Dec 30

It has been uncommon for me to write commentaries of late, in part because there seems to be minimal feedback from the internet community. In my earlier years of web blogging, I used iWeb and it facilitated readers adding comments for feedback. I would never wish to go to a social networking type style, such as with FaceBook, in that it tends to breed short, abrupt thought processes that do not have premises, reasoning, and conclusions demonstrated. It is meaningless prattle. No, even if I love you, I’m not interested in your kid graduating from pre-school, or where you went out to eat last night, that is, unless these events have a significant meaning in your life, and you offer explanation as to how these events were significant life-events.

Hope. It is one of the three Christian virtues. Faith, hope, and love. Just as we don’t wish to ever cause another person to loose love or faith (in Christ), we never wish to cause a person to loose hope. But, hope in what? I am on rare occasion accused of causing my patients to loose hope. Generally, I try to tell the patient the exact truth. If I don’t, they’ll get it over the internet. I feel that integrity is a foremost virtue for a physician. I have heard many doctors argue otherwise. Dr. Lauren Pancratz argues vehemently that if a lie (deviation from the whole truth) contributes to the betterment of a patient, then we should lie to our patient. I disagree entirely. Truth must be presented graciously and skillfully, but it must be presented all the same.

I see many patients that come from other doctors, mostly medical oncologists, who were never told the significance of their cancer. For many medical oncologists, hope  in “the system” must be preserved. Perhaps much of this is self-serving. I find that only 5% of patients do not wish to know the truth of their condition. Most patients welcome it, often are relieved and are happy that they can better understand their condition and make long-term plans with better knowledge of their condition.

There is a balance that physicians struggle with. If there is a reasonable expectation that the health care system can significantly improve their condition, then I will strive to be positive, even if the short term outcome is expected to be dismal. In one sense, there is always hope, but that hope depends on the objectives of the physician/patient encounter. If the expectation is to prolong life no matter how miserable that life might be, the treatment options are going to be different than if the objective is to simply offer comfort measures. Both contain hope that the therapy will work, but the outcome expectations are different. Thus, in a real sense, hope is never lost.

The source for hope is my greatest concern. Patients usually do well or do poorly in spite of me. Health care professionals have less control of a situation than they would like to believe. To trust that the health care profession will provide health is a mis-direction of one’s trust. It is always a pleasure when a patient comes to me, realizing that only God can give them hope, and trust in Him is of greatest value. It is a pity that so many devout Christians have a seriously displaced hope, trusting entirely in the physician, and not seeing that even the best physicians have feet of clay. Balance is important. To ignore the physicians that God provides is unwise. To expect that physicians always know best is also unwise. Many Christians run to Hookey-Pookey medicine (Chiropractors/Naturopaths) feeling that they are more “natural” or “christian” than mainline medical practice — that is also highly unwise.

We don’t want our patients to loose hope. We wish for them to have the correct source for their hope. We wish them to have realistic expectations. We wish them never to give up. We wish them to be able to change expectations when the facts suggest it. Mostly we wish them to maintain the three Christian virtues, faith, hope and love, up to the very last breath that they take.

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Dec 28

Born Again, by Charles Colson ★★★

Here is a book that I’ve suggested others read, yet have not (until now) read the book. It is the second book which I read on a Kindle.

This book is a truncated autobiography of Chuck Colson, known of Watergate fame. It details his rise to power within the Republican organization through low-handed politicking. Eventually, he was chosen to be one of the special consuls for Richard Nixon. He served through Nixon’s first term, and then intended to go back to his law practice when the Watergate scandal hit the fans across the country. During the time between Nixon’s second term and the Watergate scandal, pressure on Colson eventually led him to seek counsel from a friend when he became a Christian. Colson eventually was convicted, and served 7 months in federal prison, before getting released to then focus on prison ministries.

There are many aspects of this book that can be addressed. Certainly, Colson offers his own running commentary on his view of Nixon, Watergate and crisis that occurred. Much of the book is Colson coming to know himself, and realizing that he had a tendency to take control of matters. His fall from (political) grace forced a rethink of his own political arrogance. In this regard, Colson was truly moving. Colson’s change of heart to truly desire God’s will is none other than miraculous, and a testimony that we all must take to heart.

Colson always professed innocence in the Watergate events. I tend to find his testimony as believable. Apparently, he had no clue as to what happened. Colson ended up being the first person to plead guilty, which he did because he felt he did obstruct matters of investigation of the Watergate event, done mostly to protect the president. Oddly, Daniel Ellsberg, who was giving away top secret state information got off scott free.

It is a little bothersome that by the end of the book, Colson ends up as a pentecostal. I certainly hope his thinking has matured a bit since his release from prison. He also tended toward social do-goodism, defending prisoners against an unjust prison system. Sadly, this has two sides, since too often punishment in prison is not commensurate with the crime committed. Colson has a tendency to focus on wrongful imprisonment, when typical imprisonment for many is only too kind. Colson does make a good argument against the explosion of the prison system in our country, yet offers too few of suggestions as to how to really fix that.

Being a lawyer, Colson goes way too soft on addressing the problem of law and justice in our country. He tends to suggest that there are a few bad lawyers that ruin the soup. In reality, the entire legal system is rotten to the core, and Colson simply won’t admit it. His own conviction was based on the most eminent lawyers in the land, who did NOT make the judgment against Colson based on either evidence or due process of law, but rather out of pressure from a small but very vocal public sentiment. Unfortunately, with the  loss of constitutionalism in our court system, we can only expect this to get worse with time.

I agree with Colson in that the prison system is way overused, and tends to serve contrary to its mission, which is to reform the inmates. Supposing that Colson was truly guilty of his crimes, the best punishment would have been 39 lashings, total disbarment, and obligatory public service of 7 years duration at minimum wage and no diminishment of sentence based on good behavior, though extension of sentence based on bad behavior could be enforced.

Colson was kind on the news media. The Watergate scandal was essentially a creation of the news media. Ellsberg should have been behind bars and is not, thanks to the liberal press. It is no wonder that the large news services are dying. I’ll shed no tears for CNN or MSNBC. Colson was kind on liberals. He tended to feel that anybody that called themselves brother were acceptable. Yet, content of belief does matter. I hope Colson has learned this since his conversion. Those belief structures will order our thinking as well as behavior. For Colson to find vehement enemies that suddenly become best friends once discovered that they are Christians is a terrible witness of the “worst enemy-best friend” people, regardless of how “spiritual” they conducted themselves.

So, I truly enjoyed reading the book, but gave the book only three stars for lacking the depth it could have had. Colson is a delightful writer, but I do not intend to read any more of his books, which I understand are quite a few at this time. I am most delighted at his conversion to the Christian faith, and see in Colson’s story a common tale that reflects God calling us to Him, and NOT us accepting Him. I wish that Colson could have seen that in his conversion. I’m glad that God saves us in spite of ourselves, and Colson stands as a most visible example of this truth among every one of us that call ourselves Christian.

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Dec 26

Note by Note: The making of Steinway L1037 ★★★★

I’ve always wondered how a piano was built. I didn’t realize that Steinway concert grand pianos were entirely built by hand, and are probably one of the only concert pianos still made by hand. This movie walks one through the year long endeavor to build a piano. One starts in the lumber mill, where wood is specifically selected for the piano case and sounding board. Slow and meticulous processes eventually lead to the developed project. Many scenes are also shot of profession musicians in the NY Steinway piano store  trying out pianos. I guess that even with Steinway pianos, the action can vary enough that a concert musician may need to try 10-15 pianos before finding the instrument of his liking. There are a lot of extras with this movie, but the feature attraction was itself a fascinating journal behind the walls of the Steinway piano factory in New York, with interviews of many of the piano building craftsmen. Steinways have many hand carved features, constructed to precise millimeter tolerances. The tuning is all by hand, and not electronic like most other piano builders. The keys and their actions are all meticulously adjusted by hand to properly strike the strings with appropriate action on the key. One was left realizing that there may be a day where much of the art and skills of hand piano construction may be lost, and then we will be stuck with cheap Japanese imitations. Oh well!!!!

 

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Dec 23

How the Earth Works, by Michael Wysession (Teaching Company Series) ★★★

This teaching company series, taught by a Geophysicist, discusses the mechanisms and processes that make the earth the way it is. Wysession is able to interlay the various processes, whether they be geologic, biologic, or astronomic, in discussing what gives us our world. The lecture series can be divided into three parts, with a grading on each part…

I. Plate Tectonics – 5 stars – the longest part of the course, it also is the best part of the course, taught where Wysession is most expert. Details of how the continents were created, how plate tectonic theory was developed, how earthquakes and volcanoes occur, are all discussed in popular lay terms that can be understood by anybody.

II. The Weather – 3 stars – though the weather is an important process in molding the earth, another Teaching Company course on Meteorology has done a far superior job of detailing how weather is formed, and the processes that lead to our climate and living conditions.

III. Biology and “My Soapbox” – 1 star – Wysession adequately discusses the role of biological organisms in helping to form the earth. He does a far worse job of playing biologist. Much of the last lectures of the course are more a soapbox on various subjects such as climate change, humans elsewhere in the universe, and the destiny of man, which would have best been left out of the course. Many of the last lectures have no relation to discussing how the earth works, but rather create a dummy pulpit for Wysession. I do credit Wysession for maintaining a sense of scientific uncertainty about matters such as climate change, and he doesn’t become preachy like Algore.

The course could be improved in many ways. Most importantly, I wish Wysession would have spent a few lectures discussing in depth the mechanisms for studying earth. He could have better discussed the various instrumentation for “sounding” the depths of earth. He could have given us more detailed explanations of land formations that help us understand the world we see, to allow us to engage in the process of being junior geologists. I would have been interested in having a rough feel as to how a geophysicist mathematically models things like earthquakes.

Wysession is an excellent teacher and adequately uses props and visuals to get his point across. This is a series worth watching, though the final lectures would be best deleted or changed as mentioned above to get the discussion back to the intended topic for the course.

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Dec 22

Foxe’s Book of Martyrs, by John Foxe and ???? ★★★

This is the first book that I have read in electronic format, on a Kindle. I have mixed feelings about the Kindle, and then comments on the book itself.

The Kindle is a great idea. I received the Kindle Touch about a month ago. I really didn’t wish for a microscopic keyboard and heard that there were problems with the color edition of Kindle, so opted for the Touch. There are problems with it. 1. The touch mechanism doesn’t always work consistently 2. if you accidentally bump the screen or try to clean off the screen to read it better, it will react. 3. since you always have to touch the screen to read, such as with changing pages, the screen is always being made dirty again. 4. After reading Foxe, the Kindle has shown a drastic reduction in speed, and multiple crashes, almost like it got a virus.  5. There is no mechanism for reading in dark circumstances, as you need an external light to see the screen.  6. Maneuvering through a book that you are reading can be a challenge, especially if the table of contents is not well constructed. They don’t have a reverse function like surfers have, so that you can’t instantly go back to where you came from.  The advantages of the Kindle are 1. It’s a great idea, 2. when it works, it has great functionality, like keeping track of where you are in a book across all systems. My solution to the Kindle dilemma is to use Kindle on an Apple apparatus. I am just waiting for iPad3 to come out.

Now, for Foxe’s Book of Martyrs. I didn’t realize until I contacted my book resource David Davis that the original Foxe is about 7000 pages, and anything we read is a serious abridgment of that text. In addition, since Foxe died in 1587, any details after that are additions to his book. Thus, the hardcopy edition of Foxe’s Book and the Kindle edition do not resemble each other at all in their organization. Strangely, Wikipedia, and most Google internet sources don’t clue you in to this. The Kindle edition has multiple stories up to about 1830, many of which are quite rambling. At the end are very brief biographies of the main reformers, which are too brief to be of any value. The greatest value of Foxe’s Book is in his discussions of the martyrdoms around the time of bloody Mary. There is prolific language against the Papists and popery, all of which should NOT be forgotten by the present day church. The Romish church has not changed significantly since the 16th century, and we shouldn’t forget that. The Pope and his minions have not made a kinder gentler church that has learned its lessons. It is a superb defense of the notion of protestantism.

The book and its “editions” has left out much, including Savaranola, the Scottish martyrs, and persecution of the church by protestants on protestants. The revisions include lengthy details of the Quaker movement, which was unnecessary, and lengthy details of a person in Lebanon who was under pressure to conform by the Marionite church. The quality of the additions to John Foxe are low, and should have been left out. So, read the book, but not the Kindle edition.

 

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