Thank Goodness

Sunday, November 5th, 2006

Famed atheist Daniel Dennett says, Thank Goodness:

Two weeks ago, I was rushed by ambulance to a hospital where it was determined by c-t scan that I had a “dissection of the aorta” — the lining of the main output vessel carrying blood from my heart had been torn up, creating a two-channel pipe where there should only be one. Fortunately for me, the fact that I’d had a coronary artery bypass graft seven years ago probably saved my life, since the tangle of scar tissue that had grown like ivy around my heart in the intervening years reinforced the aorta, preventing catastrophic leakage from the tear in the aorta itself. After a nine-hour surgery, in which my heart was stopped entirely and my body and brain were chilled down to about 45 degrees to prevent brain damage from lack of oxygen until they could get the heart-lung machine pumping, I am now the proud possessor of a new aorta and aortic arch, made of strong Dacron fabric tubing sewn into shape on the spot by the surgeon, attached to my heart by a carbon-fiber valve that makes a reassuring little click every time my heart beats.

As I now enter a gentle period of recuperation, I have much to reflect on, about the harrowing experience itself and even more about the flood of supporting messages I’ve received since word got out about my latest adventure. Friends were anxious to learn if I had had a near-death experience, and if so, what effect it had had on my longstanding public atheism. Had I had an epiphany?
[...]
Yes, I did have an epiphany. I saw with greater clarity than ever before in my life that when I say “Thank goodness!” this is not merely a euphemism for “Thank God!” (We atheists don’t believe that there is any God to thank.) I really do mean thank goodness! There is a lot of goodness in this world, and more goodness every day, and this fantastic human-made fabric of excellence is genuinely responsible for the fact that I am alive today. It is a worthy recipient of the gratitude I feel today, and I want to celebrate that fact here and now.

To whom, then, do I owe a debt of gratitude? To the cardiologist who has kept me alive and ticking for years, and who swiftly and confidently rejected the original diagnosis of nothing worse than pneumonia. To the surgeons, neurologists, anesthesiologists, and the perfusionist, who kept my systems going for many hours under daunting circumstances. To the dozen or so physician assistants, and to nurses and physical therapists and x-ray technicians and a small army of phlebotomists so deft that you hardly know they are drawing your blood, and the people who brought the meals, kept my room clean, did the mountains of laundry generated by such a messy case, wheel-chaired me to x-ray, and so forth. These people came from Uganda, Kenya, Liberia, Haiti, the Philippines, Croatia, Russia, China, Korea, India — and the United States, of course — and I have never seen more impressive mutual respect, as they helped each other out and checked each other’s work. But for all their teamwork, this local gang could not have done their jobs without the huge background of contributions from others. I remember with gratitude my late friend and Tufts colleague, physicist Allan Cormack, who shared the Nobel Prize for his invention of the c-t scanner. Allan — you have posthumously saved yet another life, but who’s counting? The world is better for the work you did. Thank goodness. Then there is the whole system of medicine, both the science and the technology, without which the best-intentioned efforts of individuals would be roughly useless. So I am grateful to the editorial boards and referees, past and present, of Science, Nature, Journal of the American Medical Association, Lancet, and all the other institutions of science and medicine that keep churning out improvements, detecting and correcting flaws.

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