Tag Archives: waste

Your Body is Your Temple

I don’t mean that in the gym-bunny, mirror-worshipping way mind you! I mean it in a biology-is-amazing way. I genuinely am proud to be a geek when it comes to biology and how amazing it is to study. I knew I wanted to be a doctor before I understood what a career meant but I think it must be because I looked around as a tiny tot and thought, wow! Everything God has made is simply amazing. The trees, the animals, the sky, the insects…I will attempt to give you an insight about the little things (or not so little depending on your perspective) that make me so awe-inspired.

First, the atoms making all matter up. When I look at the structure of an atom and how it greatly resembles a planet, I am immediately amazed. How can something so simple and so tiny be so organised? The bit I love best are the electrons whizzing around like little moons outside of the nucleus of an atom. The fact that there is a space (albeit miniscule in human terms) between nucleus and electrons yet there is an almost unbreakably strong force holding those structures together. And the fact that when you think every small particle has millions of atoms all linked together but all quite independently holding their ground with their electrons orbiting and repelling each other, creating a little force field of protection for their little territory. Then multiply that by millions and you make a little baby whose atoms are organised in equally amazing cells.

Cells are just a feat of engineering. Google the structure of a cell and maybe look at an animation of what a cell is doing all the time. As you sit here reading this, your cells are busily functioning. Making energy from glucose, enzymes and oxygen in the mitochondria and funnelling that energy in the form of molecules called ATP where they are needed for your cell to do more stuff. As the cells work, they are making waste products and heat that they are getting rid of either into fluid around them to go ultimately into blood to be excreted mainly via the skin, lungs or kidneys. The nucleus in each tiny cell is using up some of that energy to copy your DNA either to make little proteins out in the cell fluid (cytoplasm) or copy the cell’s DNA depending on what type of cell it is.

These proteins are what run your body. Your enzymes and hormones. The building blocks to build more cells to replace those that are dying (happening all the time) or  to repair damaged worn out cells (like nerve cells you can’t make more off). The enzymes help you break down your food, absorb it into cells and then process it, making ATP for more energy. They also help you to convert hormones and other chemicals from one form or another to be used in other intricate processes. Some very important security proteins are those that control how your cells are copying their DNA and therefore multiplying – they often have names like p53. In simple terms, they spot if your cells have copied DNA wrong and the new cells are abnormal (those are the cells that either die or could potentially become uncontrollable and may become a cancer). They then stop that cell being made and destroy it. It is only when something goes wrong with these proteins that you fall victim of cancer or more accurately a tumour with the potential to become cancerous. The hormones tell your organs and glands how to function, whether to make more proteins, work harder or relax a little. Other bits like your white cells also help you fight infections by either producing poisons that kill harmful organisms or simply by wrapping themselves around the bugs and effectively imprisoning them.

I will mention cancer briefly because I find it fascinating and scary and impertinent in equal portions. Like I said, cancer is basically a mistake made at some point when making cells. Some of these defective cells will just die because they do not work well enough to process energy needed for them to survive. Some though become super-cells and not only can they make energy, they evade your bodies normal security proteins and start to multiply at a crazy high pace (fascinating!). These cells then take up space they should not normally take up and even more impressively, they somehow hijack your blood vessels by producing proteins that encourage growth of blood vessels around them so they make themselves a nice super-supply of blood, getting extra blood with all that extra glucose and oxygen to fuel their drive to multiply further (making you anaemic and breathless because you are short of oxygen). The ball of supercells (tumour) then grows and grows, taking up space and pushing your organs out of the way, making them function not as well (giving you some of the symptoms of cancer like constipation when they press on something like bowel) or blocking tubes (like the trachea in the lungs so you become breathless eventually or your bile ducts so you become jaundiced and cannot get your digestive enzymes to your tummy to allow you to digest and absorb food so you lose weight). This is the impertinence of cancer. Eventually, it replaces your normal organs and that’s when the real big problems present. That scares me because you have millions of cells all multiplying constantly and mistakes are bound to happen. It takes just one mistake that goes uncorrected and you potentially have a cancer in the making. Goodness gracious me!

Back to awesomeness though. The next thing that never fails to impress me is reproduction. You can’t escape it. People say love makes the world go round. Some say it is sex. Really, it is reproduction. From simple cell reproduction as above allowing a little baby to grow and for a body to keep functioning to actual mating and reproduction. It really is not all about sex. Even ‘simple’ beings like bacteria reproduce by exchanging DNA in a very unsexy way. Have you ever seen snails/molluscs ‘mate’ for example on nature programmes? It is so weird and amazing all at the same time. That is what binds us all living beings together. We are all programmed to reproduce to ensure our all-important DNA is preserved. So sex my friends is beyond physical lust. You are pre-programmed to want to procreate.

Babies in general are simply fabulous (take it from this paediatrician who is daily seduced by their endless charms at work). However, baby girls are a cut above the non-girls (sorry boys). When a little girl is being made, by 20 weeks of pregnancy, she already has ovaries which have made all the eggs they are ever going to make. In fact, she normally has more than she needs in her lifetime (more than one a month for all of her fertile years) and about 80% will degenerate leaving 20% of her (best) eggs ready for when she one day is ready to become a mother. A baby boy in comparison does not produce any sperm so has no capacity to reproduce. At the earliest in a healthy normal boy, sperm do not come into being until the boy is at least 9 years old. So yes, I know I am probably coming across as very feminist but hot diggity! Girls are awesome!!!

I will stop at that incredible piece of biology because I will get too excited if I carry on. When I stop and think about biology, I have all the evidence I need for God’s existence (or whatever you like to refer to that life force that controls us all whether we are willing or not). There is clearly intelligent design at play. Biology did not just happen and continue to happen. It is a true miracle and I thank God that I am human so that I can appreciate all of nature’s amazing-ness.

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Corazon Por Corazon

I speak very little Spanish but being a salsa fan, I have heard enough Spanish lyrics to know the Corazon means heart and the Spanish-speaking world is always ‘Corazon this’ and ‘Corazon that’. The title is a nod to the video I just watched on Facebook which has inspired this piece. It was posted by Andre Gayle who has stuck English subtitles on a Spanish video entitled Corazon por Corazon (heart by heart…changing the world). Basically, the video is about the loss of our humanity, the very essence that is supposed to make us superior to other animals and plants. It highlights what cruelty and sadness there is in the world and how a lot of us are desensitised to the sight of another human in need. So much so that when we witness suffering, many a times our response now is to take out our smartphones and take a video instead of offering our help.

It made me cry, especially the scenes of animals and children being abused. It made me ask ‘why’ again. I am the half full glass type of a girl but occasionally, I become despondent when I watch the news and it is full of pictures of little children being bombed by Israel or another old pensioner being abused by a carer. It makes me question what I am doing spending so much of my time doing NHS/eportfolio paperwork when there is suffering out there and I have the medical training to perhaps make a difference to so many, in Nigeria for example. It makes me question whether having children is a good idea because what legacy are we leaving behind for them to inherit?

The environment is a huge worry for me. I drive a Nissan Leaf in an attempt to be greener and I recycle and try to minimise waste. I know my efforts mean something but are probably insignificant in the grand scheme of things but at least having made the effort, I go to bed with a clearer conscience. For every person who drives a ‘green’ car or cycles or walks, there’ll be 10 people who drive cars with ridiculous amount of emissions, who waste more than half the food they buy and who never do any recycling. As the ozone layer thickens and the greenhouse effect is compounded, global warming intensifies. Formerly temperate climates develop extremes of weather. Flooding, draughts, tsunamis, tornadoes, forest fires and earthquakes occur with greater frequency than ever before. Large populations of the world who are dependent entirely on subsistent farming are living in famine conditions year after year. Ironically, in Europe and the US more and more of the population are buying excess food and every week are binning it as they buy too much and let it all go to waste. Too much of land is taken up by refuse which no one knows how to get rid of properly. Mountains of waste piling up as we become more and more wasteful. Turns out that even our recycling is not all recycled. Because our Governments have not invested enough into recycling plants so only a fraction of the potential recyclables are being  recycled.

Kindness is becoming short in supply too. As the video highlights, it is now commonplace to watch a person being beaten, robbed or even stabbed and no one wants to step in because it is all about protecting the self. Every year, there is someone on the regional news who has been stabbed or mugged in a bus or at a bus stop or somewhere similarly public where everyone has just stood by and watched. Yet some of these people have the audacity to whip out their phones and video the event and then post it on YouTube. I always wonder how these onlookers would feel if the victim was not a stranger but their mother, father, brother, sister, daughter, son or best friend?

As for the violent offenders, many of them are children who are old enough to know between right or wrong but even at that early age, they seem hardened and lacking in the most basic of human kindness. I know this lack of kindness and empathy is multifactorial but I am convinced one of the main reasons is poor parenting that comes with the modern time. As a paediatrician, I am in a privileged position to be able to closely observe the intimate relationship between parents and their children. There are many things we see that cause us to raise our eyebrows and a few that send us running to Social Services. But what I find most disappointing is when a young child aged 3 or 4 does or says something cruel and the parents, instead of taking the opportunity to point out what is right or wrong and explain why, turn their faces away and throw away the chance to shape their child into a decent person. A couple of weeks ago, I was on-call and went to see a 10 year old boy who was in pain with my registrar (senior to me) and an ST1 (junior to me). The registrar examined him and decided we needed to investigate by taking a blood sample. The boy’s reaction was to shout ‘You are not f*****g touching me. I will bash your f******g head if you come near me’. What did his father do? He bowed his head and my registrar shot the top of the dad’s head a look. As more swearing came forth, I stepped closer to the boy and said firmly ‘I’m sorry you are scared of having a needle but you are not allowed to speak to us like that. We are here to help you.’ That stopped him in his tracks and he resorted to sobbing. His red-faced dad followed us out of the cubicle to apologise and all I could think was ‘don’t apologise to us, teach him to have a bit more respect.’

Speaking about respect, I think that has run off with the kindness. As doctors, we are at the receiving end of a lot of disrespect but we put up with it because we understand when people come in contact with us, it tends to be the most stressful, frustrating, unhappiest time in their life. I think a little respect goes a long way. It is in the small things like saying sorry when you barge into somebody, holding open a heavy door for the person a few paces behind, picking up an item someone (especially frail, old or pregnant) has dropped right in front of you or even smiling at a stranger who makes eye contact. It is about saying please and thank you to anyone helping you out even if it is their job to do it. It is about acknowledging your work colleague who does a little extra work so you don’t have to do it or staying longer at work to finish a task so they don’t have to hand it over to you. It is about realising your loved one is sad and giving them a hug. It is about saying the occasional thank you to your spouse for all the little considerations they give you daily that make your life better without you even realising they’re doing it.

I will say that I am lucky to be surrounded by lovely people who I am proud to call my family and friends. I know I did not get to choose my family but I certainly chose the family I keep close and the friends I surround myself with. These people are generous. They are donating to charity and taking part in fundraising for charities. They are courteous to strangers and helpful where they can be. They smile easily and are generous with their hugs, kind words and cups of tea. They recycle. They reclaim furniture. They treat their pets with love and tenderness. They are there when you get bad news. They hold your hand and sit beside you when there are no words that can ease the pain and hurt. They pray for you to succeed and celebrate whole-heartedly when you do succeed. They turn up when you need them the most. They laugh with you and not generally at you (but sometimes they laugh at you too if they know you can take it). They care about their neighbours and it is not always about them. They are diamonds…beautiful bling with surprising strength. They inspire me every day to be a better person and whenever I reflect on the people in my life, I feel blessed.