Kristen Prol Mrs. Davis AP Lang & Comp 2 November 2007 Diabolical Dialectical Journals Text Response/Rebuttal ―Ethics committees and experts exist in What, then, is the point of having ethics our hospitals, but what they have to say committees in hospitals? If what they counts precious little down in the have to say does not matter in the trenches, where intercoms fail and operating rooms, why have those people human minds treat human minds, in real on the pay roll? When the time‖ (Haig 4). anesthesiologist deliberately went against the patient‘s wishes and gave her the shot of propofol, putting her to sleep, he erased her memory of the last ten minutes of her life. While this caused her to receive the news about her cancer in a calmer, less frightening way, he had no right to erase her memory. That part of her life was not his to do with what he pleased. Of course there is a difference. Moods ―If an hour of psychotherapy can be controlled with medications, but accomplishes the same thing as 20mg of that should only be a last resort. If we Prozac – that is, a boost in mood and medicated for every bump, bruise, or serotonin levels – is there a difference?‖ harsh word we encountered during the (Haig 4) day, not only would our systems be clogged with many types of medicines that don‘t react well with each other, but we would not be able to afford these meds. Natural healing of the mind is better than medicating. It also lessens the risk of dependency on a drug like Prozac, the long-term effects of which we are not yet certain. ―I found such value and such meaning in Ellen, the patient who was sedated the way Ellen clung to her consciousness, against her will, was afraid of being the personhood she needed to care for under the general anesthesia because she her family‖ (Haig 4). was worried that she would never wake up. She needed to be there for her kids. But when the anesthesiologist drugged her, he took that away from her. He took away what made Ellen, Ellen. She no longer worried about her kids, she was a vegetable. Going against a patient‘s express wishes should never be done, especially to cover a blunder made by the hospital staff. ―We can trace the brain pathway of a Humans have the ability to be happy drug ‗high‘, we can call it pleasure, but naturally without drug intervention. that tells us nothing about what so many However, once this ability is lost due to people choose instead – deeper things lifestyle or illness, it cannot be restored that somehow beat out mere pleasure as to precisely what it was. Those little the reasons for doing what we do. Those molecules can bring some of it back, but comforts – of ultimate meaning, virtue, they cannot help humans to appreciate peace and joy – have little to do with the smaller things in life. The molecules‖ (Haig 4). medications can help a patient feel better, but may not truly replace enjoyment in simple things, like dancing in the rain, planting flowers, or playing with puppies. ―The use of blood pressure medicines At first glance, these statistics are increased 21%...[which] translates into unbelievable. 8.5 million people in this about 8.5 million Americans in that age country between the ages of 20 to 44 group [people aged 20 to 44] taking have high blood pressure? But this is a drugs to lower their blood pressure‖ combined result of lifestyle and diet. (Johnson 2). When one looks at how many people in this country are stressed out and overweight, this number looks a bit too small. High blood pressure, while fairly dangerous, is also fairly common. ―Dr. Howard Weintraub, the heart While this article starts out seeming to disease prevention expert at the condemn America for this new pattern in American College of Cardiology, said high blood pressure, this quote turns the he‘s ‗thrilled‘ by the dramatic increase, whole purpose around. After throwing which he says is tied to requests from scary readers with the statistics showing patients with "a brand new sense of a good percentage of young adults on urgency‘… ‗If you wait until a heart these medications, the same group is attack or stroke, it's a little bit late‘‖ praised for taking preventative measures (Johnson 2). for their own health. More people should be encouraged to join this trend, taking their health in their own hands. ―Patients with problems should first Taking a medication for a condition that work with their doctors on lifestyle can be controlled through a change in changes – more exercise, a better diet diet and additional exercise should be a and weight loss. But Weintraub said last resort. These medications have many people need medication to achieve some pretty serious side-effects, and if and maintain the ever-lower levels of taken for too long could become blood pressure and cholesterol that addictive. However, it is wonderful that experts now recommend‖ (Johnson 2). they exist, and are helping people stay healthy. Some people have high blood pressure because of their genetics. This is harder to control with lifestyle, making medications the only way to stay healthy. Reducing blood pressure any way possible is very important in preventing a heart attack or stroke. You could live through a heart attack or stroke, but quality of life would change. You might be exactly the same, but you could lose some brain function, resulting in impaired vision, speech, or movement. Truly, getting in charge of your health is the most important lesson that can be learned from this article. ―Patients with problems should first Taking a medication for a condition that work with their doctors on lifestyle can be controlled through a change in changes – more exercise, a better diet diet and additional exercise should be a and weight loss. But Weintraub said last resort. These medications have many people need medication to achieve some pretty serious side-effects, and if and maintain the ever-lower levels of taken for too long could become blood pressure and cholesterol that addictive. However, it is wonderful that experts now recommend‖ (Johnson 2). they exist, and are helping people stay healthy. Some people have high blood pressure because of their genetics. This is harder to control with lifestyle, making medications the only way to stay healthy. ―Somewhere in your brain, there‘s a This is so beautifully written and cupcake circuit. How it works is not absolutely true. Cravings for certain entirely clear, and you couldn‘t see it foods that we have eaten since infancy even if you knew where to look. But it‘s are rooted deep in our being. There is there all the same – and it‘s a powerful nothing we can do but to help ourselves thing. You didn‘t pop out of the womb to that cupcake, or is there? If you‘re prewired for cupcakes, but long ago, dieting, you need to do your best to curb early in your babyhood, you got your those urges. first taste of one, and instantly a series of sensory, metabolic and neurochemical fireworks went off…A lifetime love affair – perhaps pleasant, perhaps tortured – began‖ (Kluger 1). Human history has usually been Our bodies were built to go for long characterized by too little to eat rather times without food. Like a camel, we than too much. Nature never planned for store excess as fat to be burned for what could happen when unchecked energy when we haven‘t eaten in a while. appetites were suddenly matched by When food was scarce, we would just unchecked resources. But we‘re seeing burn that extra fat. Today, in the time of it now‖ (Kluger 1). fast food and grocery stores, food is rarely scarce. So we rarely burn off that excess fat, because instead of waiting for the burst of energy from that, we just help ourselves to another pop tart, adding to the fat we are lugging around. ―By some estimates, Americans are The first few numbers are just a collectively more than 5 billion lbs. disgusting revelation of exactly how overweight. While in a population of overweight America is as a country. 300 million people that‘s a more or less But 17 pounds per person, while still a manageable 17 lbs. apiece, the weight is lot, does not seem too bad. That could not distributed equally. Those of us who be worked off with a nice little diet, or are overweight are often grievously so‖ spending a little extra time each day on (Kluger 2). the treadmill. But I see exactly what Kluger says when he writes that the weight is not distributed equally. This is sad, but very true. ―We are programmed not only to overeat Now those who gorge themselves will but also to fail to recognize immediately probably live shorter lives than those just when we‘ve reached that who know when to stop. Very ironic. point…Those people who didn‘t Because we probably will not be caught immediately loose their appetites, who in a famine anytime soon, eating large could gorge themselves and keep going, meals will just give us health issues those people would survive longer (diabetes, heart disease to name only two) during the next famine…‖ (Kluger 3). that reduce our chances of living longer lives. ―Over the course of a year, the average How could this possibly be? If we come adult male consumes about 900,000 ―within a potato chip a day of matching calories, yet his weight may not rise or intake with expenditure‖ how do we gain fall by more than a pound. Since a any weight at all? If we eat the same pound equals about 4,000 calories, that amount of calories that we burn off means his annual intake is just 0.4% - or every day, wouldn‘t everyone stay at the 11 calories a day – above or below same weight? Dieting would be precisely what he needs to keep going. unnecessary, because we apparently eat ‗You are precisely within a potato chip a just what we need. This is not true. We day of matching your intake with don‘t need that extra cookie, that bag of expenditure,‘ says Randy Seeley, M&Ms from the vending machine. In a professor of psychiatry and associate perfect world, we would automatically director of the Obesity Research Center know when enough was enough. at the University of Cincinnati‖ (Kluger However, we keep snacking, and those 3). little snacks are not given enough credit for the amount of weight they cause people to have to lug around. ―Like other animals, we are creatures of Again, this is so true. During the dietary habit. Feed us at 8 a.m., 1p.m. summer, my mom and I would stay up and 7 p.m., and we learn to get hungry as late into the night, watching TV and those hours approach. Throw in a snack eating popcorn, pretzels, and cheese. at 3:30 or before bedtime, and we get the Not only do I start craving these salty itch then too‖ (Kluger 3). things late at night now, but also whenever I watch TV. I used to get myself through math homework by keeping a bag of M&Ms open on my desk. When I finished one problem, I would give myself one M&M. Now, whenever I do math, I get a craving for M&Ms. Dietary habit. ―If despite all those obstacles in the path A common theme I am seeing in these of overeating you still pack in too much articles is humans trying to take the easy food – and as a result pack onto much fat way out. Again, lifestyle change can – the body has one other, much bigger help with weight loss. People need to gun it can roll out: leptin. And appetite- stop dreaming up ways to instantly suppressing hormone…leptin is change their lives. Life is not easy, you produced by body fat itself, usually in have to work hard. In actuality, direct proportion to how much of the injecting leptin does not magically melt tissue you‘re carrying. The fatter you away fat, except for people who are are, the more leptin you produce…The leptin deficient. And those people are result is, or should be, that fatter people not very common. Imagine if injections want to eat less. Not surprisingly, the of this hormone did work. Eating discovery of leptin was huge news in the disorders would take an entirely diet community. Maybe obese people different shape. People could eat as were simply suffering from a shortage of much as they wanted, of whatever food leptin; supplement the hormone with they wanted, then shoot up with leptin periodic injections, and the fat would and get rid of all that fat they put on. dissolve away‖ (Kluger 5). Disgusting. Horrifying. Just imaginary. Some recent laboratory studies suggest I have long had doubts about whether that antibacterial products containing my friend‘s little, very expensive bottle triclosan may not be the best way to stay of Bath and Body Works antibacterial clean. Instead of wiping out bacteria hand lotion was actually a valid way to randomly the way regular soap or kill germs. I couldn‘t see how alcohol-based products do, triclosan may something that smelled like sweet pea inhibit the growth of bacteria in a way could actually be deathly to germs. It that leave a larger proportion of resistant just didn‘t seem intimidating enough. I bacteria behind, according to lab studies prefer my bottle of Purell. It smells at Tufts and Colorado State Universities, clean and strong. Germ-killer. This among others … Alison E. Aiello, an article also questions whether products assistant professor of epidemiology at that contain ―antibacterial‖ ingredients the University of Michigan School of actually kill germs. But it doesn‘t stop Public Health, says the laboratory at their germ killing abilities, it goes on evidence against triclosan is compelling to state that the antibacterial ingredients enough to raise questions about the may actually be causing more resistant products‖ (Parker-Pope 1). strains of bacteria. I, for one, am sticking with my Purell. ―Soap companies say the worry about With all this controversy, some people triclosan takes the focus away from the might be scared away from even the real culprit: the abuse of antibiotics and beneficial hygiene products. But better the need for better hygiene in general. to make a big deal over the ones that are ‗The last thing we want to see is people not helping, and actually hindering discouraged from using beneficial public health, then to have mega viruses hygiene products,‘ said Brian Sanson, a caused by antibacterial products. One spokesman for the Soap and Detergent would think that the spokesman for the Association‖ (Parker-Pope 2). ―Soap and Detergent Association‖ would be trying to remedy this situation by getting those harmful products off the market instead of pointing the finger at the media and consumers. ―If you‘re a runner, do a backbend of Runners may not suffer from back thanksgiving: runners statistically have a problems, but they are not exempt from lower risk than most athletes of health problems because of their running. developing back problems‖ (Reynolds 1). Stress fractures, twisted or broken ankles, and joint problems are common among the running population. So they can do a backbend of thanksgiving that their backs are not acting up, but they‘d better be careful that they don‘t drop their crutches. ―Without endurance, what you often see The author states this and then moves on is that near the end of the game, the to the next topic being addressed in the muscle can‘t quite control the movement article. As the reader, I did not of the spine adequately anymore‖ understand how the spine is not being (Reynolds 2). controlled without endurance. What happens when the spine is not being controlled? This was not a good thing to say without any support in the form of quotes, examples or statistics or something to explain what this means. ―If you‘re a bad golfer, like me, and you This is so ironic. A good golfer will use your shoulders to power the swing, have a good swing and a bad back, while instead of your back, you probably a bad golfer will have a back swing but a won‘t hurt yourself,‖ says Christopher good back. This sport should be Bono, an assistant professor of redesigned as far as talent goes so that orthopedic surgery at Harvard Medical the athletes who participate are not School and the chief of spine services at falling apart because of the demands of Brigham and Women‘s Hospital in the game. Swinging well should entail Boston. ―If, though, you‘ve got a good not only to get the ball as close to the swing, you‘re probably going to hurt hole as possible, but doing so without your back‖ (Reynolds 2). injuring the player. It seems silly to have it set up any other way. ―As the authors of the British study This quote seems to break down this pointed out, those young tennis players author‘s entire argument. Throughout were strong. But they were strong only the entire article, she has been in terms of their tennis muscles, explaining the way different sports are particularly those in the shoulders. detrimental to the athletes. Then she Compared with their counterparts in isolates one case, and explains that it is other national junior programs, British only this one group of people who are players rarely visit the weight room. throwing their backs out by improper They typically don‘t stretch or cross- exercise regimens. Because they do not train. Instead, they hit and hit and hit, take care of their bodies, their bodies are repetitively, propulsively, their strokes coming faster and sharper, even as their not taking care of them. Previously, the backs insidiously break down‖ reader thought, ―Oh, those poor tennis (Reynolds 3). players. They sacrifice their bodies for their sport.‖ Now the reader thinks, ―That‘s just stupid. By spending more time in the weight room and working other muscles, they could avoid having ‗backs 60 years older than they [are]‘ like the article says‖ (Reynolds 1). ―Despite an explosion of news on autism This is shameful. Pediatricians screen in recent years, pediatricians are not for things like vision and hearing currently doing an optimal job of problems and should definitely screen identifying the spectrum of conditions for problems that affect children in now believed to affect as many as 1 in greater ways, like autism. Autism is not 150 children. A 2004 survey of primary as widespread as the need for glasses, for care pediatricians found, for instance, example, but it is a condition that calls that only 8% were routinely screening for more extreme treatment. The fact for autism, even though 44% said they that autism has been in the news so often, saw at least 10 kids with autism in their as the article states, should make practice‖ (Wallis 2). pediatricians extra sure to screen for this disability. If public service does not appeal to them, the fact that they will face bad publicity and potential loss of clientele should motivate them to pay closer attention to their patients. Meyers, a neurodevelopmental The author uses these sentences to show pediatrician with Geisinger Health why it is important to catch autism early. System in Danville, Pa., wrote the AAP's However, when she writes that there is a new survey of research on managing the lack of rigorous research on what works care of children with autism. His report best, the reader begins to wonder if catching autism early actually is supports intensive behavioral and speech beneficial to the patient in question. therapy — at least 25 hours a week — beginning as early as possible. But, he concedes, there's a lack of rigorous, randomized research on what interventions work best‖ (Wallis 2). ―By focusing on self-esteem and When teaching children, teachers and confidence building, parents and parents should make sure to balance teachers may be giving real goals and actual learning and praise. Unearned achievement short shrift‖ (Washington praise should never be given. If praise is 1). being used to encourage a child who is struggling with a certain concept, it should be worded, ―You are such a hard worker!‖ instead of ―Wow, you are so good at this!‖ The difference is that the child knows he is having trouble grasping the concept, and telling him that he is good at something he is, in truth, not very good, will encourage false pride. He will stop striving for improvement and will settle for mediocrity. But telling a child he is a hard worker will prompt him to try even harder at whatever he is having trouble with. ―Kids who receive general praise about I know this from personal experience. their abilities are more likely to exhibit People always told me that I was so ‗helpless‘ behavior when they encounter smart, that I could do anything. My problems with learning, compared with geometry class last year was such a shock to my over-praised system. Here kids who receive specific praise about was a class that I didn‘t understand, that heir achievement on a task‖ (Wallis 2). I quickly began failing. I started becoming disinterested in the class, giving up on problems on the homework that were too difficult. Luckily, I was able to pull myself out of that downward spiral, but others may not be able to salvage their egos after being crushed. Children should be praised, but not to the point where the slightest setback feels like major defeat. Working Vocabulary List Amplified - made larger, greater, or stronger; enlarged; extended Anesthesia - general or local insensibility, as to pain and other sensation, induced by certain interventions or drugs to permit the performance of surgery or other painful procedures. Beleaguered - harassed; beset Contingent - happening by chance or without known cause Ethics – moral principal Heresy – any belief that is strongly at variance with established beliefs Immunology - the branch of science dealing with the components of the immune system Lumbar vertebrae – part of spine found beneath ribcage Neurodevelopmental Pediatrician – doctor who specializes in brain development and disorders in children Prevalence – widespread Sated – satisfied Sedentary – accustomed to sitting or taking too little exercise Septuagenarians – old people Sine qua non – ―without which it could not be‖ (Latin legal term) Works Cited Haig, Scott. ―The Ethics of Erasing a Bad Memory.‖ Time Magazine 15 Oct. 2007: 1-5. Johnson, Linda A. ―More Young Adults on Heart Drugs.‖ Time Magazine 30 Oct. 2007: 1-3. Kluger, Jeffrey. ―The Science of Appetite.‖ Time Magazine 30 May 2007: 1-9. Parker-Pope, Tara. ―Germ Fighters May Lead to Hardier Germs.‖ The New York Times 30 Oct. 2007: 1-3. Reynolds, Gretchen. ―Twist and Ouch.‖ The New York Times 28 Oct. 2007: 1-4. Wallis, Claudia. ―Finding and Fighting Autism Early.‖ Time Magazine 30 Oct. 2007: 1-2. Washington, Ruby. ―Are Kids Getting Too Much Praise?‖ The New York Times 29 Oct. 2007: 1.