Intentional Engagement
👁️ The Power of Vision: Why Visual Games Matter
As human beings, we are equipped with five senses — all essential in their own way. But of these, vision is the most dominant in how we experience and interpret the world around us. It is our primary connection to the external environment, shaping how we move, interact, and understand.
We do not constantly engage in smell, taste, or touch — those senses are utilized in specific contexts.
Even hearing, while deeply meaningful and powerful in communication and emotion, plays a more selective role in information gathering.
But vision never turns off.
From the moment we open our eyes, we are flooded with visual input. Whether walking through a city, interpreting a chest X-ray, admiring a sculpture, or reading someone’s expression —

Ashley Davidoff MD TheCommonVein.com dog walk art-0270
We are always seeing.
Yet even though we are always seeing, we are not always looking and noticing.
In addition to look is not always to see.
True visual mastery — the kind needed in medicine, art, or daily life — requires conscious effort. It involves:
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Identification – Recognizing forms, shapes, and patterns
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Perception – Detecting relationships and contrasts
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Comprehension – Understanding what those patterns mean
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Abstraction – Connecting the visual to broader ideas and systems
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Imagination – Envisioning what is beyond the visible
- Expression – The full circle is satisfied when the process is incorporated into memory and experience and can be expressed through the written word, conversation, photography art, sculpture, or other media of expression.
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IBCAIE
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Just as we train muscles in the body, we must train our visual sense — to sharpen our eye, to deepen perception, to connect what we see with what we know and feel.
Eye Brain Interface

Ashley Davidoff MD TheCommonVein.com 172490p
🎯 Visual Games was created with that mission in mind.
It is about learning to look, to observe like an artist, a radiologist, a detective, or a child seeing something for the first time. Through structured challenges, stories, and visual puzzles, Visual Games helps us rediscover and refine one of our most powerful tools: our eyes.
In medicine, as in life, better vision leads to better decisions.
And better seeing results in better patient outcomes.
The Game The Puzzle
How did Sherlock Holmes do it?
We approached the case, you remember
with an absolutely blank mind,
which is always an advantage.
We had formed no theories.
We were simply there to observe and
to draw inferences from our observations.”
(The Adventure of the Cardboard Box)

to draw inferences from our observations.”
(The Adventure of the Cardboard Box)
It may involve …..
A Complex Radiology Case
or a piece of
Classical Art
A Lot More Here than We Initially See
What Story was Ruben’s Trying to Tell?
or a piece of Abstract Art
What Story Does Michel-Basquiat want to Tell
or Classical Sculpture
What was on Michelangelo’s Mind?

or Abstract Sculpture
What was David Smith Trying to Say?
It may just be in daily life captured by
Photography
From the Series “dOG wALK aRT”
What Story does This Photograph Tell
and in daily life we can experience
Science even in a
Dogs Tail
The Golden Rule
Abstract Art is also
all around us in the
free museums for example
Abstractions in the Ice
Grandmother Mother and Child Under the Moon
with abstract stories to tell
What is the Story of this Photograph
and a new tool AI created art
What is It Trying to Say?
We are going to use the mnemonic
IPCAIIE
Identification Perception Comprehension
in some cases Abstraction and Imagination and then your
Impression and Expression
How and Where Do We Start?
We are going to use a combination of
Sherlock Holmes and
The Common Vein
Method for Image Analysis
Although the program is directed to the discipline od Radiology
The art and Photography games are games for all
It is a structured, story-driven approach to exploring images in medicine and beyond and the program is called
For Radiologists and Detectives (RnD)
🕵️♂️ Introductory Quote – The Holmesian Spirit
“We approached the case, you remember, with an absolutely blank mind, which is always an advantage. We had formed no theories. We were simply there to observe and to draw inferences from our observations.”
— The Adventure of the Cardboard Box
This method embraces the Holmesian ideal: to begin with pure observation — no preconceived ideas — and let the image speak.
🧩 Apply the TCV Theory (1 + 1 = Bigger 1)
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Begin identifying individual parts or elements — each with its own voice.
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Ask how these elements might unify into a larger narrative or diagnosis.
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Seek the greater meaning emerging from relationships, not isolation.
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The image becomes a story: the sum is more than the parts.
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This reflects the TCV principle of “Units to Unity” — a single image, with multiple components asking to be put together to tell a unified story
🔍 Phase-by-Phase Framework
🔎 Phase 1: Ask Broad Questions (Begin with Curiosity)
Begin with an open, observational mind — free of assumptions.
using identification perception (early comprehension)

Sherlock Holmes A Case of Identity
TheCommonVein.com
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Pose big-picture questions such as:
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What do we see? (isolate big and obvious findings )
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What might be happening here?
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What does this image feel like?
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This phase activates curiosity and deep engagement without jumping to conclusions but a story has started to unfold.
🖼️ Phase 2: Provide Background (Context and History)
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For Art or Sculptures:
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Life of the artist/sculptor
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Historical period and visual trends
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Cultural meanings or prevailing ideologies
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For Medical Images:
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Patient background and clinical context
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Indication for imaging
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Modality and setting (e.g., CXR, CT, MRI)
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This phase places the image in its narrative and technical context.
🔬 Phase 3: Go Deeper – Ask & Answer
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Return to the questions posed in Phase 1.
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Begin forming answers — but split the response into two distinct lenses:
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Facts: Observable, measurable, or widely accepted features
(identification perception early comprehension) -
Opinion: Interpretations, hypotheses, artistic or clinical insights (abstractions imagination impression)
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This phase blends deductive reasoning with creative exploration.
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It is where observation becomes understanding.
🎯 Phase 4: Focal Points, Structured Analysis & Sequential Thinking
Once we begin to observe more deeply, certain elements in the image start to stand out. These are the focal points — clues that call for closer inspection. Each one becomes a unit of attention.
We analyze these using the SSPCTC framework of The Common Vein:
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Size
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Shape
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Position
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Character
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Time
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Connections
But this is where we add a crucial dimension:
🔁 Sequential Thinking – The Architecture of a Visual Story
Observation is not a single moment — it’s a sequence.
One detail leads to a memory, a reference, a learned fact, or a gut feeling — and that, in turn, leads to the next idea. This is how a story builds, one step at a time.
“”Not invisible but unnoticed, Watson. You did not know where to look, and so you missed all that was important”.”
— Sherlock Holmes
This is not about what is invisible, but about what goes unnoticed — because we haven’t yet asked the right question or made the right connection. When we train ourselves to see in sequence, to follow the thread, each observation becomes a stepping stone in a larger narrative.
This phase is about more than labeling or identifying. It is about following the chain of meaning, using each clue to advance the plot — whether that’s a clinical diagnosis, an artistic interpretation, or a metaphorical insight.
So we ask:
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What do I see here?
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What does it remind me of?
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What question does it raise?
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What might come next?
This is how Holmes solved cases.
And this is how we build stories — in medicine, in art, and in life.
🧠 Phase 5: Scientific, Medical, and Biological Relevance
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Relate the image to core disciplines:
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Anatomy
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Pathophysiology
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Function and dysfunction
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Clinical implications or diagnoses
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This phase anchors the visual story in scientific and educational value.
❓ Phase 6: MCQ Creation and Explanation
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Create 1–3 multiple choice questions based on the image/story.
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For each question:
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Give the correct answer with a reason
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Explain why the other options are incorrect
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Encourages active recall, decision-making, and error correction.
🖼️ Phase 7: The Memory Image (1 + 1 = 1)
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Conclude with a symbolic or memorable image that captures the learning point.
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Integrate:
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Anatomical insight
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Visual metaphor or narrative
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Emotional or symbolic resonance
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This image acts as a recall trigger and supports long-term retention.
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Reinforces the TCV idea of “Units to Unity” — even complex truths can be captured in one image.
🧭 The Heart of the TCV-Sherlock Holmes Approach
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Embrace curiosity over assumption
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Use structure to explore mystery
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Seek to unify part and whole, science and story, logic and memory
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Let images become portals to insight, meaning, and wonder