Re: Rupture aortic aneurysm
- From: "Andrew B. Chung, MD/PhD" <andrew@xxxxxxxxxxxxxx>
- Date: Fri, 15 Apr 2005 10:05:34 -0400
In conclusion:
"Men (and women) can't win arguments... The truth **wins** arguments."
Truth is simple.
At His service,
Andrew
--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
**
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Jeff wrote:
>
> "Andrew B. Chung, MD/PhD" <andrew@xxxxxxxxxxxxxx> wrote in message
> news:425FA0A1.DB3E0C8A@xxxxxxxxxxxxxxxxx
> > Jeff wrote:
> (...)
>
> >> You missed my point. If there is a problem detected by the gas cap
> >> sensor,
> >> the OBDCII computer doesn't tell the mechanic that there is a problem
> >> with
> >> the O2 sensor.
> >
> > As far as the driver is concerned, the check engine light is
> > uninformative just as the back pain is uninformative for the patient
> > suffering a ruptured aortic aneurysm.
>
> Actually, the check engine light is imformative. I means take me to an
> Autozone and find out what the code is (or pay a dealer $60 for the same
> service).
>
> The tearing pain of a AAA means go to the hospital NOW!
>
> Both are very informative.
>
> > As far as the mechanic is concerned, the check engine light tells the
> > mechanic to use his God-given skills and knowledge to figure out the
> > problem just as the back pain rells the physician to use his God-given
> > skills and knowledge to figure out the problem.
>
> Actually, God didn't give the mechanic skills and knowledge. He may or may
> not have given her the talent, but other people have given her the skills
> and knowledge. Whether or not He gave her the talent is irrelevent to a
> science group, because we cannot test any hypotheses about whether or not He
> gave her the talent.
>
> Likewise, the doctor recieved her skills and knowledge from other doctors
> and patients. Likewise, we don't from where the talent came.
>
> >> >> Likewise, pain is percieved in the brain, not the place the pain is.
> >> >> The
> >> >> sensor in this case would be the peripheral nerve endings.
> >> >
> >> > Yes, likewise, the doctor can figure out where exactly the problem is.
> >>
> >> Pain didn't evolve so that doctors can figure out where the problem is.
> >
> > Correct. There was no evolution here.
>
> Incorrect. Pain evolved so that the animal who has the pain can take
> corrective action, like rest a particular part of the body.
>
> >> Pain
> >> evolved so that the person gets a warning, so that (s)he can either fix
> >> the
> >> problem or rest.
> >
> > Neither would help such individual survive an ruptured aortic aneurysm.
>
> Of course not. No, pain evolved for other reasons. It is not like pain
> operates when there is survivable injury, but there is no pain when there is
> not one.
>
> > Therefore, there would have been no evolution here either.
> >
> > However, there is God (see above).
>
> Again, this is irrelevent. Unless you can design some tests that show that
> God exists or doesn't exist, a belief in God is irrelevent to any science
> discussion.
>
> (...)
>
> >> > The question posed was why the pain of an aortic rupture is the way
> >> > that
> >> > it is. I believe it is by God's design. You believe it is by
> >> > evolution. I have explained to you why it is not possible by evolution
> >> > in terms of the logical underpinnings of the theory of evolution.
> >>
> >> No you didn't.
> >
> > I have though you seem unable to comprehend what I have written.
>
> No you did. I understood what you said very well. Of course, you don't
> understand evolution, so that is no surprise.
>
> >> You haven't established that pain fibers in arteries is not
> >> useful. Nor have you established why you would expect pain fibers in
> >> some
> >> arteries, but not others.
> >>
> >> > You
> >> > really have not refuted my logical explanation for why it is not
> >> > possible by evolution.
> >>
> >> Actually, I have. The pain fibers are there for other reasons than to
> >> tell
> >> people they are going to bleed to death in horrible pain.
> >
> > The **only** way you will be able to effectively refute my logical
> > explanation is by giving the reason(s) why having referred pain from a
> > ruptured aortic aneurysm confers a survival advantage for the species.
>
> No. All that has to be shown is that pain provides a survival advantage. And
> it does.
>
> (...)
>
> >> The referred pain is a property of the somatosensory system. Because
> >> there
> >> is no pain present from the heart under normal circumstance, the body
> >> never
> >> gets a chance to learn to localize pain to the heart.
> >
> > This is **not** an explanation in terms of evolutionary theory.
>
> Actually, it is. If you are unable to see that, that is ok.
>
> >> >> There is natural selection for a properly working nervous
> >> >> system, including the somatosensory system. Pain is part of this
> >> >> system.
> >> >
> >> > Regular pain, yes. Referred pain, no.
> >>
> >> Correct. Referred pain is a emergent property of the somatosensory
> >> system.
> >
> > Again, referred pain defies explanation in terms of the theory of
> > evolution.
>
> I suggest you read Kandel, Scwartz and Jessel. And try to understand it this
> time. And Stephen Jay Gould's books.
>
> (...)
>
> >> However, the pain fibers are part of a normally functioning body. The
> >> pain
> >> fibers work to warn the body of dangerous events.
> >
> > Yes, regular pain does not defy explanation by the theory of evolution.
> >
> >> >>In addition, I beleive that there are some baroreceoptors in the
> >> >> aorta that help maintain a properly blood pressure and other
> >> >> receptors.
> >> >
> >> > If that were true, folks would have BP problems after AAA repair
> >> > especially when whole sections are replaced by Dacron graft.
> >>
> >> There are nerves in the heart, yet hearts work just fine if you take them
> >> from one body to another, and sever all the nerves along the way.
> >
> > Actually, such hearts lose heart rate variability (HRV).
>
> yet they work just fine. So it shows that people can survive if they lose
> some important functions in their cardiovascular systems. Likewise, people
> will survive if they don't have full function of their aortas with regard to
> innervation.
>
> (...)
>
> >> > "God comes into play, because the development (embryology) of the body
> >> > arose through God."
> >>
> >> The logic would be just as circular as you claim my logic is.
> >
> > That's the point.
> >
> >> > and all should see that while I place my faith in God, you seem to have
> >> > placed your faith in the theory of evolution.
> >>
> >> Exactly. I place my fatih in facts that can be tested with the scientific
> >> method.
> >
> > The theory of evolution is clearly not fact.
>
> The fact that people evolved from other animals and that all animals evolved
> from a common ancestor is supported by so much overwhelming evidence that it
> is as much a fact as gravity.
>
> Why you mean by the theory of evolution I don't know.
>
> Here is what i mean:
>
> From http://www.evolutionhappens.net/
> <begin>
>
> Isn't it true that evolution is only a theory? The popular use and
> scientific use of the term "theory" are very different! A scientific theory,
> resulting from the application of the scientific method, is an explanation
> for a phenomenon or set of phenomena based on extensive evidence and
> testing. The scientific method is a well-recognized and well-defined series
> of steps used to acquire an explanation for observed phenomena. A
> preliminary generalization, or hypothesis, is formed on the basis of careful
> observation of the phenomenon being studied. This hypothesis is then tested
> by further observations and experiments. If the information gathered from
> observations and experiments over time satisfies the conditions of the
> hypothesis, the hypothesis eventually becomes accepted as a scientific
> theory. For example, the atomic theory of matter states that matter is
> composed of particles called atoms in various arrangements. The theory of
> evolution is the only explanation for the origin of life that accounts for
> the fossil, anatomical, molecular (including genetic), behavioral and
> geological evidence. Although they continue to argue over the details of
> exactly how the various mechanisms of evolution operate, biologists long ago
> concluded that evolution happens. This is because evolution explains all of
> the evidence far better than all other proposed explanations for the origin
> of life.
>
> What exactly does the theory of evolution state? The theory of evolution
> states that:
>
> 1.. All life forms (species) have developed from other species.
>
> 2.. All living things are related to one another to varying degrees
> through common decent (share common ancestors).
>
> 3.. All life on Earth has a common origin. In other words, that in the
> distant past, there once existed an original life form and that this life
> form gave rise to all subsequent life forms.
>
> 4.. The process by which one species evolves into another involves random
> heritable genetic mutations (changes), some of which are more likely to
> spread and persist in a gene pool than others. Mutations that result in a
> survival advantage for organisms that possess them, are more likely to
> spread and persist than mutations that do not result in a survival advantage
> and/or that result in a survival disadvantage.
>
> <end>
>
> Unforutnately, this explanation does not take into account other mechansims
> of evolution, like puntuated equilibrium and genetic drift, but it will do.
>
> >> >> >> Your arguement is like saying that jaguars couldn't have developed
> >> >> >> speed
> >> >> >> through evolution because the slower jaguars would died because
> >> >> >> they
> >> >> >> couldn't catch food or would have been killed by other animals.
> >> >> >
> >> >> > No. Natural selection (survival of the fittest) can explain how
> >> >> > jaguars
> >> >> > have become fast creatures. Where natural selection fails is when
> >> >> > it
> >> >> > tries to explain the existence of slow and seemingly stupid
> >> >> > creatures.
> >> >>
> >> >> Examples, please.
> >> >
> >> > (1) Slugs
> >> >
> >> > (2) Sloths
> >> >
> >> > (3) Manatees
> >
> > Yes ?
> >
> > And your explanation is ?
> >
> >> >> >> You have written, with G Stepien, JA Hodge and DC Wallace, you talk
> >> >> >> about
> >> >> >> the evolution of
> >> >> >> a protien, Adenine Nucleotide Translocator.
> >> >> >
> >> >> > Gene expression is not the same as the theory of evolution.
> >> >>
> >> >> You wrote, in part:
> >> >> "Interspecies sequence comparisons revealed that two independent ANT
> >> >> duplication events have occurred, one in the yeast lineage 493-607
> >> >> million
> >> >> years ago and one in vertebrates 247-326 million years ago (Fig. 5).
> >> >> The
> >> >> time estimates were achieved utilizing replacement mutation rates
> >> >> calculated
> >> >> for *mammalian evolution* and thus are most accurate for dating the
> >> >> divergence of bovine and human isoforms. However, our estimate for the
> >> >> vertebrate ANT divergence is similar to that of 150-330 million years
> >> >> ago
> >> >> calculated by Saccone et al. (1991) for the divergence of the
> >> >> vertebrate
> >> >> cox
> >> >> isoforms. Therefore, enough time has elapsed since the vertebrate ANT
> >> >> triplication to allow the three isoforms to *evolve* distinct
> >> >> biochemical
> >> >> properties that could have physiological implications." (*Emphasis
> >> >> added*)
> >> >>
> >> >> http://www.jbc.org/cgi/reprint/267/21/14592
> >> >
> >> > These are date **estimates** as to when these isoforms probably arose
> >> > based on evolutionary theory **with** the assumption that God has not
> >> > intervened. If these time estimates turn out to be wrong, this could be
> >> > interpreted as meaning that God has indeed intervened and directed the
> >> > course of what would have otherwise been **random** mutation and
> >> > selection events.
> >>
> >> Why didn't you speak of these assumptions in the paper and the
> >> implications
> >> of them in the paper?
> >
> > Wisdom from God.
>
> What widsom told you that you should not speak about the importance of His
> intevention?
>
> Why did you speak of evolution without His hand being in it?
>
> It looks to me that you were denying the importance of God's hand to the
> scientific community by not bringing it up in the paper.
>
> And if you don't believe in evolution, why did you bring up evolution in the
> first place in the paper?
>
> >> >> >> If there is no evolution, why
> >> >> >> did you write such things?
> >> >> >
> >> >> > Evolution exists as a theory.
> >> >>
> >> >> It is the central organizing fact of biology.
> >> >
> >> > In truth, it is not **fact** but a useful theory for the moment.
> >>
> >> The evidence that supports the theory evolution is about as strong as the
> >> evidence that supprots the theory of gravity.
> >
> > Folks can witness the effect of gravity, firsthand.
>
> And they can witness evolution, firsthand, in the way bacteria and viruses
> mutate in response to antibiotic and antivral drugs.
>
> > No one has witnessed the evolution of a new species, firsthand.
>
> http://www.talkorigins.org/faqs/faq-speciation.html go to section 5.1
>
> >> You can say the same thing about gravity.
> >
> > Not really.
>
> I meant, gravity is just a theory. We still don't know how gravity works.
> Based on our observations, we can say that gravity is a fact, however, just
> as we can just as accurately say that evolution is a fact.
>
> >> >> >> > Where there is no life, there can be no "natural
> >> >> >> > selection" which is the process by which living creatures are
> >> >> >> > killed
> >> >> >> > off
> >> >> >> > to **select** those with traits that promote survival.
> >> >> >>
> >> >> >> So what? where there is no life, there is no life.
> >> >> >>
> >> >> >> Evolution requires life.
> >> >> >
> >> >> > The theory of evolution actually requires death of the unfit.
> >> >>
> >> >> That is the theory of natural selection. Natural selection is one
> >> >> mechanism
> >> >> of evolution. There are more, of course.
> >> >
> >> > Natural selection is at the heart of the theory of evolution.
> >>
> >> No it isn't. It is certainly a very important part of it.
> >>
> >> > Without natural selection, the theory of evolution would be dead.
> >>
> >> No it would not. Things can evolve without natural selection, like
> >> genetic
> >> drift.
> >
> > Genetic drift would not explain the creation of new species.
>
> The creation of new species is not the only thing evolution does.
>
> >> And what happens when to a species when it is reproductively
> >> isolated into two or more groups? You get two or more species.
> >
> > Through the process of natural selection according to the theory of
> > evolution.
>
> Through genetic drift. Not every evolutionary event is through natural
> selection. Over time, by random events that have nothing to do with
> survival, the genome of the two groups would slowly diverge until the two
> groups are no longer able to mate, at which time you would have two species.
> However, during this period of time, natural selection did not play a part
> in making the two groups different species.
>
> >> And what happens if a huge meteor strikes the earth? Species die out for
> >> reasons that have nothing to do with fitness.
> >
> > ..but everything to do with unfitness.
>
> Around 60 million years ago, dinorsaurs and thousands of other species died
> out as a result of a huge meteor. However, the dinosaurs were very fit
> before the meteor. They were unable to stand the sudden climatic change.
> This had nothing to do with fitness. Just bad luck.
>
> >> >> Actually, it only requires that the unfit reproduce more slowly than
> >> >> the
> >> >> fit.
> >> >
> >> > That would still be natural selection with the variable being
> >> > reproductive fitness.
> >>
> >> What variable?
> >
> > Reproductive fitness.
>
> What variable are you talking about? Please tell me what the variable is
> about without useing the word "Reproductive."
>
> >> Actually, reproductive fitness is what natural selection is all about. If
> >> you increase reproductive fitness of a person, you will get more copies
> >> of
> >> the genes in that person's genome in the gene pool. If you decrease the
> >> reproductive fitness, you will get less copies. Reproduction is the key.
> >
> > According to the theory of evolution, only one key. If a frog is not
> > good at hiding her eggs, all will be eaten up by fish even if she were
> > to lay a million eggs.
>
> Reproductive fitness includes the steps that are necessary to raising the
> young in species where that is relevent.
>
> For example, it is very relevent in humans, but not relevent with bacteria.
>
> >> >> You might want to look up the Darwin awards. The Darwin Awards are
> >> >> given
> >> >> to
> >> >> people who have enhanced the human gene pool by eliminating their
> >> >> possibility of reproducing. The vast majority of them earned their
> >> >> award
> >> >> just before going to heaven (like the guy who was not too bright and
> >> >> couldn't see into a fuel tank to check the level, so he lit a match to
> >> >> help
> >> >> light the way), but one gentleman earned his award when he tried to
> >> >> steal
> >> >> some lobsters and hid them in his pants. Let's just say that the
> >> >> lobster
> >> >> did
> >> >> their bit of human evolution with their claws (snip, snip) that day.
> >> >
> >> > Each would be an example of natural selection.
> >> >
> >> > Truth is simple.
> >>
> >> Actually, truth is not simpele.
> >>
> >> Quantum mechanics is part of the truth, because He made the laws of
> >> nature.
> >> Yet, quantum mechanics is not simple, so truth is not simple.
> >
> > Quantum mechanics is theory and not truth.
>
> The evidence for quantum mechanics, while not as extensive as the evidence
> for evolution, is so overwhelming as to make quantum mechanics for all
> practical purposes a fact.
>
> > Truth is simple.
>
> I am continuting to get the feeling that people who say things are simple
> say that because they don't understand much.
>
> Jeff
> (...)
.
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