Protecting Sight #123: The currency of the new economy is trust. Reputation capital, posterior capsular rupture, AZOOR, iris repair, and sutured IOLS. Why moats matter.

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 – Rachel Botsman: The currency of the new economy is trust. “There’s been an explosion of collaborative consumption — web-powered sharing of cars, apartments, skills. Rachel Botsman explores the currency that makes systems like Airbnb and Taskrabbit work: trust, influence, and what she calls ‘reputation capital.'” (

This 2012 Ted Talk is prescient. I realized the increasing importance of online reputation for physicians and professionals. Many patients spend considerable time research a doctor’s online reputation before making an appointment. Reputation capital is real! (My free talk on protecting online reputation is here).

You know, there are only a few windows in history where the opportunity exists to reinvent part of how our socioeconomic system works. We’re living through one of those moments. I believe that we are at the start of a collaborative revolution that will be as significant as the Industrial Revolution.

Rachel Botsman (Ted Talk)

2. Cataract Surgery – Uday Devgan MD – posterior chamber deepens with capsule break. Well managed case.

3. Journal – Chinskey ND, Blinder KJ. Rapid Loss of Vision With the Onset of a White Ring Surrounding the Optic Nerve. JAMA Ophthalmol. 2017;135(5):493–494. doi:10.1001/jamaophthalmol.2016.4476

4. Book Chapter – Why Moats Matter: The Morningstar Approach to Stock Investing. Chapter 2. With thanks to author and value investor Guy Spier for sending this amazing book. 

5. Brandon Ayres – Iris Repairs and Sutured IOLs – 2 hour webinar. With thanks to Wills Eye colleague Brandon Ayres for presenting two hours of phenomenal and complex anterior segment cases. Dr. Ayres is a cutting edge surgeon and sought after speaker worldwide.

Votes cast!

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