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Ending Preventable Blindness: reinventing cataract surgery | Jeffrey Levenson | TEDxSantaBarbara


I have a friend named Prudential

I have a friend named Prudential Prudential lives in the mountains

Prudential lives in the mountains

Prudential lives in the mountains outside Oaxaca in the south of Mexico

outside Oaxaca in the south of Mexico

outside Oaxaca in the south of Mexico and for the longest time he’s made a

and for the longest time he’s made a

and for the longest time he’s made a living growing coffee since he was a

living growing coffee since he was a

living growing coffee since he was a child he’s walked the rows of his

child he’s walked the rows of his

child he’s walked the rows of his family’s finca studying the beans of

family’s finca studying the beans of

family’s finca studying the beans of each tree carefully and picking them one

each tree carefully and picking them one

each tree carefully and picking them one by one at the time their most flavorful

by one at the time their most flavorful

by one at the time their most flavorful he’s 36 years old married with three

he’s 36 years old married with three

he’s 36 years old married with three beautiful children now take a look at

beautiful children now take a look at

beautiful children now take a look at his eyes there’s a lens inside her eyes

his eyes there’s a lens inside her eyes

his eyes there’s a lens inside her eyes and as you can see the lens inside of

and as you can see the lens inside of

and as you can see the lens inside of his eyes have grown absolutely opaque

his eyes have grown absolutely opaque

his eyes have grown absolutely opaque he’s got cataracts and he’s completely

he’s got cataracts and he’s completely

he’s got cataracts and he’s completely blinded by them he’s got a job he can’t

blinded by them he’s got a job he can’t

blinded by them he’s got a job he can’t do he’s got a family he can’t feed he’s

do he’s got a family he can’t feed he’s

do he’s got a family he can’t feed he’s got an 18 month old daughter he’s never

got an 18 month old daughter he’s never

got an 18 month old daughter he’s never even seen it doesn’t have to be this way

even seen it doesn’t have to be this way

even seen it doesn’t have to be this way it’s within our power right now to

it’s within our power right now to

it’s within our power right now to restore the site to Prudential and to

restore the site to Prudential and to

restore the site to Prudential and to millions of other people just like him

millions of other people just like him

millions of other people just like him I’m an eye surgeon for 30 years I’ve

I’m an eye surgeon for 30 years I’ve

I’m an eye surgeon for 30 years I’ve built and managed to practice in

built and managed to practice in

built and managed to practice in Jacksonville Florida over that time I’ve

Jacksonville Florida over that time I’ve

Jacksonville Florida over that time I’ve done maybe 20,000 cataract surgeries

done maybe 20,000 cataract surgeries

done maybe 20,000 cataract surgeries that’s a lot and for the longest time I

that’s a lot and for the longest time I

that’s a lot and for the longest time I thought I knew pretty much everything

thought I knew pretty much everything

thought I knew pretty much everything there was to know about cataracts in

there was to know about cataracts in

there was to know about cataracts in 2009 all that changed for me I remember

2009 all that changed for me I remember

2009 all that changed for me I remember I was driving home when November evening

I was driving home when November evening

I was driving home when November evening when I couldn’t help but notice how

when I couldn’t help but notice how

when I couldn’t help but notice how distracting the lights of the oncoming

distracting the lights of the oncoming

distracting the lights of the oncoming car seemed and that was weird for me

car seemed and that was weird for me

car seemed and that was weird for me because that’s something usually my

because that’s something usually my

because that’s something usually my patients say and a few days later I

patients say and a few days later I

patients say and a few days later I caught myself complaining about the

caught myself complaining about the

caught myself complaining about the print in the newspaper that too soon

print in the newspaper that too soon

print in the newspaper that too soon enough I was taking off my glasses and

enough I was taking off my glasses and

enough I was taking off my glasses and cleaning him over and over trying to

cleaning him over and over trying to

cleaning him over and over trying to remove a smudge that never seemed to

remove a smudge that never seemed to

remove a smudge that never seemed to come clear or blinking over and over as

come clear or blinking over and over as

come clear or blinking over and over as if that might improve my sight

if that might improve my sight

if that might improve my sight and then one day I looked up across the

and then one day I looked up across the

and then one day I looked up across the kitchen table and noticed that I

kitchen table and noticed that I

kitchen table and noticed that I couldn’t recognize my wife

couldn’t recognize my wife

couldn’t recognize my wife sitting five feet in front of me I was

sitting five feet in front of me I was

sitting five feet in front of me I was going blind I was going blind from

going blind I was going blind from

going blind I was going blind from cataracts a few days later a few weeks

cataracts a few days later a few weeks

cataracts a few days later a few weeks later I found myself in that place not

later I found myself in that place not

later I found myself in that place not always wished I’d never have to be lying

always wished I’d never have to be lying

always wished I’d never have to be lying on a hospital bed staring up into the

on a hospital bed staring up into the

on a hospital bed staring up into the wrong end of an operating microscope my

wrong end of an operating microscope my

wrong end of an operating microscope my surgeon used to Diamond blades and made

surgeon used to Diamond blades and made

surgeon used to Diamond blades and made incisions in my eyes and then he entered

incisions in my eyes and then he entered

incisions in my eyes and then he entered my eye with a sixty thousand dollar

my eye with a sixty thousand dollar

my eye with a sixty thousand dollar ultrasound probe this thing’s a

ultrasound probe this thing’s a

ultrasound probe this thing’s a microscopic jackhammer and with it he

microscopic jackhammer and with it he

microscopic jackhammer and with it he pulverized and liquefied and sucked out

pulverized and liquefied and sucked out

pulverized and liquefied and sucked out my cloudy cataract he then replaced my

my cloudy cataract he then replaced my

my cloudy cataract he then replaced my cloudy human lens with a clear plastic

cloudy human lens with a clear plastic

cloudy human lens with a clear plastic lens by the next morning I could see

lens by the next morning I could see

lens by the next morning I could see again the surgery took 15 minutes cost

again the surgery took 15 minutes cost

again the surgery took 15 minutes cost about $2,000 and it gave me my life back

about $2,000 and it gave me my life back

about $2,000 and it gave me my life back I spent the next few days marveling at

I spent the next few days marveling at

I spent the next few days marveling at the magic of what had happened to me the

the magic of what had happened to me the

the magic of what had happened to me the sky was blue ER than I’d ever imagined

sky was blue ER than I’d ever imagined

sky was blue ER than I’d ever imagined the trees were greener and the whole

the trees were greener and the whole

the trees were greener and the whole world pulsed with a vibrancy and a

world pulsed with a vibrancy and a

world pulsed with a vibrancy and a clarity that stunned and astounded me

clarity that stunned and astounded me

clarity that stunned and astounded me but just as my days changed so too did

but just as my days changed so too did

but just as my days changed so too did my nights night after night I found

my nights night after night I found

my nights night after night I found myself wide awake at 4:00 a.m. eyes wide

myself wide awake at 4:00 a.m. eyes wide

myself wide awake at 4:00 a.m. eyes wide open unable to sleep and the thought

open unable to sleep and the thought

open unable to sleep and the thought that kept rattling around in my head

that kept rattling around in my head

that kept rattling around in my head what if I’d been born in the mountains

what if I’d been born in the mountains

what if I’d been born in the mountains of Peru or the slums of San Salvador

of Peru or the slums of San Salvador

of Peru or the slums of San Salvador were the plains of East Africa would I

were the plains of East Africa would I

were the plains of East Africa would I be one of 200 million people slowly

be one of 200 million people slowly

be one of 200 million people slowly going blind from cataracts for whom the

going blind from cataracts for whom the

going blind from cataracts for whom the $2,000 cost of cataract surgery is

$2,000 cost of cataract surgery is

$2,000 cost of cataract surgery is utterly beyond their imagination or even

utterly beyond their imagination or even

utterly beyond their imagination or even one of the 20 million people in the

one of the 20 million people in the

one of the 20 million people in the world completely blind in both eyes

world completely blind in both eyes

world completely blind in both eyes their productive lives over for want of

their productive lives over for want of

their productive lives over for want of a 15-minute surgery 90% of these people

a 15-minute surgery 90% of these people

a 15-minute surgery 90% of these people live in the developing world were just

live in the developing world were just

live in the developing world were just under a billion people live on less than

under a billion people live on less than

under a billion people live on less than $2 a day and cataracts account for half

$2 a day and cataracts account for half

$2 a day and cataracts account for half of all the blindness in the world lying

of all the blindness in the world lying

of all the blindness in the world lying in bed night after night unable to sleep

in bed night after night unable to sleep

in bed night after night unable to sleep I came to her realization if I was ever

I came to her realization if I was ever

I came to her realization if I was ever going to sleep well again I’d need to

going to sleep well again I’d need to

going to sleep well again I’d need to try to pay my gift forward the next

try to pay my gift forward the next

try to pay my gift forward the next morning I made a phone call

morning I made a phone call

morning I made a phone call hey I said I’m a skilled surgeon I’ll

hey I said I’m a skilled surgeon I’ll

hey I said I’m a skilled surgeon I’ll pay my own way called a charity can you

pay my own way called a charity can you

pay my own way called a charity can you link me up with some people who need my

link me up with some people who need my

link me up with some people who need my help and the woman and the other end of

help and the woman and the other end of

help and the woman and the other end of the phone was thrilled to hear from me

the phone was thrilled to hear from me

the phone was thrilled to hear from me we’d love to have you she said do you do

we’d love to have you she said do you do

we’d love to have you she said do you do m6 m6 what’s that you know ms ICS manual

m6 m6 what’s that you know ms ICS manual

m6 m6 what’s that you know ms ICS manual small incision cataract surgery surgery

small incision cataract surgery surgery

small incision cataract surgery surgery without technology or fancy equipment

without technology or fancy equipment

without technology or fancy equipment done by hand some kind of an expert at

done by hand some kind of an expert at

done by hand some kind of an expert at cataract surgery I read my journals that

cataract surgery I read my journals that

cataract surgery I read my journals that go to my meetings I talk to people and

go to my meetings I talk to people and

go to my meetings I talk to people and I’ve never heard of em sex manual

I’ve never heard of em sex manual

I’ve never heard of em sex manual cataract surgery in fact the whole idea

cataract surgery in fact the whole idea

cataract surgery in fact the whole idea of it sounded completely stupid to me

of it sounded completely stupid to me

of it sounded completely stupid to me cataract surgery without technology

cataract surgery without technology

cataract surgery without technology without equipment done by hand so I hung

without equipment done by hand so I hung

without equipment done by hand so I hung up the phone and I crossed that name off

up the phone and I crossed that name off

up the phone and I crossed that name off my list and I went to the next name on

my list and I went to the next name on

my list and I went to the next name on the list and the gentle manner to the

the list and the gentle manner to the

the list and the gentle manner to the phone and said we’d love to have you do

phone and said we’d love to have you do

phone and said we’d love to have you do you do m6 and I knew right then my

you do m6 and I knew right then my

you do m6 and I knew right then my education and cataracts was really just

education and cataracts was really just

education and cataracts was really just getting started I remember sitting at

getting started I remember sitting at

getting started I remember sitting at the kitchen table saying to myself

the kitchen table saying to myself

the kitchen table saying to myself alright how do you do a surgery that

alright how do you do a surgery that

alright how do you do a surgery that you’ve never even heard of and even back

you’ve never even heard of and even back

you’ve never even heard of and even back in 2009 the answer was obvious I opened

in 2009 the answer was obvious I opened

in 2009 the answer was obvious I opened my computer I went to youtube and i

my computer I went to youtube and i

my computer I went to youtube and i typed in em sex manual cataract surgery

typed in em sex manual cataract surgery

typed in em sex manual cataract surgery the screen opened to this video of dr.

the screen opened to this video of dr.

the screen opened to this video of dr. Sandhu curative nopal magically removing

Sandhu curative nopal magically removing

Sandhu curative nopal magically removing a mature cataract with a few simple

a mature cataract with a few simple

a mature cataract with a few simple instruments in a five-minute procedure

instruments in a five-minute procedure

instruments in a five-minute procedure but he didn’t use ultrasound to liquefy

but he didn’t use ultrasound to liquefy

but he didn’t use ultrasound to liquefy and pulverize and suck out the cataracts

and pulverize and suck out the cataracts

and pulverize and suck out the cataracts advanced cataracts of the type he sees

advanced cataracts of the type he sees

advanced cataracts of the type he sees every day are rock-hard not like the

every day are rock-hard not like the

every day are rock-hard not like the soft melted ice cream cataracts we do in

soft melted ice cream cataracts we do in

soft melted ice cream cataracts we do in the United States the early cataract

the United States the early cataract

the United States the early cataract surgery in the United States and rock

surgery in the United States and rock

surgery in the United States and rock hard cataracts don’t liquefy all that

hard cataracts don’t liquefy all that

hard cataracts don’t liquefy all that easily or all that safely instead he had

easily or all that safely instead he had

easily or all that safely instead he had modified the incision a little bit

modified the incision a little bit

modified the incision a little bit spread it a little bit and he popped the

spread it a little bit and he popped the

spread it a little bit and he popped the cataract out in one quick step it was

cataract out in one quick step it was

cataract out in one quick step it was simple and brilliant I was stunned by it

simple and brilliant I was stunned by it

simple and brilliant I was stunned by it more videos followed turned out I had

more videos followed turned out I had

more videos followed turned out I had accidentally opened the door to a whole

accidentally opened the door to a whole

accidentally opened the door to a whole world of doctors who had grown tired of

world of doctors who had grown tired of

world of doctors who had grown tired of telling their blind patients there was

telling their blind patients there was

telling their blind patients there was nothing they could do instead they were

nothing they could do instead they were

nothing they could do instead they were reengineering cataract surgery

reengineering cataract surgery

reengineering cataract surgery reimagining and it was emerging quicker

reimagining and it was emerging quicker

reimagining and it was emerging quicker and cleaner and slicker and so much

and cleaner and slicker and so much

and cleaner and slicker and so much cheaper than ever before

cheaper than ever before

cheaper than ever before here was a doctor in Malawi saying look

here was a doctor in Malawi saying look

here was a doctor in Malawi saying look at this I’ve got this 50-cent general

at this I’ve got this 50-cent general

at this I’ve got this 50-cent general surgery scalpel and with it I can make

surgery scalpel and with it I can make

surgery scalpel and with it I can make an incision that’s just as structurally

an incision that’s just as structurally

an incision that’s just as structurally sound as the one you make with your half

sound as the one you make with your half

sound as the one you make with your half a million dollar laser or your diamond

a million dollar laser or your diamond

a million dollar laser or your diamond blades fifty cents and here’s a doctor

blades fifty cents and here’s a doctor

blades fifty cents and here’s a doctor in Nepal saying I got this 25 cent

in Nepal saying I got this 25 cent

in Nepal saying I got this 25 cent hypodermic needle and that can bend it

hypodermic needle and that can bend it

hypodermic needle and that can bend it in the shape of a fishhook slide it

in the shape of a fishhook slide it

in the shape of a fishhook slide it through your modified incision and pull

through your modified incision and pull

through your modified incision and pull that cataract out in one piece just like

that cataract out in one piece just like

that cataract out in one piece just like reeling in a fish 25 cents and then a

reeling in a fish 25 cents and then a

reeling in a fish 25 cents and then a doctor in India said that $200 lens

doctor in India said that $200 lens

doctor in India said that $200 lens implant you’re using I can manufacture

implant you’re using I can manufacture

implant you’re using I can manufacture one for less than four dollars these

one for less than four dollars these

one for less than four dollars these were creative geniuses collaborating on

were creative geniuses collaborating on

were creative geniuses collaborating on the internet without university or

the internet without university or

the internet without university or corporate support and they were creating

corporate support and they were creating

corporate support and they were creating something simple and elegant and

something simple and elegant and

something simple and elegant and profound a five-minute surgery costing

profound a five-minute surgery costing

profound a five-minute surgery costing less than $25 it was better suited to

less than $25 it was better suited to

less than $25 it was better suited to the rockhard cataracts they saw every

the rockhard cataracts they saw every

the rockhard cataracts they saw every day than Western techniques which are

day than Western techniques which are

day than Western techniques which are designed for softer earlier cataracts

designed for softer earlier cataracts

designed for softer earlier cataracts and it opened the door and set the path

and it opened the door and set the path

and it opened the door and set the path towards the goal of eliminating needless

towards the goal of eliminating needless

towards the goal of eliminating needless blindness in the world I spent a long

blindness in the world I spent a long

blindness in the world I spent a long weekend here in Santa Barbara learning

weekend here in Santa Barbara learning

weekend here in Santa Barbara learning the ins and outs of the surgery with see

the ins and outs of the surgery with see

the ins and outs of the surgery with see international a non-profit that’s

international a non-profit that’s

international a non-profit that’s dedicated to the end of needless

dedicated to the end of needless

dedicated to the end of needless blindness and that teaches this

blindness and that teaches this

blindness and that teaches this technique around the world and then see

technique around the world and then see

technique around the world and then see international sent me to Honduras where

international sent me to Honduras where

international sent me to Honduras where I spent another long weekend working

I spent another long weekend working

I spent another long weekend working alongside a skilled manual cataract

alongside a skilled manual cataract

alongside a skilled manual cataract surgeon a few weeks later and roughly

surgeon a few weeks later and roughly

surgeon a few weeks later and roughly five months after I’d started losing my

five months after I’d started losing my

five months after I’d started losing my own vision I’m on a plane headed for the

own vision I’m on a plane headed for the

own vision I’m on a plane headed for the highlands of Peru here’s everything I

highlands of Peru here’s everything I

highlands of Peru here’s everything I need

well in Jacksonville to do a clean

well in Jacksonville to do a clean surgery and here’s everything I need in

surgery and here’s everything I need in

surgery and here’s everything I need in Huachuca I want to give you some idea of

Huachuca I want to give you some idea of

Huachuca I want to give you some idea of how much demand there is for eye care

how much demand there is for eye care

how much demand there is for eye care services in the world’s poorest places

services in the world’s poorest places

services in the world’s poorest places that’s my waiting room in Hua Michiko on

that’s my waiting room in Hua Michiko on

that’s my waiting room in Hua Michiko on the Sunday before my Monday scheduled

the Sunday before my Monday scheduled

the Sunday before my Monday scheduled start I thought I’d show up a day early

start I thought I’d show up a day early

start I thought I’d show up a day early and just take a look around before

and just take a look around before

and just take a look around before anybody got there and this is the line

anybody got there and this is the line

anybody got there and this is the line outside my clinic on the first day of my

outside my clinic on the first day of my

outside my clinic on the first day of my clinic inchaallah tenango El Salvador

clinic inchaallah tenango El Salvador

clinic inchaallah tenango El Salvador and again still on the last day this

and again still on the last day this

and again still on the last day this surgery can have an amazing impact on

surgery can have an amazing impact on

surgery can have an amazing impact on people’s lives

people’s lives

people’s lives this is Evangelina I met her in perky

this is Evangelina I met her in perky

this is Evangelina I met her in perky Nell Salvador this picture was taken

Nell Salvador this picture was taken

Nell Salvador this picture was taken moments after her patch had been removed

moments after her patch had been removed

moments after her patch had been removed and you can see that she’s pretty happy

and you can see that she’s pretty happy

and you can see that she’s pretty happy to be able to see again for the first

to be able to see again for the first

to be able to see again for the first time in a long time

time in a long time

time in a long time but take a look at the joy in her

but take a look at the joy in her

but take a look at the joy in her daughter’s eyes moments after this

daughter’s eyes moments after this

daughter’s eyes moments after this picture was taken her daughter started

picture was taken her daughter started

picture was taken her daughter started dancing around the room with

dancing around the room with

dancing around the room with evangelina’s grandson Miguelito 7 years

evangelina’s grandson Miguelito 7 years

evangelina’s grandson Miguelito 7 years old

old

old turns out now that if he Evangelina can

turns out now that if he Evangelina can

turns out now that if he Evangelina can see again Miko Alito is free to go to

see again Miko Alito is free to go to

see again Miko Alito is free to go to school for every blind person in the

school for every blind person in the

school for every blind person in the world there’s another person often a

world there’s another person often a

world there’s another person often a child whose job it is to care for her

child whose job it is to care for her

child whose job it is to care for her curing one frees them both this is

curing one frees them both this is

curing one frees them both this is Umberto I met him in San Pedro Sula for

Umberto I met him in San Pedro Sula for

Umberto I met him in San Pedro Sula for hours he sat against the wall quiet

hours he sat against the wall quiet

hours he sat against the wall quiet stoic silent isolated even while all the

stoic silent isolated even while all the

stoic silent isolated even while all the other patients were engaging with their

other patients were engaging with their

other patients were engaging with their neighbors and with staff he was so quiet

neighbors and with staff he was so quiet

neighbors and with staff he was so quiet so isolated so still that I came to

so isolated so still that I came to

so isolated so still that I came to believe he probably had alzheimerĂ­s

believe he probably had alzheimerĂ­s

believe he probably had alzheimerĂ­s disease as soon as we were done with his

disease as soon as we were done with his

disease as soon as we were done with his surgery though and you can see it in

surgery though and you can see it in

surgery though and you can see it in this picture he was transformed

this picture he was transformed

this picture he was transformed he was joyful exuberant even mischievous

he was joyful exuberant even mischievous

he was joyful exuberant even mischievous he had been locked in by his blindness

he had been locked in by his blindness

he had been locked in by his blindness it had robbed him not just of his sight

it had robbed him not just of his sight

it had robbed him not just of his sight but of his very personhood restoring his

but of his very personhood restoring his

but of his very personhood restoring his sight restored his soul as well

sight restored his soul as well

sight restored his soul as well I spent a whole day in Chattanooga

I spent a whole day in Chattanooga

I spent a whole day in Chattanooga asking people with a most wish to see

asking people with a most wish to see

asking people with a most wish to see when they could see again the next day

when they could see again the next day

when they could see again the next day and most people answered as you’d

and most people answered as you’d

and most people answered as you’d imagine I’d love to see my wife or my

imagine I’d love to see my wife or my

imagine I’d love to see my wife or my kids again I’d love to be able to take

kids again I’d love to be able to take

kids again I’d love to be able to take care of myself and not be so dependent

care of myself and not be so dependent

care of myself and not be so dependent I’d love to be able to get back to work

I’d love to be able to get back to work

I’d love to be able to get back to work but the answer of one woman astounded me

but the answer of one woman astounded me

but the answer of one woman astounded me I yearned to see the first rays of

I yearned to see the first rays of

I yearned to see the first rays of Dawn’s light as they streamed through my

Dawn’s light as they streamed through my

Dawn’s light as they streamed through my bedroom window her eloquence was even

bedroom window her eloquence was even

bedroom window her eloquence was even more astounding because I noticed that

more astounding because I noticed that

more astounding because I noticed that she was illiterate like many people in

she was illiterate like many people in

she was illiterate like many people in that region here’s a picture of the

that region here’s a picture of the

that region here’s a picture of the thumbprint with which she signed her

thumbprint with which she signed her

thumbprint with which she signed her consent for him I thought about her all

consent for him I thought about her all

consent for him I thought about her all night couldn’t get her out of my head

night couldn’t get her out of my head

night couldn’t get her out of my head the next morning I woke before dawn the

the next morning I woke before dawn the

the next morning I woke before dawn the nurses had arranged all the patients and

nurses had arranged all the patients and

nurses had arranged all the patients and chairs their patches had been removed

chairs their patches had been removed

chairs their patches had been removed and I walked in the door and immediately

and I walked in the door and immediately

and I walked in the door and immediately looked for her but I couldn’t find her

looked for her but I couldn’t find her

looked for her but I couldn’t find her anywhere and then I noticed an empty

anywhere and then I noticed an empty

anywhere and then I noticed an empty chair and a moment later I saw her out

chair and a moment later I saw her out

chair and a moment later I saw her out on the porch watching the first rays of

on the porch watching the first rays of

on the porch watching the first rays of Dawn’s light as they streamed over the

Dawn’s light as they streamed over the

Dawn’s light as they streamed over the mountainside now I’m just one person and

mountainside now I’m just one person and

mountainside now I’m just one person and I could do the surgery night and day for

I could do the surgery night and day for

I could do the surgery night and day for the rest of my life and when I was done

the rest of my life and when I was done

the rest of my life and when I was done they’d still be 20 million people blind

they’d still be 20 million people blind

they’d still be 20 million people blind from cataracts but let me give you some

from cataracts but let me give you some

from cataracts but let me give you some idea of what this surgery can do when

idea of what this surgery can do when

idea of what this surgery can do when it’s scaled properly this is my friend

it’s scaled properly this is my friend

it’s scaled properly this is my friend de les Jane he lives in Chitra coot in

de les Jane he lives in Chitra coot in

de les Jane he lives in Chitra coot in the north of India ten years ago Alysha

the north of India ten years ago Alysha

the north of India ten years ago Alysha became a lush became the director of a

became a lush became the director of a

became a lush became the director of a 20-bed eye hospital with the promotion

20-bed eye hospital with the promotion

20-bed eye hospital with the promotion of manual cataract surgery and with a

of manual cataract surgery and with a

of manual cataract surgery and with a scaled payment program that hospital

scaled payment program that hospital

scaled payment program that hospital grew from a 20 bed hospital to a 2,000

grew from a 20 bed hospital to a 2,000

grew from a 20 bed hospital to a 2,000 bed hospital he’s got 80 doctors now

bed hospital he’s got 80 doctors now

bed hospital he’s got 80 doctors now that do 600 surgeries on previously

that do 600 surgeries on previously

that do 600 surgeries on previously blind patients every day last year they

blind patients every day last year they

blind patients every day last year they did a hundred 30,000 cataract surgeries

did a hundred 30,000 cataract surgeries

did a hundred 30,000 cataract surgeries and his hospital remains profitable even

and his hospital remains profitable even

and his hospital remains profitable even though only 20% of people pay more than

though only 20% of people pay more than

though only 20% of people pay more than $30 for their surgery similar success

$30 for their surgery similar success

$30 for their surgery similar success stories can be found elsewhere in the

stories can be found elsewhere in the

stories can be found elsewhere in the world in the Himalayas cataracts are

world in the Himalayas cataracts are

world in the Himalayas cataracts are largely disappearing in Latin America

largely disappearing in Latin America

largely disappearing in Latin America cataract surgery rates have increased by

cataract surgery rates have increased by

cataract surgery rates have increased by 70% and worldwide the age adjusted

70% and worldwide the age adjusted

70% and worldwide the age adjusted prevalence of blindness has fallen 58%

prevalence of blindness has fallen 58%

prevalence of blindness has fallen 58% over the last 20 years there’s a ton of

over the last 20 years there’s a ton of

over the last 20 years there’s a ton of worked yet to be done especially in

worked yet to be done especially in

worked yet to be done especially in Africa and in the poorer parts of Asia

Africa and in the poorer parts of Asia

Africa and in the poorer parts of Asia and as people live longer and longer all

and as people live longer and longer all

and as people live longer and longer all around the world as they gratefully are

around the world as they gratefully are

around the world as they gratefully are and as more and more people come to

and as more and more people come to

and as more and more people come to inhabit our planet the challenge will

inhabit our planet the challenge will

inhabit our planet the challenge will only grow more daunting but the path is

only grow more daunting but the path is

only grow more daunting but the path is clear with promotion of highly efficient

clear with promotion of highly efficient

clear with promotion of highly efficient low-cost surgery and with increased

low-cost surgery and with increased

low-cost surgery and with increased training and infrastructure the prospect

training and infrastructure the prospect

training and infrastructure the prospect of eliminating blindness is in sight if

of eliminating blindness is in sight if

of eliminating blindness is in sight if you’re a doctor or a nurse or an aura

you’re a doctor or a nurse or an aura

you’re a doctor or a nurse or an aura technician join us we could use your

technician join us we could use your

technician join us we could use your help if you’d like to make a leveraged

help if you’d like to make a leveraged

help if you’d like to make a leveraged donation in the future of human

donation in the future of human

donation in the future of human potential we need your support

potential we need your support

potential we need your support and if you’re listening to this talk

and if you’re listening to this talk

and if you’re listening to this talk from a place in the world where access

from a place in the world where access

from a place in the world where access to site restoring surgery is absent

to site restoring surgery is absent

to site restoring surgery is absent please contact us we’d love to try to be

please contact us we’d love to try to be

please contact us we’d love to try to be of help let me bring you back to

of help let me bring you back to

of help let me bring you back to Prudential when prudency are heard that

Prudential when prudency are heard that

Prudential when prudency are heard that I was coming to Oaxaca he made plans to

I was coming to Oaxaca he made plans to

I was coming to Oaxaca he made plans to come visit but in the days prior to my

come visit but in the days prior to my

come visit but in the days prior to my arrival a big storm came and it washed

arrival a big storm came and it washed

arrival a big storm came and it washed away the mountain road that connected

away the mountain road that connected

away the mountain road that connected his mountain town to the highway with

his mountain town to the highway with

his mountain town to the highway with the help of two really loyal friends

the help of two really loyal friends

the help of two really loyal friends he walked 8 hours down a dirt road

he walked 8 hours down a dirt road

he walked 8 hours down a dirt road completely blind to get to the highway

completely blind to get to the highway

completely blind to get to the highway to take a bus to my clinic I did surgery

to take a bus to my clinic I did surgery

to take a bus to my clinic I did surgery on one eye one day and the other eye the

on one eye one day and the other eye the

on one eye one day and the other eye the second day and Here I am saying goodbye

second day and Here I am saying goodbye

second day and Here I am saying goodbye to pretend Co the morning after that one

to pretend Co the morning after that one

to pretend Co the morning after that one of the really unfortunate things about

of the really unfortunate things about

of the really unfortunate things about doing surgery episodically as I travel

doing surgery episodically as I travel

doing surgery episodically as I travel is that I most often don’t get to hear

is that I most often don’t get to hear

is that I most often don’t get to hear the end of the story but it’s a

the end of the story but it’s a

the end of the story but it’s a remarkable and rapidly changing world in

remarkable and rapidly changing world in

remarkable and rapidly changing world in which we live and I’m sitting on the

which we live and I’m sitting on the

which we live and I’m sitting on the couch at home a month after I said

couch at home a month after I said

couch at home a month after I said goodbye to pretend Co when I got a

goodbye to pretend Co when I got a

goodbye to pretend Co when I got a facebook friend request

facebook friend request

facebook friend request from a name that didn’t look familiar

from a name that didn’t look familiar

from a name that didn’t look familiar turns out Prudential had a friend with a

turns out Prudential had a friend with a

turns out Prudential had a friend with a cell phone

cell phone

cell phone and here’s Prudential seeing his 18

and here’s Prudential seeing his 18

and here’s Prudential seeing his 18 month old daughter for the first time

month old daughter for the first time

month old daughter for the first time ever thank you

ever thank you

ever thank you [Applause]

[Applause]

[Applause] [Music]

”

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