Life is difficult. This is a great truth, one of the greatest truths. Most do not fully see this truth. Instead they moan more or less incessantly, noisily or subtly, about the enormity of their problems, their burdens, and their difficulties as if life were generally easy, as if life should be easy.
— The Road Less Traveled, by M. Scott Peck
— The Road Less Traveled, by M. Scott Peck
Neurosis is always a substitute for legitimate suffering.
— Carl Jung
— Carl Jung
Forwarded from a hook into an eye
“And what is the use of a book, thought Alice, "without pictures or conversations?”
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“Narrative medicine” is a branch of medicine that deals with narrative competence. Narrative competence is defined by Rita Charon as, “the ability to acknowledge, absorb, interpret, and act on the stories and plights of others”. Though primarily defined to improve the doctor-patient relationship, a “good story” or a narration is also a powerful and effective way of learning medicine.
It is well known, that “stories” and “art” help a person remember better compared to plain text. The famous idiom:
has stood the test of time. We have modified this adage to say:
**
“Narrative medicine” is a branch of medicine that deals with narrative competence. Narrative competence is defined by Rita Charon as, “the ability to acknowledge, absorb, interpret, and act on the stories and plights of others”. Though primarily defined to improve the doctor-patient relationship, a “good story” or a narration is also a powerful and effective way of learning medicine.
It is well known, that “stories” and “art” help a person remember better compared to plain text. The famous idiom:
A picture is worth a thousand words
has stood the test of time. We have modified this adage to say:
A story is worth a thousand pages of a text
The “naïve realism” of any healthy person who has not been an inmate of a lunatic asylum or a pupil of the idealist philosophers consists in the view that things, the environment, the world, exist independently of our sensation, of our consciousness, of our self and of man in general.
Our sensation, our consciousness is only an image of the external world, and it is obvious that an image cannot exist without the thing imaged, and that the latter exists independently of that which images it. Materialism deliberately makes the “naïve” belief of mankind the foundation of its theory of knowledge.
— Materialism and Empirio-criticism, by Vladimir Lenin
Our sensation, our consciousness is only an image of the external world, and it is obvious that an image cannot exist without the thing imaged, and that the latter exists independently of that which images it. Materialism deliberately makes the “naïve” belief of mankind the foundation of its theory of knowledge.
— Materialism and Empirio-criticism, by Vladimir Lenin
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Perceptual (especially visual) illusions are often used to prove the fallibility of our senses and how unreliable they are in our search for the truth. But the very fact that we address them as "illusions" indicates our ability to recognize that there's something more truthful beyond this illusion; in other words, since we're able to perceive both the illusory aspect of these visual illusions and then, after some effort, we can also see the so-called "reality" of it, this tells us that the so-called "illusion" is not merely a veil or a distraction. Rather, it's a fundamental trait and an aspect of the very thing being perceived; a different face, another point of view of the thing.
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The most succinct counter-argument to all idealistic philosophy:
أَتَيْتُ بِمَنْطِقِ الْعَرَبِ الْأَصِيلِ
وَكَانَ بِقَدْرِ مَا عَايَنْتُ قِيلِي
فَعَارَضَهُ كَلَامٌ كَانَ مِنْهُ
بِمَنْزِلَةِ النِّسَاءِ مِنَ الْبُعُولِ
وَهَذَا الدُّرُّ مَأْمُونُ التَّشَظِّي
وَأَنْتَ السَّيْفُ مَأْمُونُ الْفُلُولِ
وَلَيْسَ يَصِحُّ فِي الْأَفْهَامِ شَيْءٌ
إِذَا احْتَاجَ النَّهَارُ إِلَى دَلِيلِ
— أبو الطيب المتنبي
وَكَانَ بِقَدْرِ مَا عَايَنْتُ قِيلِي
فَعَارَضَهُ كَلَامٌ كَانَ مِنْهُ
بِمَنْزِلَةِ النِّسَاءِ مِنَ الْبُعُولِ
وَهَذَا الدُّرُّ مَأْمُونُ التَّشَظِّي
وَأَنْتَ السَّيْفُ مَأْمُونُ الْفُلُولِ
وَلَيْسَ يَصِحُّ فِي الْأَفْهَامِ شَيْءٌ
إِذَا احْتَاجَ النَّهَارُ إِلَى دَلِيلِ
— أبو الطيب المتنبي
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قصة هذه الأبيات:
قال أبو الطيب وقد حضر مجلس سيف الدولة وبين يديه أتْرُجٌّ وطَلْعٌ وهو يمتحن الفرسان، فقال ابن حبيش: لا تتوهم، هذا للشرب، فقال أبو الطيب:
شَدِيدُ الْبُعْدِ مِنْ شُرْبِ الشَّمُولِ
تُرُنْجُ الْهِنْدِ أَوْ طَلْعُ النَّخِيلِ
وَلَكِنْ كُلُّ شَيْءٍ فِيهِ طِيبٌ
لَدَيْكَ مِنَ الدَّقِيقِ إِلَى الْجَلِيلِ
وَمَيْدَانُ الْفَصَاحَةِ وَالْقَوَافِي
وَمُمْتَحَنُ الْفَوَارِسِ وَالْخُيُولِ
فأنكر عليه بعض الحاضرين قوله، فقال:
أَتَيْتُ بِمَنْطِقِ الْعَرَبِ الْأَصِيلِ
وَكَانَ بِقَدْرِ مَا عَايَنْتُ قِيلِي
فَعَارَضَهُ كَلَامٌ كَانَ مِنْهُ
بِمَنْزِلَةِ النِّسَاءِ مِنَ الْبُعُولِ
وَهَذَا الدُّرُّ مَأْمُونُ التَّشَظِّي
وَأَنْتَ السَّيْفُ مَأْمُونُ الْفُلُولِ
وَلَيْسَ يَصِحُّ فِي الْأَفْهَامِ شَيْءٌ
إِذَا احْتَاجَ النَّهَارُ إِلَى دَلِيلِ
شَدِيدُ الْبُعْدِ مِنْ شُرْبِ الشَّمُولِ
تُرُنْجُ الْهِنْدِ أَوْ طَلْعُ النَّخِيلِ
وَلَكِنْ كُلُّ شَيْءٍ فِيهِ طِيبٌ
لَدَيْكَ مِنَ الدَّقِيقِ إِلَى الْجَلِيلِ
وَمَيْدَانُ الْفَصَاحَةِ وَالْقَوَافِي
وَمُمْتَحَنُ الْفَوَارِسِ وَالْخُيُولِ
فأنكر عليه بعض الحاضرين قوله، فقال:
أَتَيْتُ بِمَنْطِقِ الْعَرَبِ الْأَصِيلِ
وَكَانَ بِقَدْرِ مَا عَايَنْتُ قِيلِي
فَعَارَضَهُ كَلَامٌ كَانَ مِنْهُ
بِمَنْزِلَةِ النِّسَاءِ مِنَ الْبُعُولِ
وَهَذَا الدُّرُّ مَأْمُونُ التَّشَظِّي
وَأَنْتَ السَّيْفُ مَأْمُونُ الْفُلُولِ
وَلَيْسَ يَصِحُّ فِي الْأَفْهَامِ شَيْءٌ
إِذَا احْتَاجَ النَّهَارُ إِلَى دَلِيلِ
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قال أبو الطيب وقد حضر مجلس سيف الدولة وبين يديه أتْرُجٌّ وطَلْعٌ وهو يمتحن الفرسان، فقال ابن حبيش: لا تتوهم، هذا للشرب، فقال أبو الطيب: شَدِيدُ الْبُعْدِ مِنْ شُرْبِ الشَّمُولِ تُرُنْجُ الْهِنْدِ أَوْ طَلْعُ النَّخِيلِ وَلَكِنْ كُلُّ شَيْءٍ فِيهِ طِيبٌ لَدَيْكَ…
يكلك فد يوم راح المتنبي لمجلس سيف الدولة وشاف عنده أَترُج وطَلع النخيل، وثنينهن جانن مزة ياكلوها وية الشرب، بس مع ذلك، ما راد يسيء الظن بسيف الدولة. فأثناء ما هو كاعد يمه، واحد من الحاضرين كله: لا تتوهم، ترة هاي علمود الشرب... هنا أبو الطيب رد عليهم بهاي الأبيات بس همين ما سكتوا، ف رد عليهم بالأبيات اللي مطلعها "أتيتُ بمَنطِقِ العربِ الأصيلِ..."
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قال أبو الطيب وقد حضر مجلس سيف الدولة وبين يديه أتْرُجٌّ وطَلْعٌ وهو يمتحن الفرسان، فقال ابن حبيش: لا تتوهم، هذا للشرب، فقال أبو الطيب: شَدِيدُ الْبُعْدِ مِنْ شُرْبِ الشَّمُولِ تُرُنْجُ الْهِنْدِ أَوْ طَلْعُ النَّخِيلِ وَلَكِنْ كُلُّ شَيْءٍ فِيهِ طِيبٌ لَدَيْكَ…
الشَّمول: إسمٌ للخمر.
تُرُنج، أو الأترُج: نوع من الحمضيات (يسمونه بالعامية كبّاد، طرنج).
قِيلي: قَولي.
تُرُنج، أو الأترُج: نوع من الحمضيات (يسمونه بالعامية كبّاد، طرنج).
قِيلي: قَولي.
Careful studies have shown, for example, that heart attack patients undergoing cardiac balloon therapy should have it done within ninety minutes of arrival at a hospital. After that, survival falls off sharply. In practical terms this means that, within ninety minutes, medical teams must complete all their testing for every patient who turns up in an emergency room with chest pain, make a correct diagnosis and plan, discuss the decision with the patient, obtain his or her agreement to proceed, confirm there are no allergies or medical problems that have to be accounted for, ready a cath lab and team, transport the patient, and get started.
What is the likelihood that all this will actually occur within ninety minutes in an average hospital? In 2006, it was less than 50 percent.
This is not an unusual example. These kinds of failures are routine in medicine. Studies have found that at least 30 percent of patients with stroke receive incomplete or inappropriate care from their doctors, as do 45 percent of patients with asthma and 60 percent of patients with pneumonia.
Getting the steps right is proving brutally hard, even if you know them.
What is the likelihood that all this will actually occur within ninety minutes in an average hospital? In 2006, it was less than 50 percent.
This is not an unusual example. These kinds of failures are routine in medicine. Studies have found that at least 30 percent of patients with stroke receive incomplete or inappropriate care from their doctors, as do 45 percent of patients with asthma and 60 percent of patients with pneumonia.
Getting the steps right is proving brutally hard, even if you know them.