I went in for cataract surgery yesterday. I was impressed with all the attention to the Covid-19 protocol. I was tested for Covid-19 last Friday and the result came back, “not detected” 24 hours later. I felt guilty that so many others facing infection concerns in many parts of the country have a hard time getting a test done and sometimes have to wait two weeks for the results.
Overall, the nurses, doctors and support staff all performed well.
I was surprised, however, when the pre-surgery telephone nurse told me that I would have to disconnect from my insulin pump and they would put me on IV insulin. Cataract surgery is known for its brief duration and this proposal seems ill-informed and inappropriate.
I asked for the anesthesiologist to call me to sort this out. When he called, he quickly agreed that a transition to IV-insulin was not a good plan. I got the impression that he would have no glucose monitor in place to guide his insulin delivery rate. I wore my insulin pump through the surgery without event. I was walking out the door one hour after the surgery started.
I was hooked up to an IV line for the surgery mostly to provide a way for drugs to be delivered quickly. The nurse intended to hang a bag of Ringers Lactate and I appealed to change it to normal saline. Dr. Bernstein doesn’t like Ringers Lactate. I don’t understand all his reasoning but normal saline seemed a safe choice.
In general, I give this facility and staff operation during a pandemic a high grade. My only gripe is that I wish they’d up their institutional knowledge of diabetes. Diabetes is the hidden pandemic.