A Quote by Lewis Thomas
Good applied science in medicine, as in physics, requires a high degree of certainty about the basic facts at hand, and especially about their meaning, and we have not yet reached this point for most of medicine.
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The aims of pure basic science, unlike those of applied science, are neither fast-flowing nor pragmatic. The quick harvest of applied science is the useable process, the medicine, the machine. The shy fruit of pure science is understanding.
The pursuit of curiosity about the basic facts of nature has proven, with few exceptions throughout the history of medical science, to be the route by which the successful drugs and devices of modern medicine were discovered.
Medicine, you see, is my first love; whether I write fiction or nonfiction, and even when it has nothing to do with medicine, it's still about medicine. After all, what is medicine but life plus? So I write about life.
Medicine may be the lens through which I see the world, but since I think of medicine as 'life +', a place where life is exaggerated and seen at its most vital and poignant, I'll be writing about life more than I will be writing about medicine.
Medicine is a social science, and politics is nothing else but medicine on a large scale. Medicine, as a social science, as the science of human beings, has the obligation to point out problems and to attempt their theoretical solution: the politician, the practical anthropologist, must find the means for their actual solution. The physicians are the natural attorneys of the poor, and social problems fall to a large extent within their jurisdiction.
Science of yoga and ayurveda is subtler than the science of medicine, because science of medicine is often victim of statistical manipulation.
I don't like realism. We already know the real facts about li[fe], most of the basic facts. I'm not interested in repeating what we already know. We know about sex, about violence, about murder, about war. All these things, by the time we're 18, we're up to here. From there on we need interpreters. We need poets. We need philosophers. We need theologians, who take the same basic facts and work with them and help us make do with those facts. Facts alone are not enough. It's interpretation.
That attitude does not exist so much today, but in those days there was a very sharp distinction between basic physics and applied physics. Columbia did not deal with applied physics.
I actually consider myself as totally privileged to be able to serve science and medicine in a global fashion, because science and medicine know no boundaries.
Until the 20th century, medicine was more like politics than physics. Its forecasts were often bogus and its record grim. In the 1920s, statisticians invaded medicine and devised randomised controlled trials. Doctors, hating the challenge to their prestige, resisted but lost. Evidence-based medicine became routine and saved millions of lives.
I've always been interested in medicine and was pleased when my brother became a doctor. But after thinking seriously about that field, I realized that what intrigued me was not the science, not the chemistry or biology of medicine, but the narrative - the story of each patient, each illness.
But Medicine is a demonstrative Science, and all its processes should be proved by established principles, and be based on positive inductions. That the proceedings of Medicine are not of this character, in to be attributed to the manner of its cultivation, and not to the nature of the Science itself.
I always tell writers that it's good to have an area of expertise. It's a really practical answer, I know, but know about science or about sports or about medicine, so you can work as a science writer or a sports writer. Don't just know about yourself.
The placebo effect is one of the most fascinating things in the whole of medicine. It's not just about taking a pill, and your performance and your pain getting better. It's about our beliefs and expectations. It's about the cultural meaning of a treatment.
It is time for the scientific community to stop giving alternative medicine a free ride There cannot be two kinds of medicine — conventional and alternative. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work. Once a treatment has been tested rigorously, it no longer matters whether it was considered alternative at the outset. If it is found to be reasonably safe and effective, it will be accepted.
Medicine is the science by which we learn the various states of the human body in health and when not in health, and the means by which health is likely to be lost and, when lost, is likely to be restored back to health. In other words, it is the art whereby health is conserved and the art whereby it is restored after being lost. While some divide medicine into a theoretical and a practical [applied] science, others may assume that it is only theoretical because they see it as a pure science. But, in truth, every science has both a theoretical and a practical side.
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