In the beginning…

The life-cycle of the sea squirt is unique and instructive. As a free-swimming larva it has a three-hundred cell nervous system with sensors, a spinal cord, and an organ of balance which helps it find a suitable location for reproduction. Upon finding such a location, it lodges itself into the sand and proceeds to most… Continue reading In the beginning…

Language and Its Discontents

Ludwig Wittgenstein wrote, “the limits of my language mean the limits of my world.” Fortunately, human communication carries multiple layers of signals - verbal and non-verbal, conscious and subconscious - with language or consciousness representing summarizations of all those signals. Similarly, the patient-physician interaction also is laden with signals.  Even without considering the vagaries of… Continue reading Language and Its Discontents

Worlds Far and Wide, Near and Close

Who we are emerges out of the dynamic interplay of what we are (the person), where we are (the situation), what we say we will do (intentions), and what we do (actions). Medicine has built a model of disease with a focus on the person in a hospital or a clinic and their intentions. In… Continue reading Worlds Far and Wide, Near and Close