Monday, December 16, 2013

Zen and the Art of Human Medical Maintenance

The word Zen is derived from the Japanese pronunciation of the Middle Chinese word dzjen, which in turn is derived from the Sanskrit word dhyana, which can be loosely translated as "absorption" or "meditative state".
Zen emphasizes the attainment of enlightenment and the personal expression of direct insight in the Buddhist teachings.  As such, it de-emphasizes mere knowledge of sutras and doctrine and favors direct understanding through zazen and interaction with an accomplished teacher.
Wikipedia describes the following for evidence-based medicine- EBM:
Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.  Trisha Greenhalgh and Anna Donald define it more specifically as the use of mathematical estimates of the risk of benefit and harm, derived from high-quality research on population samples, to inform clinical decision-making in the diagnosis, investigation or management of individual patients.
in the novel Zen and the Art of Motorcycle Maintenance: An Inquiry into Values is a 1974 philosophical novel, the first of Robert M Pirsiq's texts in which he explores his Metaphysics of Quality, the author attempts to reconcile the natural, inexplicable forces of nature with an analytical approach to everything.
A comparable task is the fine tuning of EBM with the "Art of Medicine" to enhance the quality of medical care received and given.  This would lead EBM to become "Evidence Enhanced Medicine".

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