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xxx Introduction
A clarification of my meaning seems necessary. Standing at Agnes’ 13. Hall JB, Wood LDH. Acute hypoxemic respiratory failure.
bedside examining her and praying for help, I heard the still small voice. Med Grand Rounds. 1984;3:183-196.
Yet it was not clear to me whether intuition intervened at that moment or
whether these circumstances facilitated the coalescence of brain activity 14. Hall JB, Wood LDH. Acute hypoxemic respiratory failure. In:
set up and stored in neural circuits during 40 years steeped in the care Hall JB, Schmidt GA, Wood LDH, eds. Principles of Critical Care.
of such patients and the 20 studies I published about acute lung injury. New York, NY: McGraw-Hill; 1992:1646-1648.
Either way, I acknowledge being used to help Agnes. I believe that hear- 15. Malo J, Ali J, Wood LDH. How does positive end-expiratory
ing and acting on this voice is every person’s challenge, not confined to pressure reduce intrapulmonary shunt in canine pulmonary
physicians and patients. This is living the interface of science and belief, edema? J Appl Physiol. 1984;57(4):1002-1010.
verified by the still small voice to create a spiritual source of knowing. 16. Corbridge T, Wood LDH, Crawford G, Chudoba MJ, Yanos
This viewpoint differs considerably from that of many physician-scientist J, Sznajder JI. Adverse effects of large tidal volumes and
https://kat.cr/user/tahir99/
23
who believe that science and spirituality are antagonistic, so they must low peep in canine acid aspiration. Am Rev Resp Dis.
choose between them. Those choosing science often seek to discredit 1990;141:311-315.
spirituality as if its very existence threatens science and reason, when
what it threatens is materialism as a doctrinal worldview. This discussion 17. ARDS Network. Ventilation with lower tidal volumes as com-
suggests they are complementary, the one filling the gaps of the other to pared with traditional tidal volumes for acute lung injury and
provide a more comprehensive understanding than either alone. ARDS. N Engl J Med. 2000;342:1301-1308.
As often, Albert Einstein has a last word. Consider one meaning of his 18. Brower RG, Lowken PN, MacIntyre N, et al. Higher versus
verse opening this chapter: Acknowledging the rational mind as a faith- lower positive end-expiratory pressures in patients with
ful servant of the scientific method deserving honor, we risk missing acute respiratory distress syndrome. N Engl J Med. 2004;351:
the truth when we forget the sacred gift of intuition expressed as belief 327-336.
verified by the still small voice. 19. Drazen JM. Controlling research trials. N Engl J Med.
2003;348:1377-1380.
20. Humphrey H, Hall J, Sznajder JI, Silverstein M, Wood LDH.
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