Protecting Sight #54: How do we heal medicine? Iris flocculi and aortic aneurysms. Huck forgets his name.

Welcome to my daily learning journal. My daily goal is to watch one Ted Talk and one cataract surgery. I also plan to read one journal article and read/listen to a book chapter, short story or significant work.

Here’s today’s list:

1. Ted Talk – Atul Gawande MD – How do we heal medicine? “Our medical systems are broken. Doctors are capable of extraordinary (and expensive) treatments, but they are losing their core focus: actually treating people. Doctor and writer Atul Gawande suggests we take a step back and look at new ways to do medicine — with fewer cowboys and more pit crews.” (

“Having great components is not enough.” Many life lessons and teaching points in Dr. Gawande’s Ted Talk. “Humility, discipline, team work … Making systems work is the great task of our generation as a whole.” 19 minutes.

2. Cataract Surgery – Uday Devgan MD – Soft cataracts can be quite difficult. Great pearls.

Well-circumscribed pupillary margin masses in the right (A) and left (B) eyes of a 38-year-old man.

3A. Journal article – Betsch D, Gupta RR. A Case of an Iris Cyst Not to Be MissedJAMA Ophthalmol. 2020;138(7):793–794. doi:10.1001/jamaophthalmol.2020.0571

3B. Shields J, A, Magrath G, N, Shields C, Mackool R, Eagle Jr. R, C, Grossniklaus H, E: Dissecting Aortic Aneurysm 55 Years after Diagnosis of Iris Flocculi. Ocul Oncol Pathol 2016;2:222-225. doi: 10.1159/000445719

The JAMA Clinical Challenge led me to the Shields et. al case report.

Huckleberry Finn book.JPG

4. Book Chapter – Mark Twain, The Adventures of Huckleberry Finn., SparkNotes, and Gutenberg. Chapters 17.

See Protecting Sight Daily Learning posts here.

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