unifying reality

in physics there has been great human effort put into the search for the unifying theory of physical reality. i, and a great number of others have been looking for a similar unifying view of humanity. is it attainable? can human behaviour be reduced to a meaningful statement.

but say i had accomplished a feat, what next. what is the ultimate goal of searching through our experiences and the catalogs of others aware minds. clearly it is the process of discovery itself that is beautiful, the engagement with reality, the savouring of phenomena, so full.

but say i, you, of they had finished with the unification process. most likely there would be a rush of excitement, and then the urge to communicate the finding to others. would it be to let other sentient creatures know that it had been accomplished? that it was now available for their use? then what? would that ever be enough, would all others stop their searches and happily use this new finding, it seems unlikely.

there would be endless discussion on the merits of such a device. in the closed parts of our personal being not much would changed.

does this mean that spreading the good news of God is a waste of energy? at times it probably is. under the wrong motives it has clearly done damage over the centuries.

is love the final goal for a human; a reciprocating love. is making love with your wife, and engaging with her on as many levels of your self as possible, the highest state of being. i believe it is.

the magic art of numbers

i love science, i love quantitive view of reality, i love being a physician; but there is a great disconnect between science and healing. this is nothing new. but as i continue to practice and am faced with patient after patient it's difficult to reconcile my scientific conscience with my practice patterns.

there are countless studies of varying quality on numberous subjects, but the patient in front of me is unique. i have to offer advice to this person, who for the most part, will follow it. but how do i know that this drug, or this data range are meaningful, and healthy for this patient. in the short run there is less confusion, physiology adjusts with the medications most often. but in the long run who really knows, i don't. there is no way to find the probability that this person in front of me fits into a given study. i can guesstimate a probability, but, BUT it's just a hunch, educated true, but a guess. or is it a hypothesis, is this my own, our own science experiment, on you the patient, where we allow greater latitude where the probability of seriously negative outcome is lower. i guess it is.

i wonder if the clinics that have the highest probability of following evidence based medicine have the longest patient retention, or if they are university, or residency based centers with high turnover. i wonder if being able to adhere to guidelines makes you feel more comfortable, it does me.

the doctor patient relationship can't have changed much over the centuries in-spite of our current technology. being with this other person, with certain expectations, and assigned roles in place. how did we prognosticate on the seemingly healthy person in days gone by, or did we. not much has changed with regards to indulgences of the flesh; too much and we increase the probability of negative health consequences.