I don’t know if I will ever get into the mind of Ivan Illich but I have all the time allotted to me to do so. I am terribly slow because I read acknowledgements and references and look up some that look interesting and will expand a short statement into a fuller understanding. /1
If some of what he conveys in Medical Nemesis I understand as a carrier of the same culture, all of the religious writings are like speaking Chinese for somebody who was raised in an atheist secular country without God. /2
As a small child I dutifully spat in the direction of a church walking past it. Our books had footnotes to explain basic references to biblical stories because we were raised in a complete vacuum of knowledge of prior Christian civilisation. /3
It took me about 100 re-reads of one page of Rivers North of the Future to realise that my understanding lapses at paragraph number one that refers to John 1 of which I had vague knowledge. /4
I get dutifully stuck on John 1 because words don’t take on human form. I even doubt that I understand the meaning of the word “word” so I check it both in Russian and English. I do have a solid understanding of at least this word but the meaning is still not clear. /5
This is how I start tracing between Latin and Greek. Then all is illuminated and starts making sense. It takes weeks if not over a month. /6
Prior to this I spent a month on Good Samaritan parable which included a call to a professor who studied these things for over 40 years to check if what I found checks against larger body of knowledge. /7
I got my wheels spinning for days on “splagchnizomai” - a Greek word denoting the seat of emotions in Ancient Greece. I wound up digging into a book that specifically dealt with body organs at that time in that region as cross referenced by writings at the time. /8
I envy a friend who read the whole Bible in a year. My lot seems dim at my pace. I also envy the men who get to study Torah their whole lives day in and out. /9
Many scholars who professionally study Christianity never pause to think so I get my inner delight when the college professor who initially dismissed my ramblings pauses and smacks his face at the word mercy finishing the Good Samaritan parable. /10
There is no difference for anybody between pity, compassion, love, charity, mercy. It’s all chaos but at that time of writing in context all these words had distinct meanings. Sloppy translations strip meaning of a story. /11
I get a bonus: the professor is a Buddhist now and “life is the most precious thing given to us”. This leaves me frustrated and questioning the meaning of learning that strips you of your faculties at the face of death. I still have no answers. /12

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More from @Medical_Nemesis

26 Jan
I am looking at Quoted Tweets of “What a great thread! Yeah, yeah” and imagine a group of villagers with pitchforks and torches. Not that anybody can make sense of this info for it might make sense to the narrowest group of specialists in this subject. /1
New variant news thrown at villagers produces an effect of fear. Not that anybody ever lost sleep at new viral variants of anything ever before but you word it right and believers in science can’t sleep now. “They is al’ ‘cited” /2
Then comes Lord Farquaad to explain things to you and tell you all about many vaccines you can be getting for every strain of any virus that ever comes your way. The villagers “get ‘cited even mo’. They is peein’ theirs pants they is so ‘cited to get dem shots ‘n al’” /3
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26 Jan
Western ideas kill not only kinship but even nuclear family. Immigrants infuse hospitals with old ways of relating. An Egyptian adopts me, an immigrant from Ukraine, as his child on the basis of common faith - Orthodoxy. /1
A Liberian calls out a man from Laos “Pop” or “Papa. A Ghanaian calls a White Southern rural woman “Mama”. To a Russian child every stranger is an aunt or uncle. The world of Indians consists of aunties and uncles. /2
A descendent of the people who enslaved my ancestors is the one who comforts me in my grief, offering water and walking me to my car. /3
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26 Jan
Isolation rooms are a hassle to go into on a good day. Inception level 8 presents new problems. What used to be an easy to open package with a soft gown in a semblance of my size, now became a tightly sealed thick plastic package that I can’t open. /1
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I have a terrible habit of reading instructions for fear I miss some important information previously unknown to me. I learn not to use the gown as a raincoat. I’m comforted by two stamps from a Cambodian inspector that this gown works as it’s supposed to. /3
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25 Jan
I bring my own food to work. Every time. I carry air crew “suitcase” of food. If I leave my suitcase at home, I either have to go hungry or ask a family member to drive 2hr round trip to make up for my lapse in memory. /1
For years I have endured relentless comments that try to decipher my “magical” eating system. I used to engage. Now ignore and eat in silence while nodding. /2
Everybody on American continent thinks that you must follow some “diet” or restriction or food must be “healthy”. So they approach what I eat from their cognitive model that falls on its face no matter how they tackle the issue. /3
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24 Jan
All modern research questions frame your mindset and self-frame research paradigm. Broad thinking: how little of everything can a citizen survive on; how cheap can your upkeep be? /1
When an American patient lands in an Austrian hospital for a back problem, a doctor tells him to perform a set of exercises.

- How many?
- Do you have anything else to do? /2
This interchange illustrates two mindsets colliding at bedside. How little can I get away with vs there is no limit to effort when it comes to your wellness. /3
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21 Jan
No matter how much scientists and experts throw words nobody understands around in an attempt to convince us we know something, surgical masks alone and surgical masks worn over N95 masks with visors did not protect from the viral outbreak in the hospital where I work. /1
In Jan-Feb 2020 we had what was called the flu outbreak. We closed units that were affected to control the outbreak. Not once any unit was closed during 4-5 outbreaks of the virus we had so far despite control measures. /2
It is obvious to all on the clinical side, we cannot control the virus. It will spread. You will or will not get sick. For majority we have seen with positive tests, it is an unnoticeable condition. They were well and healthy. We wouldn’t notice it in a regular year. /3
Read 5 tweets

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