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Evolution by Epigenesis: Farewell to Darwinism, Neo and Otherwise

 
 
Aedes
 
  1  
Reply Fri 11 Dec, 2009 12:25 pm
@memester,
memester;110227 wrote:
exactly. you would never allow it to be generally understood that you may replace water intake with sensation dulling artifices like drugs or dry-mouth spray.
Right, not generally.

We have patients who are NPO (nothing by mouth) for various acute medical reasons, and they usually are pretty unhappy by that. So we can temporize it with whatever, wet swabs or ice chips or whatever.

But the picture gets muddied here. We have multiple purposes. Hydration, sensation, survival, etc. Last night I was not thinking about survival. I was thinking about slaking my throat before going to bed. If there is a god, maybe his purpose is that I drink to survive. But I don't know if there's a god, and the only purpose I can speak to is my own.

---------- Post added 12-11-2009 at 01:28 PM ----------

memester;110227 wrote:
I'd also say that either you indeed had a slight demand for water before bedtime, or you anticipated a demand.
Maybe, or maybe I have psychogenic polydipsia or diabetes insipidis or diabetes mellitus or recovering acute tubular necrosis or caffeine toxicity or diuretic therapy or any of a million other non-physiologic reasons for going to drink.

But it's immaterial. My PURPOSE was what I defined it as. Man, when I was a resident I once got a guy to quit crack cocaine after he came to me to get viagra. He and I had different purposes, but with a final common pathway.
Arjuna
 
  1  
Reply Fri 11 Dec, 2009 12:33 pm
@memester,
memester;110227 wrote:
exactly. you would never allow it to be generally understood that you may replace water intake with sensation dulling artifices like drugs or dry-mouth spray.
I missed out of the significance, here. Purpose is like any other resident of consciousness: it's the tension between idea and substance.

Yea... and tell them to stop eating pickles and Doritoes... too much salt.
0 Replies
 
memester
 
  1  
Reply Fri 11 Dec, 2009 12:34 pm
@Aedes,
Aedes;110229 wrote:
Right, not generally.

We have patients who are NPO (nothing by mouth) for various acute medical reasons, and they usually are pretty unhappy by that. So we can temporize it with whatever, wet swabs or ice chips or whatever.

But the picture gets muddied here.


We have multiple purposes.
now you're talking. and you say that whatever you put forward is the right one - no matter if you are confined to the ward and tied to the wall. Your stated purpose for whatever you do, is it ?




"Hydration, sensation, survival, etc."

If I say it's only a sensation-quenching drink everytime, then I do not have to admit that it's ever for survival. In fact, watch me right now not drink this water.

on another tack:

If I can say that I can logically prescribe a diuretic, then that means something about the purpose of "drinking water".

I'm sorry, I cannot follow that logic.

---------- Post added 12-11-2009 at 01:47 PM ----------

Displacement activities ala Konrad Lorenz?
Might a strictly intended slap on your own thigh not be a subconscious threat gesture to others at the table ? or even a means of channeling aggression or frustration more safely than to do so overtly?

IOW, I disagree that; all other purposes possible, are to be negated by the one supposed purpose, which a person articulates (as the truth as he sees it).
Aedes
 
  1  
Reply Fri 11 Dec, 2009 01:31 pm
@memester,
memester;110235 wrote:
now you're talking. and you say that whatever you put forward is the right one - no matter if you are confined to the ward and tied to the wall. Your stated purpose for whatever you do, is it ?
All tied to context, my friend. For the sake of argument, I'll implore you to accept that my PURPOSES for an individual patient have to do with my good faith interpretation of what's making them ill and what will make them better, whether that's giving more fluids, giving less fluids, or not being prescriptive and letting them do what they want.

memester;110235 wrote:
If I say it's only a sensation-quenching drink everytime, then I do not have to admit that it's ever for survival.
Don't confuse your conscious intention (or purpose) with other ramifications. Your purpose is what you consciously realize it to be -- whether it's healthy or self-destructive.

memester;110235 wrote:
I can say that I can logically prescribe a diuretic, then that means something about the purpose of "drinking water".

I'm sorry, I cannot follow that logic.
Because diuretics are an antidote for excess volume. People with excess volume due to heart failure, kidney failure, liver failure, and a few other conditions need to be treated with a combination of fluid restriction and diuretics. They're two ends of the same intermediate, which is total body water (and sodium... see next paragraph).

(I'm oversimplifying a lot here, because I'm leaving out the role that particularly sodium, but also renin, angiotensin, aldosterone, and ADH play in this, but we're not really talking about physiology anyway. I have a patient that I saw literally 10 minutes ago who is a new dialysis patient -- we were using a lot of diuretics to get her leg swelling and lung edema to improve, and then we discovered that she'd been covertly pounding down glasses of water, as in liters more than she should have been; so her behavior was actually deleterious to health and survival)

---------- Post added 12-11-2009 at 02:34 PM ----------

memester;110235 wrote:
Might a strictly intended slap on your own thigh not be a subconscious threat gesture to others at the table ? or even a means of channeling aggression or frustration more safely than to do so overtly?
Freud might argue that we are not always conscious of our purposes. But I'd submit that they cannot be said to be our purposes until we become aware of them.

memester;110235 wrote:
IOW, I disagree that; all other purposes possible, are to be negated by the one supposed purpose, which a person articulates (as the truth as he sees it).
Fair enough. I may be overstating my cases a little, but I stand by my contention that physiologic and subconscious behaviors cannot be described as fulfilling purposes. Purpose is absolutely tied to intentionality.
memester
 
  1  
Reply Fri 11 Dec, 2009 01:41 pm
@Aedes,
Aedes;110253 wrote:
All tied to context, my friend. For the sake of argument, I'll implore you to accept that my PURPOSES for an individual patient have to do with my good faith interpretation of what's making them ill and what will make them better, whether that's giving more fluids, giving less fluids, or not being prescriptive and letting them do what they want.
But, of course ! That is totally not being brought into question, as it's totally irrelevant. In fact, it is notable that your purposes for a patient are not the purpose of any therapy. Your purpose for an individual patient may be said to not be relevant. HIS need being met, not YOURS. It's not even his stated needs and purposes only, that must be watched for.


As Doctor, the main purpose of patients is to have them, either for study or therapy. i.e. it's your profession.
And your needs being met or your opinion on the matter both are irrelevant.


But your opinion on diagnosis and therapy options are likely appreciated.

We could then go on to discuss purpose and function of prescribing and prescription, too.
Aedes
 
  1  
Reply Fri 11 Dec, 2009 02:08 pm
@memester,
memester;110265 wrote:
HIS need being met, not YOURS.
Doesn't caring for someone mean to take on their needs in a way?

memester;110265 wrote:
As Doctor, the main purpose of patients is to have them, either for study or therapy. i.e. it's your profession.
This I disagree with. Patients are there no matter what. There were no car repairmen in 1340, but there were quite a few alchemists. We have doctors because we have patients first and foremost. Our purpose is to attend to patients, not to "have" them.

A little more specifically, my purposes are to make bad things better, to keep bad things from happening, and to keep good things good. Patients' purposes in seeing us are to make bad things better, to keep bad things from happening, and to keep good things good. True for car repairmen and for people with cars, too. My province happens to be human health and disease specifically within the context of my specialty.

memester;110265 wrote:
We could then go on to discuss purpose and function of prescribing and prescription, too.
To make something bad better, to keep something good good, or to keep something bad from happening.
memester
 
  1  
Reply Fri 11 Dec, 2009 02:15 pm
@Aedes,
Aedes;110279 wrote:
Doesn't caring for someone mean to take on their needs in a way?
totally. But that is not your title, as Doctor. Not Care Giver.

As a Doctor, caring for them is not your given function, is it ? You might study them instead. Or abort that thing. You could hold a stopwatch and do it one minute before time runs out on it being a "thing". And you'd be OK, professionally. Right ?


I hope you can understand that I am showing how you must compartmentalize and deny the anomalies, in order to function in that sphere.
Aedes
 
  1  
Reply Fri 11 Dec, 2009 03:15 pm
@memester,
memester;110282 wrote:
totally. But that is not your title, as Doctor. Not Care Giver. As a Doctor, caring for them is not your given function, is it ?
Yes it is. Not caressing them and singing to them, but I order their food, counsel them, treat comfort and pain, talk to family, make them feel at ease, educate them, even hug them if they need it sometimes. Some doctors even pray with their patients, but that's not my thing. I also order tests, therapies, and consultations.

Medicine is multidisciplinary. That's the job. That's what I'm evaluated on by my department chair and by the hospital when I get interim reviews. Not just clinical measures.

memester;110282 wrote:
You might study them instead. Or abort that thing. You could hold a stopwatch and do it one minute before time runs out on it being a "thing". And you'd be OK, professionally. Right ?
Yes. And all of the above that I'd mentioned.

memester;110282 wrote:
I hope you can understand that I am showing how you must compartmentalize and deny the anomalies, in order to function in that sphere.
And I'm telling you that having been a physician since 2000, and in medicine since 1996, I disagree with this characterization. I compartmentalize in that I keep emotion and tragedy in a place where it doesn't royally screw me up, because I've seen some pretty horrible suffering and pain and grief. But being a physician is absolutely a caregiver role, at least in any specialty in which you talk to live patients.
Dave Allen
 
  1  
Reply Fri 11 Dec, 2009 03:37 pm
@memester,
memester;110113 wrote:
so what are you talking about, that the list itself or the drawing up of the list, can prove something about the reality ( if there are heretics or not ) ?

I don't think it says anything about reality beyond what it raises regarding Ms Morgan's credibility.
0 Replies
 
memester
 
  1  
Reply Fri 11 Dec, 2009 04:20 pm
@Aedes,
Aedes;110313 wrote:
Yes it is. Not caressing them and singing to them, but I order their food, counsel them, treat comfort and pain, talk to family, make them feel at ease, educate them, even hug them if they need it sometimes. Some doctors even pray with their patients
Quote:
but that's not my thing.
this is a sure sign that you are giving your own definitions out of thin air. Praying as Doctor . Not your thing as Doctor.
Quote:
Not caressing them and singing to them
No singing ? Pillow fluffing but not singing ? May I suggest that you are describing what you do ? And that's all you are talking about ?

As serious personality-based regression, from professional purpose to praying but not singing. I take it you don't have the purpose of doing horoscopes, fresh bread baking, or Salsa instruction ?


One minute you are "caring" for that emerging person, and the next you may be chopping him up because of complications relating to health of mother.

Strange definition of "caring for", but in any case, baking fresh bread is not your profession.






---------- Post added 12-11-2009 at 05:28 PM ----------

Dave Allen;110322 wrote:
I don't think it says anything about reality beyond what it raises regarding Ms Morgan's credibility.
then you retract this totally ?
Quote:
her list of authorities who do support Alister Hardy's hypothesis proves that it isn't exactly biological heresy.
prothero
 
  1  
Reply Sat 12 Dec, 2009 12:57 am
@Arjuna,
Arjuna;110151 wrote:
Yea, I think we're on the same page. I've assumed that Darwin would agree. I think he would say: yea! that's what I was talking about! Creatures are related and they are inextricable from their environment.

Nothing truely exist except in its relationships to other things. Reality is an interrelated whole. Evolution does not occur separate from a biosphere and a series of relationships of one organism to all other living and non living things in its enviroment.

The empahsis on the genetic aspects of evolution is a mistake. Changes in allele frequency in populations are as often the effect of evolution rather than the cause.
0 Replies
 
Dave Allen
 
  1  
Reply Sat 12 Dec, 2009 04:13 am
@memester,
memester;110329 wrote:

then you retract this totally ?

No - I affrim it with some confidence.

If she was correct those supporters would be named heretics by the scientific gestalt.

They aren't - she's talking rubbish.

In my opinion.
memester
 
  1  
Reply Sat 12 Dec, 2009 07:55 am
@Dave Allen,
Quote:
Originally Posted by memester
so what are you talking about, that the list itself or the drawing up of the list, can prove something about the reality ( if there are heretics or not ) ?
Quote:

I don't think it says anything about reality beyond what it raises regarding Ms Morgan's credibility.
Quote:
Quote:
then you retract this totally ?

her list of authorities who do support Alister Hardy's hypothesis proves that it isn't exactly biological heresy.
Quote:



No - I affrim it with some confidence.

wow. first you claim that it means something , then you claim that your statement does not say anything to the reality, and now you say you affirm it with confidence.
Dave Allen
 
  1  
Reply Sat 12 Dec, 2009 08:14 am
@memester,
memester;110504 wrote:
wow. first you claim that it means something obout there being heretics or not, then you claim that your statement does not say anything to the reality, and now you say you affirm it with confidence.

My attitude has been pretty consistent as far as I can see.

I don't know - in some sort of ultimate truth way - if there are calls of heresy levelled at supporters of aquatic ape hypothesis or not.

However, I'm pretty certain when Ms Morgan suggests that there are she is exaggerating - especially as she implies it's a blanket thing ("say you support this and you'll be called a heretic" she says, or something).

Her list of people who do offer support to the theory - and aren't labelled heretics as far as I know speaks to her being wrong.

If you have problems with my use of the word "proves" read "speaks to the apparent fact" or even "leads me to believe" instead - I don't mind.
memester
 
  1  
Reply Sat 12 Dec, 2009 08:29 am
@Dave Allen,
Dave Allen;110507 wrote:
My attitude has been pretty consistent as far as I can see.

I don't know - in some sort of ultimate truth way - if there are calls of heresy levelled at supporters of aquatic ape hypothesis or not.

However, I'm pretty certain when Ms Morgan suggests that there are she is exaggerating - especially as she implies it's a blanket thing ("say you support this and you'll be called a heretic" she says, or something).

Her list of people who do offer support to the theory - and aren't labelled heretics as far as I know speaks to her being wrong.

If you have problems with my use of the word "proves" read "speaks to the apparent fact" or even "leads me to believe" instead - I don't mind.
I'm not asking about your attitude, or any other items yet, Dave.
It's only about that piece right now. It can mean something as to if there are heretics- or it cannot. You have already declared that it cannot, but now you affirm it again as proving something about her.
0 Replies
 
Dave Allen
 
  1  
Reply Sat 12 Dec, 2009 08:32 am
@memester,
Is the scientific community calling those people heretics for supporting aquatic ape hypothesis, or indeed anyone (aside from her by inference)?

If not - she's exaggerating - is she not?
memester
 
  1  
Reply Sat 12 Dec, 2009 08:36 am
@Dave Allen,
Dave Allen;110509 wrote:
Is the scientific community calling those people heretics for supporting aquatic ape hypothesis, or indeed anyone (aside from her by inference)?

If not - she's exaggerating - is she not?
that's not what I am asking. we can get to that after you clear up your statements.

If that part cannot speak to the reality, how can it speak to her credibility about the reality, either way ?

We would have to see if your other claims ( about the reality) are true or not first, eh ? As it stands, it shows NOTHING of what you say it does.
Dave Allen
 
  1  
Reply Sat 12 Dec, 2009 08:39 am
@memester,
memester;110511 wrote:
that's not what I am asking. we can get to that after you clear up your statements.

Let's drop this. I don't know what you're getting out of it, but I'm finding it too tedious and bothersome to continue with.
memester
 
  1  
Reply Sat 12 Dec, 2009 08:40 am
@Dave Allen,
Dave Allen;110512 wrote:
Let's drop this. I don't know what you're getting out of it, but I'm finding it too tedious and bothersome to continue with.

I'm not dropping it. You said some rather pejorative things about Ms. Morgan, didn't you ?

You may retract everything , though. That would be a wise decision.
0 Replies
 
Aedes
 
  1  
Reply Sat 12 Dec, 2009 09:50 am
@memester,
memester;110329 wrote:
this is a sure sign that you are giving your own definitions out of thin air. Praying as Doctor . Not your thing as Doctor.
Being a doctor is not just "living a definition". We have communication styles and social styles and rhetorical styles. There are also expectations that patients have of us as being empathetic and listening, we are directly trained in these skills in medical school, we are tested on them using national standardized exams (look up the USMLE Step 2CS), and we are disciplined by medical boards for failing them. And by the way, this has been written about in medicine since Hippocrates.
 

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