Hunger Games review

The Hunger Games: Catching Fire is scheduled for release this Friday. In preparation, I watched The Hunger Games again. I was reminded of a few points that I thought worked really well in the film adaptation and a few more that fell flat. Be forewarned that this review contains spoilers, so please stop reading now if you have not yet seen the first film.

First, a few things that didn’t work well:

1. The mockingjay pin

mockingjayI understand the need to streamline the number of characters for the movie adaptation. Axing Madge was one thing, but the new backstory of Katniss’ mockingjay pin is ludicrous: Katniss finds the pin at the marketplace and gives it to li’l sis Prim as a good luck charm to protect Prim from anything bad happening to her at the Hunger Games reaping. Prim is selected despite her name being entered only once in the pool. Katniss volunteers to take her place and when Prim comes to say goodbye, she gives the pin back to Katniss to protect her from anything bad happening. Really, Prim? Fifteen minutes ago the mockingjay pin proved itself to be an epic failure as a good luck charm and you are giving it back to Katniss? And Katniss, you are accepting it?

My suggestion: It would have worked better for Mrs. Everdeen to give Katniss the pin when she and Pris came to say goodbye. She could have told Katniss the story about it having belonged to a friend of hers who was a tribute years before and she hoped it would bring Katniss luck.

2. The bakery scene

peetabakeryIn the book, the scene where Peeta tossed a loaf of burnt bread to Katniss occurred shortly after the death of Katniss’ father more than five years earlier. Katniss is a little girl nearly starving to death. The scene does not make sense once Katniss is a young woman proficient at supporting herself and her family by hunting in the woods outside of District 12.

My suggestion: it would have worked better to cast a couple of younger actors to film this scene.

3. Tracker jacker hallucinations

hallucinateThe tracker jacker scene is critical to the story, but I did not care for the way it was executed. Seeing Katniss’ point of view as out of focus was all right, but having Caesar Flickerman walk into her hallucination with an explanation of the effects of tracker jacker venom was incongruous, and the explosion of her cabin just did not make sense.

My suggestion: Caesar Flickerman’s comments could have been handled as a quick cutaway to the Hunger Games program instead of part of the hallucination. Leave out the exploding room.

4. Mutts

muttsIn the book, the mutts sent to pursue the last few remaining players had facial characteristics of the dead tributes. The film version generic mutts were not nearly as menacing as the picture the book painted in my imagination.

My suggestion: Stepping up the CGI to make the mutts look more like the slain tributes could have been a truly terrifying scene.

Now, film elements that worked extremely well:

1. The control room

controlroomSince the book was written strictly from Katniss’ point of view, we did not know anything at all about the Hunger Games control room. The depiction of the control room technology in the movie, particularly in contract to the condition of life in District 12, was outstanding. I also liked the parachutes that delivered sponsor gifts (although I had always imagined them as silent – seems like the tinkling sound could attract the unwanted attention of other tributes).

2. Woody Harrelson as Haymitch

The Hunger Games: The Official Illustrated Movie CompanionWhen Woody Harrelson was cast as Haymitch, I remember thinking it was a particularly brilliant choice. And it was. Overall, I think the casting directors did an outstanding job bringing the novel characters to the screen.

3. The early introduction of President Snow

president-snowIn the books, President Snow does not make an appearance until Catching Fire. It worked very well to introduce him earlier on, particularly for the pre-game festivities.

4. The punishment of Seneca Crane

senecacraneThis is another scene that was not possible from Katniss’ first person narrative in the novel but was a splendid addition to the movie. Watching Seneca Crane approach a bowl of lethal nightlock berries in an otherwise empty yet opulent room – and realize its implications – sent chills down my spine.

 

Overall, I thought the filmmakers did an excellent job adapting the movie to film, and I am looking forward to seeing what they did with The Hunger Games: Catching Fire.

Kumihimo

A few years ago, Laura got hooked on braiding friendship bracelets. She quickly learned to follow intricate patterns that left me completely lost. One day as I searched for new patterns online, I came across an interesting variation called kumihimo.

Originating in Japan during the eighth century, kumihimo (“gathering of threads”) developed into an extremely beautiful and useful art form. Its original purpose was to lace together plates of samurai armor and embellish swords. Some warriors could be identified by the unique intricate patterns of their kumihimo cords. Kumihimo braids were later used to fasten the obi (wide sash) around a kimono (traditional formal Japanese dress). Today kumihimo is used for many purposes, including beautiful jewelry.

marudai

Historically braided from pairs of silk threads on wooden looms known as marudai, some patterns have been adapted for braiding on foam disks with slits to hold the threads.

disc

I found the repetition of the kumihimo patterns to be very calming. I especially liked a pattern known as ridged spiral, and decided to utilize it in gifts for Laura’s basketball team a couple of years ago.

bb-bracelets

My pattern was featured in the What a Knit May 2012 newsletter. Space constraints caused the pattern to be significantly condensed, so I am publishing the full version here for those interested.

KUMIHIMO TEAM BRACELETS

Designed by Sara Hartman

 Materials for approximately ten bracelets and one key fob:

  • two skeins of embroidery floss or craft thread in main (ridge) color
  • four skeins of embroidery floss or craft thread in background color
  • lanyard end or key ring
  • 4mm end caps, two per bracelet
  • split rings or jump rings, two per bracelet
  • lobster claw clasps, one per bracelet
  • beads or charms, one per bracelet (I used Bead Magic basketball beads)
  • kumihimo disk (my favorite is the Bead Smith mini kumihimo disk)
  • 12 bobbins (I used small EZ Bobs)
  • glue (I used E-6000)
  • floss threader (I used the kind the orthodontist gave to my kids)
  • weight (I used a 1-ounce fishing weight)

Unwind and find the midpoint of each skein of embroidery floss. The main color will start in slots 32 & 16 and 1 & 17. The background color will start in slots 6 and 22, 7 and 23, 10 and 26, 11 and 27. Center the floss on a foam kumihimo disk and wind the ends onto fold-over bobbins. Once all six skeins of floss are prepared, put a lanyard end around the intersected strands of floss, and hang a weight on it.

Braid in the ridged spiral pattern until the main color runs out. (Note: This pattern may be found on page 21 of Makiko Tada’s Comprehensive Treatise of Braids VI: Kumihimo Disk and Plate. There are online instructions at http://www.weirdollsandcrafts.com/none/round3.html. If you prefer a visual tutorial, see http://www.youtube.com/watch?v=zGZL7qpkdNI (it’s in Spanish but has English subtitles and is easy to follow). Remove the braid from the disk and gently stretch it. I found that each complete rotation around the disk makes 1” of braid, and six skeins of standard embroidery floss yields 60 – 66” of braid.

Use a floss threader to string about 12 beads onto the braid. (I usually pull 2-4 strands of floss through the beads at a time.) Extra beads are easily removed at the end of the process, but near impossible to add after the first bracelet is cut.

Cut segments to 6.25” (for a 7” bracelet) making sure there is a bead on each segment before you cut it. (Adjust the segment length for longer or shorter bracelets.) Glue on the end caps. When the glue has dried, add split rings and lobster claw clasps to attach them.

Leave a bead on the leftover braid with the lanyard end to make a key fob for the coach. Tie an overhand knot at the desired length and unravel a bit of braid for a short tassel.

Repeat as necessary for the number of bracelets and key fobs needed for your team. My daughter gave these to her teammates and coaches at Christmas and they loved them!

Thirty Days of Thanks

Even before Laura made her appearance 0n Thanksgiving Day, it was one of my favorite holidays. I love the family-orientation of the day, the spirituality of thanking God for all of the blessings I enjoy, and of course leftover turkey and pumpkin pie.

I am participating in Thirty Days of Thanks on Facebook. I did so last year as well, and looked forward to coming up with something new for each day. This year I plan to add a photograph to accompany my thought for each day.

I hope to come up with mostly new gratitude items, so I am listing last November’s posts here to refresh my memory.

30 Days of Thanks1 – I am thankful for my family – a loving husband, Phil Hartman, and three wonderful and fascinating children: Hanna Faith Ogawa Hartman, Laura Beth Hartman and Joseph Hartman. (I suppose I could have listed each person on a separate date, but I’m afraid November does not have enough days for everything I am thankful for.)

2 – I am thankful for our superhero pets, Epileptic Dog and Psychotic Cat.

3 – I am thankful for a lovely home in a nice neighborhood with good neighbors.

4 – I am thankful for my church family that values and supports Christian education and provides a vibrant youth program.

5 – I am thankful for opportunities to travel. This week’s web log: Part I of a series on our trip to Vietnam.

6 – I am thankful, so very thankful, so very extremely thankful, that it is Election Day in the United States. Not only is the secret ballot a cornerstone of our democratic republic, but the robo calls will stop as well. Be sure to vote today if you are eligible and able!

7 – I am thankful for my HFS and AN friends who have provided invaluable support and encouragement over the past 4.5 years. I can’t list everyone, but you know who you are. Thanks and God bless.

8 – I am thankful for the beautiful autumn weather we are having here. I am keeping my friends and others on the east coast who aren’t so fortunate in my prayers.

9 – I am thankful for the excellent educational opportunities we have been able to provide for our children. Trinity Lutheran School, Helias High School, Jefferson City Public Schools, and Truman State University have all been blessings to us.

Jefferson City has so many excellent options. Calvary Lutheran High School and Lighthouse Preparatory Academy are also top-notch schools and there is a strong home school association.

I also neglected to mention all of the dual credit through Lincoln University. SO MUCH TO BE THANKFUL FOR!

In the interest of full disclosure, thanks for St. Louis Downtown Children’s Center, Jefferson City Day Care Center, JCPS Preschool and Presbyterian Preschool as well.

10 – I am thankful that my super tall and skinny boy finally fits (at least for the present) in an off-the-shelf size. I am further thankful that Orscheln had jeans on sale this week for $11.99. How often does that happen?

11 – I am thankful for service and sacrifice of the United States armed forces: past, present and future.

12 – I am thankful to have never experienced real hunger. A post for fellow foodies this week – Vietnamese cuisine.

13 – I am grateful for my publisher and editor. I am further thankful that after five years, my Arch Book story is still featured in the CPH Christmas catalog.

14 – I am thankful that my adult siblings and I get along so well. I know that is not the case in all families.

15 – I am thankful for the public library. Also that Missouri has such a great interlibrary loan system, MOBIUS.

16 – I am very thankful this morning that I was able to nurse our pathetic puppy dog through a bout of gastric distress without a three-digit visit to the veterinarian.

17 – I follow a number of heartbreaking stories on Caring Bridge. I keep each one of them in my thoughts and prayers. I am thankful that my children are healthy and happy.

18 – I am thankful for the flame of a vivid sunset, the flamboyant tint of the flamingo, the blush of a rosebud and every shade in between. I am thankful for slobbery dog kisses and baby cheeks and handmade knit hats and all of the other little things that make pink my favorite color.

19 – I am thankful for eighteen years of wedded bliss. Happy Anniversary, Phil!

20 – I GIRLS BBALL! Today (although sorely disappointed to miss tonight’s season opener for the Helias Lady Crusaders) I am thankful that basketball season is underway. Having endured my share of frigid soccer matches and sweltering tee ball games, I am thankful that basketball is an indoor sport.

I am exceptionally grateful to Laura’s coaches for their dedication and sacrifices – Rodney Hart, Mark Murphy, Brent Fischer, Debbie Mo Rosslan, Thayne Barton, Alan Lepper, Sarah Kempker, Grant Berendt and Doug Light.

I am thankful for TLS Little Tigers Camp, Faith Lutheran and YMCA basketball leagues, Helias, Jefferson City High School, Mizzou and Jason Otter basketball camps, the Jefferson City PAL League, LSAM State Tournament and LBAA Lutheran National Tournament.

I wish successful and injury-free seasons for all of the former TLS Lady Tigers who still pound the court: Madison and the Lady Jays, Shelby and the Lady Wildcats, Kara and the Lady Lions and especially Laura and the Lady Crusaders.

21 – Two things today: first, i am thankful that the Lady Crusaders opened their season with wins for both junior varsity and varsity. Congratulations! Second, I am thankful that the steroid shot to my foot is working as advertised. Lots on the to-do list today. Wishing everyone a wonderful blessed day.

22 – “Amen!
Praise and glory
and wisdom and thanks and honor
and power and strength
be to our God for ever and ever.
Amen!”
(Revelation 7:12)

23 – I am thankful that Laura Beth Hartman joined our family seventeen years ago today, our very own Thanksgiving baby. Hanna had asked for a little brother but had to wait almost two more years for Joseph to show up.

24 – Here in the post-Thanksgiving weekend, I am grateful for appliances: for refrigerator, stove, roasters, washing machine, and especially dishwasher. They certainly facilitate living, much less feasting.

25 – I am thankful for technology. Old technology, like a radio to listen to the station championship football game even if one can’t attend. New technology, like the internet, which pretty much allows one to visit anywhere in the world without leaving home.

26 – I am thankful for digital photography. I remember limiting the number of photos I took with a film camera because film and processing were so expensive, and probably missed a lot of great shots. With a digital camera I can take as many photos as I would like, keep the best ones and delete the rest.

27 – As the weather progresses toward wintry, I am thankful for warmth – for furnaces, space heaters and wood-burning stoves; for down comforters, wool socks and flannel lined jeans; for heated leather car seats.

28 – I am thankful for the police and fire departments.

29- I am thankful for art and music and literature and poetry and humor and the entire spectrum of ways that human imagination and vision enrich our lives.

30 – On this final day of November thankfulness, I am grateful to God for all He provides, summed up nicely in Martin Luther”s explanation of the first article of the Apostle’s Creed: I believe that God has made me and all creatures; that He has given me my body and soul, eyes, ears, and all my members, my reason and all my senses, and still takes care of them. He also gives me clothing and shoes, food and drink, house and home, wife and children, land, animals, and all I have. He richly and daily provides me with all that I need to support this body and life. He defends me against all danger and guards and protects me from all evil. All this He does only out of fatherly, divine goodness and mercy, without any merit or worthiness in me. For all this it is my duty to thank and praise, serve and obey Him. This is most certainly true.

Dream Job

It’s Monday morning, which usually finds me poring over job search sites as I seek to reenter the traditional workforce after a 17-year absence. However, Monday morning also means that a new weblog post is due, so this post is a collision of sorts between the two activities.

Over the past four months I have revised my resume, scanned writing samples, joined online job search communities, and updated my work wardrobe. I have submitted scores of applications, fielded phone queries, renewed networking relationships, and interviewed four times. I have, to date, no offers.

To a certain extent, I was expecting this. I was laid off when Hanna was a baby, and it took a full year to find a new job. This time circumstances are less dire – I am no longer a struggling single parent – but there is that pesky gap in my work history to contend with. True, I kept busy with volunteer and freelance work, but the reality is that I am competing for mid-level jobs with current employees wanting to move up the corporate ladder. As for the entry level positions opened up by their upward mobility, I am both overqualified and competing with a horde of eager new graduates. If I were making a hiring decision, I probably wouldn’t choose me either.

Which brings us to this past weekend. Phil and Joseph were camping, Laura had her usual array of weekend activities, and I had plenty of time to myself. Instead of working on my weblog, I took the opportunity to do some soul-searching. Despite knowing that a job search at my age is likely to be a long haul, the seemingly minimal level of interest in my resume has unsettled me and eroded my already fragile self-confidence.

I have also come to the conclusion that I am already mourning the loss of freedom over my time. While the logical part of me understands the need for increased stability in income and benefits, the emotional side of me realizes what a blessing it is for me to be at home. Generally our children are at the point where they require less hands-on care, but even as they grew older, so did our parents. Phil’s dad and mine passed away within months of one another and our mothers require increasing care. Over the past five years I stepped into the role of medical caregiver for them. It is a rare week without an appointment for somebody. I have grown accustomed to being able to do whatever needs to be done whenever it needs to get done, whether running a forgotten assignment to school, picking up a prescription or taking a car to the mechanic.

One of my stress-reducing techniques is list making. It helps whether it is a wish list or a to-do list or a pro/con balance sheet or a breakdown of a seemingly insurmountable task into meaningful chunks. (I read somewhere that checking an item off a list releases endorphins, and I believe it.)

So I made some lists. First a list of qualities that would make me a good employee:

  • Well-educated,
  • Articulate,
  • Detail oriented,
  • Excellent writing, editing and proofreading skills,
  • Excellent research and analysis skills,
  • Work well alone or as part of a group,
  • Excellent time manager,
  • Diverse work history of highly responsible positions within state and federal government, the private sector and freelance.

Then, a list of activities that I enjoy:

  • Writing
  • Travel
  • Photography
  • Crafts
  • Reading

Then a list of other pertinent personal characteristics:

  • Tenacity to complete projects,
  • Generosity with time and energy,
  • Ability to use available resources to solve a problem,
  • Preference to finish one task before starting another.

This led me to consider jobs that I can do vs. jobs I would love to do. Of all the possibilities I could think of, being a travel reviewer or blogger would be my dream job. Ideally a semi-monthly jaunt to an interesting location scheduled neatly between activities and responsibilities at home. It would involve travel, writing, reading and photography. I would scout out local customs, foods and crafts.

While my dreamer side seeks a way to make this happen (including how to stand apart from everyone else in the world who would love to do the same thing), the economist in me insists that the optimal use of my time right now is to return to finding a local job with benefits. So until next time, it’s back to the want ads.

The Capital of Awesome!

Last Wednesday was Missouri Day. I’m not sure why it is celebrated on the third Wednesday in October. It seems like more people would remember it on August 10 (the anniversary of statehood in 1821) or May 8, when it could share the statewide observance of Truman Day. But I digress.

I’ve lived in Missouri all my life. I knew it was an awesome place even before this Kickstarter campaign:

I got a Capital of Awesome tee shirt, and wore it proudly on Missouri Day.

If you are not fortunate enough to hail from Missouri, you might be wondering what is so awesome. Well, Missouri has it all: rolling plains, mountains, forests, farmland, small towns and big cities. And that’s not all. Three of the largest rivers in the United States – the Mississippi, Missouri and Ohio – converge in Missouri. We have the St. Louis Gateway Arch, Kansas City fountains and the Branson strip.

postcard
Hey, where’s Kirksville?

We are home to the St. Louis Cardinals, National League Champions and future World Series winners of 2013. The University of Missouri Tigers and Kansas City Chiefs football teams are each 7-0 so far this season. The Drury University Panthers are the 2012-2013 NCAA D-II national basketball champions.

In addition to the plethora of handsome actors from Missouri, we claim a US President, a Miss America and a Miss USA, and Walter Cronkite. Mark Twain. Walt Disney. Scott Joplin. George Washington Carver. Omar Bradley. Laura Ingalls Wilder wrote her books here. The list goes on and on and on . . .

I grew up in Kirksville (home of Truman State University, aka “The Harvard of the Midwest”), went to college at the University of Missouri at Columbia and spent three years in St. Louis. Most of my adult life has been spent in Jefferson City. A state as awesome as Missouri deserves a fantastic capital, and for one of only four state capital cities not located on an interstate highway, Jefferson City has a lot going for it. In fact, Rand McNally named Jefferson City the 2013 “Most Beautiful Small Town in America.”

Jefferson City is nestled smack-dab in the middle of the state, just over two hours from St. Louis, Kansas City or Springfield and only 30 minutes south of Columbia. Here’s something I don’t understand: Columbia’s metropolitan statistical area (MSA) includes Moberly and Mexico, yet omits Jefferson City despite all of the shopping and commuter travel between Columbia and our fair capital. What’s up with that, Census Bureau? If the 241st ranked Columbia-Moberly-Mexico MSA were combined with the 272nd ranked Jefferson City MSA, the combined population would catapult mid-Missouri all the way up to 152nd place, nestled between Kalamazoo and South Bend. Now there’s a new challenge for the Chamber of Commerce.

I love to travel, but I always appreciate coming home to Jefferson City. It’s been a great place to raise a family with top-notch public and private schools from preschool through college. There are wonderful outdoor venues from outstanding city parks to the Runge Nature Center and rails-to-trails Katy Trail State Park. The mall isn’t much to write home about, but downtown has many great local shops. The Missouri State Capitol is considered one of the most beautiful in the nation, with a museum and fabulous art collection including fountains and statues, a collection of two point perspective lunettes and Thomas Hart Benton’s famous mural A Social History of the State of Missouri.

mural
During a tour at the Phoenix Art Museum, I recognized the distinctive style of Thomas Hart Benton in a special exhibit. The tour guide asked how I knew about Benton and I told him we were from Jefferson City. He then told the entire group that A Social History of the State of Missouri is the finest example of an American mural anywhere in the world, and that it is well worth making a special trip to see.

There is more to see at the Governor’s Mansion, Cole County Historical Society Museum, Lohman’s Landing, the former Missouri State Penitentiary, and one of just 17 veterinary museums, not to mention local theaters and nearby wineries. Hungry? Do yourself a favor – skip the national chains and visit local eateries such as Central Dairy, Zesto’s, Prison Brews, Madison’s Cafe, Yanis’ Coffee Zone, Mel’s Diner or Angelina’s Cafe.

If this is not enough to get you to visit, come for the clouds. That’s right – clouds. The clouds over the Missouri River are stunning. Big puffy cumulus clouds, lower level stratus clouds and fog make for postcard views and picture-perfect sunsets.

cloudsovercapitolYup, I love Missouri. It’s not too soon to start planning for the Missouri Day centennial. Save the date: October 15, 2015!

Malala, Ruth and Shoes

The biblical story of Ruth crossed my mind twice this week. The first time was when Malala Yousafzai was explaining how she thought she might defend herself when she initially learned that the Taliban had issued a death threat against her. Her first thought was that she would throw a shoe at an attacker.

The reason that this reminded me of Ruth’s story is that Boaz sealed a deal – which allowed him to marry Ruth – by accepting the sandal of another man who relinquished the right to redeem property that he had a higher claim to. There is more to the story than that, but the point is it involved a shoe in a way that we don’t comprehend in our society. Malala’s story may have been no more than a funny mental image to a westerner, but to a Muslim it would be an extreme insult. Malala herself soon discarded the idea because it would make her no better than her adversary. Her final decision was that she would explain to her attacker why she believes that education is important for all children and that she also wished it for the children of her attacker. Then she would let him do as he will. This extraordinary young woman did not have the opportunity to say what she had planned on the day she was shot, but now the entire world has heard.

The second reminder was more direct. Yesterday’s sermon was based on Ruth, specifically about her relationships with Naomi and with God. Ruth is one of the few women specifically named in Jesus’ genealogy, noteworthy because she was a foreigner and for the foreshadowing of redemption.

My very first attempt to write an Arch-style story was the story of Ruth told from the perspective of Boaz. I enjoy telling stories from the viewpoint of what may seem to be a background character. Since CPH has waived rights to the story, I would like to share it here. I hope that you enjoy it.

Kind Farmer Boaz

Boaz was a farmer;
He owned many fields.
He thought about barley,
Weather and yields.

He employed many workers
To harvest his crop.
Their job was to clear
The grain from each stalk.

They worked through each row
With hardly a sound.
As grain filled their bags,
Some spilled on the ground.

So that grain was not wasted,
The poor came to glean
The grain that had fallen.
They picked the fields clean.

Boaz knew all the gleaners
Except one woman there.
She appeared to be foreign;
He wondered from where.

He learned from a worker
From Moab she came
With Naomi, his relative.
Ruth was her name.

Ruth’s love for Naomi
Touched Boaz’s heart.
He wanted to help her,
But where should he start?

He called Ruth to see him,
His heart filled with pity.
He couldn’t help noticing
Ruth was quite pretty.

“Work with my servants.
Drink when you thirst,”
Said Boaz the farmer,
“No need to ask first.”

“You are too kind, sir,”
Ruth said in reply.
“Before I go back there
“I’d like to ask why.”

“Naomi is family.
You came a long way
To help her,” said Boaz,
“God bless you, I pray.”

Later Ruth told Naomi
What Boaz had said.
“He’s a kind and good man.
He’ll see that we’re fed.”

Naomi rejoiced!
“Yes, he is a good man.
Now stay in his fields,
For I have a plan.”

Naomi asked Boaz
For a change in his life,
And kind farmer Boaz
Took Ruth for his wife.

They had a son, Obed,
Who had a son, Jesse.
From his son, King David,
Came Joseph and Mary.

So through kind farmer Boaz
and Moabite Ruth,
Came Jesus, our Savior,
The Way and the Truth.

Kind Farmer Boaz by Sara Hartman, all rights reserved.

Election Update

OK, this is technically not an election update, rather a Vote for Sara Mad Housewife contest update. But it makes for a snappier headline.

My picture is currently in fifth place with less than 24 hours to go. One of the other contestants has more than 250 votes, so the overall outcome looks bleak. On the bright side, there are more than 100 likes for my picture. Thanks to everyone who has already voted for my picture and shared the Facebook link. It means more to me than you can know. If you find yourself inclined to make one more plea on my behalf between now and noon (Pacific time) tomorrow, you have my wholehearted support and thanks. The direct link is http://tinyurl.com/madhousewifesara.

Meantime, here is a preview if I do by some miracle win and a consolation prize if I don’t:

MHWsaraUPDATE: A huge thanks to everyone who voted! My picture ended up in a tie for fourth.

Vote for Sara!

Remember my post about wine? Mad Housewife, one of my faves, is running a label contest starting tomorrow. I thought about entering and nearly decided not to. But then I figured what the heck – wouldn’t it be great for a mild mannered middle-aged woman with facial paralysis to win this contest? So I donned my vintage copper taffeta gown, pearls and high heels and set the camera on timer mode.

SLH-MH2013
Sara Hartman, Mad Housewife

Starting tomorrow Mad Housewife will open voting for one week on their Facebook page. The photo with the most “likes” will win. I will post a direct link here and on my Facebook wall tomorrow. Please vote for me and ask all of your friends to do so as well.

Thank you for your support.

UPDATE: Voting is open at the Mad Housewife Facebook page through noon PST October 8. Please “like” my picture and share the link with your friends!

My Dry Eye Triumph

I discovered Dry Eye Talk forums when I was researching scleral lenses as a result of conversations at the ANA Eye Issues Forum. It’s part of the very helpful site Dry Eye Zone, which also hosts news items pertaining to dry eye, an encyclopedia of dry eye topics, a computer blink reminder, and a Dry Eye Shop.

I never knew there were so many causes of dry eye, or that LASIK was one of them. As a extremely nearsighted, middle-aged woman with large pupils, I am fortunate to be a LASIK success story. However, thanks to post-surgical facial paresis, I became all too familiar with the pain and misery of dry eye. Early on I got a platinum eyelid implant. It aided nighttime closure but still left an incomplete blink.

One of the forum categories at Dry Eye Talk is Our Dry Eye Triumphs. After more than five years, I feel that I have finally arrived at that point. The remainder of this post is a before and after comparison of my dry eye care routine.

Before

refresh_pm

I tried every type of eye drop, gel and ointment I could find. Eye drops and gels, no matter how thick, gave only a fleeting moment of relief. Standard eye ointments containing about 15% mineral oil and 85% white petrolatum offered 15-20 minutes of relief before I needed to reapply. Refresh PM, with a higher proportion of mineral oil (42.5%), gave me much longer relief. I always applied it before bedtime and first thing in the morning. During the summer that might be all I needed; during the winter I usually required a mid-afternoon application as well. Although some less expensive store brands, such as Walmart and Walgreens, contain the same proportion of ingredients, they did not work as well for me.

My eyes felt pretty good, but the vision on the left side was blurry, like looking through a lens smeared with vaseline. My brain learned to compensate, relying more on the clear vision in my right eye while utilizing the images from the left eye for depth perception. My overall vision was similar to this image, courtesy of Visionsimulations.com:

blurry
My vision fluctuated between 3 and 4 on this blurry vision scale.

My method of applying ointment was a bit unconventional. Instead of squeezing it onto my eye from the tube, I put a small amount on my ring finger and applied it to the sclera below the iris, then closed my eye to distribute it over the cornea. I’m sure ointment manufacturers and eye care professionals alike would be appalled, but it worked for me. For nearly five years, 24/7 application of Refresh PM ointment comprised my eye care routine.

For a while, the absence of dry eye pain compensated for the loss of crystal clear vision. But over time I began to experience mental fatigue from the continuous effort of concentrating on my right-side vision. That, with the nearly constant nuisance of extra ointment under my eye – which also made wearing eye makeup an impossibility – led me to begin researching scleral lenses in earnest.

After

scleral-lens
The miraculous scleral lens.

A scleral lens is much larger than a standard gas permeable contact and vaults the cornea, allowing a pool of saline to remain between the lens and the surface of the eye to combat dryness. Scleral lenses are more expensive because they require a precision fitting process. In my case, the first lens turned out to be too loose, but the second one is just right.

Here is the rest of my new eye care routine. Yes, it costs more and takes more time.

solutions

Solutions:

  • Scleral lenses must be filled with preservative-free saline prior to insertion. Large bottles of saline contain preservatives, which leaves the more expensive option of individual vials. There are many brands with varying levels of lubricating agents added. Individual vials contain 2-3ml of fluid, which is just enough to fill a scleral lens. I found a much more cost-effective option to be sterile saline vials manufactured for nebulizer use. They are available in 3ml, 5ml and 15ml sizes. They contain no lubricating ingredients, and the lid can’t be snapped back on once opened. I prefer the 5ml size because it contains enough to both rinse and fill the lens. Beginners often need more than one attempt at insertion, so there is extra to allow for that. Any extra saline can either be discarded or used at the end of the day to rinse the lens after removal, but should not be kept for use the next day. I’m fairly sure 5ml would still be sufficient for two scleral lenses. Amazon.com has the lowest prices I’ve found for nebulizer saline. I usually buy 100 vials for around $15, but they are also available in quantities of 1000 for about $125.
  • At the end of the day when I remove my lens. I use a daily cleaner called Lobob ESC to remove surface dirt and oils.
  • I prefer UniquePH multipurpose solution for soaking and disinfecting. It is not available locally (at least here) and is sometimes hard to find online, in which case I use Lobob CDS but I don’t like it as well.

utensils

Tools:

  • DMV Lens Insertion Tool – there is a great YouTube video that shows techniques for manual insertion and removal of scleral lenses, but I don’t like the thought of it, plus there is the possibility of getting skin oil or soap/lotion residue on the lens. I prefer to use an insertion tool, like the one pictured at left.
  • DMV Removal Tool – the thought of breaking the suction between the lens and my eye using my fingers just gives me the creeps. I very very very very much prefer to use a removal plunger, pictured at right. There is also a plain suction cup without a hollow, but I prefer the way this one allows suction to be started and stopped by squeezing the bulb.
  • Mirror – I place a hand mirror on the bathroom counter during lens insertion. The insertion tool is hollow all the way through, so I line up the reflection. When I can see the excess fluid spilling out, I know the lens is in the right place. I use the regular bathroom mirror during removal to find the right spot to apply the suction cup.

Tips:

  • During insertion, tuck your chin toward your chest until your eye has to look slightly up toward the mirror. That keeps the lens level and the fluid in the cup through the insertion process.
  • Blink hard a few times after insertion to help center the lens. You will notice your vision getting appreciably clearer with each blink.
  • If you see ghosted images after insertion, too much fluid was displaced and there is an air bubble in the lens. Take it out right away to refill and reinsert, because in just a few seconds it will begin to smart like crazy.
  • During removal, apply the suction cup to the outer edge of the lens. If the suction cup is in the middle of the lens, it will increase rather than break the suction. Placing a drop of saline on both the contact and the removal tool helps a lot. If the suction is still hard to break, try gently moving the edge of the lens slightly back and forth with the suction cup before trying again.
  • If your vision starts to blur during the day, apply a drop of saline over the lens and blink a couple of times. If this doesn’t help, remove the lens, refill with fresh sterile and reinsert. Blink hard a few times to recenter the lens.

nightNighttime care: At first, I continued using Refresh PM whenever I was not wearing the scleral lens. My optometrist recommended using lubricating eye drops with a silicon eye shield at night, but I needed the security of my old method for a few weeks. I was extremely happy once I made the switch. The lens stays cleaner and my eyes feel even better in the morning. Often I can wait two or three hours before having to put in my scleral.

  • TheraTears Liquid Gel drops – I’ve tried a lot of different lubricating eye drops and this one is my favorite. It’s a thick solution and my eyes feel better in the morning than with any other drop I have tried. The top of these vials can be snapped shut, and although it is not recommended, I generally use a vial for two nights. Bonus: there is a $2 coupon good through 2013 available here and a $1 coupon good through 2014 available here.
  • Quartz silicon eye shield – also available in a dark version called Onyix. It was originally developed to combat dry eye among  CPAP users, and is made by the same manufacturer as another nighttime dry eye product, TranquilEyes. I have found a couple of drawbacks with the Quartz shield. First, it tends to leave marks on my cheeks that take up to an hour to fade. Also, the adjustable fabric band tends to slip so I use hair clips or bobby pins to keep it in place. Fortunately, that way it does not have to be as tight so the morning marks aren’t quite so bad. TranquilEyes are supposedly less likely to leave marks, but they are not available in a clear version so I will probably stick with the Quartz shield.

The vision in my right eye has slightly diminished to -1.0 since my LASIK surgery thirteen years ago. I am not currently wearing a contact on that eye. I wear a pair of prescription glasses with clip-on sunglasses to drive and sometimes at the movie theater or to watch TV. Since I ended up with classic monovision, I rarely need to wear readers to read or work on the computer. I will decide by my next scleral appointment, currently scheduled for July 2014, whether I want another lens for the right side or if I am content to continue this way.

I keep a a few necessities in my purse in case of emergency – a spare set of insertion and removal tools, contact case, saline and Thera Tears Gel vials, alcohol wipes, a compact mirror and a tube of Refresh PM. My new eye routine definitely requires more money, time and stuff. But is it worth it? Well, the optometrist tells me that my eye is healthier. I am less fatigued at the end of the day. I no longer have to worry about wiping extra eye ointment off my cheek. I can wear eye makeup when I choose to. And best of all, I now see like this:

clear
Hooray! A return to super sharp vision.

I am still waiting for the outcome of an appeal to my insurance company to cover the scleral lens as a prosthetic device for a nonfunctional eyelid. My argument is that it will decrease the possibility of corneal disease and accident. Whatever their decision, there is no question that the lens enhances my quality of life.

 

 

Read my next post on scleral lenses.