I Once Was Blind…

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I got LASIK on my right eye Friday morning, and my results are fantastic! Some people are curious about the LASIK process, so here’s my story.

As I shared in a previous post, I’ve been dogged by recurring pink eye in my right eye for the last year. My left eye is 20/15, but my right eye is badly nearsighted, so I’d worn a single contact on the right side for about 20 years. It bothered me on occasion – minor irritation and dryness, getting lost in my eye, even falling out a few times – but the recurring pink eye finally persuaded me to get this thing fixed for good.

Why Dr. Tylock?

I called Gary Tylock’s office about 10 days ago to set up a LASIK appointment. Lots of surgeons do LASIK, including my previous ophthalmologist and various doctors who advertise on the radio. I chose Dr. Tylock for a few reasons:

  • He’s extremely experienced, having done over 80,000 procedures and been in practice for over 20 years. He has won numerous awards and taught eye surgery at UT Southwestern Medical Center.
  • He uses the latest LASIK technology (unlike my previous ophthalmologist), helped develop the LASIK technology and procedures, and was among the first surgeons in the world to perform IntraLASIK, which uses a laser to create the corneal flap rather than a metal blade.
  • He offers a 20/20 money-back guarantee. I don’t know whether anyone else in the area matches that offer.
  • At least two of my coworkers recommended him. One of them already had very dry eyes before the surgery, and Tylock’s staff refused to approve him for LASIK until they could get his eyes moisturized sufficiently with various drops and gels. That process took a few weeks until he was finally ready. Apparently, LASIK doesn’t work well if one’s eyes are already too dry. I was impressed that they were unwilling to take large amounts of money from him when the outcome was questionable. That told me that Tylock values his patients’ sight more than their money.
  • His office is near my parents and grandparents, which came in handy on surgery day.

Pre-Op Exam

I called on a Friday and set an appointment for the following Wednesday. It was nice to get in so quickly. At the pre-op appointment, every single person I talked to was very nice and helpful. Tylock’s staff performed a variety of tests to ensure my eye was a good candidate for LASIK. The tests included a traditional vision test with dilation and a battery of “One or two? Three or four?” exercises, eye pressure check, and a computerized eye mapping that would show Dr. Tylock exactly how to set up the laser so that it would reshape my cornea perfectly. Everything looked good, so we scheduled surgery for Friday morning – two days later. If only all medical appointments could be so easy to schedule! As with most plans, my medical insurance didn’t cover LASIK, so I had to pay out of pocket. Before I came in, they said the cost for both eyes was anywhere from $2900-3600. My cost was $1500 since I only had one eye. Being a freak pays off sometimes!

Surgery

On Friday morning, Jenny dropped me off at the office and took the boys to hang out at my mom’s house with my niece and nephew. I would receive mild sedation and somewhat disrupted vision, so they require all LASIK patients to have someone drive them home.

One reason I’d hesitated for years regarding LASIK was fear. I enjoy watching surgery videos due to my interest in medicine and the body, but eye surgery always made me squeamish. However, since LASIK had become such a common procedure with almost universally good results, and it only affected the outer layers of the eye, and I still had a good eye left if something went wrong, I decided the result was worth the small risk involved. That morning, I felt much more excited than nervous, contently watching the Olympic women’s gold medal tennis match in the waiting room.

When my turn came, I went to another waiting room and received some instructions regarding what to expect and how to care for my eye post-op. A tech administered some eye drops and offered us all a sedative, which I gladly accepted for two reasons: 1) to help me not freak out on the table, and 2) to help me sleep afterward as they recommended. Then they had me lie down in a comfortable recliner outside the operation room and gave me disposable booties for my shoes and a hairnet. (really? um, have you seen my head?)

Finally, I entered the OR. A flood of various types of drops – numbing, antibiotic, irrigation, and who knows what else. The room was cold, so the assistant covered me with a blanket. At this point I finally got to meet Dr. Tylock, who was very nice, comforting, and confident that the procedure would go well. Once my eye was ready, I lay down on the laser table, and they moved the first laser over my eye.

Two different lasers are involved in IntraLASIK. The first creates a flap in the cornea. Thinking about what was about to happen, I was a bit nervous. My biggest fear was that I would panic while one of the lasers was firing and permanently jack up my eye. Supposedly, the laser can detect any movement and adjust or shut down if needed, but…you know. They positioned the machine over my eye and told me to expect some pressure and temporary loss of sight in the eye. My job was to focus on the center of some greenish rings. They inserted some eyelid retractors, which were much less uncomfortable than I’d expected, and got to work.

I tried my hardest not to move my eye, which was a bit of a challenge once my vision went dark since I no longer had anything to focus on. The pressure was firm but not painful, and the whole flap creation only took 10-15 seconds, I think. I saw some different lights and weird stuff. No big deal, really. Then the bed slowly moved me across the room a bit and under the second laser, which does the actual reshaping of the cornea.

My assignment now was to focus on a fuzzy green light inside the device. I saw more flashing lights and weird stuff while the laser did its work. I remember Dr. Tylock telling an assistant that it would fire for 14 seconds. Suddenly, I noticed that the fuzzy green light was now a green pinpoint. It had worked! After that came the strangest part when Dr. Tylock used an instrument to fold my corneal flap back down and slide it back into its proper location. The numbing drops kept it from hurting, but it was still a bizarre sight to see. The flap quickly adheres into place without stitches. Dr. Tylock said it went beautifully. They sat me up, checked out my eye with one of the standard eye exam devices, and then sent me to recovery. Although I was dying to test out my new eye, instead I followed my instructions and sat in a recliner with my eyes closed to let the flap set.

Post-Op, Day 1

I was supposed to go home and straight to bed, but instead I had lunch with my family first. My vision was hazy all that day, almost like peering through a fog that drifted in and out, but through the haze the image was sharp. This wasn’t hocus-pocus or a marketing gimmick. LASIK really did work, and work very well. I had a blast reading things across the room that were previously a blurry mess without my contact. Minus the haze, my right eye seemed comparable to my left. I later learned that the haze resulted from slight swelling in the cornea caused by the surgery. I was prescribed anti-inflammatory steroid drops to combat the swelling and moisturizing drops to keep the eye wet. While it healed, the flap was also sensitive to impact and rubbing, so I wore safety goggles during the day near the boys and a different pair while I slept. I slept all afternoon, watched some Olympics, and then slept several hours that night. Sometimes I felt minor discomfort in the eye, but some drops usually returned it nearly to normal.

Post-Op, Day 2

Day 2 was pretty similar to Day 1, only with a bit less haze. I pounded the drops as directed. At my post-op appointment, the optometrist said my eye looked great. I could read 4 of the 6 letters on the 20/15 line and probably would’ve had the other 2 if not for the haze. We went to a baseball game that night, and I kept amazing myself by reading the advertising signs across the field with my formerly bum eye.

Post-Op, Day 3-4

The haze is mostly gone. My eyes are nearly identical in focusing ability. I know it’s technically not a miracle because LASIK is a medical procedure made possible by medical technology, skill, physics, and other human factors, but it really feels like a miracle. I once was practically blind in my right eye without my contact, but now I could see almost perfectly. It’s amazing.

The main problem I have is dryness, so I’m still using lots of eye drops. The dryness is especially bad when I wake up. This is a common problem that should improve over time.

One quirk may be specific to my situation. When I test my eyes separately, each one seems to focus at a slightly different depth. So when I switch from one to the other, the image starts out mostly sharp but takes a moment for the image to reach full sharpness. I believe my left eye was always dominant, and my eyes are adjusting to the new reality. It’s a good problem to have.

That’s all I have for now. I am very pleased and wish I could’ve done it a long time ago. That seems to be a common sentiment among LASIK patients, and now I know why.

Going to the Lodge

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After hearing good reviews from other parents, Jenny and I took the boys to Great Wolf Lodge Tuesday night. Great Wolf is a family-oriented resort in Grapevine that features a large indoor water park along with other water activities and entertainment for the kids.

Pictures from Great Wolf Lodge

Overall, it was a pretty good experience. Most importantly, the boys had an absolute blast! We spent a couple of hours in the indoor water park on Tuesday afternoon and a couple more Wednesday morning before we left. It was definitely the highlight of the trip. Brenden was barely tall enough to ride some of the larger slides with a parent, so Jenny and I took turns watching each boy to allow both of us to ride with him and to play with Jonathan in the toddler area. The park offers a variety of slides, pools, and activities for all ages, and I loved not having to worry about the sun while we played. Plus the larger slides were fun for us, comparable to ones you’d find at Hurricane Harbor or Hawaiian Falls.

This was the boys’ first stay in a hotel. As expected, this new experience proved to be a bit of a challenge for us, although they really enjoyed it. First, we had to convince them to be quiet in the room and especially in the hallway to avoid disturbing the other guests. Good manners are easy to forget in the excitement of a new adventure. Next, we had to get them to sleep in a hotel room when they normally sleep alone in their own rooms. Our original plan of putting them in the same bed lasted about five minutes, during which a very tired but overstimulated Jonathan talked Brenden’s ear off and wouldn’t stop messing with him. So I switched places with Brenden and pretended to sleep while Jonathan patted my shoulder and kept saying, “Wake up, Daddy, wake up!” I finally dozed off and promptly proceeded to wake Jonathan up with my snoring, which Jenny fixed quickly by waking me up. Throughout the rest of the night, Brenden woke Jenny up every few hours to tell her something (for example, “Did you hear that, Mommy? That was me tooting!”), while Jonathan woke me up periodically by tossing and turning and poking me in the butt with his feet. It was not a restful night, but the boys got a decent amount of sleep.

Here are my impressions of Great Wolf:

Good

  • Indoor Water Park – As I said above, the indoor water park was lots of fun, clean, and included activities for all ages. Guests can use it from 1:00pm on the day of checkin and the entire day of checkout, which is a very nice perk.
  • Staff – The resort caters to families with kids, so the staff are generally very nice and helpful and know how to work with kids. Our server at dinner brought the boys free wolf ear headbands and patiently waited while Brenden talked to her and tried to decide which color headband he wanted. The lifeguards paid attention and seemed to care about their responsibilities.
  • Wristbands – Instead of a room key you must guard while swimming, each guest gets an electronic wristband that serves as a room key, allows you to charge purchases to your room, and provides access to the water park.

OK

  • Room – We got an entry-level room that Great Wolf calls a family suite. It had two comfortable queen beds, sofa, fridge, microwave, coffee maker, and a nice view of the Gaylord Texan and parts of Grapevine. It was a nice room, but not as upscale as the price would suggest (see below).
  • Entertainment – In addition to all the pools, Great Wolf also offers an arcade, an interactive fantasy game call MagiQuest, a girl-themed spa for children, costumed characters, and story time at 8:00 and 9:00pm. The boys liked story time pretty well, although the little animatronic show before the actual story time could be improved.

Disappointing

  • Prices – Everything at Great Wolf is expensive and seems overpriced to me. Everything. I got a small discount for being an airline employee, but even the basic room is really expensive ($200+/night), and any of the special rooms with bunk beds or separate bedrooms can run $250-500/night. Yes, it’s a nice room, but I can get a nicer room at a nearby hotel for significantly less. Management seems to think the water park justifies a huge premium. They add a resort fee to cover in-room coffee, wireless internet, etc. even though the wifi service was intermittent in our room. Food is very expensive for what you get as well. The MagiQuest game, while it looks fun, runs $30 or more per person.
  • Food – We ate two meals plus a separate dessert at the resort, and overall we felt the food was decent but overpriced. My Philly cheesesteak had maybe 2-3 ounces of actual steak. Jonathan’s mac and cheese was great, but kid’s meals at the grill were $8.00. I don’t want to pay $8.00 for a meal that my kid might or might not actually eat. My cupcake, while pretty, was topped with a huge glob of the sickly sweet icing they use for Baskin-Robbins clown cones, a bit too much even for me. The breakfast buffet offered a pretty good selection but was poorly organized and charged separately for juice and soda, which seemed pretty cheap given the high price of the buffet. We decided to eat off-site for lunch.

Did we enjoy our stay? Yes. The boys really enjoyed the visit, which was the goal. Will we go back? Maybe. Most likely, we’ll go back next just for the MagiQuest game rather than an overnight stay. A hotel guest wristband is only required for the water park, not for general access to the hotel during the day. We didn’t try MagiQuest this time because the boys were too young, but Jenny and I think it sounds fun. Maybe we’ll try it as a family in a few years.

Bottom line, if you have kids who would enjoy a nice indoor waterpark and don’t mind dropping lots of cash on an adventure for them, Great Wolf might be a good choice for you. If you’re looking for a good value on a really nice room for a relaxing, romantic getaway, go across the street to Gaylord Texan or Embassy Suites.

Refi Complete

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This week, we added another life achievement that makes me feel old: refinancing our mortgage. We started thinking about it several weeks ago, as I discussed here, and finally closed on Tuesday. Here are the details for those who are interested.

Early on, I requested information from a couple of lenders online and never heard from them, which didn’t bode well for their responsiveness if I’d actually applied with them. So I moved on. I applied online first with a mortgage officer recommended by our realtor. The site walked me through a detailed application process that took some time. Then I waited. And waited. Long story short, the loan officer was so busy with mortgages for new purchases that she had to put refis on the back burner. Each time I contacted her, she didn’t respond for a couple of days.

So I moved on again to another loan officer, Marla Butler at Guild Mortgage in McKinney. My buddies from work highly recommended her and said she was very quick to respond. They were absolutely right. Except for one phone call I made to her right before getting the cashier’s check for closing, we communicated only by email, and she always wrote me back within a few hours or the next morning if I sent her a question. She was great to work with.

We started the whole process with Guild about a month ago, applying online and then faxing in our documentation. Overall, the process went smoothly, with only minor issues regarding my legal name (everyone wants to leave off the Jr.) and getting the correct numbers and financial statements where they needed to be.

As planned, we switched to a 15-year mortgage and got an interest rate of 3.125 percent, a big improvement over our 30-year mortgage at 4.375. If we take the full 15 years to pay off the new one, we’ll save over $70,000 in interest compared to the old mortgage. Our payment only increased by $175/month despite the shorter term. Closing costs totaled about $4400, so I figure this was one of the better investments I’ve made. I saw lower closing costs elsewhere, including the first loan officer I contacted, but Marla was so great to work with that I was willing to pay a little more to get the deal done quickly and efficiently.

One thing that still seems odd to me is the way underwriters look at financial data. They base their decisions on periodic financial statements and values like a financial accountant, which means their numbers could be several days or even a few weeks out of date. I, on the other hand, use Mint.com and my various financial websites to track my positions in nearly real time. Both perspectives have merit, but it’s helpful to be aware of the difference when applying.

The biggest hiccup, if you can call it that, was the appraisal. To avoid PMI, we needed the house to appraise for several thousand dollars more than we paid for it. Based on the improvements we’ve made and the current listings in our neighborhood, I expected a high value. Instead, the appraiser valued our house at $3000 less than we paid for it. As a result, we had to pay down our original mortgage significantly at closing. We were hoping to use those funds for other purposes, but it was money we would have to pay at some point regardless, so we benefited regardless.

I hope this helps. Comment or write me privately if you have any questions.

The Week Ahead

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This is a crazy but very exciting week for the Box household. Here is our agenda:

Monday – the boys start swim lessons at the Grapevine public pool. They’ll go five days a week, thirty minutes a day for the next two weeks unless we have something else going on. They took a few lessons last year, but these will be a bit more involved.

Tuesday – We hope to close on our refi around lunchtime! Then we’ll pick up the boys from school and go to Great Wolf Lodge in Grapevine. This will be the boys’ first night in a hotel and first night sharing a bed with each other, and I’m not sure how it will go. We’ll do our best to wear them out in the indoor water park.

Wednesday – Play at Great Wolf in the morning, nap, and then swim lessons.

Thursday – Jenny has Mommy Day, so I’ll be taking the boys to and from school and then to swim lessons. (oh boy…help, Jenny, what do I do?!?) While they’re at school, I hope to run or do some yoga and then meet my mom and her parents for lunch. That night, our babysitter is coming over to watch the boys while we see The Dark Knight Rises at Studio Movie Grill.

Friday – I hope to visit the office of Gary Tylock to discuss getting LASIK for my right eye. Yep, I finally decided to go for it. In the afternoon, I’m taking Brenden to his friend Landry’s birthday party at 4:00. Then we’re hosting Brenden’s 4th birthday party at 6:30 while the DVR records the Olympic opening ceremony. Jenny’s parents are taking the boys home that night because…

Saturday – Jenny and I plan to ride in our first organized bicycle ride, The Goatneck in Cleburne. We’ve already gone farther in training than the 27 miles we signed up to ride there, so I’m confident we can finish this one. We’ll spend the rest of the day trying to recover and watching the Olympics.

Water is Life

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For years now, Jenny and I have supported Water Is Basic, an organization that drills clean water wells in South Sudan. WIB is an interesting partnership that is making a huge difference there. It’s primarily a South Sudanese organization. They identified clean water as one of their greatest needs. They site, plan, and drill the wells. They use the water. The US partners simply provide most of the funding and some of the leadership. WIB hopes to be self-sufficient within a couple of years. The model works so well, and at such a low cost, that people in other countries see the model’s success and want to replicate it to meet some of their own greatest needs.

To help spread the word about the amazing work of Water is Basic, some supporters produced a 20-minute documentary film called Ru: Water is Life. Jenny and I attended the world premiere Sunday night at Irving Bible Church. Next the producers are entering the film in various film festivals and already got accepted in Florida. The cinematographer was our awesome and talented friend Joel Smith, and the camera work shows his distinctive touch.

RU is a beautiful film that tells the story of a twelve-year-old South Sudanese girl who is the primary caretaker for her family. Three times a day she walks two miles round trip to a muddy, disease-ridden puddle to gather water for her family. She uses a five-gallon jug called a jerrycan that weighs about 40 pounds when full. She must structure her day around these water trips and then hope the water doesn’t make her sick when she drinks it. Despite her difficult situation, she has learned a remarkable resourcefulness that allows her to survive with practically nothing. Even more impressive, she is filled with a remarkable joy that shines through in her beautiful smile. My favorite image waits at the end of the film when the drilling team finally breaks through to the clean water deep beneath the dry Sudanese brush. Like oil from a new well in Texas, the water gushes out at the surface and begins to flow downhill toward the viewer. Nearby villagers watch in wonder. Hope flows like wine at a wedding feast, and a new life begins for thousands.

In addition to the film festival campaign for Ru, the producers and president are also setting up private screenings for individuals, churches, and any other group that wants to learn more about Water is Basic and how they can help change lives in South Sudan. If you or your organization is looking for a way to make a huge impact by providing jobs and clean water for thousands of people half a world away, please visit WaterIsBasic.org.

Haiku Tuesday 28 – HEAT!!

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It’s been a while since our last Haiku Tuesday, so it’s back! Today’s theme: our record-breaking summer! (and no, I don’t want any haiku about the Miami Heat basketball team!)

Who needs a sauna?
You can simply step outside
And save lots of cash

Rollin’ in the heat
Faster speeds help keep me cool
Sweat will make me strong

One good thing about
Summer and the lack of rain:
Now my grass won’t grow!