{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://iastate.aviaryplatform.com/iiif/sq8qb9vx5k/manifest","type":"Manifest","label":{"en":["Leder, Drew, Technology in the Doctor Patient Relationship"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/004/original/ISULogo.png?1601681107","metadata":[{"label":{"en":["Publisher"]},"value":{"en":["Iowa State University. Special Collections and University Archives"]}},{"label":{"en":["Identifier"]},"value":{"en":["RS008-006-053 (call number)","AV203922 (UID)"]}},{"label":{"en":["Description"]},"value":{"en":["Technology in the Doctor Patient Relationship is an April 12, 1990 event in the Iowa State University Lecture Series featuring Drew Leder. Drew Leder asserts that the way doctors are taught in the scientific method affects their relationship with patients.","This item was captioned by Rev.com in conformance with WCAG 2.1 AA accessibility guidelines. (accessibility)"]}},{"label":{"en":["Local Identifier"]},"value":{"en":["Lectures_AV203922"]}},{"label":{"en":["Rights Statement"]},"value":{"en":["Per request by the creator, access to this item is restricted to scholarly use only. (access)","This item is protected by copyright and/or related rights. You are free to use this item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses you need to obtain permission from the rights-holder(s)."]}},{"label":{"en":["Preferred Citation"]},"value":{"en":["Technology in the Doctor Patient Relationship. Iowa State University Lecture Series (RS 8/6/53). Special Collections and University Archives, Iowa State University Library, Ames, Iowa."]}},{"label":{"en":["Ark"]},"value":{"en":["https://n2t.net/ark:/87292/w9j38kp29"]}},{"label":{"en":["Date"]},"value":{"en":["1990-04-12"]}},{"label":{"en":["Type"]},"value":{"en":["lectures","Sound"]}},{"label":{"en":["Agent"]},"value":{"en":["Leder, Drew (speaker)"]}},{"label":{"en":["Format"]},"value":{"en":["1/4 inch audio cassette"]}},{"label":{"en":["Subject"]},"value":{"en":["Physician and patient","Interpersonal relations","Logical positivism","Physicians--Attitudes"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}},{"label":{"en":["Relation"]},"value":{"en":["Committee on Lectures records (RS 8/6/53) (physical collection)","Iowa State Lectures Series (digital collection)"]}}],"summary":{"en":["Technology in the Doctor Patient Relationship is an April 12, 1990 event in the Iowa State University Lecture Series featuring Drew Leder. 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it.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=43.89,45.8"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"He teaches Medical Ethics, Asian Philosophy,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=45.8,48.63"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Philosophy of 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people,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=157.58,160.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they are insensitive jerks","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=160.87,163.66"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and there may be some truth to 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personally","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=260.69,262.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/87","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and I know that too can have a dehumanizing effect.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=262.26,266.9"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/88","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You can take...","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=266.9,267.733"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/89","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Sometimes I think the people who are selected out","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=267.733,271.39"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/90","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for medical school to begin 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skills,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=277.57,281.31"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/93","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's often people who are scientifically oriented","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=281.31,284.17"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/94","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"from the beginning and perhaps 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students,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=289.31,290.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/97","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they may or may not be true.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=290.41,292.55"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/98","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah, even if you first go to medical 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person,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=297.66,300.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/101","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"people have pointed out that simply the pressures","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=300.41,302.148"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/102","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of medical training can kind of whip that out of you.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=302.148,307.148"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/103","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"By the time you get to an internship year of working","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=308.05,311.959"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/104","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"perhaps a hundred hours of a week,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=311.959,315.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/105","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the last thing you wanna do is talk with a patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=315.07,318.012"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/106","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and you come to perceive patients","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=318.012,320.7"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/107","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as if they were your enemies.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=320.7,322.82"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/108","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"People will talk as if...","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=322.82,325.22"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/109","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"They'll use expressions like,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=325.22,326.447"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/110","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"I just got hit today,\"","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=326.447,329.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/111","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meaning a patient just came into the emergency room","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=329.09,331.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/112","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and I have to work them up.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=331.07,333.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/113","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So that sense of empathy is gradually replaced","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=333.37,336.68"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/114","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"by a kind of a best clinical 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us","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=343.86,345.93"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/117","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is the rise of medical technologies,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=345.93,348.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/118","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"things like CAT scans and blood chemistries","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=348.76,351.36"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/119","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and diagnostic imaging techniques,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=351.36,354.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/120","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"which have placed a layer of technological mediation","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=354.1,359.02"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/121","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"between the doctor patient-relationship.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=359.02,362.223"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/122","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think there are a number of different 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depersonalized","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=366.02,369.034"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/125","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"dehumanized style of encounter.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=369.034,372.65"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/126","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I also think that all of these explanations","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=372.65,374.99"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/127","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"are really incomplete.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=374.99,376.56"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/128","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Somehow they missed the big 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today.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=381.55,384.2"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/131","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And what I take to be the big picture that's being missed,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=384.2,388.794"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/132","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is that modern medicine is 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world,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=394.21,397.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/135","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a kind of philosophy of life","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=397.1,398.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/136","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and the human being and the person","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=398.96,400.73"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/137","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that really dates back to the 17th century.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=401.57,404.69"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/138","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And it's only if we go up 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medicine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=412.79,415.69"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/143","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And I wanna call this paradigm,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=415.69,418.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/144","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the techno-scientific paradigm of modern 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century","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=428.91,433.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/147","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and philosophers such as Decartes,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=434.5,436.91"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/148","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"who hopefully many people in the room have heard 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century,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=442.27,444.453"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/151","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we have competing philosophies of nature.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=445.3,449.62"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/152","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"For example, we have the Aristotelian philosophies of 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fulfill.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=464.41,466.65"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/157","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I've got a classic example is that,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=466.65,468.83"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/158","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the acorn in a sense is striving to become an oak,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=468.83,472.852"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/159","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there are purposes built into nature.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=472.852,476.04"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/160","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And then we have a second philosophy of 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contradiction,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=490.16,491.89"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/165","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that weren't exactly what we would call material forces","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=491.89,495.44"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/166","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that kind of had a spiritual quality to them.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=495.44,499.773"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/167","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So despite the differences between these worldviews,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=500.77,503.88"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/168","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they shared something in 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subjective,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=508.86,512.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/171","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"something exhibiting intentions, having goals.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=512.61,517.14"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/172","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So that is the worldview we 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mechanically","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=619.46,624.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/205","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"so it's behind a lot of the power of modern science.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=624.01,627.55"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/206","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And it not only 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mechanically.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=660.02,662.393"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/217","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I wanted to read a quote from Decartes.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=663.8,666.123"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/218","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"People like Francis Bacon and Rene Descartes,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=667.4,670.804"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/219","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were fascinated by this interconnection of knowledge","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=670.804,673.78"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/220","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and human power, technology","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=673.78,676.413"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/221","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and they called rights in the discourse on method,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=676.413,679.573"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/222","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"For these general notions show me","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=680.627,683.217"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/223","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"that it is possible to arrive at knowledge","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=683.217,685.837"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/224","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"that is very useful in life","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=685.837,688.297"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/225","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"and not in place of the speculative philosophy","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=688.297,690.957"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/226","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"taught in the 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patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=914.93,916.23"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/303","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but there's also a kind of death of the patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=916.23,920.3"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/304","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in a metaphorical 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desires","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=926.59,930.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/307","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"at the end who suffers","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=930.96,933.24"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/308","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"somehow that becomes secondary that's eradicated,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=933.24,936.19"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/309","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that's forgotten about","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=936.19,937.94"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/310","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because you're focusing on a patient as a body,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=937.94,941.39"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/311","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as a machine, as a mechanism to be analyzed and fixed,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=941.39,946.39"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/312","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"so their personhood becomes ignored somehow, covered 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bit,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=958.38,959.97"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/315","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"so for a couple of minutes,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=959.97,960.99"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/316","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I'll talk about this historically.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=960.99,962.833"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/317","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Before the 18th century,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=964.02,966.043"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/318","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the classifications of disease you saw in medicine,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=966.96,971.57"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/319","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we're working based upon the experienced symptoms","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=971.57,975.52"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/320","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the 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headaches","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=985.88,988.06"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/325","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or coughing and sneezing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=988.06,990.25"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/326","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and these were the basis of the disease 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dyspepsia","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1007.0,1008.22"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/331","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you would talk about like a peptic ulcer","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1008.22,1011.03"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/332","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a visible ulcer that you would see upon 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mail.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1033.352,1035.913"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/339","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You wouldn't have to go into the doctor's office,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1036.97,1039.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/340","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you would just send him or her a 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experiencing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1043.76,1044.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/343","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and doctor would write back and say,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1044.96,1047.55"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/344","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"well here's the disease you have.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1047.55,1049.203"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/345","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That would be unthinkable now,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1050.75,1052.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/346","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but back then, the patient's subjective 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way","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1075.57,1079.22"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/353","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you could probe into a corpse.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1079.22,1081.243"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/354","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So for example, we have a 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then.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1087.73,1091.13"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/357","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And he says, \"We anatomized by auscultation,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1091.13,1095.697"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/358","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"by listening, if I may say so","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1095.697,1098.667"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/359","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"while the patient is yet alive.\"","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1098.667,1100.457"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/360","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"In other words, the 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patient.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1172.73,1174.043"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/381","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The corpse doesn't talk back,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1175.32,1177.183"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/382","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they don't refuse to follow your orders,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1178.36,1181.46"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/383","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there's no difficulty in finding out what their disease is.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1181.46,1184.543"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/384","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think in a subliminal 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patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1189.3,1190.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/387","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and that person who jumps up from the table and talks back","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1190.85,1193.8"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/388","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is doing something wrong.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1193.8,1195.353"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/389","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So medical education begins with the corpse,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1196.62,1199.594"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/390","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the clinical case ends with the 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on","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1206.98,1208.82"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/393","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and in between the living patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1209.89,1212.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/394","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is treated something like a corpse.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1212.43,1214.223"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/395","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The physical exam, you probably have all been through one,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1215.22,1219.233"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/396","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"take off your clothes,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1220.64,1222.71"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/397","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lie down on a table, lay your arms at your side,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1222.71,1227.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/398","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"don't talk, don't move.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1227.15,1229.203"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/399","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"In a sense you're imitating the position of a corpse","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1230.34,1234.36"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/400","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and insofar as you come weak enough","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1234.36,1236.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/401","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there is questions and problems","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1236.43,1239.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/402","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"insofar as you assert yourself as a subject,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1239.15,1241.98"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/403","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as a person, as a living experience","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1241.98,1243.93"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/404","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and then in a sense you're interfering with the exam.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1243.93,1248.22"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/405","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There is a interesting article","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1248.22,1250.17"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/406","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"by a doctor named Richard Barron entitled,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1250.17,1252.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/407","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"'I Can't Hear You While I'm Listening.'","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1252.41,1255.097"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/408","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah, and he came up with that title","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1256.27,1258.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/409","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because he was trying to listen to his patient's heart","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1258.37,1261.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/410","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and the patient kept interrupting by asking questions","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1261.37,1265.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/411","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and in exasperation, he finally says,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1265.35,1267.207"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/412","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"I can't hear you why I'm 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simultaneously.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1273.31,1276.743"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/415","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And so I think that the techno-scientific paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1278.325,1282.16"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/416","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"tends to drive out the personal encounter with a 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treatment,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1289.98,1292.273"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/419","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"once we understood the body as a mechanism,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1293.24,1296.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/420","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we intervene mechanically,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1296.15,1298.44"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/421","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we prescribe medications,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1298.44,1300.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/422","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we altered fluid levels,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1300.07,1302.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/423","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we enter in through the surgery,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1302.09,1303.72"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/424","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we take out parts we replacing them with other parts","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1303.72,1306.11"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/425","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we clean them out as if you were a mechanic with a car,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1306.11,1310.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/426","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fixing a machine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1310.05,1311.223"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/427","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I really think that ultimately,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1312.81,1316.93"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/428","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's not so much specific medical technology,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1316.93,1321.34"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/429","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's like a CAT scan or an x-ray.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1321.34,1323.513"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/430","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's not so much just the economics,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1325.48,1328.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/431","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's not so much third-party payment,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1328.18,1330.39"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/432","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's not so much the medical training system","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1330.39,1334.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/433","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"viewed in isolation that leads to this depersonalization","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1334.05,1338.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/434","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the medical encounter.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1338.05,1340.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/435","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's really this whole paradigm,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1340.1,1342.72"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/436","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"this whole worldview upon which modern medicine","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1342.72,1346.3"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/437","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as a whole is based.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1346.3,1349.291"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/438","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The human body becomes just one part of nature","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1349.291,1352.0"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/439","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"like any other,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1352.0,1353.263"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/440","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"nature as a whole is understood as a giant dead mechanism","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1353.263,1358.263"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/441","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and that's what the person comes to be seen as.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1359.64,1364.04"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/442","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So we have this kind of paradox, we're in the very goal","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1364.04,1366.59"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/443","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of advancing the human aim of healing,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1366.59,1370.06"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/444","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in a sense we alienate our own humanity,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1370.06,1373.49"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/445","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we make the patient something less than human.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1373.49,1375.79"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/446","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So here are some criticisms of medicine,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1376.87,1379.84"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/447","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but I wanna go on to make a few more positive comments","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1379.84,1383.885"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/448","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and suggestions having criticized it in this way.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1383.885,1388.885"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/449","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Firstly, a couple of caveats,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1390.33,1391.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/450","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"so I do wanna say that this techno-scientific viewpoint","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1391.85,1396.81"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/451","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"has given rise to some very powerful techniques","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1396.81,1401.81"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/452","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of diagnosis and treatment.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1401.83,1403.593"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/453","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Very few of us, if we became very sick","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1405.0,1408.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/454","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would refuse the services of a good physician","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1408.43,1411.527"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/455","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and a good nurse or a good hospital.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1411.527,1414.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/456","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You don't wanna throw the baby out with the bathwater,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1414.21,1416.24"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/457","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we don't wanna throw away","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1416.24,1417.814"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/458","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the tremendous advances","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1417.814,1419.4"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/459","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that this medical paradigm has given us.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1419.4,1422.79"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/460","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I also think it should be acknowledged","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1422.79,1424.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/461","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that it would be very unfair to say that all physicians,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1424.35,1427.04"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/462","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"all healthcare providers treat their patients","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1427.04,1431.31"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/463","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as if they were just bodies and dehumanized people,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1431.31,1436.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/464","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because in fact, I think a lot of healthcare 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dealing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1444.0,1445.06"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/467","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and can be very sensitive and caring.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1445.06,1446.983"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/468","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's just that when you have the whole paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1447.83,1450.269"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/469","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lined up against you","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1450.269,1452.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/470","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and institutions based on that paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1452.05,1454.68"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/471","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and technologies based on that paradigm,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1454.68,1458.39"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/472","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's very difficult to sustain that empathic 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direction.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1464.43,1469.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/475","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think the dehumanization problem remains significant","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1470.546,1475.32"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/476","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"within modern medicine","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1475.32,1476.52"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/477","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and it's significant for a number of reasons,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1477.42,1479.77"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/478","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's a real problem,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1479.77,1481.56"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/479","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think pragmatically it can...","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1481.56,1484.12"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/480","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If patients are treated in a fashion that turns them off,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1484.12,1487.448"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/481","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it lessens their trust in their healthcare provider,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1487.448,1492.103"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/482","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it can undermine the placebo effect","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1493.48,1496.344"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/483","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of a good doctor-patient relationship","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1496.344,1499.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/484","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"'cause a lot of people 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doctor","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1502.573,1505.45"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/487","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and that helps the healing process to get going","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1505.45,1508.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/488","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in and of 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it,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1535.53,1537.12"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/499","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"so the clinical encounter can pragmatically fall apart.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1537.12,1540.183"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/500","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Now even beyond 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undermined","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1691.25,1694.32"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/551","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and into question.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1694.32,1695.483"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/552","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If the physician doesn't communicate with 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on,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1711.28,1713.623"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/559","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that sense of relatedness to other people","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1714.68,1717.74"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/560","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is further undermined.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1717.74,1719.123"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/561","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If the physician doesn't do whatever possible","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1720.24,1722.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/562","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to give you choice over your treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1722.61,1724.247"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/563","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and to explain what's going on,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1724.247,1726.662"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/564","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that sense of autonomy is further undermined.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1726.662,1730.94"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/565","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Someone else seems to be taking power over your life.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1730.94,1733.753"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/566","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So once again, perhaps you're getting physically better","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1734.67,1737.98"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/567","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"by taking such a pill,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1737.98,1739.9"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/568","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but experientially, in a sense here","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1739.9,1742.605"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/569","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the experience of illness has been exaggerated","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1742.605,1745.81"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/570","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"by this dehumanized clinical encounter.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1745.81,1748.75"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/571","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"One of the most unpleasant things about being sick,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1748.75,1750.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/572","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for example might be being stuck in a hospital","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1750.85,1754.54"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/573","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and maybe twice as bad as the original illness,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1754.54,1757.51"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/574","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"if anyone's ever been through that.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1757.51,1759.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/575","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think, this continues to be a serious problem","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1760.62,1764.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/576","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"within medicine no matter how powerful","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1764.21,1766.626"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/577","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's medications and surgeries are.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1766.626,1769.253"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/578","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So what do I have to say positively","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1770.53,1773.98"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/579","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"about where medicine can go?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1773.98,1776.7"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/580","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Well, I want us to address that,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1776.7,1778.431"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/581","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's very important that medicine take a look at its ends","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1778.431,1783.431"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/582","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"not just it's means, but what are the true ends","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1784.61,1786.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/583","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that medicine is seeking to realize.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1788.06,1790.78"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/584","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The techno-scientific model tends to focus on means,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1790.78,1794.883"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/585","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"how can we do whatever we wanna do?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1795.78,1798.57"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/586","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"How can we if one (mumbles) life?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1798.57,1800.16"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/587","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Or how can we treat this disease?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1800.16,1802.19"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/588","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But it doesn't tell us a lot about ends,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1802.19,1804.49"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/589","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"what is really the goal of medicine?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1804.49,1807.95"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/590","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We can extend the life now, but should we?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1807.95,1811.16"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/591","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"What kind of life is worth extending?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1811.16,1813.193"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/592","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"What if you're in a persistent vegetative state?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1814.28,1817.23"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/593","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Should we preserve that kind of a life?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1817.23,1819.48"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/594","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Well, the techno-scientific paradigm,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1819.48,1821.86"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/595","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"isn't gonna tell us anything meaningful about that","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1821.86,1825.172"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/596","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it tells us about means not ends.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1825.172,1827.033"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/597","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So, question is what is the proper end of medicine?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1828.11,1833.023"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/598","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And I would wanna suggest that we could go back","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1834.725,1838.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/599","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to a kind of time-honored rather cliched concept","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1838.76,1843.34"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/600","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and say the end of medicine is healing,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1843.34,1847.28"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/601","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"restoring health to the patient.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1847.28,1850.163"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/602","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Seems pretty non-controversial,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1851.46,1853.213"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/603","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but when you think about it, it's also pretty radical.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1854.817,1857.723"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/604","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think as soon as you start to speak about healing,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1859.31,1862.71"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/605","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you're really breaking with the whole mindset","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1862.71,1865.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/606","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of what I call the techno-scientific paradigm.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1865.01,1868.503"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/607","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Healing, the very word healing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1869.44,1871.23"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/608","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"shares an etymological root with the word whole,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1872.16,1876.12"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/609","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"W-H-O-L-E, the word Holy, as in religion or sacred practice.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1876.12,1881.12"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/610","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And I think the project of 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apart,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1916.2,1917.889"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/621","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"an organ is becoming cancerous and autonomous","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1917.889,1921.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/622","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or another organ is not doing it's 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emotionally,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1967.84,1970.509"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/639","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"psychologically, spiritually, technically, whatever","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=1970.509,1975.509"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/640","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and it probably should take 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lives,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2041.66,2044.0"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/663","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that's healing.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2044.0,2045.28"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/664","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"'Cause once again,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2045.28,2046.113"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/665","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"illness destroys the sense of self autonomy","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2046.113,2049.34"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/666","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and here you're giving it back to 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positive,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2075.69,2079.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/675","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you can make out of it, that's very healing.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2079.09,2082.5"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/676","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Just the storytelling 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involved","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2099.76,2101.067"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/681","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and their friends involved in treatment, that's healing.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2101.067,2104.173"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/682","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If you can alleviate pain,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2105.49,2108.28"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/683","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even in a simple medications that take away pain,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2108.28,2111.49"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/684","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that's healing,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2111.49,2112.66"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/685","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even if you're not curing the disease,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2112.66,2114.89"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/686","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you're diminishing the shattering 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patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2129.76,2134.29"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/691","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and rip them away from their family","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2134.29,2136.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/692","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and their familiar surroundings.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2136.61,2138.912"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/693","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"In fact, let them die in peace,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2138.912,2141.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/694","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"instead of sticking them into a crazy,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2141.1,2143.756"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/695","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"alienating, critical care environment, that's healing,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2143.756,2148.3"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/696","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's helping the patient to feel whole and integrated","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2148.3,2152.64"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/697","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"despite the bodily processes that are taking place.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2152.64,2155.483"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/698","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You might decide not to 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tests,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2161.07,2163.27"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/701","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that's healing.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2163.27,2164.103"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/702","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You're not shattering the patient in the x-ray","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2164.103,2167.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/703","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or you're not forcing upon them something invasive","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2167.05,2170.06"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/704","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and something painful.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2170.06,2171.283"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/705","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think if we remember that healing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2172.18,2175.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/706","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is probably the true end of medicine not life prolongation","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2176.76,2181.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/707","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or any other techno-scientific numerical index of treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2182.41,2187.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/708","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"then we begin to see the depths of medical practice","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2188.55,2192.68"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/709","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and all the different dimensions of it,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2192.68,2195.95"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/710","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"all the different aspects of it.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2195.95,2197.94"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/711","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And within that broader context,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2197.94,2199.94"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/712","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we begin to get a perspective,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2199.94,2201.56"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/713","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think, a healthier perspective, no pun intended","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2201.56,2204.93"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/714","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"on things like medical technologies and diagnostic testing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2205.82,2210.82"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/715","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and laboratory procedures, surgery and medications","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2212.68,2216.486"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/716","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and all this high technology stuff that we see in medicine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2216.486,2221.486"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/717","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We wouldn't have to throw it away,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2222.58,2224.75"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/718","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it would still play a very significant and central role","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2224.75,2228.44"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/719","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as a means toward the end of healing,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2228.44,2231.789"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/720","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but not as only a means,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2231.789,2233.84"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/721","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's not the end itself,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2233.84,2234.82"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/722","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's only a means to be used judiciously","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2234.82,2238.8"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/723","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and it's always balanced against this broader backdrop","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2238.8,2242.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/724","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of caring, empathy, narrative,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2242.37,2246.053"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/725","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"care for the living experiencing suffering person.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2247.04,2251.493"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/726","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I guess my last statement is that","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2253.22,2255.17"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/727","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we have to reclaim the notion","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2255.17,2256.98"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/728","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but the true test of medicine is healing a person,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2256.98,2260.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/729","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"healing a human being, it's not fixing a machine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2260.43,2264.583"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/730","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That's all.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2265.584,2266.479"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/731","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(audience applauding)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2266.479,2269.646"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/732","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I guess we'll have lessons or open discussion or comments,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2276.173,2280.259"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/733","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"anybody got?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2280.259,2281.388"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/734","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2281.388,2283.012"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/735","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(indistinct)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2283.012,2285.429"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/736","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(chuckles)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2334.663,2336.913"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/737","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Okay, well, you may be right on a personal level","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2338.442,2343.13"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/738","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that perhaps there's a personal agenda","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2343.13,2345.46"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/739","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but I think perhaps to use the term","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2345.46,2347.3"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/740","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"something like the death of nature","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2347.3,2348.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/741","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or the death of the patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2348.96,2351.67"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/742","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is choosing a term with rhetorical force.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2351.67,2354.53"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/743","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And it's not meant to imply that Decartes","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2354.53,2357.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/744","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is literally talking about corpses","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2357.1,2359.02"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/745","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as opposed to human beings.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2359.02,2361.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/746","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I think the point I'm trying to make","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2361.09,2362.72"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/747","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and other people have made","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2362.72,2364.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/748","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is that when you look at the Cartesian model","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2364.1,2366.25"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/749","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the living person,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2366.25,2367.809"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/750","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the central and focal Cartesian insight,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2367.809,2371.13"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/751","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that it's almost like the Eureka moment,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2371.13,2373.78"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/752","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is that aha!","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2373.78,2375.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/753","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"A living being can be understood","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2375.07,2378.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/754","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and regarded and explained as if it were no different","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2378.09,2382.203"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/755","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"than an inanimate machine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2382.203,2385.003"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/756","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The human body really operates fundamentally in a fashion","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2386.472,2390.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/757","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"no different than a clock or automaton","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2390.85,2394.768"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/758","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or any other constructed mechanism.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2394.768,2397.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/759","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So it's still living,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2397.76,2399.71"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/760","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but the fact that it's a living","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2399.71,2401.28"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/761","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"somehow drops out of the essence of what it is","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2401.28,2405.11"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/762","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when it comes to be understood scientifically,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2405.11,2407.54"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/763","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it can be treated as if it were just in automaton.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2407.54,2412.24"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/764","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think, excuse me.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2412.24,2415.808"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/765","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(indistinct)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2415.808,2418.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/766","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yes, I do.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2418.61,2420.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/767","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Well, let me put it this way.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2420.41,2421.64"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/768","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think there's a certain amount of power","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2421.64,2423.95"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/769","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to that level of explanation,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2423.95,2426.14"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/770","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there are all kinds of things we can explain,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2426.14,2428.5"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/771","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"understand and discover","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2428.5,2430.29"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/772","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when we treat the human body in that fashion.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2430.29,2432.867"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/773","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I think there's another level of truth","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2432.867,2435.71"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/774","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that is covered up,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2435.71,2437.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/775","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I mean, most simply and classically,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2437.01,2439.993"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/776","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I don't believe that the whole cycle sematic","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2441.181,2445.066"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/777","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"dimension of health and illness","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2445.066,2447.63"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/778","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can be fully treated through the machine paradigm.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2447.63,2450.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/779","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That's a complex question, perhaps it can","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2450.61,2453.179"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/780","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but I'm kind of skeptical about that,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2453.179,2455.8"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/781","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but I'd like to hear what you have to say, maybe.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2455.8,2458.683"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/782","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(indistinct chattering)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2459.517,2462.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/783","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Well, yeah, to choose a very simple example,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2467.06,2472.06"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/784","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"let's say I make a movement like this,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2474.86,2478.233"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/785","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that movement could be explained purely mechanically,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2479.23,2482.46"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/786","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we could talk about a series of nerve transmissions","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2482.46,2484.86"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/787","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that settle off the contraction of muscle fibers","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2484.86,2488.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/788","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that led to this jerking arm movement.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2488.01,2490.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/789","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think in a sense that explanation","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2490.96,2493.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/790","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"has the kind of elegance","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2493.15,2494.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/791","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and gives a great deal of understanding.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2494.61,2497.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/792","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I think though there's a whole other level","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2497.18,2499.54"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/793","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of understanding that's obscured","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2499.54,2501.74"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/794","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that cannot be really taken into account of,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2501.74,2505.67"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/795","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"unless we encounter me as a subject","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2505.67,2509.603"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/796","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"who has a certain set of meanings","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2509.603,2512.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/797","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and thoughts and intentions.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2512.21,2514.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/798","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I was giving a philosophical talk,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2514.21,2516.31"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/799","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I wanted to make a point to you,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2516.31,2518.63"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/800","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I decided to throw up my arm as a way of doing that,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2518.63,2522.188"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/801","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I threw out my left arm, but I could have used my right arm,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2522.188,2526.19"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/802","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in other words, this gesture can only be fully understood","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2526.19,2529.5"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/803","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as an intentional subjective act.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2529.5,2533.75"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/804","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And personally, I don't think the mechanical explanation","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2533.75,2537.55"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/805","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is capable of fully doing justice","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2537.55,2541.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/806","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to that intentionality of the subject.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2541.61,2545.34"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/807","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And if we wanna take it back into the medical realm,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2545.34,2548.32"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/808","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think even with things like why does one person fall ill","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2548.32,2551.4"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/809","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and develop a peptic ulcer","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2551.4,2553.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/810","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and another person develop cancer","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2553.15,2556.36"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/811","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that if we keep trying to obscure","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2556.36,2558.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/812","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"their subjective psychological dimension","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2558.21,2561.163"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/813","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we will keep missing something.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2561.163,2563.733"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/814","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(indistinct)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2566.171,2568.588"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/815","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Okay.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2569.53,2570.363"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/816","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2572.35,2573.576"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/817","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(indistinct)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2573.576,2575.993"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/818","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Well, I think that's a very good point actually,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2628.41,2631.67"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/819","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I don't even wanna disagree with you.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2631.67,2633.693"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/820","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I do think it's true that for example,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2634.55,2636.4"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/821","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"one of the things illness undermines","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2636.4,2638.36"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/822","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is this sense of autonomy and control and understanding.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2638.36,2641.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/823","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And I think there are certain patients","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2641.61,2644.47"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/824","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"who react to that by saying,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2644.47,2646.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/825","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"give me back control and understanding,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2646.41,2649.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/826","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I have to make decisions,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2649.1,2651.53"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/827","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I feel out of control, I wanna decide","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2651.53,2653.93"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/828","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and there are other patients who respond to it","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2653.93,2656.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/829","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"by saying, I don't know what's going on,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2656.15,2658.54"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/830","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I don't wanna know what's going on,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2658.54,2660.695"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/831","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"let me put my life in your hands,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2660.695,2663.3"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/832","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you're the expert, tell me what to do.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2663.3,2666.04"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/833","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's a kind of adaptive psychological response","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2666.04,2668.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/834","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that I think in certain ways can be healthy.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2668.76,2671.45"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/835","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think you're right, that the the description I gave","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2671.45,2675.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/836","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is too unidimensional.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2675.05,2677.673"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/837","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The only thing I'd say","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2678.72,2679.58"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/838","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is I do talk about a heightened sensitivity to the wishes","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2679.58,2683.86"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/839","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and kind of the psychology of the patient.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2683.86,2686.75"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/840","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think the good physician or healthcare provider","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2686.75,2689.56"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/841","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would be one who would readjust their approach sensitively","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2689.56,2692.48"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/842","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to the needs of different patients.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2692.48,2694.23"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/843","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Otherwise, yeah.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2695.938,2698.32"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/844","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e -:\u003c/strong\u003e You mentioned as part of your (mumbles) maybe","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2698.32,2701.953"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/845","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that people would say something positive about illness.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2701.953,2706.045"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/846","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Story building and things like that,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2706.045,2708.28"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/847","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"how would you suggest that we get something","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2708.28,2711.19"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/848","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as serious as cancer or heart attack or something like that?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2711.19,2716.19"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/849","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e -:\u003c/strong\u003e Well, I think once again","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2716.9,2719.15"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/850","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a lot would depend on the individual patient,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2719.15,2722.05"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/851","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for example a patient who had a strong religious background","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2722.05,2726.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/852","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"might understand their even fatal illness","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2726.01,2729.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/853","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the context of an afterlife","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2729.09,2731.49"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/854","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or as perhaps deepening their relationship","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2731.49,2734.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/855","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and reliance upon God,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2734.61,2737.02"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/856","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a patient who came from sort of kind of holistic interests","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2737.02,2741.71"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/857","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"might talk about this sickness as a way","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2741.71,2744.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/858","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for them to begin to rethink their life","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2744.18,2747.69"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/859","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and move on to a healthier lifestyle,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2747.69,2751.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/860","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"perhaps begin eating and exercising","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2751.01,2753.62"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/861","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and living in a different way.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2753.62,2755.74"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/862","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Someone else might say,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2755.74,2756.74"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/863","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"well I know I only have four years to live,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2756.74,2758.84"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/864","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I'm gonna go out and do some of the things","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2758.84,2760.589"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/865","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I never did before that I've always wanted to.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2760.589,2763.563"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/866","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Another person might grow out together","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2764.765,2766.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/867","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"more closely with their family","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2766.87,2769.17"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/868","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or someone confined to a wheelchair,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2769.17,2772.03"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/869","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they might make a decision to develop their reading","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2772.03,2777.03"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/870","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or their intellectual interests","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2779.55,2781.73"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/871","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"take their life in a new direction.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2781.73,2784.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/872","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think it's a very complex and good question.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2784.1,2787.49"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/873","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And I think in a way,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2787.49,2788.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/874","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there are so many different 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it","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2794.39,2798.28"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/877","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and reunderstand that such as to highlight the positive","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2798.28,2802.482"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/878","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and the new possibilities that opens up.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2802.482,2805.613"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/879","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think a lot of us have seen relatives","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2806.68,2808.8"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/880","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"who have done that to some 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agenda","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2812.71,2814.591"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/883","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and force a notion of an afterlife","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2814.591,2817.72"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/884","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or whatever on the patients.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2817.72,2819.29"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/885","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But once again, it's very sensitive","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2819.29,2821.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/886","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to the psychological tools within the patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2821.26,2823.95"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/887","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that will enable them to cope with illness","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2823.95,2826.51"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/888","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and find a positive within it","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2826.51,2828.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/889","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and then work with them on developing that.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2828.21,2831.113"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/890","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Does that make sense to you?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2831.969,2833.467"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/891","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Jan?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2835.4,2836.36"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/892","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e -:\u003c/strong\u003e It's about a question I think is connected to yours,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2836.36,2838.53"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/893","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I was wondering if could be given...","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2838.53,2839.6"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/894","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You said something very provocative to me,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2839.6,2840.84"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/895","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you said it could be good for the treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2840.84,2843.14"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/896","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to fit a lifestyle.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2843.14,2844.483"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/897","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And I was wondering if you could give...","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2845.9,2848.09"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/898","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Perhaps if you could give an example where that occurs","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2848.09,2851.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/899","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and then maybe a counterexample","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2851.07,2852.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/900","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"example where the treatment doesn't fit the lifestyle","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2852.37,2854.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/901","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"or a bad prescription, a bad procedure.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2854.35,2859.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/902","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e -:\u003c/strong\u003e Well, I think a simple example","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2861.631,2865.59"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/903","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"might be if you have someone who is holistically oriented","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2865.59,2870.59"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/904","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we might say they're really into health and exercise","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2870.66,2873.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/905","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and vegetarian eating or something","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2873.26,2875.64"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/906","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and they have some kind of a disease process","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2875.64,2877.91"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/907","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and they they come into contact","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2877.91,2880.42"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/908","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with a classically aggressive surgeon","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2880.42,2883.4"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/909","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"who says we're gonna have to go in","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2883.4,2884.65"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/910","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and operate and take out this diseased part of the body","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2884.65,2887.5"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/911","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and the patient perhaps just doesn't even return","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2887.5,2891.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/912","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that kind of treatment.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=2891.87,2893.447"}]},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976","type":"AnnotationPage","label":{"en":["English [Transcript]"]},"items":[{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27976/annotation/913","type":"Annotation","motivation":"subtitling","body":{"type":"TextualBody","value":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/027/976/original/AV203922_Technology_in_the_Doctor_Patient_Relationship_a.vtt?1622564887","format":"text/vtt","language":"en"},"target":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/027/976/original/AV203922_Technology_in_the_Doctor_Patient_Relationship_a.vtt?1622564887"}]},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27977","type":"AnnotationPage","label":{"en":["AV203922_Technology_in_the_Doctor_Patient_Relationship_a.txt [Transcript]"]},"items":[{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084/transcript/27977/annotation/914","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"- Great to see so many of you come of your own free will. It's a pleasure for me to introduce a friend and colleague from across the United States from Baltimore, Maryland, Professor Drew Leder. He's presently teaching at Loyola College in Maryland. He is a Professor of Philosophy and he also holds an MD, although he wants you to know right up front he doesn't practice medicine. he just studies it. He teaches Medical Ethics, Asian Philosophy, Philosophy of Science and whatever else they can make them do over there. He's written a book due out soon, do you have a date on it too? They wanna run out by?\r\n\r\n- August.\r\n\r\n- August. So it will be at your new stand, called 'The Absent Body' published by University of Chicago Press and he's in the process of editing a book called 'The Body In Medical Thought and Practice.' So without any more words I give you Drew Leder from Loyola. Thank you.\r\n\r\n- Well, I wanna speak about a facet of medicine that many people have commented on which is basically the depersonalized, dehumanized style of the clinical encounter, that seemingly is characteristic of modern medicine. We hear a lot about this from patients and perhaps a number of you in the room have experienced this yourself, the sense of being treated by your physician or your healthcare provider is something less than a full person. People talked about being treated like a piece of meat or a disease category, being poked and prodded or made to sit in examining room for an hour, wearing nothing but a flimsy dressing gown or residents coming by the bedside and talking about you as if you were just a case, not encountering you as a person. So I think a lot of people have recognized and criticized this sense of modern medicine is somehow dehumanizing precisely the person that they're trying to heal. And there are a lot of different explanations given for why this is the case, I mean, one explanation would simply be that, physicians and healthcare providers are lousy people, they are insensitive jerks and there may be some truth to that. I don't wanna throw that out immediately but my guess is that probably people who go into the healthcare professions are not markedly different than other people neither better nor worse. So I think we would need to look the explanation on a more systemic level. And when people come up with systemic explanations there will often be a number of different ones given, for example, people might refer to economic factors and say that there are all kinds of economic pressures that push healthcare providers toward a style of depersonalized care. The more patients you could process per hour, for example, obviously, the more payments you'll receive, and you might emphasize well reimbursed technical procedures as opposed kind of wasting your time in idle conversation with a patient. So you could look at economic factors, you could look at the whole advent of third party payment and regulation that is increasingly true in medicine where you have Medicare and Medicaid and insurance companies and everybody intervening. And once again, the so called sort of sacred doctor patient-relationship is now mediated by what insurance companies will pay for or permit and so perhaps this has a distancing effect. People refer to the medical training system as well, something that I went through personally and I know that too can have a dehumanizing effect. You can take... Sometimes I think the people who are selected out for medical school to begin with are not chosen on the basis of their empathic qualities or their language and communication skills, it's often people who are scientifically oriented from the beginning and perhaps competitive or at least these are some of the cliches about pre-med students, they may or may not be true. Yeah, even if you first go to medical school or nursing school or whatever, as a very humanistic and empathic person, people have pointed out that simply the pressures of medical training can kind of whip that out of you. By the time you get to an internship year of working perhaps a hundred hours of a week, the last thing you wanna do is talk with a patient and you come to perceive patients as if they were your enemies. People will talk as if... They'll use expressions like, \"I just got hit today,\" meaning a patient just came into the emergency room and I have to work them up. So that sense of empathy is gradually replaced by a kind of a best clinical detachment and at worst adversarial relationship,. A final thing people have pointed toward us is the rise of medical technologies, things like CAT scans and blood chemistries and diagnostic imaging techniques, which have placed a layer of technological mediation between the doctor patient-relationship. So I think there are a number of different factors that you can point toward and say, well here's why you have this depersonalized dehumanized style of encounter. But I also think that all of these explanations are really incomplete. Somehow they missed the big picture or something big missing and that's what I wanna talk about today. And what I take to be the big picture that's being missed, is that modern medicine is dominated by a kind of metaphysics, a kind of paradigm of the world, a kind of philosophy of life and the human being and the person that really dates back to the 17th century. And it's only if we go up to that kind of philosophical level, since I'm a philosopher, can we begin to understand the true roots of this depersonalization of medicine. And I wanna call this paradigm, the techno-scientific paradigm of modern medicine and a hyphenating technological scientific. And as I said, this goes back to the 17th century and philosophers such as Decartes, who hopefully many people in the room have heard of or studied a little bit. As we go into the 17th century, we have competing philosophies of nature. For example, we have the Aristotelian philosophies of nature that looks upon all natural beings as having some kind of telos, some kind of an end goal or purpose that they are trying to fulfill. I've got a classic example is that, the acorn in a sense is striving to become an oak, there are purposes built into nature. And then we have a second philosophy of nature that is current at the time called Natural Magic, that look at the natural world aS exhibiting a cult sympathies and antipathies patterns of harmony and contradiction, that weren't exactly what we would call material forces that kind of had a spiritual quality to them. So despite the differences between these worldviews, they shared something in common, they saw nature as something alive, something vibrant, something subjective, something exhibiting intentions, having goals. So that is the worldview we see late, middle ages, renaissance. But then in the 17th century, a long time as the worldview of mechanism a mechanistic worldview exemplified by people like Descartes. You have what Carolyn Merchant called... She's a 20th century author, she called this the death of nature, as if nature somehow died in the 17th century. What does she mean by that? Well, she means that from the mechanistic viewpoint, nature is seen as nothing but matter, matter operating and acting mechanically, sheer material forces, driving things from behind, rather than things somehow seeking out their natural goals looking forward. A classic example would be billiard balls, one billiard ball hits another billiard ball propelling it in a determinant fashion. So nature is seen as a series of billiard balls or a machine or a clock, the kind of inanimate mechanism devoid of subjectivity, intention, purpose. And so something that was alive comes to be remodeled as if it were dead, as if it were inanimate and all of natural processes can be remodeled mechanically. Now this mechanistic viewpoint facilitated the rise of modern science, I mean, once you had that viewpoint, you could analyze events and pick out material clauses break them down, see how they operated mechanically so it's behind a lot of the power of modern science. And it not only facilitated the scientific understanding of the world but also the technological project that gaining mastery over the world. Because if you understand how things work mechanically, if you've been taken advantage and analyze out it's causes then you can begin to intervene and alter and we figure those clauses or imitate and rebuild them in artificial machine. You can take control over the natural process once you understand it mechanically. So I wanted to read a quote from Decartes. People like Francis Bacon and Rene Descartes, were fascinated by this interconnection of knowledge and human power, technology and they called rights in the discourse on method, \"For these general notions show me \"that it is possible to arrive at knowledge \"that is very useful in life \"and not in place of the speculative philosophy \"taught in the schools.\" Now he's talking about Aristotelian philosophy. One can find a practical one, a practical philosophy by which knowing the force and the actions of fire, water, air, stars, the heavens all the other bodies that surround us just as we understand the various skills of our craftsmen we could in the same way use these objects for all the purposes for which they are appropriate and that's to make ourselves as it were masters and possessors of nature. So once again, the goal is not simply to understand how things work mechanically but to use that knowledge to make ourselves masters and possessors of the natural world. Well, I think this is very relevant to medicine because in medicine, once again, once you really understand how a process works, for example if you can understand how the kidney works then you can intervene, if there's a disease process, you can prescribe medications that alter kidney functioning, you can build a dialysis machine that imitates kidney functioning, you can figure out how to transplant a kidney from one person to another, you can become a kind of master and possessor of the human body. And for Descartes, the human body was just one other part of nature, it too is just a machine, it two operated just as an automaton, it had no purpose, subjectivity or intention when regarded separately from the human mind. So in fact, Decartes himself was very interested in applying this mechanistic worldview to things like disease. Personally, he was obsessed with his health, he wrote letters to people saying, \"I intend to live to be more than a hundred years old, \"and I'm doing everything possible \"in medical experimentation to assure that. \"And I'm guarding my health with renewed vigor \"and every gray hair of signals the need to advance \"with this project.\" It didn't work for Decartes, because he died of pneumonia in Sweden. He went to tutor the queen of Sweden and he had to get up in the bitter cold of Sweden at 5:00 AM and he died of it. I think he walked can sympathize and shortly after his death there was an article in a Belgium gazette saying, \"Yesterday a fool died \"who thought he could live to be a hundred.\" So people laughed at him. And yet this Cartesian perspective that somehow we could master disease and extending human lifespan through the mechanical understanding of the body took hold and has really been the guiding ideal of modern medicine ever since the 17th century. And in fact, even though it didn't work for Decartes, it's been a very powerful paradigm, we've come up with medications, surgeries diagnostic techniques, et cetera, et cetera that have done a lot to preserve health and for long which is a nice thing perhaps. However, what I wanna suggest is is just as this mechanistic viewpoint affects what Carolyn Merchant calls the death of nature. So we have something that we can refer to as the death of the patient in medicine. You may be in some ways extending the lifespan of the real patient but there's also a kind of death of the patient in a metaphorical sense that is within this paradigm the patient as a living person, as a subject, as a being who has desires at the end who suffers somehow that becomes secondary that's eradicated, that's forgotten about because you're focusing on a patient as a body, as a machine, as a mechanism to be analyzed and fixed, so their personhood becomes ignored somehow, covered over. Now, I think if you take a look at the history of medicine you can trace this out a little bit, so for a couple of minutes, I'll talk about this historically. Before the 18th century, the classifications of disease you saw in medicine, we're working based upon the experienced symptoms of the patient. Now you have diseases like dyspepsia that would be referred to ways in which the patient feels bad, stomach pains as opposed to headaches or coughing and sneezing and these were the basis of the disease classifications. But starting in the 19th century classifications shifted so that they began to be based upon the organic lesions that you would find when you would open up corpses. Instead of dyspepsia you would talk about like a peptic ulcer a visible ulcer that you would see upon autopsy. So the lived experience of illness becomes secondary compared to the kind of opening up of the machine and looking at the physical thing. We see this also at medical diagnosis, it wasn't unusual prior to the 17th century to do diagnosis through the mail. You wouldn't have to go into the doctor's office, you would just send him or her a letter and usually it would be a him and say here's what I've been experiencing and doctor would write back and say, well here's the disease you have. That would be unthinkable now, but back then, the patient's subjective account was all that was important. Nowadays, of course, once we began to focus on these organic lesions like the peptic ulcer, the doctor has to scrutinize the body of the patient and has to seek instruments that somehow will allow them to probe into the body the same way you could probe into a corpse. So for example, we have a quote from the 19th century physician about the stethoscope, a new technological innovation back then. And he says, \"We anatomized by auscultation, \"by listening, if I may say so \"while the patient is yet alive.\" In other words, the stethoscope was seen as a way of dissecting the living patient examining their inner organs without having to actually cut them open and this would be true of x-rays and blood chemistries, et cetera, et cetera. Technologies are introduced to open up the body while the body is still alive. And this kind of knowledge is seen as somehow more objective more valid than the patient's subjective report of how lousy they feel and where they have a pain. Now, I think there's this paradigm of the body as corpse or automaton not only affects medical classifications and not only affects medical diagnosis, it also affects medical training, medical practice all the different phases of modern medicine. As anybody knows who has gone to medical school or has friends there, first thing you do is you would open up a corpse in a sense the corpse is almost the model of the ideal patient. The corpse doesn't talk back, they don't refuse to follow your orders, there's no difficulty in finding out what their disease is. I think in a subliminal way enters the medical student's mind that here's the ideal patient and that person who jumps up from the table and talks back is doing something wrong. So medical education begins with the corpse, the clinical case ends with the corpse, you find out the truth of the illness in a pathologist lab, let's see what really was going on and in between the living patient is treated something like a corpse. The physical exam, you probably have all been through one, take off your clothes, lie down on a table, lay your arms at your side, don't talk, don't move. In a sense you're imitating the position of a corpse and insofar as you come weak enough there is questions and problems insofar as you assert yourself as a subject, as a person, as a living experience and then in a sense you're interfering with the exam. There is a interesting article by a doctor named Richard Barron entitled, 'I Can't Hear You While I'm Listening.' Yeah, and he came up with that title because he was trying to listen to his patient's heart and the patient kept interrupting by asking questions and in exasperation, he finally says, \"I can't hear you why I'm listening.\" If I'm listening to your heart as a mechanism, I can't hear you as a person simultaneously. And so I think that the techno-scientific paradigm tends to drive out the personal encounter with a patient. And this techno-scientific paradigm also enters in at the level of treatment, once we understood the body as a mechanism, we intervene mechanically, we prescribe medications, we altered fluid levels, we enter in through the surgery, we take out parts we replacing them with other parts we clean them out as if you were a mechanic with a car, fixing a machine. So I really think that ultimately, it's not so much specific medical technology, it's like a CAT scan or an x-ray. It's not so much just the economics, it's not so much third-party payment, it's not so much the medical training system viewed in isolation that leads to this depersonalization in the medical encounter. It's really this whole paradigm, this whole worldview upon which modern medicine as a whole is based. The human body becomes just one part of nature like any other, nature as a whole is understood as a giant dead mechanism and that's what the person comes to be seen as. So we have this kind of paradox, we're in the very goal of advancing the human aim of healing, in a sense we alienate our own humanity, we make the patient something less than human. So here are some criticisms of medicine, but I wanna go on to make a few more positive comments and suggestions having criticized it in this way. Firstly, a couple of caveats, so I do wanna say that this techno-scientific viewpoint has given rise to some very powerful techniques of diagnosis and treatment. Very few of us, if we became very sick would refuse the services of a good physician and a good nurse or a good hospital. You don't wanna throw the baby out with the bathwater, we don't wanna throw away the tremendous advances that this medical paradigm has given us. I also think it should be acknowledged that it would be very unfair to say that all physicians, all healthcare providers treat their patients as if they were just bodies and dehumanized people, because in fact, I think a lot of healthcare providers are sensitive to the personhood of the people with whom they're dealing and can be very sensitive and caring. It's just that when you have the whole paradigm lined up against you and institutions based on that paradigm and technologies based on that paradigm, it's very difficult to sustain that empathic relation because you have everything else that pushes you in this kind of mechanistic direction. So I think the dehumanization problem remains significant within modern medicine and it's significant for a number of reasons, it's a real problem, I think pragmatically it can... If patients are treated in a fashion that turns them off, it lessens their trust in their healthcare provider, it can undermine the placebo effect of a good doctor-patient relationship 'cause a lot of people say half the reason people get better is they trust their doctor and that helps the healing process to get going in and of itself. It can also lead to the prescription of inappropriate treatments 'cause if there isn't great communication back and forth, the healthcare provider may not understand the lifestyle of their patient or the police of their patient and then they prescribe something inappropriately. The patient may not take the medication, they may not comply with the recommendations of their physician 'cause they don't understand it or they don't like it, so the clinical encounter can pragmatically fall apart. Now even beyond that, even if the patient say takes the proper medication, I think you have the problem of increasing to the suffering and isolation already experienced by people who are sick. Most of us have had some experience with illness and we know that it calls into play a whole kind of phenomenology, a whole world, a whole set of experiences that put us in a different world than when we're healthy. Illness threatens our sense of self, that is serious illness, we become alienated from our own body, we can't trust it, we don't understand what is doing. We lose our sense of social role, 'cause if we're very sick, we can't go to work, we can't carry out our family obligations, we don't see our friends. So this other basis of our identity, our social roles is taken away from us, we begin to lose our sense of self. We can begin to lose our sense of autonomy also, we feel like we're losing power, we can't even control our bowel functions, let alone what we're going to do tomorrow or with serious illness what we're going to do with the rest of our life, we have the sense of a loss of control and power. You have a sense of losing relatedness with other people, if you've ever been in severe pain you know that it's very isolated. People can be very nice about it but they don't experience your pain, you cant communicate it to them, they can't relieve that. So suddenly you feel as if you're in a world alone grappling with a serious problem and no one else can share that, so it's very isolated, so this is some of the phenomenology of illness. And then if you have this dehumanized clinical encounter rather than somehow healing the suffering and restoring a sense of empathy and communication, restoring a sense of autonomy, restoring a sense of personhood, in fact, you end up exaggerating the disease, the experience of the disease the treatment becomes part of the illness as experienced. If the physician doesn't treat you like a person but just a piece of meat, that sense of self becomes further undermined and into question. If the physician doesn't communicate with you and listen to you empathically and try to hear a little bit of what you've gone through but just ignores you or treats you as if you were just a case or just extract clinical data from you without ever hearing what's really going on, that sense of relatedness to other people is further undermined. If the physician doesn't do whatever possible to give you choice over your treatment and to explain what's going on, that sense of autonomy is further undermined. Someone else seems to be taking power over your life. So once again, perhaps you're getting physically better by taking such a pill, but experientially, in a sense here the experience of illness has been exaggerated by this dehumanized clinical encounter. One of the most unpleasant things about being sick, for example might be being stuck in a hospital and maybe twice as bad as the original illness, if anyone's ever been through that. So I think, this continues to be a serious problem within medicine no matter how powerful it's medications and surgeries are. So what do I have to say positively about where medicine can go? Well, I want us to address that, it's very important that medicine take a look at its ends not just it's means, but what are the true ends that medicine is seeking to realize. The techno-scientific model tends to focus on means, how can we do whatever we wanna do? How can we if one life? Or how can we treat this disease? But it doesn't tell us a lot about ends, what is really the goal of medicine? We can extend the life now, but should we? What kind of life is worth extending? What if you're in a persistent vegetative state? Should we preserve that kind of a life? Well, the techno-scientific paradigm, isn't gonna tell us anything meaningful about that it tells us about means not ends. So, question is what is the proper end of medicine? And I would wanna suggest that we could go back to a kind of time-honored rather cliched concept and say the end of medicine is healing, restoring health to the patient. Seems pretty non-controversial, but when you think about it, it's also pretty radical. I think as soon as you start to speak about healing, you're really breaking with the whole mindset of what I call the techno-scientific paradigm. Healing, the very word healing shares an etymological root with the word whole, W-H-O-L-E, the word Holy, as in religion or sacred practice. And I think the project of healing has something holy about it, I mean, I think it really has resonances with a religious and a sacred realm not simply the scientific and technological realm. 'Cause after all, to really heal someone is somehow to bring about a process of reintegration, restoring to harmony and wholeness. This could be in a strictly physical sense, you could give a medication that could take a body that's falling apart, an organ is becoming cancerous and autonomous or another organ is not doing it's function. And so you could restore a kind of physical harmony and wholeness through a medication. But even if that is impossible, even if you have someone who has a chronic or a fatal disease that will not be cured by a medication, nonetheless, on a emotional level, on a cognitive level, on a social level, you can help to heal the person by restoring a kind of personal integration, a personal wholeness. A way in which they're brought back into the community or a way in which are able to understand and cope with their illness. So I think the notion of healing is a multi-dimensional notion, it can take place physically, emotionally, psychologically, spiritually, technically, whatever and it probably should take place on all those different levels as much as possible. So I think there are many different ways in which the healthcare provider can heal the patient. If you take someone who is suffering and isolated by their illness and bring them back into a compassionate community, you're healing them. To simply be able to talk about your illness and have someone listen empathically and sharing it to whatever degree as possible is a healing experience. I think we all know that when we get sick we wanna talk with somebody about it and we end up feeling better, even though we don't know why. I think it can be healing to gear treatments, to the specific lifestyle and wishes of the patient even if classically, it's not the best treatment. According to Harrison's Principles of Internal Medicine, if you can give a patient a sense of autonomy and choosing the kind of treatment they feel fits in with their lives, that's healing. 'Cause once again, illness destroys the sense of self autonomy and here you're giving it back to them. So simply provide explanations of the disease in a way that the patient can understand is healing. If you can understand what's going on with you, if you can weave a story out of it, if you can take something as senseless as as cancer and make sense out of it, if you can discover meaning in it, some reason for it being there or something positive, you can make out of it, that's very healing. Just the storytelling aspect that unfolds in the doctor-patient relationship, I think is healing far above what we usually realize. If you can recruit a social support system for the patient and get their family involved and their friends involved in treatment, that's healing. If you can alleviate pain, even in a simple medications that take away pain, that's healing, even if you're not curing the disease, you're diminishing the shattering force that severe pain can have on one sense of self. Strangely enough, it can be healing to refrain from treating in certain situations. For example, you might decide not to hospitalize a patient and rip them away from their family and their familiar surroundings. In fact, let them die in peace, instead of sticking them into a crazy, alienating, critical care environment, that's healing, it's helping the patient to feel whole and integrated despite the bodily processes that are taking place. You might decide not to order a series of unnecessary lab tests or expensive lab tests, that's healing. You're not shattering the patient in the x-ray or you're not forcing upon them something invasive and something painful. So I think if we remember that healing is probably the true end of medicine not life prolongation or any other techno-scientific numerical index of treatment then we begin to see the depths of medical practice and all the different dimensions of it, all the different aspects of it. And within that broader context, we begin to get a perspective, I think, a healthier perspective, no pun intended on things like medical technologies and diagnostic testing and laboratory procedures, surgery and medications and all this high technology stuff that we see in medicine. We wouldn't have to throw it away, it would still play a very significant and central role as a means toward the end of healing, but not as only a means, it's not the end itself, it's only a means to be used judiciously and it's always balanced against this broader backdrop of caring, empathy, narrative, care for the living experiencing suffering person. So I guess my last statement is that we have to reclaim the notion but the true test of medicine is healing a person, healing a human being, it's not fixing a machine. That's all. I guess we'll have lessons or open discussion or comments, anybody got? Yeah. Okay, well, you may be right on a personal level that perhaps there's a personal agenda but I think perhaps to use the term something like the death of nature or the death of the patient is choosing a term with rhetorical force. And it's not meant to imply that Decartes is literally talking about corpses as opposed to human beings. But I think the point I'm trying to make and other people have made is that when you look at the Cartesian model of the living person, the central and focal Cartesian insight, that it's almost like the Eureka moment, is that aha! A living being can be understood and regarded and explained as if it were no different than an inanimate machine. The human body really operates fundamentally in a fashion no different than a clock or automaton or any other constructed mechanism. So it's still living, but the fact that it's a living somehow drops out of the essence of what it is when it comes to be understood scientifically, it can be treated as if it were just in automaton. So I think, excuse me. Yes, I do. Well, let me put it this way. I think there's a certain amount of power to that level of explanation, there are all kinds of things we can explain, understand and discover when we treat the human body in that fashion. But I think there's another level of truth that is covered up, I mean, most simply and classically, I don't believe that the whole cycle sematic dimension of health and illness can be fully treated through the machine paradigm. That's a complex question, perhaps it can but I'm kind of skeptical about that, but I'd like to hear what you have to say, maybe. Well, yeah, to choose a very simple example, let's say I make a movement like this, that movement could be explained purely mechanically, we could talk about a series of nerve transmissions that settle off the contraction of muscle fibers that led to this jerking arm movement. So I think in a sense that explanation has the kind of elegance and gives a great deal of understanding. But I think though there's a whole other level of understanding that's obscured that cannot be really taken into account of, unless we encounter me as a subject who has a certain set of meanings and thoughts and intentions. I was giving a philosophical talk, I wanted to make a point to you, I decided to throw up my arm as a way of doing that, I threw out my left arm, but I could have used my right arm, in other words, this gesture can only be fully understood as an intentional subjective act. And personally, I don't think the mechanical explanation is capable of fully doing justice to that intentionality of the subject. And if we wanna take it back into the medical realm, I think even with things like why does one person fall ill and develop a peptic ulcer and another person develop cancer that if we keep trying to obscure their subjective psychological dimension we will keep missing something. Okay. Yeah. Well, I think that's a very good point actually, I don't even wanna disagree with you. I do think it's true that for example, one of the things illness undermines is this sense of autonomy and control and understanding. And I think there are certain patients who react to that by saying, give me back control and understanding, I have to make decisions, I feel out of control, I wanna decide and there are other patients who respond to it by saying, I don't know what's going on, I don't wanna know what's going on, let me put my life in your hands, you're the expert, tell me what to do. It's a kind of adaptive psychological response that I think in certain ways can be healthy. So I think you're right, that the the description I gave is too unidimensional. The only thing I'd say is I do talk about a heightened sensitivity to the wishes and kind of the psychology of the patient. So I think the good physician or healthcare provider would be one who would readjust their approach sensitively to the needs of different patients. Otherwise, yeah.\r\n\r\n- You mentioned as part of your maybe that people would say something positive about illness. Story building and things like that, how would you suggest that we get something as serious as cancer or heart attack or something like that?\r\n\r\n- Well, I think once again a lot would depend on the individual patient, for example a patient who had a strong religious background might understand their even fatal illness in the context of an afterlife or as perhaps deepening their relationship and reliance upon God, a patient who came from sort of kind of holistic interests might talk about this sickness as a way for them to begin to rethink their life and move on to a healthier lifestyle, perhaps begin eating and exercising and living in a different way. Someone else might say, well I know I only have four years to live, I'm gonna go out and do some of the things I never did before that I've always wanted to. Another person might grow out together more closely with their family or someone confined to a wheelchair, they might make a decision to develop their reading or their intellectual interests take their life in a new direction. So I think it's a very complex and good question. And I think in a way, there are so many different ways to take a very negative and potentially destructive experience and reframe it and reunderstand that such as to highlight the positive and the new possibilities that opens up. I think a lot of us have seen relatives who have done that to some degree and perhaps the best healthcare provider doesn't have their preset agenda and force a notion of an afterlife or whatever on the patients. But once again, it's very sensitive to the psychological tools within the patient that will enable them to cope with illness and find a positive within it and then work with them on developing that. Does that make sense to you? Jan?\r\n\r\n- It's about a question I think is connected to yours, I was wondering if could be given... You said something very provocative to me, you said it could be good for the treatment to fit a lifestyle. And I was wondering if you could give... Perhaps if you could give an example where that occurs and then maybe a counterexample example where the treatment doesn't fit the lifestyle or a bad prescription, a bad procedure.\r\n\r\n- Well, I think a simple example might be if you have someone who is holistically oriented we might say they're really into health and exercise and vegetarian eating or something and they have some kind of a disease process and they they come into contact with a classically aggressive surgeon who says we're gonna have to go in and operate and take out this diseased part of the body and the patient perhaps just doesn't even return that kind of treatment.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116084#t=0.0,2897.592"}]}]},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085","type":"Canvas","label":{"en":["Media File 2 of 2 - 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[Transcript]"]},"items":[{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e Instructor:\u003c/strong\u003e Yeah, and perhaps let's keep","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=5.11,7.02"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the surgery in mind as a kind of backup option","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=7.02,9.75"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"if this isn't going anywhere","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=9.75,11.55"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and you feel differently about it.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=11.55,13.25"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I think in a sense,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=14.22,16.125"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a physician who felt that form of treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=16.125,18.66"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was so contra-indicated might simply have to say,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=18.66,22.06"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I can't treat you on that basis.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=22.06,24.08"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Let me recommend someone else.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=24.08,26.017"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But, you know, to whatever extent possible,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=26.017,29.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I do believe in the physician","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=29.35,31.41"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"trying to work with the patient","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=31.41,33.61"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"around their preferences.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=33.61,35.4"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Another, you know perhaps simpler example","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=35.4,37.37"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"might be somebody who is an avid exerciser.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=37.37,41.07"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And the physician says, well,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=41.07,42.73"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you simply have to stay in bed for six weeks.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=42.73,46.32"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The person is not gonna do it.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=46.32,48.48"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Maybe they'll do more harm.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=48.48,50.4"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And so the physician might know","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=50.4,51.95"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they're not gonna do it","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=51.95,52.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and talk with them about it,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=52.87,53.703"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"say, well, how about this, we'll negotiate.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=53.703,55.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Two weeks of bed rest, and then, you know","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=55.85,58.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a limited amount of movement, but no hard exercise.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=58.76,62.433"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And we venture to listen to what the person","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=62.433,66.21"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is really desiring.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=66.21,68.163"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=70.01,71.615"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e Speaker 1:\u003c/strong\u003e -I'd just like to offer","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=71.615,72.448"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a kind of variation of what you said","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=72.448,73.746"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"which I still think is very sympathetic","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=73.746,75.529"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"whether that's how it's compared-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=75.529,77.487"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=77.487,78.705"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It seems to me one can say that","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=78.705,80.153"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there's really nothing wrong with-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=80.153,82.007"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=82.007,84.538"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that in fact, it's only with that paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=84.538,86.99"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the medicine is able to do anything.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=86.99,88.904"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"As like, you know you think it's a factor,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=88.904,91.808"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"my impression of history of medicine","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=91.808,93.549"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is that it's only recently that doctor's","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=93.549,95.863"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"could do very much at all.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=95.863,97.926"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That's the reason.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=97.926,99.253"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Um, the problem that you're addressing","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=99.253,101.69"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"isn't that paradigm itself,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=101.69,103.68"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's the extension of that paradigm everywhere.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=103.68,106.557"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And so then we have nothing else","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=106.557,108.29"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and particularly what I know is that paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=108.29,110.93"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can't speak about goals.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=110.93,112.694"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's your assignment on the issue of goals.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=112.694,115.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We have no goals in medicine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=115.96,117.49"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's just simply as you pointed out","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=117.49,120.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that nothing but getting these machines working.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=122.841,125.649"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/54","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But that doesn't necessarily happen all day long","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=125.649,129.57"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as a machine, in fact, that could be","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=130.42,134.32"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the best way to check your body","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=134.32,136.177"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/57","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because that's what works,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=136.177,137.01"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/58","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"what we need is that paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=137.01,138.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/59","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in a form of context.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=138.76,140.511"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/60","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Is that-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=140.511,141.344"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/61","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e Instructor:\u003c/strong\u003e No, I think that's 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problems?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=217.21,219.043"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/92","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e Instructor:\u003c/strong\u003e I'm not sure what you mean","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=222.42,224.03"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/93","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in actually working with 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treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=288.71,292.69"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/116","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that are now regarded as pretty non-traditional things,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=292.69,296.19"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/117","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"including, you know visualization or 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in","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=304.44,305.463"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/120","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"along with these medications and surgeries.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=305.463,308.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/121","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think you would end up with","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=308.85,310.66"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/122","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a different style of doctor, patient relationship,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=310.66,314.456"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/123","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and also a kind of broadening spectrum","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=314.456,316.78"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/124","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of forms of treatment that have become","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=316.78,318.94"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/125","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"respectable within medicine.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=318.94,321.67"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/126","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I have not tried to work that out","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=321.67,323.48"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/127","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in any great detail, I must confess.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=323.48,326.663"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/128","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"What's that?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=329.2,330.033"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/129","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=331.161,333.911"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/130","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e Instructor:\u003c/strong\u003e Personally, I know very little about it,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=335.652,338.54"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/131","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"so I can you know, have some,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=338.54,341.29"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/132","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you know, very vague impressions","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=341.29,343.13"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/133","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that are no more informed than that","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=343.13,344.6"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/134","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of anyone else in the room.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=344.6,346.003"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/135","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I certainly don't mean to imply","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=347.72,349.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/136","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"by this critique of Madison","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=349.26,350.59"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/137","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that there by any form of treatment that has been","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=350.59,353.81"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/138","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"called holistic or homeopathic or natural pathic is","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=353.81,357.743"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/139","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"necessarily helpful or necessarily bad.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=357.743,361.97"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/140","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I guess I'm just saying that many, many forms","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=361.97,364.45"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/141","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of treatment haven't been adequately thought about","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=364.45,367.92"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/142","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and investigated because they don't fit into this paradigm.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=367.92,371.88"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/143","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There isn't a very easy, mechanical explanation to begin.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=371.88,376.88"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/144","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So in a way, if we kind of move out of this paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=377.16,379.64"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/145","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to some degree, the territory becomes opened up","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=379.64,382.801"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/146","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and there may be forms of treatment that go back to things","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=382.801,386.34"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/147","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"like the middle ages and witchcraft","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=386.34,389.46"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/148","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and all kinds of primitive cultures","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=389.46,391.73"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/149","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that have long since been thrown away","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=391.73,393.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/150","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as unscientific that we might rediscover","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=393.43,396.38"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/151","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as actually having some validity","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=396.38,398.23"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/152","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in ways that we can't yet understand","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=399.32,402.33"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/153","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because of the restriction of our paradigm.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=402.33,404.86"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/154","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think the territory becomes open to these kinds","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=404.86,407.6"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/155","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of unorthodox forms of treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=407.6,410.17"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/156","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but at the same time, some of them may be bogus.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=410.17,413.52"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/157","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=413.52,414.353"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/158","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah?","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=416.71,417.833"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/159","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=417.833,420.583"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/160","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\u003cstrong\u003e Speaker 3:\u003c/strong\u003e You've talked us through","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=421.45,422.283"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/161","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the techno-scientific paradigm in modern medicine","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=422.283,423.489"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/162","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is needed to be explained, but-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=423.489,424.447"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/163","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=424.447,427.197"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/164","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And frankly, I think that I agree with that in general.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=429.657,431.314"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/165","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I also think that it might be a social connection.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=431.314,434.143"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/166","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That that particular paradigm is offering part,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=434.143,438.275"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/167","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"partly constitutes the identity of the the problem.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=438.275,441.5"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/168","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"In the setting where an issue working","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=441.5,444.191"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/169","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in a relationship where-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=444.191,446.152"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/170","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=446.152,448.902"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/171","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I'm wondering if this social isn't necessary","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=452.227,456.276"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/172","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to explain-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=456.276,457.482"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/173","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=457.482,460.232"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/174","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I can give an example,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=464.67,466.52"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/175","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I've looked on psychiatric teams,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=466.52,467.623"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/176","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and on this team of psychiatrist would be-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=468.85,471.503"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/177","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There would be a social worker","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=474.96,476.058"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/178","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and a psychiatric nurse.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=476.058,477.33"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/179","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The idea was that everybody was supposed to","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=477.33,478.64"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/180","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"participate equally in the treatment","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=478.64,480.387"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/181","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the client, of the patient.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=480.387,482.53"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/182","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But very quickly the psychiatrist would tend","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=482.53,485.39"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/183","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to say no because of our specialized knowledge.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=485.39,489.33"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/184","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)\n(door closes)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=490.18,495.18"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/185","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We should have more of a say about certain-","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=496.932,498.728"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/186","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"(muffled speech)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=498.728,501.478"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/187","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yeah, I think, I think you would.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=518.53,521.43"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/188","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I mean, I think that's a very good point.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=521.43,522.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/189","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I mean, you're more equipped to deal with it than I am","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=522.87,525.38"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/190","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but I think it's interesting that","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=525.38,527.6"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/191","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I did frequently use the term physician and doctor","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=527.6,530.52"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/192","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and sometimes I'd say healthcare provider.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=530.52,532.96"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/193","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think this paradigm is especially true","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=532.96,536.04"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/194","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the so-called upper echelons.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=536.04,538.11"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/195","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You know, the physicians, the surgeons","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=538.11,540.604"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/196","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and as you, quote, move down the ladder","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=540.604,543.26"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/197","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in terms of social status","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=543.26,545.02"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/198","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and economic status to, you know","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=545.02,547.81"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/199","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"nurses or PTs or orderlies or whatever,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=547.81,551.94"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/200","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"probably you begin this paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=551.94,555.1"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/201","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"slips a little bit because you're","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=555.1,557.27"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/202","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in a position where you will have more personal contact","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=557.27,561.38"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/203","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and you will often be seeing the dimensions","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=561.38,565.13"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/204","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the person that the physician who marches","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=565.13,567.73"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/205","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"up to the bedside for 20 minutes","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=567.73,569.52"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/206","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and does the quickie physical exam neat, not a counter.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=569.52,573.25"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/207","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I think to call this,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=573.25,574.44"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/208","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the kind of the ruling paradigm","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=574.44,576.815"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/209","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is to say it's particularly associated with","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=576.815,578.85"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/210","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the ruling classes of the healthcare professions.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=578.85,583.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/211","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's also, you could do a patriarchal","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=583.76,585.876"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/212","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"gender based analysis and say it's particularly","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=585.876,588.35"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/213","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"associated with men","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=588.35,590.31"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/214","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because if you look at the traditions of","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=590.31,592.767"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/215","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"women's healing, going back to things like","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=592.767,596.46"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/216","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"witchcraft and lay women healers","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=596.46,598.87"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/217","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the middle ages, and even today,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=598.87,601.86"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/218","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the nursing profession, which women","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=601.86,604.33"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/219","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"are more heavily represented,","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=604.33,606.27"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/220","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you tend to have more of an acknowledgement","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=606.27,607.98"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/221","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the subjectivity and the person that has a patient.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=607.98,611.22"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/222","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So this distanced objectifying mechanistic stance","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=611.22,614.431"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/223","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can be identified.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=614.431,615.86"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/224","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think with capitalism, it can be identified","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=615.86,619.27"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/225","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with patriarchy, all these different social dimensions.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=619.27,622.76"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/226","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I'm glad you brought that up.","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=622.76,624.353"},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/227","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Thank you\n(Audience clapping)","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=632.65,635.73"}]},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978","type":"AnnotationPage","label":{"en":["English [Transcript]"]},"items":[{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27978/annotation/228","type":"Annotation","motivation":"subtitling","body":{"type":"TextualBody","value":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/027/978/original/AV203922_Technology_in_the_Doctor_Patient_Relationship_b.vtt?1622564894","format":"text/vtt","language":"en"},"target":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/027/978/original/AV203922_Technology_in_the_Doctor_Patient_Relationship_b.vtt?1622564894"}]},{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27979","type":"AnnotationPage","label":{"en":["AV203922_Technology_in_the_Doctor_Patient_Relationship_b.txt [Transcript]"]},"items":[{"id":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085/transcript/27979/annotation/229","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"- [Instructor] Yeah, and perhaps let's keep the surgery in mind as a kind of backup option if this isn't going anywhere and you feel differently about it. But I think in a sense, a physician who felt that form of treatment was so contra-indicated might simply have to say, I can't treat you on that basis. Let me recommend someone else. But, you know, to whatever extent possible, I do believe in the physician trying to work with the patient around their preferences. Another, you know perhaps simpler example might be somebody who is an avid exerciser. And the physician says, well, you simply have to stay in bed for six weeks. The person is not gonna do it. Maybe they'll do more harm. And so the physician might know they're not gonna do it and talk with them about it, say, well, how about this, we'll negotiate. Two weeks of bed rest, and then, you know a limited amount of movement, but no hard exercise. And we venture to listen to what the person is really desiring. Yeah.\r\n\r\n- [Speaker 1] -I'd just like to offer a kind of variation of what you said which I still think is very sympathetic whether that's how it's compared- It seems to me one can say that there's really nothing wrong with- that in fact, it's only with that paradigm the medicine is able to do anything. As like, you know you think it's a factor, my impression of history of medicine is that it's only recently that doctor's could do very much at all. That's the reason. Um, the problem that you're addressing isn't that paradigm itself, it's the extension of that paradigm everywhere. And so then we have nothing else and particularly what I know is that paradigm can't speak about goals. It's your assignment on the issue of goals. We have no goals in medicine. It's just simply as you pointed out that nothing but getting these machines working. But that doesn't necessarily happen all day long as a machine, in fact, that could be the best way to check your body because that's what works, what we need is that paradigm in a form of context. Is that-\r\n\r\n- [Instructor] No, I think that's very, that's very true that as a tool, these scientific and technological forms of treatment are very powerful. So one certainly doesn't want to take that paradigm and just throw it out. But I think if we were able to say, well here's a particular way of scientifically modeling the body in a way that gives us forms of diagnosis and treatment that are helpful, but we understand this isn't the final and overarching paradigm. It isn't the truth of the person. It's not going to dominate all the phases of the medical encounter. It's not going to give us the true ends of the medical encounter. Then we can use it in a very effective and selective way. So basically you said it very nicely that I have to agree. Um in the back there?\r\n\r\n- [Speaker 2] You were saying that earlier how medicine teaches people to use the goggles and residents, thinking of people as machines instead of people and- You have knowledge now when we ask about them in real life situations, can you come up with ways to kind of solve these problems?\r\n\r\n- [Instructor] I'm not sure what you mean in actually working with patients?\r\n\r\n- [Speaker 2] Or just coming up with ideas about- I was just thinking, broad facts, you have the knowledge to take the abstract-\r\n\r\n- [Instructor] As a different way of, of practicing medicine? Not to any great degree. I mean, my, my sense of the kind of thing I'm talking about today is that if it were to play itself out if you were to start with the kind of larger philosophical context and work off of notions of the human self that happened to ride by other 20th century philosophers, more integrated notions, that don't start from mind body dualism, but begin from a kind of holistic concept of the self. It could give rise to a form of medicine that would be, first of all, would treat the person in a much more humanistic fashion that would begin to take more regard for therapies, forms of treatment that are now regarded as pretty non-traditional things, including, you know visualization or meditation or other forms of self healing, and would incorporate them in along with these medications and surgeries. So I think you would end up with a different style of doctor, patient relationship, and also a kind of broadening spectrum of forms of treatment that have become respectable within medicine. But I have not tried to work that out in any great detail, I must confess. What's that?\r\n\r\n- [Instructor] Personally, I know very little about it, so I can you know, have some, you know, very vague impressions that are no more informed than that of anyone else in the room. I certainly don't mean to imply by this critique of Madison that there by any form of treatment that has been called holistic or homeopathic or natural pathic is necessarily helpful or necessarily bad. I guess I'm just saying that many, many forms of treatment haven't been adequately thought about and investigated because they don't fit into this paradigm. There isn't a very easy, mechanical explanation to begin. So in a way, if we kind of move out of this paradigm to some degree, the territory becomes opened up and there may be forms of treatment that go back to things like the middle ages and witchcraft and all kinds of primitive cultures that have long since been thrown away as unscientific that we might rediscover as actually having some validity in ways that we can't yet understand because of the restriction of our paradigm. So I think the territory becomes open to these kinds of unorthodox forms of treatment but at the same time, some of them may be bogus. So. Yeah?\r\n\r\n- [Speaker 3] You've talked us through the techno-scientific paradigm in modern medicine is needed to be explained, but- And frankly, I think that I agree with that in general. I also think that it might be a social connection. That that particular paradigm is offering part, partly constitutes the identity of the the problem. In the setting where an issue working in a relationship where- I'm wondering if this social isn't necessary to explain- I can give an example, I've looked on psychiatric teams, and on this team of psychiatrist would be- There would be a social worker and a psychiatric nurse. The idea was that everybody was supposed to participate equally in the treatment of the client, of the patient. But very quickly the psychiatrist would tend to say no because of our specialized knowledge. We should have more of a say about certain- Yeah, I think, I think you would. I mean, I think that's a very good point. I mean, you're more equipped to deal with it than I am but I think it's interesting that I did frequently use the term physician and doctor and sometimes I'd say healthcare provider. I think this paradigm is especially true in the so-called upper echelons. You know, the physicians, the surgeons and as you, quote, move down the ladder in terms of social status and economic status to, you know nurses or PTs or orderlies or whatever, probably you begin this paradigm slips a little bit because you're in a position where you will have more personal contact and you will often be seeing the dimensions of the person that the physician who marches up to the bedside for 20 minutes and does the quickie physical exam neat, not a counter. So I think to call this, the kind of the ruling paradigm is to say it's particularly associated with the ruling classes of the healthcare professions. It's also, you could do a patriarchal gender based analysis and say it's particularly associated with men because if you look at the traditions of women's healing, going back to things like witchcraft and lay women healers in the middle ages, and even today, the nursing profession, which women are more heavily represented, you tend to have more of an acknowledgement of the subjectivity and the person that has a patient. So this distanced objectifying mechanistic stance can be identified. I think with capitalism, it can be identified with patriarchy, all these different social dimensions. I'm glad you brought that up. Thank you","format":"text/plain"},"target":"https://iastate.aviaryplatform.com/collections/2486/collection_resources/43255/file/116085#t=0.0,645.072"}]}]}]}