People look at other people all day long. We observe
fellow humans with eyes, noses and mouths—arms and legs. And while we all
understand that each person has the same body parts, we also note that there
are variations in size and proximate location. Some people have wide set eyes.
Some people have upturned noses. Some people are full or thin lipped. Some people
are very tall or very short.
Yet I think most humans do not realize that the same
variations observed in external organs, vary internally as well. Livers and
hearts and lungs and spines are common to all but are as individual as our faces.
It’s what makes medicine so tricky---particularly surgery. Medicine is not absolute.
Engaging the service of a physician is not as easy as hiring a plumber or an electrician
when a pipe leaks or a switch blows out. Good medicine is an artform as much as
it is a science.
Finding the right surgeon is like finding the right
hairdresser. Good hairdressers understand the texture and curl (or lack thereof)
and volume of an individuals’ hair. Good hairdressers recognize variations. A
good hairdresser would know that coifing a “bob” on me will not produce the
same results as coifing a “bob” on an Asian woman. Our hair is the same—made of
keratin—but how the protein chains of the individual molecules fold back on themselves
is different. Adjustments must be made reflective of molecular nuances.
And all this thought is inspired by every person
(myself included) who underwent a medical procedure that did not produce the
result (either good or bad) predicted
by the medical handbook---and inspired by the slip of paper inside my fortune
cookie I received the other day which read: Health
cannot be bought with doctors.
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