28 October 2015

Hubris

I feel quite shaken by the level of uncertainty associated with knowledge that presents itself at a university level. After almost a semester in medicine, it has become apparent that while we write volumes on what we do know, my reference books are regularly admitting that certain mechanisms and various aetiologies of numerous conditions, esoteric and common, are rather opaque to us. There are even occasional inconsistencies between sources, which does nothing to assuage my fears that academia in general is in danger of building castles upon castles in the cloudy skies above the ivory tower.

It ought to be exciting, that we know so little, because it speaks of the possibilities out there, the research to be conducted, the potential applications and miracle cures that might present themselves upon the successful comprehension of various pathways.

Yet, it seems as though these vast unexplored regions of undiscovered knowledge have been cached in a collective wilful ignorance. Only a select few peer out over these shadowy realms and tremble at its inexhaustible expanse, the rest have come to believe that someone else always has the answers.

Perhaps it is a consequence of specialisation, coupled with the socha of modern life. Professionals want others to believe that they have all the answers, as part of earning the trust of the majority who entrust their information, assets and occasionally, their very lives to those who are likely complete strangers. Society interrogates their professionals with the question: 'You know what has to be done, right?'

Often, we can confidently answer that yes, we do know how we can help. This has unfortunately led to the perception that we have, collectively, got all the answers. That, in turn, has led to terribly high expectations and to the readiness at which we interpret mistakes as malevolent manipulation of some secret gnosis.

We want to believe that we know enough, for as the adage goes, knowledge is power. We would like to believe that we have more control over our fates than our less informed ancestors. In truth, we ought to know that we know little, that our knowledge base is vulnerable and often incomplete, and we plug ourselves into a global system that wants desperately to conceal the fragility of its foundations. How long will it be before the pride of our modernity is irrevocably shown to be a passing illusion? The sentiment of 'sic transit gloria mundi' will undoubtedly reverberate till kingdom come.

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