Protecting Sight #181: Why rumors about vaccines spread & how to rebuild trust. Radial keratotomy & cataract surgery. Virtue ethics, a value-driven world, opioids & naloxone. Finding the black swan.

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, podcast, or significant work.

Here’s today’s list:

1. Ted Talk – Heidi Larson – Why rumors about vaccines spread — and how to rebuild trust. “Why do people distrust vaccines? Anthropologist Heidi Larson explores how medical rumors originate, spread and fuel resistance to vaccines worldwide. While vaccines cannot escape the ‘political and social turbulence’ that surrounds them, she says, the first step to stopping the spread of disease is to talk to people, listen and build trust.” (

2. Cataract Surgery – Uday Devgan MD – Complicated Radial Keratotomy Case. “This is a tough case where the patient had prior 16-cut radial keratotomy for treatment of a high degree of myopia. The patient also had prior glaucoma surgery which further complicates the surgery. Our guest surgeon Maneesh Bapaye MD from Nashik, India does a good job in this surgery, including dealing with vitreous prolapse. The incision in this case is made in the cornea, however my advice is to use a scleral tunnel if there are more than 8 radial keratotomy incisions.” Excellent technique.

3. Humbyrd CJ. Virtue Ethics in a Value-driven World: It’s Always with Me. Clin Orthop Relat Res. 2020 Dec;478(12):2714-2716. doi: 10.1097/CORR.0000000000001512. PMID: 33009233.

I’ve enjoyed working with Dr. Humbyrd at the AMA. She writes about her experience meeting the Surgeon General, his recommendation to carry naloxone, and a poignant story regarding the medication’s potential. She writes, “Carrying naloxone is an extension of our physician-derived obligations to promote the health of our patients and our community. We can save lives by carrying a floss-sized container. We are obligated to do so.”

I remember meeting with the Surgeon General in his office and his mission to fight the opioid epidemic. Dr. Humbyrd’s article inspires colleagues and the public to carry naloxone also.

4. Chris Voss and Tahl Raz, Never Split the Difference. Chapter 10, “Finding the Black Swan.”

Voss and Raz are great storytellers. The skills presented can be applied to everyday negotiations.

Filled with lifelong lessons.

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