About Me

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Deep South, United States
Consultant, inventor, mentor, chess coach,. Current projects involve No Till Farming and staving off blindness due to cataracts among other projects. I also do confidential ghost writing (without taking any published credit. My current blindness makes me put this on hold for a while. I should have one eye working again in about four months. Fact, fiction, all subjects considered. I have heard My daughter Jennifer is alive. I would love it if she were to contact me here. I understand she would like to know me. I have sent a message by circuitous route. I can only hope. My posted Email works as well. We have four decades to catch up on.

This blog has been up for more than a year. The intent was to generate dialogues about serious problems and ideas. It has been almost exclusively a monologue. I have not been looking for large numbers of participants.

I would be quite happy with a few dozen imaginative, creative, thoughtful and inventive people who wish to address serious problems and issues. If anyone has any ideas about how to attract such a talented group I will certainly pay attention. I am not as computer conversant as I would wish. Anyone who could help in this regard would find me receptive to sharing my skills in other areas.

Thursday, July 05, 2007

Innovative Eye Surgery For Cataracts

Those who have read some of my previous posts here at Eureka Ideas Unlimited and on Skin Cell Forum are already aware that I have an advanced nuclear cataract in my right eye and a developing one perhaps two years behind in my left eye.

Although I hadn’t been to a doctor for a few decades, this year I went first to an optometrist and then to an ophthalmologist and scheduled the removal of the right lens and surgical implantation of an intraocular lens.
I ultimately cancelled the surgery for a variety of reasons which I have already written about. Central among these reasons was the fact that I saw several of the procedures involving phaco emulsification of the opaque lens, the chopping of the lens into small pieces, and the removal of the pieces by suction, and the insertion and placement of the intraocular lens in the cavity left vacant.

I saw a variety of things in these procedures which gave me food for thought. To put it more succinctly, I thought better of the procedure. But one has a responsibility, if being critical of the way things are done, to give some notion how they should be done instead. So, for each part of the procedure that I thought could be improved on, I worked out some possible ways in which it could be done better.

For several months I talked about these possibilities on Skin Cell Forum. (some of the people on the forum are effectively blind, a few with exceedingly rare eye conditions requiring experimental surgery.) I am pretty confident that some of these experimental surgeons of these patients have heard about me. None, to date, has shown the slightest curiosity as to whether any of my ideas have merit. This points up, with great clarity, the ivory tower nature of the medical "community."

The surgeon who I went to, was not a “breaking edge” sort of girl. She wanted only “routine” cataract surgeries on her agenda. If any unusual incident arose, she would call in someone who could handle it. The last thing in her mind is to try anything new. And it became the last thing in mine to use her.

So, I haven’t been able to attract the attention of the pioneers, and I don’t want the journeymen surgeons. Quite a quandary. I have only personally performed one serious eye operation. The eye had been seriously damaged and was in front of the orbit, and therefore unblinkable. The patient was nearly dead, so the other traumatic injuries needed to be stabilized.

It was about a week before I was able to remove the eye safely. The only complication was some secondary infection, which I got under control in another few days. The patient made a full and uneventful recovery. I have had no training as a surgeon. Just emergencies in the field.

I really did have some hopes of finding an experienced surgeon with whom to discuss my ideas about changing the nature of cataract surgery. But the group is such an insular bunch that it is not really even a remotely likely prospect. and I won’t be engaging in the usual bureaucratic gauntlet of the hospitals and government agencies either. I’m also treating my blood pressure. Going through “channels” would not be productive in that regard. Currently my blood pressure is in better shape than my eye.

The good side is, I am learning a great deal more about eyes and vision and blood pressure as well. These are not inconsequential benefits from being more self-reliant. And if I can’t find a surgeon with whom to work out the new procedure, I’ll eventually sort out another means to restore my sight.

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