In this episode of Knock Knock Eye, I dive into the complex world of cataract surgery, sharing an extraordinary case of a patient who had gone 15 years without cataract surgery after a vitrectomy. I reflect on the difficulties of operating on a dense, hardened cataract, discussing the intricacies of such procedures and how prior surgeries can accelerate cataract progression. Additionally, I discuss the current IV fluid shortage caused by Hurricane Helene, which damaged a major production facility in North Carolina. This shortage is impacting hospitals nationwide, affecting elective surgeries and patient care. With a mix of surgical insights, healthcare challenges, and humorous personal stories, this episode offers a captivating look at life in medicine.Takeaways:Cataracts Can Worsen After Eye Surgery: Dr. Flannery explains how cataracts progress faster in patients who have undergone a vitrectomy, emphasizing the importance of timely cataract surgery to avoid complications.Challenges of Dense Cataracts: In this episode, Dr. Flannery shares his experience with a particularly dense cataract, describing the advanced techniques required to remove it and the complexities involved when the eye’s lens is unstable.The Importance of Early Cataract Removal: Dr. Flannery highlights how cataracts become more difficult to remove as they harden over time, making early intervention crucial for better surgical outcomes.Impact of the IV Fluid Shortage: Beyond cataracts, Dr. Flannery discusses the national shortage of IV fluids, exploring how this affects elective surgeries and the broader healthcare system.Surgeons Behaving Badly: In a lighter moment, Dr. Flannery shares a story about a surgeon who used a Swiss Army knife in place of a sterile scalpel, illustrating the strange and sometimes humorous side of healthcare.—To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.comCan’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomfleckenAlso, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomfleckenIf you like the scrubs I'm wearing, here's a link and discount code to get some Jaanuu Scrubslink: https://bit.ly/4cAvXbscode: DRG20 for 20% off first-time purchases**This code works on full-price items only excluding embroidery! If you want more information on models I use:Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link:  Anatomy Warehouse Plus for 15% off use code: Glaucomflecken15Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out.To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi.Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices