“Healthcare,” Health, Sickness: A Brief Essay on Our Confusion in These Matters

Lotus Flower (flowermeaning.com)

In the Western world we have dissected ourselves into separate, disconnected parts: mind / body / spirit, most pertinently. We treat our bodies as we do our automobile: we maintain our body to some or no degree and when it fails (or worry about it failing) we ‘go to the doctor’ to get it diagnosed and fixed. We fail to see that our values, our assumptions about the spiritual realm (for those who accept it to any degree), our assessments of ourselves as worthy and useful creatures (or the opposite) are all part of our ‘health.’

Genetic determinants and externally caused accidents are of another matter: chance.

You know these things, but we are trapped in our culture to think and talk as if the mind and body and spirit were separate entities. The problems of body are addressed by ‘doctors’; the problems of the mind are addressed by psychologists or psychiatrists or counselors with other appellations; the spirit is the province of the church, or temple, or coven, etc.

‘Health’ is generally seen an attribute of the body or mind, mind-health being seen as affecting body-health but seldom the other way around. Spiritual health is seen as a private matter and outside the realm of the other two ‘parts.’

Outside the workings of chance, I see spiritual health as fundamental to general health. But there I go separating us into parts. I can’t help it.

In any case, we have no clear, agreed-upon definition of “health.”

Sunflower (flickr.com/photos/lucaspost/)

Our language is a problem in these matters. We are told language is an integral part, a determinant perhaps, of our culture and the way, therefore, we perceive the universe and ourselves in it (as if we could stand outside of something in which we are embedded).

“All words are lies.” I wish I knew whom I was quoting. I sometimes attribute this to G.I. Gurdjieff, but I’ll say it is mine until I find another, older and verifiable source.

It’s a significant problem for me as a writer to know that no word or words can capture and communicate the reality of direct experience.

Which gets me back to the words ‘health,’ and particularly, ‘healthcare,’ a mash-up I detest. It’s a marketing invention.

Until we define our terms (e.g., healthcare) in simple words we all can agree upon, we are going to be crosswise of each other when we go forward to manage ‘healthcare’ or to guarantee ‘proper’ or ‘adequate’ or ‘comprehensive healthcare’ or ‘universal healthcare.’

I enjoyed managing hospitals and the business affairs of medical groups. I was in the ‘sick business.’ This concept is so much more tangible and generally comprehensible and, I will argue, more useful than ‘healthcare’ or even ‘health.’

[I have ignored here, for the sake of brevity, the vital role of public health disciplines and entities in preventing sickness and accident in the general population].

chambered-nautilus-shell-se40

Chambered Nautilus

I once worked with a physician who was my own doctor, and a friend and colleague in the management of a county hospital. If I remember correctly (and I may be conflating my memory of him with memories of other wise physicians) , he said something like this: “of 100 patients whom I may treat, 10 will get better because of my intervention, 10 will get worse, and 80 will get better mostly by themselves, through time and their own processes.” He (or another physician) said, also, something like: “the effective physician is like a ‘witch doctor,’ addressing not only the physical body, but the other attributes of mind and spirit, including the family and social circumstances.”

Another way of interpreting the two above, paraphrased quotes is: the healing mostly comes from within; the physician helps the subject recognize and effectively use his/her own intrinsic healing powers. Medicines help as allies, not the main ‘cure’.

Back to the use of words and concepts.

We are asking our physicians to fix us, but we are not recognizing that the ‘fix’ lies, ultimately, within (again, excepting accidents and other workings of chance). Whether this should be labeled a ‘spiritual’ approach is irrelevant and possibly not helpful, because it tends to narrow our vision through the preconception of what ‘spiritual’ means, if anything. Some things can be fixed, or course, like broken bones and diseased tissue. I am speaking here of those things the general physician sees most commonly in his or her patients:

The ten most common health complaints

Erasistratos discovers the illness of Antiochus, son of the King of Syria

  1. cough
  2. throat
  3. itchy or rashy skin
  4. vision problems
  5. knees
  6. back
  7. stomach
  8. ear ache, infection
  9. hypertension
  10. depression

Judge for yourself if you may really need a physician or someone to fix any the above you may encounter; or, whether you, and time, can take care of things.

Slow down.

Treat yourself with respect.

Drink lots of good water.

See a physician, of course, when you feel the need for guidance; I certainly do.

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Geologic Time and Human Time Intersect in California

Geologists measure time in ‘periods’ and ‘eras’ lasting millions of years. Our current period is The Quaternary Period that began somewhat less than 2 million years ago.

Assembling California by John McFee

Beginning in the Paleozoic Era (544 to 245 million years ago) and ending sometime in the Mesozoic Era (245 to 65 million years ago), the land mass we call California was pushed up from the sea during which time there formed what ultimately became the gold fields and mines of California.

California remains an unstable and malleable collection of smashed-together islands and micro-continents. From a book review by Stephen A. Haines (liberally edited):

California is a geologic highway accident where a string of vehicles reduce order to chaos. There is the likelihood of three island chains pranging the West Coast at different times. Each time, instead of being pushed aside by the mass of the North American Plate, they simply attached themselves like limpets. The extra pressure and mass pushed up the High Sierras and the Coast Range.

This view of California’s disorganization is reinforced by the many directions faults take around the state. San Andreas, for all its fame, is not a fault, but a melange of fault structures, due to those impinging island arcs.

Geologic time and human time intersect usually during great catastrophes such as volcanic eruptions, and when great discoveries are made from evidence found in the ancient earth.

I am focusing here on the years 1848 and 1989, when these two events occurred: the discovery of gold in Sutter’s Creek and the “Loma Prieta” earthquake of 1989.

These two events are mentioned in John McPhee’s book, Assembling California, and in a subsequent discussion of the book in a recorded conversation on YouTube between the Pulitzer-prize winning McPhee and geologist Eldridge Moores, Professor emeritus at the University of California at Davis. The two men collaborated on the writing of the book.

What brings me write about these things this is my recent hike in the Almaden Quicksilver County Park, located at the town of New Almaden, California, a rural part of greater San Jose. Without the vast amount of mercury that was mined and refined here, most of the gold ore dug out of California from the beginning of the Gold Rush in 1848 could not have been as easily and quickly processed into pure metal.

The ridge containing “Almaden Quicksilver County Park” and the former mercury mines of “New Almaden,” viewed from Coyote Peak, in both Santa Clara County and greater San Jose, California (2010)

Gold dissolves in mercury, forming amalgam alloys, but does not react with it. Gold is insoluble in nitric acid, which dissolves silver and base metals. This property is exploited in the gold refining technique known as “inquartation and parting”. (Source).

There is a museum at New Almaden where a writer, Kalpana Mohan, visited and recorded this for an article in the May 2004 issue of Bay Area Parent, edited for brevity):

In 1845, the Ohlone Indians brought a Mexican cavalry officer to the source of the red ore in the undulating hills of New Almaden. Seeing the possibilities in this cinnabar, the officer obtained title to the mineral deposit. This paved the way for what would soon become one of the most famous and productive mine in America.

In its heydays, the Quicksilver Mine at New Almaden produced more than 220,000 pounds of quicksilver (mercury), making it the largest producer in the world and the most valuable single mine in California. Quicksilver proved to be a tremendous boon to the California Gold Rush since it could be used to separate gold from foreign matter.

Inside the museum, we saw the huge cauldron that miners used to extract and distill mercury from cinnabar ore. My son learned how miners used candles to light their way through bat-infested underground tunnels and how they faced rattlesnakes and grizzly bears above ground. We saw old pictures of the once flourishing, turn-of-the-century town of New Almaden (the name Almaden came from a mining town in Spain by the same name).

I walked the trail that takes one through the remains of “English Camp” a once flourishing town with a school and church.

Old photograph of English Camp posted on site, along with historical information, showing the church on the right-hand slope of the ridge. The picture on the right (February 2010) shows the remains of the church.

I have hiked many times in this park. My great-grandfather, Asbury Harpending, Jr., owned and managed a few California gold mines, so I feel a personal connection to this ridge of hills that was once full of mercury mines and refineries.

The remains of what appears to be an ore-crushing facility (3 February 2010)

There is much more to say about this park, and many of the above links will lead you further, but I will close with the following piece of history involving Abraham Lincoln:

Plaque at the southern entrance to Almaden Quicksilver County Park, commemorating the Executive Order of President Lincoln putting the mines under federal control, which was shortly thereafter rescinded (please click on the image to read more clearly)

 

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