OT --- Wet macular degeneration

Any ideas?
I was diagnosed with it in August in my left eye. A copy of my doctor's note is at the bottom, it's very accurate. That brown spot has turned black, I'm told that's normal. There is a corona of sorts at the edges, I am told that is blood. When I look at something straight on with my left eye, there is a "ripple" effect (I'm not sure how to describe it) and it moves as I move my head, the original ripple disappears. What can I expect from here? Does the black spot grow, shrink, break apart? I've had many surgeries on both eyes - cataracts, vitrectomies, corneal transplants... What are those things that might happen that indicate getting to a doctor ASAP with the black dot? Doctors often tell you something by default, but what, in your experience, is the proper way for me to describe this, what questions should I ask, and what answers should I expect?
The corneal transplant in my right eye is probably being rejected after 5-7 years. I've been putting off fixing it, but the left eye problem makes it imperative that I at least consider it.

Also, does anyone know of any screen readers for Windows, audio book software...?

Any information you can give is greatly appreciated. Thanks muchly
Doctor's Note: "Few days ago saw a dull gray spot with few spots of light within, which moved when eyes moved. Last night, the spot turned black with few pinpoints of light within. Today noticed central orange area. No pain. Mentions that his PCP isn't happy with his BP these days. No blood thinner use (also reviewed on SnapShot). Unable to see centrally OS because of dark spot, but can view eccentrically."

Talk to your eye doctor as often as you need.
Eagerly visit any specialists he recommends.
Do not be shy--it is his job.

See your doctor as stated above. There are treatments for wet macular degeneration. I have it and every six weeks I get a shot in each eye - spaced a week apart. The drug injected was first used in cancer treatment to deny blood supply to tumors. It shrinks the rouge blood vessels that leak and push the retina up. The shots don't cure the degeneration but can stop the progression and preserve your sight. A shot in the eye sounds really bad but I feel no pain at all. The doc does a great job of numbing my eyes. Afterwards I do have to use drops for several hours to flush my eye because the iodine compound used to prevent infection is very irritating.