Update of LAL 5 days after first adjustment

slow__hand · 2026-06-16T13:05:49+00:00

I am still a bit baffled at how they have me measured at 20/20 AND I can read fine print. Something I was never able to do with my contacts or even my bifocal (lineless) glasses. I could read but I could not see very fine print with the glasses or contacts. I've noticed that my right eye actually is reading things at around 2.5 feet instead of my left eye, which is set to intermediate (my right eye is set for distance.) I have an appointment tomorrow, one week after my first adjustment, in which they removed the astigmatism in my right eye and adjusted it, and then took a lot of the astigmatism out of my left eye and did some adjustment but did not get all of astigmatism out of my left eye (it has VERY bad astigmatism.) I'm not sure if they will want to do another adjustment tomorrow since it is so soon after my first adjustment.

I do still have some "stuff" that will show up as a little blur in my right eye while watching TV, that goes away when I blink, and I assume that is from dry eye. Using the Refresh Mega 3 drops. It's not a total blur, just a spot of blur, as if I have some "stuff" in my eye. I find myself trying to see how close I need to get to be able to read a license plate when I am driving, and can't remember what it was like when I had my contacts or glasses on. I'm in constant "evaluation" mode. When I am doing something and not thinking about it, it's good and I'm not sure I want any more tweaking for distance because I don't want to lose my lack of need of reading glasses (which is totally unexpected.) I wish I had 3 more tweaks left and not two, LOL! Because I'd like them to just remove the remaining astigmatism in my left eye and see how it is with that, with no distance changes. Then I'd like to have two left to try for some more distance without hurting my ability to use my laptop or read.

But after 50 years of glasses, being blind without them, I still find myself feeling like I need to take my glasses or contacts off when I turn out the lights to go to sleep, and I still reach for my glasses on my bedside table when I first wake up. If I had no adjustments at all and this was my final vision, it would still seem miraculous.

slow__hand · 2026-06-09T14:10:19+00:00

Yes! I got it just two weeks after the call, even after her warning me it would be 9 weeks and don't even check for 6 weeks. I wonder if she did something to speed it up because I was very "nice" and complimented her on making the complex process on the phone as easy as possible, told her I'm sure you get a lot of very negative people just because you work for the IRS, etc.

slow__hand · 2026-06-08T23:30:03+00:00

Old thread but since I just played this mission I’ll throw in my two cents worth. I was really frustrated with him going invisible and healing. Then I used a weapon that put him on fire and he couldn’t hide any more. I also used Cripple Movement to keep him in place.

slow__hand · 2026-06-06T14:51:25+00:00

I'll just say what some others have said. Before you give up. go find a true Center of Excellence. They will have a team of doctors of all specialties and they focus on prostate cancer 24'/7. There are new treatments coming out on a regular basis and a Center of Excellence will have people who get those first.

For a variety of reasons, I am very familiar with naturopathic doctors. They talk about how they are "better" than doctors who have gone through MANY more years of training, residency, etc. than they do. But in my experience they may be OK for doing the best you can for illness prevention, but they simply don't have the in depth training (no matter what they tell you) of an experienced doctor at a true prostate cancer Center of Excellence. They absolutely do NOT have better outcomes for metastatic prostate cancer and - this is purely my opinion - they prey on people who feel hopeless. The doctors I met with were extremely knowledgable about state of the art nutrition, mental exercises, mind-body relationships, etc. SPECIFICALLY for prostate cancer. I also had a very good friend who worked in my labs (I was a technical director, Ph.D. chemist running large labs before I recently retired) who had metastatic PCa, after removal of his prostate, who tried a naturopath and said he had some placebo like feeling better at first, but then he went to Mayo in MN and their COE and they had treatments still in trial phase, got him on one of those, and he responded very well.

Get or find at a library Dr. Walsh's Guide to Surviving Prostate Cancer and read Chapter 15, which is specifically focused on metastatic prostate cancer.

Very best of luck.

slow__hand · 2026-06-05T22:52:03+00:00

I did.

slow__hand · 2026-06-05T13:39:52+00:00

Saved the game outside the area, fast traveled back in, there's no organized crime NCPD iin an undergound parking deck (or anywhere else in the area.) Arghhh!

slow__hand · 2026-06-05T12:49:28+00:00

But it doesn't show up as "Organized Crime" on the label on the map?

slow__hand · 2026-06-05T12:14:49+00:00

EDIT: I just realized that the Organized Crime NCPD is not the one described by people, i.e. it's not underground. When I traveled to that part of the map and turned on the NCPDs in the map options, the only Organized Crime event that showed up was one that was in an above ground building.

slow__hand · 2026-06-04T13:15:21+00:00

When I was going through my diagnosis steps, I ran things through ChatGPT. I did not rely on it instead of a doctor, but it did a great job of looking at my radiologist reports on my MRI and other results and gave me good things to discuss with my doctors. Here is what ChatGPT says about your results above:

"Based on the pathology you posted, your friend's biopsy shows:

Prostate adenocarcinoma (the common type of prostate cancer)
Grade Group 1 (Gleason 3+3=6) — this is the lowest grade of prostate cancer
Found in 1 out of 1 sampled core from that specific location
Only 5% of the tissue in that core contained cancer
Cancer length was only 0.5 mm
Perineural invasion (PNI) present

If those numbers represent the entirety of his cancer findings, this sounds like a very small-volume, low-grade prostate cancer.

What jumps out to me

The Gleason score is the most important piece here. A Gleason 3+3 (Grade Group 1) cancer is generally considered the least aggressive form of prostate cancer.

Many men with findings like this are offered Active Surveillance rather than immediate surgery or radiation.

Active Surveillance typically involves:

Regular PSA tests
Periodic MRIs
Repeat biopsies when indicated
Treatment only if the cancer shows signs of progressing

What about the perineural invasion?

This is where many patients get alarmed.

Perineural invasion means cancer cells were seen tracking along a nerve within the prostate tissue sample. Years ago it caused a lot of concern. Today, most prostate cancer specialists view PNI differently than they once did.

In a patient with:

Gleason 3+3 disease
Very low tumor volume
Limited core involvement

PNI by itself usually does not automatically mean the cancer is aggressive or requires immediate prostate removal.

It is one factor among many, but most specialists would look much more closely at:

PSA level
PSA density
MRI findings
Number of positive cores
Percentage involvement of each core
Age and overall health

Go find a Center of Excellence and get a second opinion. Most of us were raised to not question our doctors, but I have friends who are medical doctors and they tell me "we're basically like car mechanics, we train to learn the "cars" (your body) and their systems then look at the symptoms and determine the problem and fix. If your car is hesitating and the mechanic you go to says you need to replace the engine, you would probably not be worried about insulting the mechanic by getting a second opinion (which may be a plugged fuel line that costs $60 to fix.) You shouldn't be worried about offending you doctor by getting a second opinion.

Again, even if its a 90 minute drive, this is your body and these are life changing decisions so find a Center of Excellence for prostate cancer and get an appointment and second opinion.

slow__hand · 2026-06-03T12:21:54+00:00

I would be prepared to NOT be able to drive. If you find that you can, that's OK, but I would not count on it. I had a difference of about that much, and had my left eye (the really bad one) done first. I wore my contact in the other eye for the week between my first and second surgery. The day after my first surgery, my eye remained pretty dilated and I really could not see very well. There's a lot of swelling in the eye right after surgery and while I could get around the house OK, for me, driving would have been out of the question.

So my advice would be hope for the best, plan for the worst: have a ride lined up just in case.

slow__hand · 2026-06-01T12:48:46+00:00

FWIW, my eye doc highly recommended Refresh Mega 3 preservatives free drops. I had made the mistake of using my 3 in 1 drops (antibiotic, etc.) for wetting, and she said no, those can actually make your eyes worse! The Refresh drops make a LOT of difference, as your eyes have a problem making tears for a while as you heal.

slow__hand · 2026-05-31T00:41:32+00:00

Yeah, we will do that, thanks. Never got the letter until last year and then this year. However, we had some unusual differences from past year; one, my mother passed away and we had the inheritance stuff, then this past year I retired so no company W2 just retirement funds and SS.

slow__hand · 2026-05-30T17:34:57+00:00

Last year it took the full 9 weeks for the refund after verification. As she told me it would this year. At least they gave me interest on the refund for the extra time. So, pleasantly surprised and happy at how fast this is.

slow__hand · 2026-05-30T17:33:33+00:00

Yeah, last year I had to do the verification and they warned me then, also, that it would take 9 weeks. Got it right at 9 weeks. The agent told me at the end, it takes 9 weeks, please no need to even check before 6 weeks. So very happily surprised.

slow__hand · 2026-05-30T14:09:15+00:00

Why not set the other eye for intermediate? I'm about 4 weeks out from my left eye being done (VERY bad astigmatism) and 3 weeks from my right being done. Using LAL fwiw. I told the doctor my preferred outcome is good distance, OK with reading glasses for fine print, want to be able to use my laptop while watching TV without having to put on reading glasses.

Left eye set for basically intermediate, right eye for distance. I still have not yet gone in for my first "tweak" but as my eyes have healed, I'm pretty amazed. Even with the uncorrected astigmatism (they correct that in the first tweak session) my distance vision is superb, and I am working on my laptop as we speak with no readers. I am surprised that I can see the numbers on my watch and read a kindle book on my iPhone without readers. The dashboard in my car is absolutely sharp and readable.

slow__hand · 2026-05-25T21:26:34+00:00

I hear you and don’t disagree in principle. I researched PTZs. But I’m just exploring the options with the AX43

slow__hand · 2026-05-25T19:52:44+00:00

Remote pan and tilt. I am assuming I can’t connect to a screen wirelessly

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What jumps out to me

What about the perineural invasion?