@memester,
memester;110218 wrote:You do advise the dringkin of water for other than sensory appreciation, do ou not ? You would not allow someone under your care, to interpret what you are saying now, as meaning that his water intake may be replaced by some kind of spit replacement therapy, "glyco this or that" spray for dry mouth ?
Actually, yes I do under certain circumstances -- when people need to be fluid-restricted for various diseases, but their thirst needs to be alleviated by something other than drinking.
And as far as "
interpreting my purpose", this is a different conversation yet. I REALLY want patients to understand why I make recommendations, so I explain a lot about their disease to them. But not all have capacity, and in fact it can confuse some of them. I'm 50% pediatrician, and I don't explain fluid physiology to 4 year olds. I don't explain it to demented 90 year olds. It depends on 1) our collective sense of the best course of action, and 2) how I can best persuade them to do what in my professional opinion will achieve this best course. Sometimes people are very deferential and don't care why, they just want to do what I say. Others challenge me, look things up, need me to justify myself. So it's case by case. I'll never "hide" my purpose from a patient, but I'm also going to variably communicate it.
memester;110218 wrote:"drinking water" - that action itself - carries deeper meaning that your thirst-quenching sensation on the mouth.
It didn't last night. I would have been none the worse if I'd skipped the drink.
And it DOES NOT have "deeper meaning". It has other effects and relationships with my body and survival and all, but MEANING is something that
only I get to ascribe to my own drinking. My great-grandfather starved to death in the Lodz ghetto because he gave all his food rations to his children, including my grandmother. There WAS a deeper meaning beyond the sensation there.
I just got a free lunch because of resident recruitment today, and I ate a cookie that was in the boxed lunch. There was no "deeper meaning" to the cookie. It was to satisfy a sub-intellectual desire to eat it. I'd survive just the same (or perhaps better) without it. It was meaningless. I ate it because it was there.
Ticks and aphids go and drink water too. It's reflexive, it's a response to a sensation. They survive and procreate if they can hydrate themselves. But that's the RESULT. The meaning? Unless you can convince me that a tick is thinking about the meaning of survival when he goes to drink, then this act is meaningless.
Meaning is something that humans project onto the things we think about. I don't know if other animals consider meaning, but I'm pretty sure that many animals like sea anemones and eels probably do not. And plants, fungi, protozoa, all undertake physical processes for the purposes of nutrition and hydration, but you just can't make an argument that there is meaning behind that action. Meaning is not something that exists in itself -- it's in our psyches.
---------- Post added 12-11-2009 at 01:17 PM ----------
memester;110218 wrote:How about voluntary breathing ? Do you ever breathe just for the sensation ? "Sure", you might say. How is your will power ? Do without that sensation chasing, for 15 minutes.
We can consciously override our involuntary breathing reflex for different purposes. I pant like a dog because it makes my son laugh. I hold my breath if I'm underwater. I blow bubbles and blow out birthday candles. All different purposes.
The physiologic function of respiration, which includes breathing, can cause us to reprioritize how we're breathing if it becomes uncomfortable.
But I'm not sure you're really considering your alveolar gas equation and total arterial O2 content when you breathe -- so it ain't your purpose.