afternoon. Upshot: a new drug to try: pramipexole instead of ropinirole. It's supposed to be easier to tolerate than ropinirole, so hopefully it will not make me queasy. (Fingers crossed.) I got to play Stump the Doctor (which actually is not so much my favorite game)--I asked if my albinism and associated photosensitivity issues might be screwing around with my circadian rhythms (a theory first propounded by my gastroenterologist), and he said, "Well, I don't think that . . . I don't know. . . . I'll have to do some research this evening." Also, blood drawn for lab work, and the doctor wants me to stop donating blood for a while, since iron deficiency is associated with RLS, and my ferritin is low.

That part sucks, especially since the Red Cross needs donors this winter, but I do reluctantly recognize that I have to take care of myself first.

I am amused/discomfited by the medicine information sheet for pramipexole, which tells me, "This medicine is a dopamine agonist. Exactly how this medicine works is not known."

Unless the pramipexole turns out to work miracles here over the weekend, I will be starting my search for an acupuncturist again on Monday. Anyone in the Madison area who has a recommendation, please feel free to share!
truepenny: artist's rendering of Sidneyia inexpectans (writing: demon)
So I was looking for information on ocular albinism last night because I was trying to think of ways to condense the explanation (I find it more than a little tedious, and am always worried that the person I'm explaining to is also finding it tedious), and I discovered something.

I don't have ocular albinism.

Your actual ocular albinism is an X-linked condition, which means only men have it. Women can be carriers, and [corrected per [livejournal.com profile] marsdejahthoris's comment] which means very very few women ever have it. If my dimly resurrected ninth-grade biology is right, the only way for a woman to have it would be for her father to have ocular albinism and her mother to be a carrier--and for her to get her mother's albinist X. This is not my situation. Women who carry ocular albinism may have mottled retinas. This is not my situation, either.

No, what I have is albinism: oculocutaneous albinism (OCA), an autosomal recessive condition, the same thing that produces the albino of popular culture, with white skin and white hair and pink eyes. There are different types of OCA, with differing degrees of ability to produce melanin. The fact that I'm a blonde in a family of redheads and brunettes is caused by albinism, exactly the same way the absence of pigment in my retinas is.

Research has clearly taken a step forward since the last time I looked at NOAH's website--which was, in point of fact, several years ago. And it's taken big steps forward since the 1970s. (I remember having hair pulled out for the test described on their What Is Albinism? page; from the results, the doctors decided I didn't have albinism, which shows you that the test is, as NOAH says, not real reliable.)

NOAH also has a page about nomenclature. For the record, I will not be offended by the word "albino." I don't have any negative childhood associations with the word (although I can completely understand why people whose albinism is more visually apparent than mine might have big honking issues), and for me, it doesn't carry a lot of freight. (I wasn't diagnosed with "ocular albinism" until I was 22, and only discovered YESTERDAY that I am, in fact, entitled to use the word "albino" without immediate qualification and clarification. So, yeah. I've got my share of baggage, but not about that.) Other persons with albinism may feel differently; I do not pretend to speak for them.

In some ways this is completely trivial--it's not telling me anything about my own personal albinism that I didn't already know--but it's still kind of, I don't know, unsettling. So yeah, this is me, being unsettled and readjusting. Onward.
truepenny: artist's rendering of Sidneyia inexpectans (tr: mole)
71,000 words! Only 39,000 to go, and we're starting to reach the tipping point where instead of thinking, oh my god it's like building the Great Wall of China with a spoon, I start thinking uneasily, There sure is a lot of STUFF left to cram into this book. This is a good sign.

Lost a big chunk of the day to the ophthalmologist--they always dilate my eyes, so that's an hour and a half actually in the doctor's office* and then another three or four hours afterwards where I'm as useful as a screen door on a submarine--so those approximately 2,000 words of progress are particularly gratifying.

Heard a thing on NPR this afternoon about the first Jamaican dog musher, Newton Marshall; he's already completed the Yukon Quest and is training for the Iditarod. This is a completely awesome kind of craziness, and I salute him for it.

And I am taking my tired and much abusèd eyes to bed.

---
*My favorite comment from today: "Your nerves look great."
truepenny: artist's rendering of Sidneyia inexpectans (writing: demon)
Albinos in Tanzania are being murdered for their body parts.

Also, a quite interesting Q&A about albinism itself. And how much do I love the SciAm writers for remarking on the popular culture Evil Albino stereotype?

(N.b., the type of albinism I have is not the same as the albinism being discussed in the article and Q&A. I have no pigment in my retinas, but my pupils and irises are normal. I am also, as people who have met me can testify, extremely pale--among my extended family of brunet(te)s and redheads, I am the only blonde, and my skin is also noticeable for its pallor. (See icon.) This is typical of ocular albinism, which seems to decrease pigmentation in hair and skin, but doesn't remove it entirely, as oculocutaneous albinism does. I also have nystagmus, and a lot of trouble with light levels, and the ocular albinism is the reason I started wearing bifocals at the age of thirty-two. I'm lucky, though, in that my problems are not as severe as they would most likely be if I had oculocutaneous albinism--I'm not legally blind, as long as I'm wearing my glasses.)

If you're interested in finding out more about any type of albinism, NOAH (the National Organization for Albinism and Hypopigmentation) has a lovely and informative website.
truepenny: artist's rendering of Sidneyia inexpectans (tr: mole)
This question has cropped up a couple times in comments, so I figured I should put an answer where everyone can see it:

The text on this blog is set at 16 point. That's on purpose. My old enormous CRT monitor recently bit the dust and has been replaced with a gorgeous Dell flat panel, which has a much higher native resolution than the CRT ever dreamed of. At that resolution, I need a font this big in order to be able to read it without knotting my spine into a cunning spiral macramé. (Ocular albinism: it isn't really about farsighted or nearsighted; it's never being able to get the focus sharp enough.*)

In other words, this blog is optimized for me to read it comfortably. The rest of you are just along for the ride.

---
*Mind you, this is purely a hypothesis based on what seems to be the difference between my eyesight and other people's. I've never NOT had this pair of eyes. It's only in (frequently implicit) comparison--as for example people wondering why the font on this blog is so large--that I notice a problem.
truepenny: artist's rendering of Sidneyia inexpectans (tr: mole)
There's an article here that makes a valiant stab at describing how people with albinism see the world. Literally.

Since, obviously, I've never seen the world WITHOUT albinism, I'd be curious to hear what people who do not have albinism make of it.
truepenny: artist's rendering of Sidneyia inexpectans (Default)
Ophthalmologist appointment this morning--my eyes have not changed in any significant fashion. Hurrah!

Also, they used one drop of the dilation drops, and gave me these reversal drops afterwards, and four hours later my eyes are practically back to normal. Hurrah!

(Though with an odd side-effect. Once of the problems related to ocular albinism is nystagmus, and one of the effects of nystagmus is that a person's eyes have to refocus every time she blinks. Normally, I can't observe this in myself, but the drops have slowed down my eyes' reaction time sufficiently that I notice. It is très weird.

Fortunately, [livejournal.com profile] mirrorthaw was driving.)

We also discovered that the little optician's located in the waiting room of the ophthalmologist is now carrying the sort of sunglasses that go over one's regular sunglasses, only compact enough and light enough that I can wear them--having very little bridge to my nose, I've previously found that type of sunglasses brilliant in principle but useless in practice. But Fitovers are Teh Shiny. Hurrah!

So I am only slightly headachy from eye strain. Hurrah!

In celebration/reward, we went to Borders, where I scored Blood & Iron, The Lies of Locke Lamora, Air, and the first season of Slings and Arrows. Borders is displaying both [livejournal.com profile] scott_lynch and [livejournal.com profile] matociquala with quite reasonable degress of respective prominence. Hurrah!

And I came home to find my contributor's copies of The Best of the Rest 4 waiting for me. Hurrah!

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truepenny: artist's rendering of Sidneyia inexpectans (Default)
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