PHYSICAL SCIENCES

Medical science


MEDICAL SCIENCE

INTRODUCTION-Part 1:

There are three categories make up the fundamental sciences; on top of these fundamental sciences are interdisciplinary and applied science. Examples of the applied sciences are: engineering and medicine, applied mathematics and applied physics & computer science. Contemporary medicine applies biomedical sciences, biomedical research, genetics & medical technology to diagnose, treat, and prevent injury and disease, typically through medication or surgery, but also through therapies as diverse as: psychotherapy, external splints & traction, prostheses, biologics, pharmaceuticals, ionizing radiation among others. The word medicine is derived from the Latin 'ars medicina' meaning the art of healing.
 
Medicine is the field that mixes applied science with art in the diagnosis, treatment, and prevention of disease. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness in human beings. For more on this overview go to: http://en.wikipedia.org/wiki/Medicine

INTRODUCTION-Part 2:

Readers wanting to be up-to-date in relation to the field of medical science are advised to begin elsewhere than at this part of my website. There is a host of online journals; there is a burgeoning resource-base on virtually every conceiveable illness and medical procedure. There is an increasing list of various health-care professionals who can provide assistance to online searching & searches. A medical science liaison, an MSL for example, is a healthcare consulting professional who is employed by pharmaceutical, biotechnology, medical device, and managed care companies. Other job titles for medical science liaisons may include medical liaisons, medical science managers, regional medical scientists, and regional medical directors.

The term "MSL" was originally trademarked by Upjohn as "Education Services(ES)" ES involve the initiation of drug studies in laboratory & clinical settings & development of workshops, symposia, & seminars for physicians, medical societies, specialty organizations, academicians, in concert, concerned with drug related medical topics" in 1967 & with first use in commerce in 1967. As the number of MSL programs in healthcare increased, subsequent peer-reviewed journal publications and books became available to examine the emerging role of medical affairs, and the use of MSLs in an increasingly vertically integrated biotechnology industry. For more go to:http://en.wikipedia.org/wiki/Medical_science_liaison

MEDICINE: APPLIED SCIENCE

I have a section of my website on 'Medicine: Applied Science" and readers can access it at this link: http://www.ronpriceepoch.com/Medicine.html
Medicine is a field of applied science. The main branches of science (also referred to as "sciences", "scientific fields", or "scientific disciplines") are commonly divided into two major groups: social sciences, which study human behavior and societies, and natural sciences, which study natural phenomena (including fundamental forces and biological life). These groupings are empirical sciences, which means the knowledge must be based on observable phenomena and be capable of being tested for its validity by other researchers working under the same conditions.
For more details on the sciences go to:http://en.wikipedia.org/wiki/Branches_of_science 

Medicine is the science and practice of the diagnosis, treatment, and prevention of disease.The word medicine is derived from Latin medicus, meaning "a physician". Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and   treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically throughpharmaceuticals or surgery, but also through therapies as diverse aspsychotherapy, external splints and traction, medical devices, biologics, andionizing radiation, amongst others.

Medicine has existed for thousands of years, during most of which it was an art (an area of skill and knowledge) frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). While stitching technique for sutures is an art learned through practice, the knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.https://en.wikipedia.org/wiki/Medicine

NEUROSCIENCE

Part 1:

Neuroscience is the scientific study of the nervous system. Traditionally, neuroscience has been seen as a branch of biology. However, it is currently an interdisciplinary science that collaborates with other fields such as chemistry, computer science, engineering, linguistics, medicine,   mathematics, genetics, and allied disciplines including philosophy, physics, and psychology. It also exerts influence on other fields, such as neuroeducation and neurolaw. The term neurobiology is usually used interchangeably with the term neuroscience, although the former refers specifically to the biology of the nervous system, whereas the latter refers to the entire science of the nervous system.  When researching his latest book The Organised Mind neuroscientist, Daniel Levitin, asked some of the world’s busiest people how they manage to keep on top of the data deluge. In this talk he discusses the brain, learning, creativity, the myth of multitasking and how to think straight in the age of information overload: http://www.abc.net.au/radio/programitem/pgxM6jLzz7?play=true  For more go to:http://en.wikipedia.org/wiki/Neuroscience For the online journal Neuroscience go to:http://issuu.com/explore?utm_source=2015W38_subscribers&utm_campaign=Digest&utm_medium=email

Part 2:

Oliver Wolf Sacks(1933-2015) was a British neurologist and author who spent his professional life in the United States. He was widely known for writing best-selling case histories about his patients' disorders. Some of his books have been adapted for film and stage. After studying at The Queen's College, Oxford, where he received his medical degrees in 1960, he moved to the U.S. and completed his residency in neurology at Mount Zion Hospital in San Francisco. He relocated to New York in 1965, where he became professor of neurology at New York University School of Medicine. Between 2007 and 2012, he was professor of neurology and psychiatry at Columbia University, where he also held the position of "Columbia Artist", which recognized his contributions to art and science. He was also a faculty member at Yeshiva University's Albert Einstein College of Medicine, and a visiting professor at the University of Warwick. For more on Sacks, who died last month as I write, go to: https://en.wikipedia.org/wiki/Oliver_Sacks

GOING TO THE DOCTOR

Part 1:

More people see a doctor regularly than go to church in most, if not all, Western countries. Doctors and priests once shared fairly equally the task of helping us to cope with the fact and fear of death, and of minimising the unpleasantness we might face before and, respectively, after the event. Although doctors also do much routine plumbing and maintenance work, the unpredictability and suddenness of illness means that their role as mechanics cannot be separated from their priestly function. The scope of the former role has grown through technological advance, while the need for doctors to exercise a priestly function has expanded as our hopes decline for an ultimate referral to the Great Consultant in the Sky. For most people He opted out some while ago. When the doctor acts as a priest, he or she is expected to fight for us and to counsel us selflessly, certainly not to judge us or to treat us as costs in a function to be minimised.  If priests were all they had to be, running a health service on a shoestring, with less attention to management than to purity of vocation, would be an unexceptionable policy.

But the priestly analogy breaks down once applied to the substantial resources that a modern health care system commands. This is partly the product of its own success: as death from infectious diseases has declined, so a sturdier population grows to an age where death comes by erosion rather than by conquest, and care of the sick is correspondingly more protracted and expensive. Partly it is the achievement of science in holding that erosion at bay: the technology of soul transplants has not changed much in two millennia, though Americans, as always, find the electronic media helpful.  But many other bits of the person can be strengthened and supplemented with chemical or mechanical gadgetry. It’s a losing battle, but even postponement of defeat can feel like an achievement. And the greater ease of monitoring medical progress increases the temptation to intervene, to use newer and more expensive gadgets when the old ones fail, as inevitably they will.

Part 2:

But partly the resources problem arises because much medicine is not a technological folie de grandeur: it consists of simple useful things like paracetamol and hip replacements and health visitors, things that genuinely improve people’s quality of life, but are always under threat from the claims of glamour medicine on one side and taxpayers’ meanness on the other. And when resources on this scale follow medical decisions, doctors become managers as well as priests. It’s not a role they can choose to forego: like speaking prose, they do it whether they acknowledge it or not. The current controversy over the reforms in healthcare is about how, not whether, that managerial role should be fulfilled. For some relevant reading on this subject you might like to take a look at the following books: (i) Medical Choices, Medical Chances: How patients, families and physicians can cope with uncertainty by Harold Bursztajn, Richard Feinbloom, Robert Hamm and Archie Brodsky, Routledge, 456 pages, 1991; (ii) Examining doctors: Medicine in the 1900s by Donald Gould, Faber, 148 pages, 1991; and (iii) Some Lives! A GP’s East End by David Widgery Sinclair-Stevenson, 248 pages, 1991.

Part 3:

At present, in the first weeks after turning 70 in July 2014, I have two GPs in order to obtain a second opinion on a range of medical issues, and as follow-ups to the specialists I now see. I see the following specialists: (i) a renal physician for my chronic obstructive pulmonary diserse, my moderate chronic kidney disease-phase 4, and prostatic disease; (ii) a urological surgeon for my enlarged prostate; (iii) a podiatrist for several problems associated with my feet; (iv) an optomotrist for cataracts and an annual eye examination in relation to vision and glasses, (v) a psychiatrist for my bipolar disorder, (vi) a gastroenterologist for fecal occult blood tests & colonoscopy, and (vii) a dentist and dental technician for my teeth and partial plates. 

I take the following medications: rosuvastatin for blood pressure; duodart for prostate; and effexor and seroquel for bipolar disorder.  I also take the following: vitamin D, magnesium, fish oil, zinc, & aspirin. More details are available at this link as well as a longitudinal account of my medical history: http://bahai-library.com/price_mental-health_autobiography_history

MEDICAL LITERATURE

Medical literature is the scientific literature of medicine: articles in journals and texts in books devoted to the field of medicine. Many references to the medical literature include the health care literature generally, including that of dentistry, veterinary medicine, pharmacy, nursing, and the allied health professions. Contemporary and historic views regarding diagnosis, prognosis and treatment of medical conditions have been documented for thousands of years. The Edwin Smith papyrus is the first known medical treatise. Initially most described inflictions related to warfare. This was because war was the most important part of society and it was the most common way of contracting health problems. For more of this overview of medical literature go to: http://en.wikipedia.org/wiki/Medical_literature 

Jerome Groopman has taught a seminar on the literature of medicine for Harvard freshmen.  His course begins with Tolstoy’s The Death of Ivan Ilych. The students read stories by Chekhov, Turgenev, Kafka, & William Carlos Williams, & then Oliver Sacks’s An Anthropologist on Mars.  Sack's portrayals of a skilled surgeon with Tourette’s syndrome and an accomplished autistic artist with eidetic memory—the ability to “see” an object that is no longer present—cause the students to rethink “abnormal” as meaning only “abject.” This article in The New York Review of Books, 21/5/'15, this review of a 400 page book by Oliver Sacks, is found at: http://www.nybooks.com/articles/archives/2015/may/21/victory-oliver-sacks/

INFECTIOUS DISEASES and PALAEOPATHOLOGY

Paleopathology, also spelled palaeopathology, is the study of ancient diseases. It is useful in understanding the history of diseases, and uses this understanding to predict its course in the future. For more on paleopathology go to: http://en.wikipedia.org/wiki/Paleopathology  Charlotte Roberts is a Professor in the Department of Archaeology and a Fellow of the Wolfson Research Institute for Health and Wellbeing. She is a bioarchaeologist. Her background is in archaeology, environmental archaeology and human bioarchaeology. She has studied and interpreted human remains from archaeological sites for the past 30 years, and is specifically interested in exploring the interaction of people with their environments in the past through patterns of health and disease. This field is known as palaeopathology.  She is especially interested in those health problems that are common today. Her key research interest is in the origin, evolution and history of infectious diseases. Go to this link for more on Professor Roberts: https://www.dur.ac.uk/archaeology/staff/?id=163

BIOTECHNOLOGY

Biotechnology is the use of living systems and organisms to develop or make useful products, or "any technological application that uses biological systems, living organisms or derivatives thereof, to make or modify products or processes for specific use" (UN Convention on Biological Diversity, Art. 2). Depending on the tools and applications, it often overlaps with the (related) fields of bioengineering and biomedical engineering.  Nature Biotechnology is a monthly journal covering the science and business of biotechnology. It publishes new concepts in technology and methodology of relevance to the biological, biomedical, agricultural and environmental sciences. It also discusses the commercial, political, ethical, legal, and societal aspects of this research. The first function is fulfilled by the peer-reviewed research section, the second by the expository efforts in the front of the journal.  The journal provides researchers with news about business, and it provides the business community with news about research developments.

The core areas in which the journal is actively seeking research papers include: molecular engineering of nucleic acids and proteins; molecular therapy (therapeutics genes, antisense, siRNAs, aptamers, DNAzymes, ribozymes, peptides, proteins); large-scale biology (genomics, functional genomics, proteomics, structural genomics, metabolomics, etc.); computational biology (algorithms and modeling), regenerative medicine (stem cells, tissue engineering, biomaterials); imaging technology; analytical biotechnology (sensors/detectors for analytes/macromolecules), applied immunology (antibody engineering, xenotransplantation, T-cell therapies); food and agricultural biotechnology; and environmental biotechnology. A comprehensive list of areas of interest is shown at this link: http://www.nature.com/nbt/authors/index.html#aims  For more details in an overview of biotechnology go to: http://en.wikipedia.org/wiki/Biotechnology

PHYSIOLOGY MEMORY AND DRUGS

There is an individuality within any autobiographical narrative at a purely physiological level. Over the course of the last several decades physiologists and psychologists, as well as specialists from a wide rage of sub-disciplines in the medical profession, have come to know a great deal about human anatomy and its expression in each individual. To choose but one example which is crucial to autobiography,  I'll say one of two things about the process by which strong emotions make for strong memories. This process has been traced in some detail in the years since I went pioneering in the early 1960s.  At the onset of an emotionally charged event, adrenaline is released from the adrenal medulla and this activates beta-receptors in the brain. These receptors are protein receptors and neurons that receive adrenaline and its first cousin noradrenaline. Their activation enables strong emotions to make strong memories. The basolateral amygdala is also involved in this process of making stronger memories. On the other hand there are several memory blockers, drugs with anteretrograde amnesia effects used to counter the affects of post-traumatic stress-disorder.  In my own 5 volume autobiography I have not discussed memory enhancers or memory blockers and the role they may have played or may not have played in what has become my 2600 page autobiographical narrative.

During the four epochs that this autobiography documents, some sixty years now, in its very personal way a series of drugs occupied the attention of society in the West. In the post-war period up to the 1960s alcohol and cigarettes dominated the social landscape.  Beginning in the 1950s psychoactive drugs began to dominate the psychiatric profession. Beginning in the 1960s marijuana came to the fore, then heroin and cocaine in the 1980s and 1990s. In Australia in the 1990s and in the first decade of the new millennium ecstacy and other mood-altering substances came to occupy the attention of the media and the populace. I don’t want to give this subject much attention here. With the exception of tobacco which I smoked from 1964 to 1994 and, of course, the drugs I took for my bi-polar disorder from 1968 to the present, all of these chemical enhancements played no direct part in my life.

WRITING AND HIERARCHIES OF RELEVANCE

Although there are many basic accounts, basic stories, varying emphases to various topics, in my life that I could recount, there are what Barbara Herrnstein Smith calls "hierarchies of relevance and centrality" that enable me to distinguish certain elements and relations in my life.  There are elements in my life which are central or peripheral, more important or less important, more basic or less basic, insufficiently present or too much present, not presentable at all or in my face, as it is said these days colloquially, hidden or manifest, able to be clothed in words or ineffable.  As one analyst put it, there is a domain of life which is brought into being by the very act of telling the story. There is, inevitably, a conflict between what is deemed narratable, eligible for telling and what is not or, to put it another way, what is private and what is public. No matter how much my autobiography reflects and explores Baha'i identities in an emerging global culture; no matter how much or how little this long narrative of mine and its extended analysis becomes part of one of those grand theatres of public life and our print culture, the writing of this work is, for me, a finding, an expressing, of life's many-coloured mansions. 

My writing is a performance of my identity, a description of my intimacies and my distances as well as a part of a sentimental commerce which I exhibit and which, in a certain way, I own.  In autobiography, at least in the sentimental-romantic tradition since Rousseau in the 18th century at the very outset of the modern autobiographical tradition, there is the impulse to bare all. This is now epitomized in the expose journalist search for the in-depth documentary and in a great mass of autobiography and biography which has come on the literary scene during these several epochs of my life, the years after WW2.  For the most part, though, I temper this impluse to bare my soul with the cautious words of the fourth Imam, Ali, who it is said by some that he advised that "not everything that a man knoweth can be disclosed nor is everything that can be disclosed time or suited to the ears of the hearer. The medical element in my memoir is, without doubt, central to my story.


http://ehealthforum.com/health/

THE DIVIDED BRAIN

Iain McGilchrist was a Research Fellow in neuroimaging at Johns Hopkins Hospital, Baltimore. He has published articles and research papers in a wide range of publications on topics in literature, medicine and psychiatry. At the Creative Innovation 2012 conference, he discusses the ideas in his latest book, The Master and his Emissary: The Divided Brain and the Making of the Western World - how the bihemispheric structure of the brain influences our understanding of the world. Go to this link to listen to his lecture:http://www.themonthly.com.au/divided-brain-and-courage-think-differently-iain-mcgilchrist-7304


A VIDEO ON BRAIN PLASTICITY

This video deals with the issue of brain plasticity. Neuroplasticity is a word that comes from neural, pertaining to the nervesand/or brain, and plastic, moldable or changeable in structure. This is also known as brain plasticity, refers to changes in neural pathways and synapses which are due to changes in behavior, environment and neural processes, as well as changes resulting from bodily injury. Neuroplasticity has replaced the formerly-held position that the brain is a physiologically static organ, and explores how - and in which ways - the brain changes throughout life.


"All in the Mind: The therapeutic brain" is a series of episodes by Dr Norman Doidge in which he discusses his latest book, The Brain’s Way of Healing, which explores the frontiers of neuroplasticity. Go to this link for a video: http://www.abc.net.au/radionational/programs/allinthemind/the-healing-brain/6391744 You will hear some astonishing stories demonstrating that the brain has its own unique way of healing.  Another video deals with many aspects of this plasticity and its application to life: the origins of beliefs, the development of capacities, consciousness and behaviour, neural activity, selfishness, and a scientific view of self and others. The video has a very convincing voice-over and narrative. Go to this link: http://www.youtube.com/watch?v=oPEdDcs_8ZQ

HEALING WITH HORSES

Most of us enjoy having other animals around us. Now there’s a field that engages animals with humans in a therapeutic relationship. In this program, one of the Top 5 Under 40 scientists in residence, a collaboration between Radio National in Australia and the University of NSW, cultural anthropologist Dr. Kirrilly Thompson takes the reins to examine the potential mutual benefits of equine assisted therapy. We also hear Jordy’s moving story of transformation through helping her horse Lucky overcome its fears. Go to this link to hear the story: http://www.abc.net.au/radionational/programs/allinthemind/horses-and-healing/6656388

MEDICAL HEALTH AND PHILOSOPHY

Many people in western countries abhor paternalism. They think that people should be able to go their own way, even if they end up in a ditch. When they run risks, even foolish ones, it isn’t anybody’s business that they do. In this respect, a significant strand in western culture appears to endorse the central argument of John Stuart Mill’s On Liberty. In his great essay, Mill insisted that as a general rule, government cannot legitimately coerce people if its only goal is to protect people from themselves. Mill contended that: "the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to others. His own good, either physical or mental, is not a sufficient warrant. He cannot rightfully be compelled to do or forbear because it will be better for him to do so, because it will make him happier, because, in the opinion of others, to do so would be wise, or even right." For a detailed diswcussion of this health, medical and philosophical topic go to:http://www.nybooks.com/articles/archives/2013/mar/07/its-your-own-good/?page=1

LOBOTOMY

Part 1:

Two recent television programs available in Australia1 had a great deal to say about the history of psychosurgery, neurosurgery and, specifically and especially, transorbital lobotomy, a surgical procedure that for a decade or so after WW2 looked like a solution to the immense health problem that was mental illness, institutionalized and non-institutionalized. The immense strides in these fields is revolutionary and is yet one more example of the transformation that society has undergone in our time, let us say for convenience, in that ‘century of light’-the 20th century. Of course, behind this light and obscuring its radiance are the billion--that’s 1000 million—deaths from various forms of violence in that same one hundred years.

My interest was peaked in these TV programs due to lobotomy’s association with and origins in the treatment of mental illness which I have suffered from since the discordant voices against lobotomies in the middle to late ’50s and the introduction of neuroleptic drugs like thorazine and some of the antidepressants which were coming into psychiatry. In 1968, when I was first institutionalized in Ontario, I was given a massive dose of largactyl which could be compared to a very short term chemical lobotomy. It seemed to produce the same kind of effects as a lobotomy. I only stayed on this medication for two or three weeks at the most although, after forty years and with no access to my medical records, I’m not sure of this time period.

Part 2:

I have had various symptoms of mental illness which I could variously diagnose retrospectively now in these years of my late adulthood with its old age pension—back to specific times over a period of fifty years to puberty(1957/8) and my adolescence. These symptoms included: psychosis in the form of paranoia and obsessive compulsive disorder, schizo-affective disorder, hypomania, explosive disorder, bipolar disorder and depression among a range of terms that I could list to label various behavioural abnormalities I exhibited during that half century from 1957/8 to 2007/8.

In the autumn of 1968 I was given a series of eight shock treatments or ECTs as they were called then and as they are called now. The ECT, electroconvulsive therapy, was the first stage of a lobotomy and, in my case, the ECT was a helpful treatment, or so I was then given to understand, although I will never be sure. -Ron Price with thanks to 1The Lobotomist, SBS TV, 29 December 2008, 8:30-9:30 p.m. and Blood and Guts: A History of Surgery Into the Brain, SBS TV, 6 January 2009, 8:30-9:30 p.m./repeated 23/3/10.

Was there any collateral damage from
those ECTs administered in the autumn
of ’68? Thank the Lord for antipsychotic
and anti-depressive drugs in the 1950s &
1960s to protect me from the lobotomies!

It was still a nightmare in those buildings,
that great warehouse---snake--pit---after
that Great War, World-War I, enormous
psychiatric hospitals, where transorbital
lobotomies, psychosurgery, neurosurgery,
the cutting of neural pathways to the soul,
ice-pick like, performed by the 1000s after
that second great war on those emotionally
and psychologically deformed millions----.

And, me, from another war, the third great
war of the twentieth century, a war with no
name, sent me into more reformed-milder...
snake-pits where drugs like: largactyl and...
thorazine, stelazine, lithium, luvox & naval
put me back together in revolutionary ways
which transformed modern psychiatry and
the treatment of the mentally ill—and me!

And with a Bahá'í psychiatrist back in ’68!
I could hardly believe it then or now.......

Ron Price
6 January 2009
Updated on: 23/3/’10


http://www.bluepeople.com/members/

VISIONARY: MEDICAL BREAKTHROUGHS IN CONTEXT

Section 1:

Visionary poetry can live with the uncertaintly principle, but not with total skepticism or with the belief of many of the newest critics that poetry is not “about” anything. As it has been said “where there is no vision, the people perish.”(Proverbs 29:18) Without vision behind it this poetry, I’m sure, would not have been written. All perception is theory-laden and we need the power of symbols to extend our perceptual models. Perception itself is a dynamic searching for meaning. The visionary poetry I draw on begins in perception, in the ‘suchness’ of things, in us as participants and in works of poets, especially poets in the last two centuries, but also more generally in the entire tradtion of humankind going back to the Greeks and the Hebrews in the first millennium B.C.

Since Shaykh Ahmad left his home in about 1792 to prepare the path for the Bab and since Wordsworth began writing poetry just a few years before while the Shaykh was enjoying his last years at home in NE Arabia, there has arisen two centuries of a richly veined tradition of visionary poetry on which I draw from time to time. -Ron Price with thanks to Hyatt Waggoner, American Visionary Poetry, Louisiana State UP, Baton Rouge, 1982, pp.1-18.

Section 2:

Something out there on that hill,
quite beyond what I see, running
way down to the ocean depths,
identities of a spiritual world,
beyond my praise, an eternity
of men and women, a thought
rising, calm, like the stars shining
immortal, luminous, real vision,
taking possession of my soul,
celestial light, mystery, weight,
a divine perplexity, the infinite hidden
in the infinite to this peculiarly intimate
bit of world, this joyous seer. Flood tide
above me: I see you, at last, face to face!

Thousands go up with loving eyes,
thirsting, fine spokes of light leading
to the unseen. Grand is the scene here
to me and the unseen buds hidden under
the terraces & marble like babes in wombs,
latent, compact, sleeping, billions of billions
beckoning-out beyond Mars-beyond all these
computers, engineering miracles, medical
breakthroughs, the staggeringly complex
knowledge explosion and that burnt match
in the urinal. Not just memories of spiritual
gates here, intricate iron tracery, real-bathed
in blood. No need for me to create a new Bible
for one has come, spring-board , luminescent
source that helps me stab at truth, and evoke
a common consciousness, an innocence, & an
absolute beauty amidst all the tears, the broken
bones, as well as all the boredom and chouder.

1 With thanks to Hart Crane in ibid., p. 78

Ron Price
December 21st 2005 to 28/7/'11


HUMAN PANDEMICS: AN OVERVIEW

For better or worse, Homo sapiens has become the most abundant large mammal ever to roam the planet. We have spread into nearly every conceivable terrestrial habitat. We have increased our fertility and decreased our mortality. We have reengineered ecosystems and food webs and disinterred fossil stores to produce our calories and condition our dwellings. We are seven billion strong, growing at a rate of 70 million people a year.

As E.O. Wilson, both an entomologist and a conservationist, put it, “When Homo sapiens passed the six-billion mark we had already exceeded by perhaps as much as 100 times the biomass of any large animal species that ever existed on the land.” The biomass is the mass of a living organism.  He was talking about wild animals. We are only about five times more numerous and probably a little less massive than our livestock—herded, fattened, and medically dosed just for us. Or, as David Quammen puts it in his masterful new book Spillover: Animal Infections and the Next Human Pandemic: we are an “outbreak,” a species that has undergone a “vast, sudden population increase.” “And here’s the thing about outbreaks,” warns Quammen: “They end…. In some cases they end gradually, in other cases they end with a crash.” For a discussion of "Animal Infections and the Next Human Pandemic", an article in The New York Review of Books in April 2013 by David Quammen, go to:http://www.nybooks.com/articles/archives/2013/apr/25/how-animals-may-cause-next-big-one/

MORE ON PANDEMICS

Well over three hundred years have gone by since the plague died out as an indigenous disease in Britain. It lingers on only as a rare rural infection in Madagascar, Tanzania, Kenya, Zaire, Botswana, Uganda, Bolivia, Brazil, Peru, the US, Vietnam, China, Mongolia, Kazakhstan and Burma. Worldwide, the annual number of human cases rarely exceeds a couple of thousand. As the Oxford Textbook of Medicine says: ‘The major animal reservoirs are urban rats as well as rural rodents including ground squirrels and prairie dogs. The Oriental rat flea Xenopsylla cheopis is the most efficient vector. When bitten by a rodent flea humans become an accidental host and play no role in disease transmission except in rare epidemics of pneumonic plague.’ For some useful literature readers might try: (i) Return of the Black Death: The World’s Greatest Serial Killer by Susan Scott and Christopher Duncan, Wiley, 310 pages, 2004,; (ii)  The Great Plague: The Story of London’s Most Deadly Year by Lloyd Moote and Dorothy Moote, Johns Hopkins, 357 pages, 2004, and (iii) Plague: The Mysterious Past and Terrifying Future of the World’s Most Dangerous Disease by Wendy Orent, Free Press, 276 pages, 2004.

WE ARE WHAT WE EAT

There is an old cliché and what some take very seriously and consider to be a simple truth? “We are what we eat!” What many are discovering over recent decades is that the food we take into our bodies, whether it be actual physical food that feeds our bodies, mental thoughts or whatever exists in the visible and invisible environment surrounding us, creates us and all that we are. It always has and always will. Whether we are in great physical and/or mental condition, or poor, we have created this state through the biological and psychological food that we ingest. So developing the knowledge of what to allow into our bodies is one of life’s important practices. For more on this topic go to:https://mail.google.com/mail/u/0/?shva=1#inbox/13c8a36f44d76b15

gastroenterology: digestion

Digestion is the breakdown of large insoluble food molecules into small water-soluble food molecules so that they can be absorbed into the watery blood plasma. In certain organisms, these smaller substances are absorbed through the small intestine into the blood stream. For more go to: https://en.wikipedia.org/wiki/Digestion Gastroenterology is the branch of medicine focused on the digestive system and its disorders; go to: https://en.wikipedia.org/wiki/Gastroenterology

Giulia Enders has a newly published book, Gut: The Inside Story of Our Body’s Most Under-rated Organ. She discusses the surprisingly complex end point of digestion.  Since her teenage years, Giulia Enders has been fascinated with the human digestive system and how its function affects all aspects of our health.  One day her flatmate wandered into the kitchen saying, ‘Giulia, you study medicine—so how does pooing work?’ That little query literally changed her life. She withdrew to her room, sat on the floor, and was soon poring over three different textbooks. The answer she eventually discovered left her flabbergasted. This unspectacular daily necessity turned out to be far more sophisticated and impressive than she ever would have imagined. For more go to: http://www.abc.net.au/radionational/programs/lifematters/how 
 
OBJECTIVE AND SUBJECTIVE HISTORY: medical records and other findings

Section 1:

Thucydides the Athenian wrote the history of the war fought between Athens and Sparta....in the belief that it was going to be a great war and more worth writing about than any of those which had taken place in the past. Although I am no Thucydides, I have taken inspiration from this great historian and feel that, in some ways, my own writing is part of the history of a great war, a modern war, perhaps the greatest in the world's spiritual history.-Ron Price with thanks to Thucydides, History of the Peloponnesian War, Penguin, 1972, p.35.

Ron Price, a Canadian-Australian hybid, provided a massive autobiographical work through several genres. What some regard as ‘the priviledged way to historical, or social, reality’(1), autobiography, he believed, was part of his way of playing a role in this greatest drama in the world’s history: his own age.  His literary exercise, he felt, certainly deserved the best he could contribute in a measureable way, a way which inspired his imagination, perhaps an important way which he thought could one day be useful to future generations. The medical side of his story, his society's story, had some relevance.-Ron Price with thanks to (1) Martin Kohli, “Biography: Account, Text, Method”, Biography and Society: The Life History Approach in the Social Sciences, editor, Daniel Bertaux, Sage Studies, 1981, p.64.

Section 2:

Personal life-records, as complete as possible, constitute the perfect type of historical and sociological material especially if, along with the narrative, there exists a family history, medical, psychiatric and psychological findings, official criminal and other records, indeed, any verifiable material. These records help to balance with some things objective, what is essentially a subjective account, albeit sincere and of the highest authenticity. -ibid., p.71.

He knew these were still the early days,
part of that springtime when the many
are called and few are chosen, whatever
that meant. Somehow it seemed absurd
to include those items official; this would
tend to self-promotion which was not what
was intended here. Rather, a restructuring
of a life, a way of deriving meaning since
all becoming the product of an interaction
of my producing self and produced result
of social evolution, some impulse for the
defining of the self & its world in the great
maelstrom of history, its drama and its very
profound confusion & immense complexity.

And so I apply my personal canons of relevance,
accept the large chunks, gaps and silences;
and aim at some understanding, a search
for meaning, with art and insight, into the
history of our times, our age, and our era.

MEDICINE AND ONE'S 'END TIMES'

Part 1:

As the last item on this introductory page on medicine, I want to deal with death and dying, with the aging process and the stages of late adulthood(60-80) and old age(80++) in the lifespan.  I am now 67, at the beginning years of the middle period(65-75) of late adulthood and for this section I want to draw on John Hatcher's book Understanding Death: The Most Important Event in Your Life(Wilmette, 2009). I want to draw particularly on the pages: 266 to 276 of his book.  As he points out our physical-emotional and psychological-spiritual development are more or less in sync until the mid-teens and a certain maturity is achieved by then.  Although this subject is complex and arguable, as we head through our teens we assume more and more responsibility for our own conduct and making decisions. By the time I was 19 I had made a choice of my religion, and of my general educational-career trajectory to university.

By my early twenties I had decided on becoming a teacher and on who I was going to marry.  By my early 20s, that is by 1968, I achieved what human development psychologists call the peak of my physical development. After this point in time physical development tends to diminish even if one improves one's physical condition.  In our early 20s our mental and psychological, our spiritual and philosophical capacities, our inner strengths, begin their ascent.  All of this requires much more context than I am giving it here in these somewhat gross and generalized statements.

Part 2:

I begin my remarks about aging and death with some very general statements about my early years because the more one aspires to intellectual and spiritual development, the more one must cease to rely on physical and sensual experience as an end it itself.  At least such is my view. The famous, and infamous, Welsh poet Dylan Thomas pleads with his father not to accept his decline submissively, but to rage against death:

And you, my father, there on the sad height,
Curse, bless me now with your fierce tears,
I pray.
Do not go gentle into that good night.
Rage, rage against the dying of the light.

In W.B. Yeat's poem "Sailing to Byzantium," the speaker distinguishes between those who allow themselves to become intellectually and spiritually stagnant in old age versus those who strive relentlessly to attain a spiritual and intellectual ascent. Yeats writes:

An aged man is but a paltry thing,
A tattered coat upon a stick, unless
Soul clap its hands and sing, and louder sing
For every tatter in its mortal dress,

"Tattered coat upon a stick" is a powerful image, one of the most powerful I find in literature, and it stands in sharp contrast to the real self, the soul, which can "clap its hands and sing."  Of course, I assume there is such a thing as a real self.  This is an assumption, an assumption which can neither be proved or disproved.  These words of Yeats can be seen as a provocative allusion to one's ability to acquire and express wisdom through art or some other sensibly perceptible idiom---whether one believes in a soul or not.  Yeats's beguilingly simple language gives advice to all of us as we head into late adulthood and old age. So, too, does the American novelist William Faulkner, the English poet Tennyson and many others right back to the Old Testament in the Hebraic tradition and Homer in the Greek tradition. I will come back to this interesting and, for me, timely subject at a later date.