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Where are the edges?
If its true that becoming, rather than being, is the core phenomenon of life (and I think it is) then the attempt to divvy up reality into pieces is misguided.
I was interested, therefore, to come across a piece of research looking into the issue of water’s boundary between liquid and gas phases. It turns out it’s just about impossible to draw the boundary.

The researchers concluded that the change between air and water happens in the space of a single water molecule.
“You recover the bulk phase of water extremely quickly,” Benderskii said.
While the transition happens in the uppermost layer of water molecules, the molecules involved change constantly. Even when they rise to the top layer, molecules for the most part are wholly submerged, spending only a quarter of their time straddling air and water.
The study raises the question of how exactly to define the air-water boundary.

Where do I end and you begin?

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Trainspotters

trainspotters

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June, being the month of the longest day, and most hours of sunlight, is a good month to celebrate the light. From May into the summer months, the sun performs some spectacular displays over Ben Ledi – look at these –

monday evening

monday evening

monday evening

shafts of light

I’m always reminded at this time of year of C S Lewis’ story of the blind man whose sight is restored and having heard all his life about “light” asks to see it, but everyone can only point to sources of light, or to objects illuminated by light, but not to light itself.

So, through this month of June, why not see if you can find the light….and share a photo or two with your family or friends.

 

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paeony garden Ueno

This is May….the month of budding, of new beginnings, of the emergence of potential…..

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The 1000th post!

4 years ago today, I wrote and published my very first post, having spent a few weeks before that researching various blogging platforms, learning how to use them, and creating a name and a design for mine.

I chose the name heroes not zombies because I believe we humans have a tendency to slip into autopilot and drift through life zombie fashion. I also think that society is ordered to make people that way. Commodification and command and control seem to be the order of the day. People are reduced to units.

I think we need to reclaim what it is to be human and we can do that through telling stories. We create a sense of self through the narratives we create around our experience, and we communicate our inner, subjective reality through telling others stories and through dialogue. We have the opportunity to become present and aware and in so doing to become the heroes of our own stories (hero, in the literary sense of the lead character).

But I had other motives for starting this blog too. I wanted to share my passion and my enthusiasm for life. This seems a good place to do that.

I also want to stimulate people to think differently about health and health care, so it pleases me greatly to see that the most visited post, by a long, long way, is the one about the Anatomy Lesson of Dr Tulp (click on “person sized medicine vs molecule sized medicine” in the top posts on the right). I really love that painting. I think it completely captures the shift in emphasis away from seeing illness as a contextually bound experiential phenomenon, to seeing it as a reified disease. What I mean is that through autopsies we began to see illness as a thing. As technology developed we delved deeper and deeper into the human body, examining smaller and smaller parts. That progress has enormously expanded our understanding of the body and of pathology. But too often, the downside is we forget that it’s human beings who experience illness and that disease is only a part of the problem.

I want to make the case for understanding and emphasising health and healing. Healing shouldn’t be just what you hope happens as a side effect of managing disease. It should be something we explicitly address, deepen our understanding of, and actively trying to deliver. After all, a healthy person is more likely to self-repair, self-regulate, and so, effectively deal with disease and pathology than an unhealthy one.

So, if this is your first time here, welcome, please take your time and browse around. I hope you find some things to stimulate you, to enlighten you, to delight you. And if you’re one of the folk who has been here with me back and forth over the last four years, thank you. It’s been great to make your acquaintance and I look forward to sharing much more with you in the years to come.

Here’s to great stories! Here’s to life! Here’s to wonder and awe at the amazing diversity and creativity of the everyday. Here’s to you!

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je t'aime

 

Show your love

Don’t just say it. Show it.

And why not do it every day this month…..it is the month of love

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Have you ever seen the video where you’re asked to count the number of passes between basketball players, then you’re asked a surprise question which shows you don’t see what seems (with hindsight) obvious?
Well, check out this new video. Try it out. I incorporates the original experiment and conducts a new one one you.

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Once again Iona Heath gets it right. In last week’s BMJ she wrote about the clash between organisational models and clinical models of health care. In short, she was pointing out that the moral imperative of a doctor was to provide the best care for the individual patient, and that the political perspective was focused at a population level.

I thought this paragraph was particularly pertinent.

Politicians tend to emphasise the uniformity of people. Despite the contemporary emphasis on choice, they cling to a normative view of patient aspiration, which is then reflected in the increasingly rigid guidelines that dictate clinical care. Clinicians, on the other hand, emphasise the diversity of patients and the challenge that this represents in providing the space needed to allow each individual patient to retain his or her moral stature—an aspiration that goes way beyond the meagre rhetoric of choice.

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Here’s an excellent post on the School of Life blog by David Eagleman. He says…

….science never fails to provide more questions.  What we really discover from a life in science is the vastness of our ignorance.  When we reach the end of the pier of everything we understand, we find all the uncharted waters of what we do not know.  Given that, I’m surprised at the number of books in the bookstore that are penned with certainty.

This always surprises me too. The most strident promoters of scientism seem so sure of themselves. How can they be so sure and be scientists? Isn’t science about wonder, amazement, curiosity, and, indeed, a humble scepticism which never reaches the absolute, final last word on anything? For me, science is about trying to understand, and, maybe it’s because I’ve worked all my life as a doctor, but I’m never at the point where I’ve understood everything about anyone. And I never stop trying.

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In “The Wounded Storyteller” (ISBN 0-226-25993-5) Arthur Frank describes his study of how patients talk about their illnesses, where he identified three major “genre” of narrative which we use to talk about illness – the “restitution story”, the “chaos story” and the “quest story”. I thought that was such an interesting insight and such a wonderful ideal to aim for.

Most patients tell the restitution type of story. It goes along the lines of “I’m broken, please fix me”. Our whole health care system seems created around this idea. Patients present their broken bits for fixing, the fixing is the outcome or target to be delivered cost-effectively, doctors are seen as the fixers and the process of health care is experienced as a passive one by the patient.

The chaos story is also very common. Frequently we become overwhelmed by not only the illness, but also the diagnosis and the treatments. In a chaos story a patient is lost in an ocean of suffering, confusion and distress. As they tell their story it comes tumbling out in all its complexity and it can be very hard to see the person who is suffering from the vast intense collection of symptoms and problems. Indeed, even the storytellers can’t find themselves any more in the middle of this terrible experience.

Frank proposes a beautiful alternative genre of story to tell – the “quest story”. A quest story has certain clear elements and they are the ones you find in “hero stories” in all cultures around the world. The “hero”, he proposes, is the patient. Their quest is health. The adventure is the illness. As the patient encounters various investigations, diagnoses, symptoms and treatments, they are experienced as challenges which need to be met in order to gain “boons”. It’s the gaining of these boons which grows the hero into the person who can attain the goal of the quest. (Think of the traditional tale of the prince who wants to marry the princess but first is told he needs to slay the dragon, overcome the wicked witch, and so on, before he can become the man worthy of the princess’ hand in marriage).

One of the best examples of this is Lance Armstrong‘s autobiographical “It’s not about the Bike” (ISBN 978-0224060875). Lance is a professional cyclist who was a great sprinter but when he tried the Tour de France he found he didn’t have the stamina for it. He developed testicular cancer with widespread metastases and was given only a slim chance of survival. He underwent surgery and chemotherapy successfully, became depressed by the whole experience, then got back on his bike. A year later he entered the Tour de France and won it. He went on to win it eight times in a row – more than any man has ever done before. In his book he says if he’d had to choose between cancer and winning the Tour, he’d choose cancer every time. That shocked me when I read it. He went on to explain, cancer and dealing with it made him the man who could win the Tour de France. That’s a quest story! (let me be clear – he’s not advocating cancer as a good thing, something to be welcomed, or worse, sought – he’s telling the story of how dealing with a serious illness can actually grow us, ultimately changing our lives for the better)

The challenge, I think, is to find a way to live, which is a quest story in it’s own right……to become heroes, not zombies.

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