The night before brain surgery, I thought about death. I searched out my larger values, and I asked myself, if I was going to die, did I want to do it fighting and clawing or in peaceful surrender? What sort of character did I hope to show? Was I content with myself and what I had done with my life so far? I decided that I was essentially a good person, although I could have been better--but at the same time I understood that the cancer didn't care.I asked myself what I believed. I had never prayed a lot. I hoped hard, I wished hard, but I didn't pray. I had developed a certain distrust of organized religion growing up, but I felt I had the capacity to be a spiritual person, and to hold some fervent beliefs. Quite simply, I believed I had a responsibility to be a good person, and that meant fair, honest, hardworking, and honorable. If I did that, if I was good to my family, true to my friends, if I gave back to my community or to some cause, if I wasn't a liar, a cheat, or a thief, then I believed that should be enough. At the end of the day, if there was indeed some Body or presence standing there to judge me, I hoped I would be judged on whether I had lived a true life, not on whether I believed in a certain book, or whether I'd been baptized. If there was indeed a God at the end of my days, I hoped he didn't say, 'But you were never a Christian, so you're going the other way from heaven.' If so, I was going to reply, 'You know what? You're right. Fine.'I believed, too, in the doctors and the medicine and the surgeries--I believed in that. I believed in them. A person like Dr. Einhorn [his oncologist], that's someone to believe in, I thought, a person with the mind to develop an experimental treatment 20 years ago that now could save my life. I believed in the hard currency of his intelligence and his research.Beyond that, I had no idea where to draw the line between spiritual belief and science. But I knew this much: I believed in belief, for its own shining sake. To believe in the face of utter hopelessness, every article of evidence to the contrary, to ignore apparent catastrophe--what other choice was there? We do it every day, I realized. We are so much stronger than we imagine, and belief is one of the most valiant and long-lived human characteristics. To believe, when all along we humans know that nothing can cure the briefness of this life, that there is no remedy for our basic mortality, that is a form of bravery.To continue believing in yourself, believing in the doctors, believing in the treatment, believing in whatever I chose to believe in, that was the most important thing, I decided. It had to be.Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you. I didn't fully see, until the cancer, how we fight every day against the creeping negatives of the world, how we struggle daily against the slow lapping of cynicism. Dispiritedness and disappointment, these were the real perils of life, not some sudden illness or cataclysmic millennium doomsday. I knew now why people fear cancer: because it is a slow and inevitable death, it is the very definition of cynicism and loss of spirit.So, I believed.
THE MAXIMS OF MEDICINE Before you examine the body of a patient,Be patient to learn his story.For once you learn his story,You will also come to knowHis body.Before you diagnose any sickness,Make sure there is no sickness in the mind or heart.For the emotions in a man’s moon or sun,Can point to the sickness inAny one of his other parts.Before you treat a man with a condition,Know that not all cures can heal all people.For the chemistry that works on one patient,May not work for the next,Because even medicine has its ownConditions.Before asserting a prognosis on any patient,Always be objective and never subjective.For telling a man that he will win the treasure of life,But then later discovering that he will lose,Will harm him more than by telling himThat he may lose,But then he wins.THE MAXIMS OF MEDICINE by Suzy Kassem
Love is a chemical reaction,But it cannot be fully understood or defined by science.And though a body cannot exist without a soul,It too cannot be fully understood or defined by science.Love is the most powerful form of energy,But science cannot decipher its elements.Yet the best cure for a sick soul is love,But even the most advanced physicianCannot prescribe it as medicine.INCOMPLETE SCIENCE by Suzy Kassem
Health is hearty, health is harmony, health is happiness.
Before you worry about the beauty of your body, worry about the health of your body.
Pick a leader who will make their citizens proud. One who will stir the hearts of the people, so that the sons and daughters of a given nation strive to emulate their leader's greatness. Only then will a nation be truly great, when a leader inspires and produces citizens worthy of becoming future leaders, honorable decision makers and peacemakers. And in these times, a great leader must be extremely brave. Their leadership must be steered only by their conscience, not a bribe.
Pick a leader who will keep jobs in your country by offering companies incentives to hire only within their borders, not one who allows corporations to outsource jobs for cheaper labor when there is a national employment crisis. Choose a leader who will invest in building bridges, not walls. Books, not weapons. Morality, not corruption. Intellectualism and wisdom, not ignorance. Stability, not fear and terror. Peace, not chaos. Love, not hate. Convergence, not segregation. Tolerance, not discrimination. Fairness, not hypocrisy. Substance, not superficiality. Character, not immaturity. Transparency, not secrecy. Justice, not lawlessness. Environmental improvement and preservation, not destruction. Truth, not lies.
Pick a leader who will not only bail out banks and airlines, but also families from losing their homes -- or jobs due to their companies moving to other countries. Pick a leader who will fund schools, not limit spending on education and allow libraries to close. Pick a leader who chooses diplomacy over war. An honest broker in foreign relations. A leader with integrity, one who says what they mean, keeps their word and does not lie to their people. Pick a leader who is strong and confident, yet humble. Intelligent, but not sly. A leader who encourages diversity, not racism. One who understands the needs of the farmer, the teacher, the doctor, and the environmentalist -- not only the banker, the oil tycoon, the weapons developer, or the insurance and pharmaceutical lobbyist.
People wishes their friends to be in politics, but their sons in professions.
The spirit is one of the most neglected parts of man by doctors and scientists around the world. Yet, it is as vital to our health as the heart and mind. It's time for science to examine the many facets of the soul. The condition of our soul is usually the source of many sicknesses.
1. Bangladesh.... In 1971 ... Kissinger overrode all advice in order to support the Pakistani generals in both their civilian massacre policy in East Bengal and their armed attack on India from West Pakistan.... This led to a moral and political catastrophe the effects of which are still sorely felt. Kissinger’s undisclosed reason for the ‘tilt’ was the supposed but never materialised ‘brokerage’ offered by the dictator Yahya Khan in the course of secret diplomacy between Nixon and China.... Of the new state of Bangladesh, Kissinger remarked coldly that it was ‘a basket case’ before turning his unsolicited expertise elsewhere.2. Chile.... Kissinger had direct personal knowledge of the CIA’s plan to kidnap and murder General René Schneider, the head of the Chilean Armed Forces ... who refused to countenance military intervention in politics. In his hatred for the Allende Government, Kissinger even outdid Richard Helms ... who warned him that a coup in such a stable democracy would be hard to procure. The murder of Schneider nonetheless went ahead, at Kissinger’s urging and with American financing, just between Allende’s election and his confirmation.... This was one of the relatively few times that Mr Kissinger (his success in getting people to call him ‘Doctor’ is greater than that of most PhDs) involved himself in the assassination of a single named individual rather than the slaughter of anonymous thousands. His jocular remark on this occasion—‘I don’t see why we have to let a country go Marxist just because its people are irresponsible’—suggests he may have been having the best of times....3. Cyprus.... Kissinger approved of the preparations by Greek Cypriot fascists for the murder of President Makarios, and sanctioned the coup which tried to extend the rule of the Athens junta (a favoured client of his) to the island. When despite great waste of life this coup failed in its objective, which was also Kissinger’s, of enforced partition, Kissinger promiscuously switched sides to support an even bloodier intervention by Turkey. Thomas Boyatt ... went to Kissinger in advance of the anti-Makarios putsch and warned him that it could lead to a civil war. ‘Spare me the civics lecture,’ replied Kissinger, who as you can readily see had an aphorism for all occa
What is peculiar and novel to our age is that the principal goal of politics in every advanced society is not, strictly speaking, a political one, that is today, it is not concerned with human beings as persons and citizens, but with human bodies. ... In all technologically advanced countries today, whatever political label they give themselves, their policies have, essentially, the same goal: to guarantee to every member of society, as a psychophysical organism, the right to physical and mental health.
Love is a chemical reaction, but it cannot be fully understood or defined by science. And though a body cannot exist without a soul, it too cannot be fully understood or defined by science.Love is the most powerful form of energy, but science cannot decipher its elements. Yet the best cure for a sick soul is love, but even the most advanced physician cannot prescribe it as medicine.
Dr. Bone Specialist came in, made me stand up and hobble across the room, checked my reflexes, and then made me lie down on the table. He bent my right knee this way and that, up and down, all the way out to the side and in. Then he did the same with my left leg. He ordered X rays then started to leave the room. I panicked. I MUST GET DRUGS."What can I take for the pain?" I asked him before he got out the door."You can take some over the counter ibuprofen," he suggested. "But I wouldn't take more than nine a day."I choked. Nine a day? I'd been popping forty. Nine a day? Like hell. I couldn't even go to the bathroom on my own, I hadn't slept in three weeks, and my normally sunny cheery disposition had turned into that of a very rabid dog. If I didn't get good drugs and get them now, it was straight to Shooter's World and then Walgreens pharmacy for me."I don't think you understand," I explained. "I can't go to work. I have spent the last four days with my mother who is addicted to QVC, watching jewelry shows, doll shows and make-up shows. I almost ordered a beef-jerky maker! Give me something, or I'm going to use your calf muscles to make the first batch!"Without further ado, he hastily scribbled out a prescription for some codeine and was gone. I was happy.My mother, however, had lost the ability to speak.
We are often given pills or fluids to help remedy illness, yet little has been taught to us about the power of smell to do the exact same thing. It is known that the scent of fresh rosemary increases memory, but this cure for memory loss is not divulged by doctors to help the elderly. I also know that the most effective use of the blue lotus flower is not from its dilution with wine or tea – but from its scent. To really maximize the positive effects of the blue lily (or the pink lotus), it must be sniffed within minutes of plucking. This is why it is frequently shown being sniffed by my ancient ancestors on the walls of temples and on papyrus. Even countries across the Orient share the same imagery. The sacred lotus not only creates a relaxing sensation of euphoria, and increases vibrations of the heart, but also triggers genetic memory - and good memory with an awakened heart ushers wisdom.
The summit of Mauna Kea should never have been developed as it is not safe for humans up there. I am now locked into an endless loop of doctors visits for what appears to be classic very high altitude heart, lung & brain damage because I was unfortunate enough to have worked there.
In the early 1970s, racial and gender discrimination was still prevalent. The easy camaraderie prevailing in the operating room evaporated at the completion of surgical procedures. There was an unspoken pecking order of seating arrangements at lunch among my fellow physicians. At the top were the white male 'primary producers' in prestigious surgical specialties. They were followed by the internists. Next came the general practitioners. Last on the list were the hospital-based physicians: the radiologists, pathologists and anaesthesiologists - especially non-white, female ones like me. Apart from colour, we were shunned because we did not bring in patients ourselves but, like vultures, lived off the patients generated by other doctors. We were also resented because being hospital-based and not having to rent office space or hire nursing staff, we had low overheads. Since a physician's number of admissions to the hospital and referral pattern determined the degree of attention and regard accorded by colleagues, it was safe for our peers to ignore us and target those in position to send over income-producing referrals. This attitude was mirrored from the board of directors all the way down to the orderlies.
Observing the medical histories of various neurological syndromes is like observing the fascinating nerve cells of the human brain in action, while they construct what we so proudly call the Human Consciousness. They remind us of the overwhelming aspects of human silliness. They remind us how such a simple natural response of the human Biology, is misinterpreted as the “last surviving mystery” of this planet.
Don't let sickness, depression, and disease THUG YOU OUT. Eat healthier, think healthier, speak healthier, and more positively over your life. When you do so, you will soon begin to conquer your life and your health through new found empowerment- mind, body, and spirit.
The cafeteria in the Chicago’s Children’s Memorial Hospital basement was the saddest place in the world—and forever it shall be—with its grim neon lights and gray tabletops and the diffuse foreboding of those who stepped away from suffering children to have a grilled cheese sandwich.
All the whackjob psychologists out there will tell you that grief is a process. Some say it has five stages. Others say that grief should only last two years at the lost, otherwise it's "abnormal". Putting an expiration date of grief though is like putting out the flame on a burning candle. It might stop the candle from melting down and falling apart, but in the long run the candle goes solid, freezes in a catatonic state. Take away a person's grief and guaranteed they'll only be a frozen shell of a human being afterwards. Grief is only love, it's nothing to hide or send away with happy pills and mother's little helpers. Grief is a lifeline connecting two people who are in different realms together, and it's a sign of loyalty and hope.
It's like the commercial, "Once you pop you can't stop." Once you pop a pill, you can't stop. They have you hooked and they know it. Like a drug dealer, they are so happy they have won another loyal customer. Not loyal because you want to be, but loyal because your body is now completely dependent on them and their legal prescription "drugs."
Mr. Passaro, let me teach you about how medicine works.” He starts out.“One of two things is going to happen. Either the Doctors are going to say I told you so, or they are going to say that Jess was the exception. What you believe will determine who gets to say I told you so to whom.” “Never stop believing.” He begs me.“Doctor, you are on the team”. I say.He smiles.
Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.
I finally gave in today. Admitting that I haven't been able to do it alone, that's defeat right? But do a couple pills change why I'm here? Will my spirit be altered? Do my passions change? Will I lose hope either way? My madness is what makes me. It’s my most unique beauty.
I have noticed over the past three years that most African Christians depend on their pastor or preachers for directions in life than their lecturers, politicians and nurses. That tells why most people refuse certain medical priorities with regards to their pastor's messages. I think if every pastor should have entrepreneurial knowledge coupled with spiritual integrity, Africa will shake!
Classifying depression as an illness serves the psychiatric community and pharmaceutical corporations well; it also soothes the frightened, guilty, indifferent, busy, sadistic, and unschooled. To understand depression as a call for life-changes is not profitable. Stagnation is not a medical term. The 17.5 million Americans diagnosed as suffering a major depression in 1997 were mostly damned. (Psychobiological examinations confuse cause and symptom.) Deficient serotonergic functioning, ventral prefrontal cerebral cortex, dis-inhibition of impulsive-aggressive behavior, blah blah blah: the medical lexicon boils emotion from human being. Go take a drug, the doctor says. Pain is a biochemical phenomenon. Erase all memory.
My father, for whose skills as a surgeon I have the deepest respect, says, "The operation with the best outcome is the one you decide not to do." Knowing when not to operate, knowing when I am in over my head, knowing when to call for the assistance of a surgeon of my father's caliber--that kind of talent, that kind of "brilliance," goes unheralded.
[Refers to 121 children taken into care in Cleveland due to suspected abuse (1987) and later returned to their parents]Sue Richardson, the child abuse consultant at the heart of the crisis, watched as cases began to unravel: “All the focus started to fall on the medical findings; other supportive evidence, mainly which we held in the social services department, started to be screened out. A situation developed where the cases either were proven or fell on the basis of medical evidence alone. Other evidence that was available to the court, very often then, never got put. We would have had statement from the child, the social workers and the child psychologist’s evidence from interviewing. We would have evidence of prior concerns, either from social workers or teachers, about the child’s behaviour or other symptoms that they might have been showing, which were completely aside from the medical findings. (Channel 4 1997) Ten years after the Cleveland crisis, Sue Richardson was adamant that evidence relating to children’s safety was not presented to the courts which subsequently returned those children to their parents: “I am saying that very clearly. In some cases, evidence was not put in the court. In other cases, agreements were made between lawyers not to put the case to the court at all, particularly as the crisis developed. Latterly, that children were sent home subject to informal agreements or agreements between lawyers. The cases never even got as far as the court. (Channel 4, 1997)”Nor is Richardson alone. Jayne Wynne, one of the Leeds paediatricians who had pioneered the use of RAD as an indicator of sexual abuse and who subsequently had detailed knowledge of many of the Cleveland children, remains concerned by the haphazard approach of the courts to their protection. I think the implication is that the children were left unprotected. The children who were being abused unfortunately returned to homes and the abuse may well have been ongoing. (Channel 4 1997)
But nothing in my previous work had prepared me for the experience of reinvestigating Cleveland. It is worth — given the passage of time — recalling the basic architecture of the Crisis: 121 children from many different and largely unrelated families had been taken into the care of Cleveland County Council in the three short months of the summer of 1987. (p18)The key to resolving the puzzle of Cleveland was the children. What had actually happened to them? Had they been abused - or had the paediatricians and social workers (as public opinion held) been over-zealous and plain wrong? Curiously — particularly given its high profile, year-long sittings and £5 million cost — this was the one central issue never addressed by the Butler-Sloss judicial testimony and sifting of internal evidence, the inquiry's remit did not require it to answer the main question. Ten years after the crisis, my colleagues and I set about reconstructing the records of the 121 children at its heart to determine exactly what had happened to them... (p19)Eventually, though, we did assemble the data given to the Butler-Sloss Inquiry. This divided into two categories: the confidential material, presented in camera, and the transcripts of public sessions of the hearings. Putting the two together we assembled our own database on the children each identified only by the code-letters assigned to them by Butler-Sloss. When it was finished, this database told a startlingly different story from the public myth. In every case there was some prima fade evidence to suggest the possibility of abuse. Far from the media fiction of parents taking their children to Middlesbrough General Hospital for a tummy ache or a sore thumb and suddenly being presented with a diagnosis of child sexual abuse, the true story was of families known to social services for months or years, histories of physical and sexual abuse of siblings and of prior discussions with parents about these concerns. In several of the cases the children themselves had made detailed disclosures of abuse; many of the pre-verbal children displayed severe emotional or behavioural symptoms consistent with sexual abuse. There were even some families in which a convicted sex offender had moved in with mother and children. (p20)
...Cleveland was the first war over the protection of children to be fought not in the courts, but in the media...Given that most of the hearings took place out of sight of the press, the following examples are taken from the recollection of child protection workers present in court. In one case, during a controversy that centred fundamentally around disputes over the meaning of RAD [reflex anal dilatation], a judge refused to allow ‘any evidence about children’s bottoms’ in his courtroom. A second judge — hearing an application to have their children returned by parents about whom social services had grave worries told the assembled lawyers that, as she lived in the area, she could not help but be influenced by what she read in the press. Hardly surprising then that child protection workers soon found courts not hearing their applications, cutting them short, or loosely supervising informal deals which allowed children to be sent back to parents, even in cases where there was explicit evidence of apparent abuse to be explained and dealt with. (p21)[reflex anal dilatation (RAD): a simple clue which is suggestive of anal penetration from outside. It had been recognised as a valuable weapon in the armoury of doctors examining children for many decades and was endorsed by both the British Medical Association and the Association of Police Surgeons. (p18)]
There have been extensive human rights violations by American psychiatrists over the last 70 years. These doctors were pad by the American taxpayer through CIA and military contracts. It is past time for these abuses to stop, it is past time for a reckoning, and it is past time for individual doctors to be held accountable. The Manchurian Candidate Programs are of much more than "historical" interest. ARTICHOKE, BLUEBIRD, MKULTRA and MKSEARCH are precursors of mind control programs that are operational in the twenty first century. Human rights violations by psychiatrists must be ongoing in programs like COPPER GREEN, the interrogation program at Abu Ghraib prison in Iraq. Such programs must be carried out within CIA units like Task Force 121 (The Dallas Morning News, December 1, 2004, p. 1A). Information pointing to ongoing human rights violations by psychiatrists is available in publications like The New Yorker (see article by Seymour M. Hersh, May 24, 2004). Yes the indifference, silence, denial, and disinformation of organized medicine and psychiatry continue. One purpose of The CIA Doctors: Human Rights Violations By American Psychiatrists is to break that silence.
Before asserting a prognosis on any patient, always be objective and never subjective. For telling a man that he will win the treasure of life, but then later discovering that he will lose, will harm him more than by telling him that he may lose, but then he wins.
Like most doctors, the fanciest ones, he seemed offensively healthy, as if he kept the real secret of vitality to himself. He would live forever and people would crumble and die around him. You were supposed to feel like death after seeing him, in terms of your complexion, your posture, your whole body. If necessary, this doctor would eat you to survive.
One American in seven has no coverage, and one in three younger than sixty-five will lose coverage at some point in the next two years. These are people who aren't poor or old enough to qualify for government programs but whose jobs aren't good enough to provide benefits either.
A feeble body makes a feeble mind. I do not know what doctors cure us of, but I know this: they infect us with very deadly diseases, cowardice, timidity, credulity, the fear of death. What matter if they make the dead walk, we have no need of corpses; they fail to give us men, and it is men we need.
Dr Power stood up. “Because your staff are not components that can be fitted in, or replaced when they are unpredictable, or when they are simply being human. Because our patients are not playing a game called ‘business’ with profit and loss and winners and losers. Because patients have no choice, but to be patients and it’s our privilege to be in a temporary position where we can help them. And, inevitably, when we ourselves fall ill; when we grow old, then we can only hope that we will receive the help we ourselves need in turn. Because that’s the reality of life. And not some self-aggrandising game". - Dr Power, speaking in The Good Shepherd
Unless we put medical freedom into the Constitution the time will come when medicine will organize itself into an undercover dictatorship. To restrict the art of healing to doctors and deny equal privileges to others will constitute the Bastille of medical science. All such laws are un-American and despotic.
What would have become of the people five hundred years ago if they had followed strictly the advice of the doctors? They would have all been dead. What would the people have been, if at any age of the world they had followed implicitly the direction of the church? They would have all been idiots. It is a splendid thing that there is always some grand man who will not mind, and who will think for himself. I believe in allowing the children to think for thems
Listen, I wanted to say, I don't need your judgment, okay? I have enough to deal with without you contributing, so can we just get on with this so I can get out of here?But I couldn't form the words. Dr. Johnson viewed me as a child, and somehow, under his contemptuous gaze, I had regressed to one. I was frightened and shy, and it was all I could do to answer his questions and count the seconds until the end of the visit.
Petunia only ever went to the doctor reluctantly, and her motive in doing so was always the same: she did it in order to feel less anxious about things. The doctor was supposed to make the worry go away; she did quite enough worrying without actually having something to worry about. When she came out feeling no less anxious, as this time, something had gone wrong. The basic contract had been broken.
You don’t have to spend much time with the elderly or those with terminal illness to see how often medicine fails the people it is supposed to help. The waning days of our lives are given over to treatments that addle our brains and sap our bodies for a sliver’s chance of benefit. They are spent in institutions—nursing homes and intensive care units—where regimented, anonymous routines cut us off from all the things that matter to us in life. Our reluctance to honestly examine the experience of aging and dying has increased the harm we inflict on people and denied them the basic comforts they most need.
...Why is it, that from the moment you enter medical school to the moment you retire, that the only disorder you will ever diagnosis with a physics book - is obesity? This is biology folks, it's endocrinology, it's physiology - physics has nothing to do with it. The law of thermodynamics is always true, [but] the energy balance equation is irrelevant...
I wonder how Japan's futuristic robot doctors will treat the worst and most widespread disease humanity already has - artificially lowered IQ. Making people stupider makes them buy more stuff – so “How many robots can you afford?” will be the big question of one of the following decades, unless we go back to Communism and produce everything for the sake of it, for free.
I told her that I didn't want to take any drugs. That I had come here not to take drugs. "Listen," she said, not unkindly, "up until now I would say that ninety-nine percent of all the narcotics you have taken in your life you bought from guys you didn't know, in bathrooms or on street corners, something like that. Correct?"I nodded."Well these guys could have been selling you salt or strychnine. They didn't care. They wanted your money. I don't care about your money, and, unlike your previous suppliers, I went to college to study just the right drugs to give to people like you in order to help you get better. So, bearing all that in mind ... Take the fucking drugs!"I took the drugs.
I saved a man's life once," said Granny. "Special medicine, twice a day. Boiled water with a bit of berry juice in it. Told him I'd bought it from the dwarves. That's the biggest part of doct'rin, really. Most people'll get over most things if they put their minds to it, you just have to give them an interest.
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.
I always feel that young doctors are only too anxious too experiment. After they've whipped out all our teeth, and administered quantities of very peculiar glands, and removed bits of our insides, they then confess that nothing can be done for us. I really prefer the old-fashioned remedy of big black bottles of medicine. After all, one can always pour those down the sink.
A so-called antimony war had been waged between French [Galenist] physicians and [alchemical, Paracelsian] iatrochemists since the beginning of the seventeenth century. What it lacked in bloodletting, this war made up for in bile.
Alcenith Crawford (a divorced ophthalmologist): "We women doctors have un-happy marriages because in our minds we are the superstars of our families. Having survived the hardship of medical school we expect to reap our rewards at home. We had to assert ourselves against all odds and when we finally graduate there are few shrinking violets amongst us. It takes a special man to be able to cope. Men like to feel important and be the undisputed head of the family. A man does not enjoy waiting for his wife while she performs life-saving operations. He expects her and their children to revolve around his needs, not the other way. But we have become accustomed to giving orders in hospitals and having them obeyed. Once home, it's difficult to adjust. Moreover, we often earn more than our husbands. It takes a generous and exceptional man to forgive all that.
No matter who you were in sixteenth-century Europe, you could be sure of two things: you would be lucky to reach fifty years of age, and you could expect a life of discomfort and pain. Old age tires the body by thirty-five, Erasmus lamented, but half the population did not live beyond the age of twenty. There were doctors and there was medicine, but there does not seem to have been a great deal of healing. Anyone who could afford to seek a doctor's aid did so eagerly, but the doctor was as likely to maim or kill as to cure. His potions were usually noxious and sometimes fatal—but they could not have been as terrible and traumatic as the contemporary surgical methods. The surgeon and the Inquisitor differed only in their motivation: otherwise, their batteries of knives, saws, and tongs for slicing, piercing, burning, and amputating were barely distinguishable. Without any anesthetic other than strong liquor, an operation was as bad as the torments of hell.
The core predicament of medicine - the thing that makes being a patient so wrenching, being a doctor so difficult, and being a part of society that pays the bills they run up so vexing - is uncertainty. With all that we know nowadays about people and diseases and how to diagnose and treat them, it can be hard to see this, hard to grasp how deeply uncertainty runs. As a doctor, you come to find, however, that the struggle in caring for people is more often with what you do not know than what you do. Medicine's ground state is uncertainty. And wisdom - for both the patients and doctors - is defined by how one copes with it.
Doctors tend to enter the arenas of their profession's practice with a brisk good cheer that they have to then stop and try to mute a bit when the arena they're entering is a hospital's fifth floor, a psych ward, where brisk good cheer would amount to a kind of gloating. This is why doctors on psych wards so often wear a vaguely fake frown of puzzled concentration, if and when you see them in fifth-floor halls. And this is why a hospital M.D.--who's usually hale and pink-cheeked and poreless, and who almost always smells unusually clean and good--approaches any psych patient under this care with a professional manner somewhere between bland and deep, a distant but sincere concern that's divided evenly between the patient's subjective discomfort and the hard facts of the case.
I saw a doctor. I went in case there were any remnants of the summer inside me—sticky, slender fish bones that needed to be scraped into the bin. He was dismissive of my concerns and said my body would have let me know by now. Did I have what was known as female intuition? I said I'd had my feminine intuition somewhat scrambled in the past.
Where there were once several competing approaches to medicine, there is now only one that matters to most hospitals, insurers, and the vast majority of the public. One that has been shaped to a great degree by the successful development of potent cures that followed the discovery of sulfa drugs. Aspiring caregivers today are chosen as much (or more) for their scientific abilities, their talent for mastering these manifold technological and pharmaceutical advances as for their interpersonal skills. A century ago most physicians were careful, conservative observers who provided comfort to patients and their families. Today they act: They prescribe, they treat, they cure. They routinely perform what were once considered miracles. The result, in the view of some, has been a shift in the profession from caregiver to technician. The powerful new drugs changed how care was given as well as who gave it.
This brings to mind an expression I coined ages ago: A peach a day keeps the plague spirits away!'Percy sneezed. 'I though it was apples and doctors.'The karpos hissed.'Or peaches,' Percy said. 'Peaches work too.''Peaches,' agrees the karpos.Percy wiped his nose. 'Not criticizing, but why is her grooting?
When I worked on the 13,796 feet very high altitude summit of Mauna Kea we were advised to only use the medical oxygen after the daily headaches appeared and that just 15 minutes use was all that was needed to clear up the headaches for a while before we would need it again. We were not advised to use medical oxygen continuously as the Federal Aviation Regulations advises pilots to do. We were not advised to use pulse oximeters to monitor our blood oxygen levels or that the company medical oxygen should have been routinely administered only with our doctors prescription.