Macular Disease: Practical Strategies for Living With Vision Loss
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Q & A with Peggy Wolfe Author of Macular Disease: Practical Strategies for Living with Vision Loss

When someone is diagnosed with macular disease, the immediate reaction is often fear about the future, wondering “How will I be able to go on living my life if I can't see well—or worse?” Peggy Wolfe, author of Macular Disease: Practical Strategies for Living with Vision Loss, offers reassurance and ways to deal with all areas of life as vision declines.

What prompted you to write Macular Disease?

How is your book different from any other books on this subject?

What are the most important qualities that people can develop to help them live with macular disease?

What are some of the common questions people have about Macular Disease?

Here are twelve common areas that concern people about living with macular disease. Click on the topics that interest you for the full Q&A.

1. Fighting spirit
2. Caring for vision
3. Improving reading
4. Living healthy
5. Eating out
6. Sorting and tossing
  7. Vanishing objects
  8. Paying bills
  9. Arranging affairs
10. Going online
11. Driving
12. Getting help

What prompted you to write Macular Disease?

Peggy Wolfe:After several years of declining vision from macular degeneraton, I bit the bullet and asked my retinologist how long he thought I'd be able to read. He was taken aback, but guessed one to two years. Rather than being discouraged, I was energized. I'd seen first my uncle and then my mother reach the stage of living with only peripheral vision, and I wanted to do the most important things in my life NOW. I decided they were taking a dream trip to New York with my daughter and to write a book to share the ideas I'd developed and those I’d learned from many other people. We did take the trip and I have written the book. (P.S. The doctor was wrong in his prediction; my sight continues to decline but I can still function well using the ideas in the book.)

How is your book different from any other books on this subject?

Peggy Wolfe: In looking at available books on macular disease, I didn't find the two things I was looking for—a book with really large print that gave me useful ideas for living my life but wasn't filled with a lot of medical information. Thus my first goal was to design a book from scratch that would be possible to read even for someone with very poor reading ability. To that end, over a period of months I had various type faces and sizes tested with members of several low vision support groups until the Frutiger font was selected for its clarity and its darkness. Several layout designs were also tested and the results were often surprising, such as that the page numbers had to be centered at the bottom of the page. Huge headings were also preferred. These test results were incorporated into the book and you can see them in the “Sample pages” in the “Book” page of the site. Large photos are another important feature of the book; note the size of the photo on sample page 63.

Macular Disease also differs from other books because it is written on a personal level and there is no medical coverage. I am not a medical professional —my expertise comes from living with macular disease and what I offer are practical solutions to everyday situations that can become difficult. Readers dealing with the same problems I've encountered will identify with me and be encouraged. On the most personal level, in each chapter I include a "My Story" vignette that describes one of my own experiences— ranging from the funny to the poignant.

What are the most important qualities that people can develop to help them live with macular disease?

Peggy Wolfe: I suggest seventeen in the book—backbone, boldness, character, dauntlessness, energy, enterprise, enthusiasm, grit, guts, heart, humor, motivation, resolve, soul, vitality, warmth, and will. They all fall within the concept of spirit or "life force", and they will nourish the positive attitude that is a theme of the book.

What are some of the common questions people have about Macular Disease?

Peggy Wolfe:Here are twelve important questions about living with Macular Disease.

1. Is there anything I can do to get over my feeling of hopelessness upon receiving my diagnosis?
Yes! Develop a positive attitude and realize that although your life may be taking a different course from the one you had been expecting, but you can still do the things you have been doing—only in different ways. If you feel powerless, be active in finding solutions to the particular difficulties you may face. Realize that life is change and accept your new path with a fighting spirit.

2. What can I do to care for my eyes and my vision?
The most important thing is to monitor your vision regularly and if you notice any changes in either eye, see your doctor right away. If there is a problem, there may be a treatment that is most effective if given promptly. Also, follow all instructions your doctor gives you such as taking special eye vitamins or eating certain foods.

3. Reading has become very difficult. Should I just quit trying?
A welcome surprise may be in store for you. Sometimes all that is needed is properly placed, adequate lighting. Proper lighting provides the contrast that is required to distinguish the letters in words and to distinguish the type from the paper on which it is printed. The correct placement of lights can help those who are bothered by glare.

4. What about living a healthy life style? Can that be helpful for my eyes?
Yes, nurture your body by developing senses other than sight--especially touch and hearing. Eat a nutritious diet and start a fitness program to improve your balance and body awareness—so you don't have to rely so much on your eyes to know where you are in space.

5. I'm embarrassed to go out to eat because I can't read the menu and I can't see what's on my plate very clearly. Do you have any ideas about this in the book?
There are many ways to decide what to order, and your choice can solve the problem of not seeing the food on the plate. You may be able to read by using a small flashlight and aiming it at the menu. You can also ask a companion to read sections of the menu to you—this can bring some fun interchanges. One good trick is to ask the server about the specials of the day, and then pick one of those—no menu required. Choose finger foods or foods with contrasting colors. Ask meat to be cut in the kitchen. One of my funniest experiences was stabbing the table with my fork when I was aiming for a shrimp—after my plate had already been removed. Be ready to start the laughter at your table!

6. What is something important I can start doing right now at home? Organize and downsize! Start sorting through all the stuff you've accumulated and keep only what you really need. Organize documents in folders and mark the topic with a bold pen. Keep clothing you still wear, and donate or otherwise dispose of those old things in your closet.

7. Do things seem to vanish after you've put them down somewhere? Do you have trouble finding the right button on controls?
There are solutions to these stressful situations that can happen throughout your day. Your sense of touch is going to become very important. Use special products such as tactile bumps and marks to identify objects. White reflective tape is another great way to identify things like glasses cases. The book even has a trick for finding a keyhole in the dark when you can’t see it at all.

8. Writing checks to pay my bills is getting very frustrating—I can't fit the words into the space on the check and can't make out what I've written in the register.
You can get large-size checks with bold printing from almost any bank. Large print registers are also available, or you can make your own. Many people find it even easier to have payments deducted automatically from their checking accounts for utility bills and other recurring bills. For shopping, you can reduce the number of checks you write by putting all purchases on one credit or debit card.

9. Are there things that are more in the legal area that I should be thinking about?
Yes, a health care directive and an up-to-date will. My own experience in the story, "One Day Too Late for My Husband," illustrates the importance of having prepared documents that let your wishes be known.

10. My grandchildren live all over and they keep telling me to start using e-mail to stay in touch and that they'll even send me photos. I've never used a computer and think I'm too old to learn.
Now is the time to start using a computer! It will open new worlds for you and keep you in touch with the outside world as well as your family members. Chances are one of them will have an old computer to give you and get you started. Also, classes are offered at senior centers, community education centers, and vision rehabilitation centers. There are ways to increase the size of the type on the screen and there are programs that will even "read aloud" what is displayed if your vision should reach the level where that's easier than reading.

11. This is the toughest, most dreaded question of all: How long can I keep driving?
Giving up driving is not something that happens overnight; rather it is a gradual process generally spread over a period of years. You may have already stopped driving at night. The next step may be avoiding freeways, and then driving only on neighborhood roads. Take a driver safety class, and be sure to check both yourself and the car before leaving home. If the day comes when you, or others, know it is time for you to give up the keys, relax and enjoy your trips as a passenger with no worries of what could happen with you behind the wheel.

12. I want to stay independent even as my vision is declining. I don't like the idea of having to get help, but I've heard there are agencies that serve people with vision loss. Am I being too stubborn when I don't want to make that first call?
It is easy to be stubborn. Who wants to admit that they need help? And the idea of contacting a low vision agency can be scary and seem like admitting defeat. But I hope you won't wait as long as I did, because working with a counselor and taking classes where I learned new skills and met others with my same problems transformed my life. My seeking help actually maximized my independence while helping me sustain my positive attitude. I wish I hadn't waited so long.

Press Release

DOWNLOAD PDF PRESS RELEASE

As Vision Fades, Adaptive Strategies Offer Solutions, Hope
New book shares effective, practical techniques for
maximizing independence and living well with macular disease

Millions of Americans currently live with some form of macular disease—a progressive, typically age-related affliction that can result in the loss of central vision. Many who live with macular degeneration, retinitis pigmentosa, diabetic retinopathy, and other diseases that affect the macula believe that, as their eyesight diminishes, so, too, will their ability to remain self-reliant, productive, and active participants in the world.

In Macular Disease: Practical Strategies for Living with Vision Loss (Park Publishing, Inc., May 2008), author Peggy R. Wolfe—who has lived with macular disease for eight years—offers reassurance, hope, and invaluable insight on living well with macular disease and declining vision. Filled with personal stories that illustrate the author’s own challenges and adaptive strategies as well as hundreds of constructive, easy-to-follow techniques on everything from performing everyday tasks to selecting assistive tools and technology to maintaining an optimistic, fighting spirit, Macular Disease offers those facing vision loss invaluable wisdom, empathy, and guidance on maintaining an independent, productive, vibrant life.

Included are such topics as:

• organizing living space and finding hard-to-spot items learning new ways to cook, clean, shop, and perform other everyday tasks
• strengthening other senses
• deciding when—and when not—to seek or accept help
• sharing feelings with friends, family members, and others
• selecting helpful products
• embracing technology, from video magnifiers to screen readers and other adaptive software
• making driving decisions
• preparing for the future

Printed on glare-resistant paper in large-print format, Macular Disease is an authoritative, empathetic, personable guide to meeting each day’s challenges and sustaining a positive, realistic, “can do” attitude in the face of vision loss as new ways of living well are developed and mastered.

Peggy R. Wolfe spent her working life as a research librarian at a major university. Diagnosed with macular degeneration eight years ago, Peggy has worked tirelessly to discover and share creative, practical techniques that allow those with vision loss to maximize their independence and continue to enjoy productive, creative, joyful lives.

MACULAR DISEASE
Practical Strategies for Living with Vision Loss

Peggy R. Wolfe

Park Publishing (Distributed by Independent Publishers Group)
ISBN 978-0-9792-9451-8
Trade Paperback, 240 pages (30 photographs)
$17.95, May 2008

Contact: Joanne McCall Public Relations
e-mail:
joanne@teleport.com

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Author Bio

Peggy R. Wolfe has had a long history with macular diseases. In the early 1980s, her mother discovered with great disappointment after cataract surgery that the underlying cause of her vision loss was macular degeneration. She had expected to be able to see clearly, but instead her vsion continued to decline until she reached the stage of legal blindness. However, over the course of these many years she was able to live a contented life, enriched by a weekly shipment of Talking Books, until she died at the age of 88.

And now, twenty-five years later, the author herself has been living with the disease since 1999. Her longtime exposure to macular diseases has left the author with an accepting spirit, filled not with fear but with the will to do battle to make the best possible life now and later.

She holds a B.A. degree in English and philosophy and a M.L.S. degree in library science. She created the corporate library at a major food company and worked as a research fellow/librarian at a major university. She has had a parallel career working in the small publishing company started by her father in 1939 and has been its president for the last twelve years. She volunteers in her church's music library where she has developed databases listing music scores and compact discs. She lives in Minnetonka, Minnesota and has two adult children; her husband of forty-four years died early in 2007.

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