Physicians From The United States

"We all have to be students, who are often wrong and always in doubt, while a professor is sometimes wrong and never in doubt. Please join me on my student pathway..."

"[T]he heart... is, in reality, a that contains an apex. The cardiac helix form... was described in the 1660s by Lower as having an apical , in which the muscle fibers go from outside in, in a clockwise way, and from inside out, in a counterclockwise direction."

"This combination of clockwise and counterclockwise vortexes is common in nature. For example, within the flower bud of a daisy..."

"Nature contains many pathways of clockwise and counterclockwise spirals that are called reciprocal spirals. One example of natural reciprocal spirals is the sea shell. If one takes the tip of that shell and draws it outward, the formation becomes a helix... very similar to the shape of the heart."

"These helical patterns are common in many animals with horns, such as the ram or eland... [I]n combat... they do not break, because nature introduces... the formation of spirals within spirals... nature’s way of supporting one structure within itself. In a larger sense, nature introduces a harmony of structures from both outside and inside the visible shape."

"Pythagoras... described the golden section: the small is to the large as the large is to the whole... Throughout nature, there is a symphony of harmonies between... parts. ... ...defined this concept of harmony between parts as a ... Throughout nature... logarithmic spirals are commonplace. ...[T]he logarithmic spiral of DNA, a double helix holding the sugar and phosphate ions... the recipe for the blueprint of... life. ...[W]e can proceed upward ...to observe the ...in ...enormous macroscopic form."

"Counterclockwise and clockwise spirals exist within our fingertips. ...[T]his harmonic pattern within our fingertips also occurs in our heart, where clockwise and counterclockwise spirals are evident at the apex [lower tip]... shown in 1864 by Pettigrew... [W]e look at the heart anatomically and observe the internal and external spiral loops ...previously called the bulbospiral and sinospiral loops. Their infolding into the heart develops a pathway... similar to those that appear in the Handbook of Physiology and were made by Dr. . Their format characterizes a structural problem... called the of anatomy."

"Dr Torrent-Guasp... formalized this description by indicating that the heart looked like a "rope"... [in] three parts: a beginning and an end at the and ; a wraparound loop called a basal loop; and... a helix that he called the apical loop. ...He described a [billion year old] worm... with a vascular tube... like a rope, with a venous and an arterial system. ...[F]ish evolved to show the first generation of a heart, containing a single pumping chamber, and included gills... [Next] the amphibian and the reptile appeared, in which we observe an atrium and a ventricle. Each chamber was separated by an atrial and ventricular septal defect. Human beings developed... [later] and both the atrial defect and the ventricular defect are closed."

"At 20 days of life, the heart of an evolving human being looks like a worm... At 25 days... a clear-cut... single pump... In a sense, we mirror... a fish... At 30 days, the embryologic heart contains a patent ventricular septal defect and an atrial septal defect... we resemble the amphibian and the reptile... Finally, at 50 days... an intact atrial and ventricular septum.... our cardiac evolution encompasses 1 billion years of the phylogenetic development."

"To unfold the heart, we must separate the aorta from the pulmonary artery... to expose the free wall of the right ventricle. ...[W]e must unfold the helix of the heart ...unroofing ...the from its ventricular attachment to separate the ascending and descending [helix] limbs... by unwrapping the coil. ...[A] longitudinal myocardial band is demonstrated that corresponds directly to an open stretched rope. ...Dr Torrent-Guasp has performed this unfolding or unscrolling while dissecting an intact heart... to define the intact myocardium as a single muscle band that extends between the aorta at its termination to the at its beginning. ...A fascinating study was done by Dr P. P. Lunkenheimer... which can counteract concerns that this... may not be repro-ducible..."

"The classic view of cardiac anatomy relates to contracting and relaxing, or more specifically, constricting to narrow and eject, and dilating to widen and fill. This sequence was defined by William Harvey. However, the predominant motion of the heart is... rather shortening and narrowing. There are four fundamental motions... narrowing, shortening, lengthening, and widening... a downward twisting of the muscle fibers... shorten and thicken and thereby make the heart eject. This twisting or torsion was described by Borelli, in the 1600s, to simulate the wringing of a rag. ...[P]rogression of contraction into the ascending segment ...results in twisting and thickening in an opposite direction. This sequence is followed by relaxation to allow the ventricle to fill during the remainder of the diastolic phase. ...[T]he heart twists to eject and reciprocally twists to fill in a clockwise and counterclockwise manner... twisting and untwisting of the conical heart muscle in reciprocal directions. ...[T]he predominant action is shortening and lengthening, rather than narrowing and widening... ejection during shortening and suction to fill during lengthening..."

"The spiral formation within the helical heart conforms nicely to the mathematical description of spiral described by ... [A]fter manual dissection of the ascending segment from the descending segment... [t]hese lengths have a harmonic proportion, and... conform... to the ratio Pythagoras described within the golden section: the small is to the large as the large is to the whole. ...[A] hidden harmony of spirals... [that] starts with the master plan of DNA, a double helix..."

"It’s a perfect killing machine...A handgun [wound] is simply a stabbing with a bullet. It goes in like a nail...[With the high-velocity rounds of the AR-15 style rifle] it's as if you shot somebody with a Coke can."

"She has a 101 percent chance of surviving. She will not die. She does not have that permission from me."

"One looks like a grenade went off in there. The other looks like a bad knife cut."

"In the realm of emotion, early childhood experiences have been suspected to be at the root of psychopathology since the earliest theories of Sigmund Freud. Freud's psychoanalytic method aimed at tracing the threads of a patient's earliest childhood memories. Franz Alexander added the goal of allowing the patient to relive these memories in a less pathological environment, a process known as a corrective emotional experience. Although neuroscientists have no data demonstrating that this method operates at the level of neurons ad circuits, emerging results reveal a profound effect of early caregivers on an adult individual's emotional repertoire."

"I consider this Negro [Benjamin Banneker] as fresh proof that the powers of the mind are disconnected with the colour of the skin or in other words, a striking contradiction to Mr. Hume's doctrine that "the Negroes are naturally inferior to the whites and unsusceptible of attainments in arts and sciences."

"All mammals nurse their young, and breast milk benefits a newborn infant in ways above and beyond nutrition. In fact, until 1 to 2 years of age, the American Academy of Pediatrics, the World Health Organization, the Institute of Medicine and more promote breast-feeding as optimal. Unfortunately, breast-feeding until that age is often difficult, if not impossible, because mothers have to return to work, and children go off to preschool or day care. So we often replace human milk with the milk of cows or other animals. But at a certain point, we have to acknowledge that we are the only mammals on the planet that continue to consume milk after childhood, often in great amounts. More and more evidence is surfacing, however, that milk consumption may not only be unhelpful, it might also be detrimental. … there’s very little evidence that most adults need it. There’s also very little evidence that it’s doing them much good."

"I think that the cultivation of the humane letters has the most distinct bearing on the cultivation and appreciation of science. Science is nothing without imagination; and imagination is most readily kept fresh by literature. What little good there is a mere descriptive person, and in the small facts which with painful toil he accumulates. But let these facts be welded together by thought, their bearing traced by imagination, experiments devised by the mind projecting itself in advance of them, and the plodder is likely to become the great discoverer."

"I declare I hold [physicians] to be true heroes, when I regard their hard existence, their pure pathetic lives; when I recall their cheerfulness and manliness; when I see them, generously forgetful of self, answering every call with alacrity; when I think of the warm heart that beats so steadfastly under the fuzzy damp coat; when I know that the lantern that guides them in a dark night to the house of distress is but like their own calm purpose and resolve shining forth to guide and comfort others."

"The universal aptitude for ineptitude makes any human accomplishment an incredible miracle."

"We do all of our work in consideration of Murphy's Law."

"A conclusion is the place where you got tired thinking."

"Knowledge is a process of piling up facts; wisdom lies in their simplification."

"A machine has value only as it produces more than it consumes — so check your value to the community."

"Any man who does not make himself proficient in at least two languages other than his own is a fool"

"A good teacher must know the rules; a good pupil, the exceptions."

"Diagnosis is not the end, but the beginning of practice."

"Don't despise empiric truth. Lots of things work in practice for which the laboratory has never found proof."

"Facts are not science — as the dictionary is not literature."

"Here's good advice for practice: go into partnership with nature; she does more than half the work and asks none of the fee."

"The great doctors all got their education off dirt pavements and poverty — not marble floors and foundations."

"The specialist is a man who fears other subjects."

"None of the great discoveries was made by a "specialist" or a "researcher"."

"Research has been called good business, a necessity, a gamble, a game. It is none of these — it's a state of mind."

"There is only one reason why men become addicted to drugs — they are weak men. Only strong men are cured, and they cure themselves."

"When a man lacks mental balance in pneumonia he is said to be delirious. When he lacks mental balance without the pneumonia, he is pronounced insane by all smart doctors."

"Whenever ideas fail, men invent words."

"You must learn to talk clearly. The jargon of scientific terminology which rolls off your tongues is mental garbage."

"While mental disturbances may provide individuals with an underlying sense of unease that seems necessary for sustained creative activity, these disturbances are not the only source for inner tension... chronic physical ailments may give someone a heightened sense of urgency to leave a mark on the world and achieve immortality through creative greatness."

"Ludwig's book is outstanding. It pulls together a mound of pertinent data, much of it new, into coherent patterns...Throughout the book the reader is offered a wealth of insights and serious questions...Ludwig's development of a Creative Achievement Scale [is] a valued contribution in its own right, allowing researchers a comprehensive objective tool for scoring subjects' degree of achievement... Ludwig has cleared up much of the confusion and opinionated muddleheadedness... that has been attached to the topic and the thinking regarding a relationship between psychopathology and creativity."

"Ludwig also provides a brief, quite brilliant exposition and critique of the concept of an "authentic" self, noting that it is rooted in a male Victorian ethos and that it has been overshadowed by the more contemporary American notion of self-invention. Ludwig's beautifully written and intellectually provocative book is one of those rare works that offer fresh, profound insights, moving the reader to think probingly about his or her own life and self."

"An outstanding effort filled with important information for those who treat alcoholics, live with alcoholics, or who are alcoholics.... A significant contribution to the field, and all who deal with alcoholics would benefit from reading it."

"A thoroughly readable and rich introduction to...the process of recovery from alcoholism."

"Ludwig offers a unique integrative perspective which encompasses the clinical wisdom accrued through twenty-five years of experience as an alcoholism researcher and therapist....The book serves as an excellent primer for clinicians and recovering persons on a practical and multiperspective approach to alcoholism treatment."

"An excellent little book — highly informative, full of challenging and stimulating ideas, and teeming with shrewd clinical insights."

"Useful for physicians who wish to understand alcoholism and the recovery process, and to gain anecdotal evidence of this process, which is presented by using the words of recovering alcoholics....Can be of great value to those many physicians faced with individual patients who are drinking too much."

"An arresting book that casts political science out the window and explains leadership through comparisons with chimpanzees, gorillas and orangutans."

"There was no future and no past. The present was eternity."

"Ludwig’s penetrating observations, though presented in a lighthearted and entertaining way, offer important insight into why humans have engaged in war throughout recorded history as well as suggesting how they might live together in peace."