I — and everybody — seems to enjoy it when neurochemical research links the seemingly distant mysteries of the brain to real everyday behavior, to feel-good acts, and such.

I am not sure that it is the stuff people should spend their whole careers on.  But a single association  between neurochemistry and holding hands has been enough for a previous posting.

Now the association between feelings of gratitude and lowered cortisol has delighted me so there is a smile on my face. I guess this is because it validates some of the pure observation from life kind of anecdotal advice that my grandmother of blessed memory would come up with.  Things like “Roughage is good for you,” which later became “eat

The idea that gratitude is good for brain chemistry is so delightful and potentially validating for otherwise not too tough to validate behavior, that it has been joyously co-opted by coaches.  They are an entrepreneurial lot who never bother with footnotes, not any more than they do with credentials.  I mean, there is no regulation known to me about using the nomenclature “coach.”  But on the other hand, they build careers and get paid with the results of their ministrations, a situation which I believe would send a fair amount of physicians to the poorhouse. Read more on Lower Cortisol By Giving Thanks…

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No small part of the life of psychiatrists (and other doctors, I suppose) is made up of writing papers and reports.  A rather astonishing part of this are reports that are supposed to predict other people’s behavior.

This is basically impossible.  I remember hearing and never forgetting, early in my training, a supposedly ironclad rule of behavior prediction.

“If they did it before, they will do it again.”

Sometimes it had slightly different forms, made to appear more authoritative. “Past behavior is the solidest predictor of future behavior.” Read more on Prediction and Propinquity…

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Even though it has been slow and gentle, my weight loss (yes, 150 pounds without surgery in a couple of years and yes, I will speak of it more later and elsewhere) means, among other things, that I have located some new veins — and today, an artery.

Now the veins that made me happiest were, and still are, the ones on the back of my hands. I have a memory etched into my soul of a chief resident in neurology at the University of Minnesota who told me privately,and with all of the discretion that he could figure out how to muster,that I should be ashamed of being as fat as I was. Because if ever I had a serious health crisis, and nobody could find a vein, someone could die from lack of a proper venous access. It didn’t take any training in psychiatry to figure out that some time, in the past not too distant to that remark, he had failed to find a vein in someone who died. Of course, I felt horrible.  But oh, the joy as I slowly lost weight and was able to locate, when I had enough liquid volume on board, big juicy veins on the back of my hand, even as I can now. Every time I look at them I think “Wow.  Even a first year medical student who has never seen a vein on a living person would not only know immediately I have wonderful veins, but could pierce them with just about any kind of tubing, no matter how poorly suited for the job.  They could not miss. They would be happy. They would think they are the next star of “Boston Medical” and they would call their parents and ask for some spare money to celebrate.  This is what it is to be a “real doctor.”

Actually, most veins are now pierced by far less qualified and far lower paid professionals, certified “phlebotomists.” They have taken my blood in unskilled and inappropriate ways, sometimes screwing up all pretense of sterile procedure by doing things like ripping fingers out of latex gloves to get a better “feel.”  Another cheap doctor substitute, foisted on people who do not know what they are NOT getting. Read more on As If By Magic An Artery Appears…

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An administrator of a clinic where I worked long ago and far away once told me how he had to go to an orthodox (Jewish) rabbi and get some sort of a special document in order to satisfy his community (and mostly his wife) when a cardiac surgeon decided to put a pig valve in his heart to keep him alive.

I was not as impressed with the gravity of the situation as he wanted me to be.  Sure, I know that Jews aren’t supposed to eat anything that comes from a pig because it wallows in the mud and is thus “dirty.”

Stop animal research

The prohibition against consuming its flesh is often credited with saving generations of (religious) Jews from getting sick with trichinosis.  Medicine has, however, advanced considerably since Biblical designs.

Whatever people believe about our Creator, there is no way that he or she is going to introduce information to the world that we can’t understand because our technology is not advanced enough. Nobody told about genetic recombination on Mount Sinai.  Nobody talked about transplantation in the era when the Gospels were being written.

The obvious conclusion is that it is time to stop worrying about right or wrong in religious doctrine and start living as fully and joyously as our medicine and technology will permit. Instead, I find that people whose spiritual beliefs seem associated with organized churches, seem to be given easily to generalizations and even name-calling: blatant intolerance. Read more on Animal Rights vs. Human Progress…

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Life is fragile at best.  At worst it is undervalued.  Prolonging it and maintaining its quality is something most doctors have at least thought about.

Me — I was brought up by family values as well as institutional values to venerate the academic system as a seeker of truth, guardian of highest ethics.

I thought that the institutions that regulated clinical research, whether they were academic or not, were at least trying to be ethical in the face of mounting economic pressures from those who develop substances to be used for the human body, to prolong and maintain life. Some people still believe in this.

Some people, even some I can call “friend,” consider me a failed academic, someone who could have contributed more to society had she written more papers that somebody thought were good enough to publish in medical journals.

All of the above is unadulterated lies and total BS that has kept many competent minds devoting their lives to ideals that are later sold to the highest bidder.

I don’t think I have any lingering doubts that my running from academics, yelling and screaming, was the best decision I ever made.

blood transfusion

The story of Polyheme – developed as a synthetic substitute for human blood — is perhaps the worst example of human rights having been sold down the river for development of something of serious danger (if you believe the publically published academic results) and at best, unproven help (are they really keeping this kind of secrets from us so the company developing this junk can make money?) to either prolonging or maintaining life.

The story is complicated, but basically, here it is.

Read more on Substitute Blood — A Failure Of Clinical Ethics…

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