Only if we understand, can we care. Only if we care, we will help. Only if we help, we shall be saved.
We Have Medicalized Aging, and That Experiment Is Failing Us
Don’t let yourself be. Find something new to try, something to change. Count how often it succeeds and how often it doesn’t. Write about it. Ask a patient or a colleague what they think about it. See if you can keep the conversation going.
Go back to the '30s, '40s, '50s, and it was the discovery of heroic interventions, the ability to cure people with penicillin or do an operation to stop disease that was what saved the day. Primary care physicians couldn't do all that much that really demonstrated a difference. The people who control and work with you to control your blood pressure, they're not rewarded for doing that or to be innovative about doing that. So, the result is half of Americans have uncontrolled high blood pressure, despite seeing clinicians.
In many ways, the effort to study philosophy was my rebellion away from medicine. I'm the son of two Indian immigrant physicians, so the natural path for me would have been to become a doctor. I ended up doing the master's degree at Oxford in politics, philosophy, and economics while already having a seat in medical school. I was keeping that as my escape hatch. But my hope was that I might become a philosopher or something else entirely.
You know, 97 percent of the time, if you come into a hospital, everything goes well. But three percent of the time, we have major complications.
After readinf some essay on the nature of human fallibility, I was very aware that we are the recipients of a huge amount of discovery over the last century. Medicine exemplifies this. And that has transitioned us from a world in which people's lives were mostly governed by ignorance to one that's constrained by ineptitude. A century ago, we didn't know, for instance, what diseases afflicted us, what their nature really was, or what to do about them. And that has changed.
…there was no more safety to be found in love than there was to be found in a virus.
That's my anxiety dream. I go to the library and all the books on my subject are out.
Parents wonder why the streams are bitter, when they themselves have poisoned the fountain.
It was the kind of town that made you feel like Humphrey Bogart: you came in on a bumpy little plane, and, for some mysterious reason, got a private room with balcony overlooking the town and the harbor; then you sat there and drank until something happened.