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Unexplained symptoms require deeper medical curiosity

Mercedes Fleming
Conditions
May 12, 2026
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I am 75 years old, and I can see perfectly. My vision is 20/20. The tests are normal. The symptom is not. The disturbance is monocular, dynamic, and light-based, not structural, not degenerative in any way that current imaging captures. And yet, every day, I see the world through a veil of intrusive light that no one seems willing to investigate.

After months of medical appointments, I have learned a difficult lesson: When symptoms do not fit a familiar diagnosis, curiosity often stops. Normal test results become an ending instead of a beginning. Doctors tell me I will develop glaucoma someday. They warn me about blindness in an abstract future. But no one explains what is happening now. Age becomes a shortcut. Prediction replaces investigation. This is not a story about malpractice. It is a story about what happens when medicine stops listening.

The erosion of medical curiosity

My journey through South Florida’s ophthalmology offices began with blue light intruding into my vision, and with a faith in medicine that slowly eroded with each new waiting room. At my first consultation, I underwent extensive testing. Everything came back normal. The doctor reassured me: My vision was fine, nothing structurally wrong. As for my symptoms, he did not know. I was referred to a specialist. I left relieved, confident answers would follow.

At the next appointment, more tests. Again, normal. This time, I was told it might be a stroke and was asked to undergo an injection without explanation. I declined. Not out of refusal, but because I needed to understand why. The consultation ended abruptly. I left confused and disappointed.

Then I saw a neuro-ophthalmologist. This time, someone listened. “I believe you,” he said. “And I’m going to try to find out what this is.” He tested my vision in ways others had not. Using a pinhole, I was able to briefly see what I otherwise could not, suggesting that something was interfering with how light reached my eye, not that the image was absent. He ordered brain and orbit magnetic resonance imaging (MRI) scans and extensive blood work. All results came back normal. Still, he encouraged me to seek care at a major institute. I left with hope.

Searching for an accurate diagnosis

At night, I test my vision myself. My bedside clock projects red numbers onto the ceiling. When I close my right eye, the numbers turn white. Every night for six months, I have looked, hoping something will change. It never does. The fear is not panic. It is erosion. Each unchanged night wears away confidence that someone will eventually explain what is happening. The same occurs when I look at my hand. With my left eye, it appears covered in a thin white glow. Nothing is missing. Everything is simply brighter than it should be.

At the institute, the process repeated itself: testing first, conversation later. I described my symptoms clearly. I demonstrated them. I explained what I saw. After reviewing prior notes, the doctor told me: “You had a stroke.” Not as a possibility. Not as something to investigate. As a conclusion. Yet every test I had undergone, optical coherence tomography (OCT) scans, ultrasounds, MRIs, had been normal. Nothing supported this diagnosis. “I don’t know what you have,” he added.

Then, almost reflexively, he warned me about future glaucoma and suggested a follow-up in two years. I told him I did not care about what might happen in two years. I needed help now. He had nothing to say.

The danger of unexamined conclusions

Months later, I returned to see another specialist. After hours of waiting, I was told again: “You had an ischemia. Live with it.” The conclusion was repeated, not examined. One note echoing another. No explanation. No investigation. No reconciliation with the evidence. For six months, I have been living with this uncertainty. I still do not know what is happening in my left eye. What alarms me is not only the absence of answers, but the ease with which conclusions take their place.

This is not blindness. I can read, recognize faces, and navigate the world. What has changed is the light, how it falls, how it spreads, how it interferes. It is subtle, but persistent. And it is real. Medicine does not fail when it lacks answers. It fails when it stops looking. All tests are normal. The symptom is not. This is not loss of vision. It is the wrong kind of light.

Mercedes Fleming is a patient advocate.

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