We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
A Piece of My Mind |


Elizabeth B. Gay, MD
JAMA. 2010;303(3):205. doi:10.1001/jama.2009.2026.
Text Size: A A A
Published online


The right eye bleeds on a Wednesday morning. I am walking to clinic, heading up the hill on 97th Street. For a moment, I imagine the dark spot is some trick of light and shadow. But it grows before me, spreading outward from its center, forming a web across my vision. I know the correct medical language—vitreal hemorrhage—but can only think: My eye is bleeding. The growing web floats across the world, almost beautiful if I weren't so afraid. I had a laser treatment on this eye two days ago, to prevent fragile new vessels from bleeding. The right eye has always been the good eye; the left has been bleeding for a year, despite more laser sessions than I can count. I know I will need a vitrectomy on the left eye, but I was counting on the right. This bleeding is the result of diabetic retinopathy and so particularly painful because it is in part my fault. Previously obsessive about my blood glucose, during my intern year of medicine residency, exhilarated and exhausted by the rigors of training, I struggled for reasonable control. And I let myself be 180 rather than 80, given the inconvenience of being low. My blurry vision feels like punishment, and usually I believe it's deserved.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Collections