Consequences

“I draw from the absurd three consequences, which are my revolt, my freedom, and my passion.” –Albert Camus

 

TASK AT HAND: This week I’m thinking about consequences; specifically, our personal consequences. The way you live has consequences. For Camus, he emphasized revolt, freedom and passion. For many years I have esteemed this quote as a reminder that struggling with the consequences of our actions is a worthwhile and rewarding duty. The concepts that Camus brings forth – revolt, freedom, and passion – are requisites for review here on today’s Sunday Surgical Scrub.

REVOLT How do you effectively express revolt? In my opinion, there is no better approach than the constant unyielding pursuit of independent thought. The struggle to hold back the convenience of conformity is a revolt we must pursue each day. Don’t let an hour go by where you don’t question dogma and doctrine. We have discussed this multiple of times here on the Sunday Surgical Scrub because this is something YOU NEED TO DO! Whether it’s fake news, peer pressure or groupthink, you need to revolt with independent thought.

FREEDOM From the bastion of independent though comes the freedom for independent action; the latter is not possible without the former. Necessity for autonomy, and the liberty to act independent without discrimination is, unfortunately, another consequence that cannot be forgotten for any lapse of time. Look at the daily news and you will see numerous examples of this consequence.

PASSION Finally, with passion, we surge the courage to pursue our desires. From the inception of independent thought, to the freedom of independent action, the final culmination is the courage to pursue these desires in our daily lives. The courage to pursue our desires – driven by passion – is perhaps the greatest of effects on the consequences we are capable of.

So, the call to action with today’s Sunday Surgical Scrub is to look carefully at our thoughts, actions and desires and ensure they are part of the pursuit of worthwhile consequences.

 

MEDICINE & MACULA: Here is a case of severe recurrent acanthamoeba infection presenting initially as keratitis, followed by sclerokeratitis and histolopathology-confirmed endophthalmitis.

For the first time, we document acanthamoeba involvement in all ocular layers. This severe case demonstrates that despite persistent medical and surgical intervention, eradication of organisms may not be possible.

This is the first case reported with confirmed choroidal involvement (histology shown above) and we have previously published this in a work entitled, Acanthamoeba Endophthalmitis After Recurrent Keratitis And Nodular Scleritis (Zaid Mammo, David RP Almeida, Matthew A Cunningham, Eric K Chin & Vinit B Mahajan), in the journal Retinal Cases and Brief Reports.

You can find the complete study here.

 

GRATIS: “Nobody ever did, or ever will, escape the consequences of his choices.” -Alfred A. Montapert

 

My best to you,

David Almeida

david@davidalmeidamd.com

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