Of the many 'firsts' with which I have been involved at the Texas Heart Institute —including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world—the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.
People underestimate the importance of dilligence as a virtue. No doubt it has something to do with how supremely mundane it seems. It is defined as "the constant and earnest effort to accomplish what is undertaken."... Understood, however, as the prerequisite of great accomplishment, diligence stands as one of the most difficult challenges facing any group of people who take on tasks of risk and consequence. It sets a high, seemingly impossible, expectation for performance and human behavior.
How do they find out with the experiments?''...one way they can find out a whole lot is to make an animal ill and then try different ways to make it better until they find one that works.''But isn't that unkind to the animal?''Well, I suppose it is...but I mean, there isn't a dad anywhere who would hesitate, is there, if he knew it was going to make [his child] better? It's changed the whole world during the last hundred years, and that's no exaggeration.
It is astounding to me, and achingly sad, that with eighty thousand people on the waiting list for donated hearts and livers and kidneys, with sixteen a day dying there on that list, that more then half of the people in the position H's family was in will say no, will choose to burn those organs or let them rot. We abide the surgeon's scalpel to save our own lives, out loved ones' lives, but not to save a stranger's life. H has no heart, but heartless is the last thing you'd call her.
Despite all my public misconduct, in the past year, I had learned the Elemental spells, the Doppelschläferin, and the preparation and flying of a magic broom; I had survived two months as prisoner of war, saving the life of captain Johanne in the process; I had escaped the dungeons of Fortress Drachensbett, and after an arduous journey successfully reunited with my double, so preserving her, and all Montagne, from Prince Flonian's rapacity, I would somehow master the despicable art of being a princess.
I know you're on my side," an immunologist once remarked to me as we discussed the politics of vaccination. I did not agree with him, but only because I was uncomfortable with both sides, as I had seen them delineated. The debate over vaccination tends to be described with what the philosopher of science Donna Haraway would call "troubling dualisms." These dualisms pit science against nature, public against private, truth against imagination, self against other, thought against emotion, and man against woman.
It is a curious and painful fact that almost all the completely futile treatments that have been believed in during the long history of medical folly have been such as caused acute suffering to the patient. When anesthetics were discovered, pious people considered them an attempt to evade the will of God. It was pointed out, however, that when God extracted Adam's rib He put him into a deep sleep. This proved that anesthetics are all right for men; women, however, ought to suffer, because of the curse of Eve.
The greatest disease in the West today is not TB or leprosy; it is being unwanted, unloved, and uncared for. We can cure physical diseases with medicine, but the only cure for loneliness, despair, and hopelessness is love. There are many in the world who are dying for a piece of bread but there are many more dying for a little love. The poverty in the West is a different kind of poverty -- it is not only a poverty of loneliness but also of spirituality. There's a hunger for love, as there is a hunger for God.
Not only in antiquity but in our own times also laws have been passed...to secure good conditions for workers; so it is right that the art of medicine should contribute its portion for the benefit and relief of those for whom the law has shown such foresight...[We] ought to show peculiar zeal...in taking precautions for their safety. I for one have done all that lay in my power, and have not thought it beneath me to step into workshops of the meaner sort now and again and study the obscure operations of mechanical arts.
And when comfort is what we want, one of the most powerful tonics alternative medicine offers is the word 'natural.' This word implies a medicine untroubled by human limitations, contrived wholly by nature or God or perhaps intelligent design. What 'natural' has come to mean to us in the context of medicine is 'pure' and 'safe' and 'benign'. But the use of 'natural' as a synonym for 'good' is almost certainly a product of our profound alienation from the natural world.
Better to forget, better to let go of the bitterness. I say bitterness is only good in medicine, or if you fry bitter gourd with egg, then it's dlicious. I told Lan-Lan many times, we have only one life, it's important to kua kwee, to look spaciously. Not keep the eyes so narrowed down to the small dispairs.Those people who say forgive and forget, I say they not right. Not so simple. I say, find right medicine. Bitterness must be just right for problem. Then swallow it, think of good things can do when no longer sick.
The surgical resident interested in learning trauma will bypass a residency at a quiet community hospital for a residency at a fast-paced Level 1 trauma center treating a high volume of trauma patients. A Level 1 trauma center residency is far more rigorous—and not particularly glamorous—but the intensive culture of a dedicated trauma center will cultivate the decisive judgment and action required of a surgeon specializing in trauma. By choice or by chance, we must actively test our limits to know our capabilities.
Scientific advancement carries risk,” Kohler argued. “It always has. Space programs, genetic research, medicine—they all make mistakes. Science needs to survive its own blunders, at any cost. For everyone’s sake.”Vittoria was amazed at Kohler’s ability to weigh moral issues with scientific detachment. His intellect seemed to be the product of an icy divorce from his inner spirit. “You think CERN is so critical to the earth’s future that we should be immune from moral responsibility?
Take a moment, right now, and consider the enormity of activity going on inside of you – from the billions of cells to the even more billions of microscopic organisms. And in that same moment consider the enormity of activity in the oceans, the forests, the jungles, the earth below your feet, right now. And before you take your next breath, consider what might be going on in the outer regions of the universe. Finally, ask yourself, am I really in a position to discount possibilities beyond the limits of my conscious experience?
The simple view is that medicine exists to fight death and disease, and that is, of course, its most basic task. Death is the enemy. But the enemy has superior forces. Eventually, it wins. And, in a war that you cannot win, you don't want a general who fights to the point of total annihilation. You don't want Custer. You want Robert E. Lee, someone who knew how to fight for territory when he could and how to surrender when he couldn't, someone who understood that the damage is greatest if all you do is fight to the bitter end.
