هل كنت تظن أن الطب يقتصر على فحص المريض ، وكتابة الدواء ، والتباهي بالرداء الأبيض ؟ الطب الحقيقي أعمق من ذلك بكثير ، إنه التعامل مع الإنسان بكل ما في هذه الكلمات من المعاني والظلال
هل كنت تظن أن الطب يقتصر على فحص المريض ، وكتابة الدواء ، والتباهي بالرداء الأبيض ؟ الطب الحقيقي أعمق من ذلك بكثير ، إنه التعامل مع الإنسان بكل ما في هذه الكلمات من المعاني والظلال
Los científicos e individuos de finales del siglo veinte son altamente creyentes, tanto como los científicos de antaño, lo único que ha cambiado es el objeto de su fe, los tradicionales creían en principios universales que regían el cosmos visible e invisible, enseñanzas y técnicas trasmitidas de generación en generación por hombres que se dedicaban a la concentración, la meditación y el estudio, que vivían en el bosque o en monasterios y templos apartados del dinero y del ruido. Los científicos actuales creen con la misma intensidad que sus antepasados, pero no en esos principios metafísicos y universales que les parecen supercherías, sino en el poder de medicaciones químicas, aunque se retiren años después; en el poder de protección de vacunas y antibióticos... en el poder del dinero para crear la realidad más falsa de todas por definición... y en definitiva en el Sistema que es quien les ha creado, quien les mantiene y el que un día les fagocitará.
The doctor looked shifty. “He’s still breathing,” he said. “Look, his pulse is nearly humming and he’s got a temperature you could fry eggs on.” He hesitated, aware that this was probably too straightforward and easily understood; medicine was a new art on the Disc, and wasn’t going to get anywhere if people could understand it. “Pyrocerebrum ouerf culinaire,” he said, after working it out in his head. “Well, what can you do about it?” said Arthur. “Nothing. He’s dead. All the medical tests prove it. So, er…bury him, keep him nice and cool, and tell him to come and see me next week. In daylight, for preference.""But he’s still breathing!” “These are just reflex actions that might easily confuse the layman,” said the doctor airily. Chidder sighed. He suspected that the Guild, who after all had an unrivalled experience of sharp knives and complex organic compounds, was much better at elementary diagnostics than were the doctors. The Guild might kill people, but at least it didn’t expect them to be grateful for it.
I have blogged previously about the dangerous and deadly effects of science denialism, from the innocent babies unnecessarily exposed to deadly diseases by other kids whose parents are anti-vaxxers, to the frequent examples of how acceptance of evolution helps us stop diseases and pests (and in the case of Baby Fae, rejection of evolution was fatal), to the long-term effects of climate denial to the future of the planet we all depend upon. But one of the strangest forms of denialism is the weird coalition of people who refuse to accept the medical fact that the HIV virus causes AIDS. What the heck? Didn’t we resolve this issue in the 1980s when the AIDS condition first became epidemic and the HIV virus was discovered and linked to AIDS? Yes, we did—but for people who want to deny scientific reality, it doesn’t matter how many studies have been done, or how strong the scientific consensus is. There are a significant number of people out there (especially among countries and communities with high rates of AIDS infections) that refuse to accept medical reality. I described all of these at greater length in my new book Reality Check: How Science Deniers Threaten our Future.
A large piece of lead floated out of Bobby head, followed by dark chunks of what could only be pieces of Bobby's brain.The torrent started up again. It flowed steady rather than pulsed with his heart. I knew from that, and from the amount of blood, that it was that mofo vein bleeding. And probably more than a small tear if the amount of blood was telling. I thought there had to be a hole the size of Montana in that thing."Jesus Mother Mary" I said, then "Stitch!"The scrub tech slapped a needle holder into my palm, a curved needle and silk stitch clamped into the end of it. I might have closed my eyes—I've been told I do that sometimes in surgery when I'm trying to visualize something—though if so I don't remember doing it. I took that needle and aimed it into the pool of blood."Suck here Joe, right here."When I thought I could see something, something gray and not black red, I plunged the pointy end of the needle through whatever the visible tissue was and looped it out again. I cinched it down and tied it quick, then repeated the maneuver again after adjusting slightly for lighting, sweating, my own bounding heartbeat, and the regret I wasn't wearing my own diaper.We're losing, I thought.
A large piece of lead floated out of Bobby head, followed by dark chunks of what could only be pieces of Bobby's brain.The torrent started up again. It flowed steady rather than pulsed with his heart. I knew from that, and from the amount of blood, that it was that mofo vein bleeding. And probably more than a small tear if the amount of blood was telling. I thought there had to be a hole the size of Montana in that thing."Jesus Mother Mary" I said, then "Stitch!"The scrub tech slapped a needle holder into my palm, a curved needle and silk stitch clamped into the end of it. I might have closed my eyes—I've been told I do that sometimes in surgery when I'm trying to visualize something—though if so I don't remember doing it. I took that needle and aimed it into the pool of blood."Suck here Joe, right here."When I thought I could see something, something gray and not black red, I plunged the pointy end of the needle through whatever the visible tissue was and looped it out again. I cinched it down and tied it quick, then repeated the maneuver again after adjusting slightly for lighting, sweating, my own bounding heartbeat, and the regret I wasn't wearing my own diaper.We're losing, I thought.
I am a cuddly atheist... I am against creationism being taught in schools because there is empirical evidence that it is a silly notion... I am passionately concerned about the rise in pseudo-science; in beliefs in alternative medicine; in creationism. The idea that somehow it is based on logic, on rational arguments, but it's not. It doesn't stand up to empirical evidence.In the same way in medicine, alternative medicines like homeopathy or new age therapies – reiki healing – a lot of people buy into it and it grates against my rationalist view of the world. There is no evidence for it. It is deceitful. It is insidious. I feel passionately about living in a society with a rationalist view of the world.I will be vocal on issues where religion impacts on people's lives in a way that I don't agree with – if, for instance, in faith schools some of the teaching of religion suggests the children might have homophobic views or views that are intolerant towards other belief systems...I am totally against, for example, bishops in the House of Lords. Why should someone of a particular religious faith have some preferential treatment over anyone else? This notion that the Church of England is the official religion of the country is utterly outmoded now.
no disease suffered by a live man can be known, for every living person has his own peculiarities and always has his own peculiar, personal, novel, complicated disease, unknown to medicine -- not a disease of the lungs, liver, skin, heart, nerves, and so on mentioned in medical books, but a disease consisting of one of the innumerable combinations of the maladies of those organs. This simple thought could not occur to the doctors (as it cannot occur to a wizard that he is unable to work his charms) because the business of their lives was to cure, and they received money for it and had spent the best years of their lives on that business. But above all that thought was kept out of their minds by the fact that they saw they were really useful [...] Their usefulness did not depend on making the patient swallow substances for the most part harmful (the harm was scarcely perceptible because they were given in small doses) but they were useful, necessary, and indispensable because they satisfied a mental need of the invalid and those who loved her -- and that is why there are, and always will be, pseudo-healers, wise women, homoeopaths, and allopaths. They satisfied that eternal human need for hope of relief, for sympathy, and that something should be done, which is felt by those who are suffering.
There are many arts and sciences of which a miner should not be ignorant. First there is Philosophy, that he may discern the origin, cause, and nature of subterranean things; for then he will be able to dig out the veins easily and advantageously, and to obtain more abundant results from his mining. Secondly there is Medicine, that he may be able to look after his diggers and other workman ... Thirdly follows astronomy, that he may know the divisions of the heavens and from them judge the directions of the veins. Fourthly, there is the science of Surveying that he may be able to estimate how deep a shaft should be sunk ... Fifthly, his knowledge of Arithmetical Science should be such that he may calculate the cost to be incurred in the machinery and the working of the mine. Sixthly, his learning must comprise Architecture, that he himself may construct the various machines and timber work required underground ... Next, he must have knowledge of Drawing, that he can draw plans of his machinery. Lastly, there is the Law, especially that dealing with metals, that he may claim his own rights, that he may undertake the duty of giving others his opinion on legal matters, that he may not take another man's property and so make trouble for himself, and that he may fulfil his obligations to others according to the law.
Every day," I said, "every day I go to work and I see my granddad. I see the drunks and the addicts, the people who have fallen right off the edge of the earth. I see people who have made every bad move anyone could make, made every major mistake there was to be made, and by the time I see them, they are paying for it, sometimes with their lives. That's why they came to the ER. "When you work in emergency medicine, you are seeing patients who are the least common denominator as far as human beings go; people who are heartbreakingly stupid and ditty and drunk and high and obnoxious--unbelievably obnoxious. These people have all flowed out of the darkest side of life. And when you are finished with them, that's mostly where they'll return. So each of you who is thinking you want to go into emergency medicine will have to ask yourself, 'Do I really want to do this?'" I tapped my chest. "I know the answer for myself--every day I work I'm taking care of someone who is just like my grandfather, someone just like my mother. But everyone in this room needs to ask himself or herself, 'Do I want to spend the rest of my life with addicts and idiots and drunks and psychotics? Is this what will make me happy?'" I peered at all of them over the top of the microphone. "Very few sane people answer yes.
Until fairly recently, every family had a cornucopia of favorite home remedies--plants and household items that could be prepared to treat minor medical emergencies, or to prevent a common ailment becoming something much more serious. Most households had someone with a little understanding of home cures, and when knowledge fell short, or more serious illness took hold, the family physician or village healer would be called in for a consultation, and a treatment would be agreed upon. In those days we took personal responsibility for our health--we took steps to prevent illness and were more aware of our bodies and of changes in them. And when illness struck, we frequently had the personal means to remedy it. More often than not, the treatment could be found in the garden or the larder. In the middle of the twentieth century we began to change our outlook. The advent of modern medicine, together with its many miracles, also led to a much greater dependency on our physicians and to an increasingly stretched healthcare system. The growth of the pharmaceutical industry has meant that there are indeed "cures" for most symptoms, and we have become accustomed to putting our health in the hands of someone else, and to purchasing products that make us feel good. Somewhere along the line we began to believe that technology was in some way superior to what was natural, and so we willingly gave up control of even minor health problems.
To list all the great discoveries in the field of science and medicine during the past century, such as aspirin, insulin, penicillin, and the streptomycin drugs would require the undivided attention of a medical historian and a veritable encyclopedia to record them.And yet, there are still many diseases that plague man of which he has no knowledge. They eat and ravage his mind and body with excruciating pain and torture, and he is utterly helpless against them. He not only does not know their origin, but has not the slightest inkling of their nature or how to fortify himself against their attacks. He must sit, like a condemned criminal, in agonizing torture, waiting for blessed death.If man, and the other forms of life upon this earth, are a mere by-product of an 'over-all plan' of a 'supreme intelligence,' then I denounce such a scheme as tyrannical and barbaric. Why should we be made to suffer such excruciating pains and penalties of life to satisfy that from which we derive no benefit, and where death negates all of our efforts; and which makes the purpose of life, our hopes and desires, our ambitions and aspirations, a cruel mockery?O prayer, thy name is failure!O God, thou art a cruel myth!You will not find a single mention of these great humanitarian achievements in the so-called 'Book of Books'; not a single reference about the nature and cure of disease; not a word regarding those inventions that have so mercifully lifted the burden of toil from the backs of labor.
The evening was a string of miserable minutes strung together in tiny clusters. Three minutes for a man shot through the shoulder; Ellis put first a finger in the entry wound and then another in the exit and when his fingers touched, he decided the man was only lightly injured and didn’t need a surgeon. Three minutes to set a broken wrist and splint it with a strip of cowhide and a piece of wood from a sycamore tree. Two minutes to tourniquet a leg, then extract a piece of wire deep in the meat of it. A minute to peek under a pink, saturated bandage several inches below a slender belly button; he saw thin, red water leaking from a hole and smelled urine, knew the ball had breached the bladder. It would either heal or it wouldn’t, but nothing to do about it so he set the soul aside, a case not to be operated upon. He turned a man’s head looking for the source of a trickle of blood and had ten terrible minutes trying to stop torrential bleeding from under his clavicle; frantic moments during which he could get neither a finger nor a clamp around the pulsating source. All bleeding stops eventually though, and the case did not violate the rule. He took two minutes to settle his own breathing, then four minutes sewing a torn scalp, and half a minute saying a prayer over a fat, cigar-shaped dead man. After awhile, he had the impression he wasn’t seeing men, but parts—an exploded chest, a blood swolled thigh, a busted jaw with its teeth spat to the wind or swallowed.It was more than a man could take and a lot less than there was to be seen.
The physical shape of Mollies paralyses and contortions fit the pattern of late-nineteenth-century hysteria as well — in particular the phases of "grand hysteria" described by Jean-Martin Charcot, a French physician who became world-famous in the 1870s and 1880s for his studies of hysterics...""The hooplike spasm Mollie experienced sounds uncannily like what Charcot considered the ultimate grand movement, the arc de de cercle (also called arc-en-ciel), in which the patient arched her back, balancing on her heels and the top of her head...""One of his star patients, known to her audiences only as Louise, was a specialist in the arc de cercle — and had a background and hysterical manifestations quite similar to Mollie's. A small-town girl who made her way to Paris in her teens, Louise had had a disrupted childhood, replete with abandonment and sexual abuse.She entered Salpetriere in 1875, where while under Charcot's care she experienced partial paralysis and complete loss of sensation over the right side of her body, as well as a decrease in hearing, smell, taste, and vision. She had frequent violent, dramatic hysterical fits, alternating with hallucinations and trancelike phases during which she would "see" her mother and other people she knew standing before her (this symptom would manifest itself in Mollie). Although critics, at the time and since, have decried the sometime circus atmosphere of Charcot's lectures, and claimed that he, inadvertently or not, trained his patients how to be hysterical, he remains a key figure in understanding nineteenth-century hysteria.
The Biblical writers not only had no knowledge of these things, but they had a perverted concept of life and the universe. Their concept was that man was a victim of blood pollution and his only salvation was by a blood atonement.I remember once seeing a small pamphlet entitled, 'What the Bible Teaches about Morality.' On opening the little booklet, it was discovered to be nothing but blank pages! Another such pamphlet might very appropriately be published entitled, 'What the Bible Reveals about Disease, Medicine and Health,' and blank pages should be used for all the Bible contains about these vital subjects.On the contrary, these benefits have been denounced by the believers in the Bible, and by the representatives of the Bible's deity as being contrary to 'God's Plan.' Does not the Bible plainly state that only by the sweat of his brow is man to labor for the bread he eats? Here is the exact Biblical quotation: 'In the sweat of thy face thou shalt eat bread...' and why? Only because he sought knowledge.And does not the Bible God place a curse upon man for the knowledge that has been such a solace and benefit to him? Here is another exact Biblical quotation: '... cursed be the ground for thy sake; in pain thou shalt eat of it all the days of thy life.'The Bible is a lie.It is a fake and a fraud.I denounce this book and its God. I hold it in utter detestation.Every man and woman who has contributed to the relief of the pain and suffering of humanity has been an infidel to the Bible God! Every new invention, every new discovery for the benefit of man violates these Biblical edicts!I say, seek knowledge—defy this tyrant God—it is your only salvation.