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Awe and wonder
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6 min read

The heart of the matter

Heart doctor Michael Henein steps back to consider the unseen and unique wonders of the human body’s design.

Professor Michael Henein is a consultant cardiologist, and a Professor of Cardiology at Umea University, Sweden.

A model of a human heart on a short stand.
Photo by Jesse Orrico on Unsplash.

Shakespeare famously asked:

“What a piece of work is a man, how noble in reason, how
infinite in faculties, in form and moving how express and admirable, in action how like an angel, in apprehension how like a god! the beauty of the world, the paragon of animals—and yet, to me, what is this quintessence of dust?

Humans may be complex, capable of great heroism and deep depravity, yet it is worth stopping for a moment to look at the human body and mind to marvel in what we have become, and how we are made.

The visible design of the human body points out common features shared along with other members of the animal kingdom. Examples of these features are: two eyes, two ears, two nostrils, one mouth and four limbs, attached to a body and head. Detailed study of different seen parts of the body may, however, show some differences. For example, the presence of fingers and nails, hair distribution as well as a developed tail. While most members of the animal kingdom have teeth and a tongue, those two could also vary in their number and size, respectively, according to different species. Genetic investigations have shown that we humans share 99 % of our genes with animals, suggesting that our “earthly” component shares a common origin. Indeed, the twenty first century scientific findings match what is written in the Genesis story of creation, a story written over 3,500 years ago, well before genetic sciences came to light.

Creatures great and small

As for morphological differences between animal species, it is difficult to naively conclude why some are wild while others are man-friendly-even if the wild ones have different shapes, design, dietary habits, body size and life span.  Other important observed features of the members of the animal kingdom are that they are all born, they all age, then ultimately die.

If we are to look at the unseen features of the members of the animal kingdom, we can again identify similarities. For example, all have a gastrointestinal tract, a cardiovascular system, a reproductive system, a respiratory system, a urinary system and much more. While these systems may differ slightly between species, the overall structure and function achieve similar purposes.  For example, heart speed is faster in small animals like rats compared to big ones like elephants who have very slow hearts. Likewise, the respiratory system and the number of respiratory cycles per minute are significantly faster in running animals compared to the sedentary and slowly moving ones. Finally, the number of offspring also differs in different species, being just one at a time in big animals like elephants and horses, and many offspring in small animals like rabbits and mice. Such paradox between the number of offspring and animal size makes you think of the important determining role of the activity of those animals.

Unseen wonders

Now to turn to the rest of the animal kingdom and the unseen features of the human body. To start, let us look at the amazing functions of the human brain and its various functions. When humanity is sometimes described as the crown of creation, such a description is based on the superiority of human brain function and skills. Its sophisticated structure and how vital centres are created deep in the skull, to be protected from traumas, make you marvel. Also, the brain controls the different functions of the whole body, with its sensory and motor activities, various vital system functions including the lungs and the heart, all endocrine glands’ function, in addition to various receptors and centres that allow utmost precision and accuracy in everything we do. An example of this kind of precision is a doctor feeling a vein or an artery with the tip of a finger to insert a needle or a musician moving a finger a few millimetres while playing a violin, to produce the exact sound needed. Furthermore, the integrated function of human muscles, nerves and spinal cord is also amazing, let alone the synapsis between the nerve endings and muscle bundles, the chemicals secreted in them which allow electric stimulus transmission from the nervous system to achieve the motor function and desired movement.

The human brain also has the unique feature of storing knowledge. Of course, we should not ignore the importance of the training and programming ability of human brain. We learn how to drive a car, how to play games, how to study, how to operate safely on a sick patient.  Such acquired skills are quite limited in other members of the animal kingdom. Moreover, the human brain has the unique ability to invent, discover, improve and correct errors it identifies.

Another very unique feature of human brain is its ability to conduct speech, a feature of humans that is under-developed in other members of the animal kingdom. While most animals can make noise and sounds, only humans can articulate words, sentences and even sing very complex songs. This unique ability seems to be the underlying mechanism behind the development of languages which are based on the human ability to talk and transmit information and knowledge by words and phrases.

The unseen brain has allowed human life to develop over time, building skills and achievements from generation to generation. Millennia ago, humans lived in huts together with animals, and now they build houses and palaces to live in. Centuries ago, we used donkeys, horses and camels to travel but now we use cars, trains, ships and airplanes. Our ancestors burned wood and coal to cook and to warm but now we use electricity to do these.

When we look carefully at the unseen parts of the human body, we also realize that we cannot alter any of it, despite the scientific advances made over the years. We can understand what harms our body and take measures to avoid it. Out of the ability of our brain to discover and invent, we have now produced science-based means for curing various diseases. Consider how we can replace a dysfunctional heart valve or a mobility-limiting joint. These inventions have resulted in a better quality of life, alleviating of symptoms, even helping to avoid early death, in some cases such as heart disease and cancer. 

The heart of the matter

Another unseen source of life in humans is the heart. This fist-size organ is so complex in its structure and function. Recent scientific advances have enabled us to study heart function in milliseconds, hence the development of pacemaker treatments. They have also allowed clear imaging of the inside of the heart and the identification of pathologies, developments that guide practitioners to the optimum treatment of heart conditions. Recent discoveries have also allowed us to better understand how people develop coronary artery disease and how the pathology starts at the innermost layer of the arteries, particularly in individuals carrying significant risks for atherosclerosis including, smoking, high blood pressure, diabetes, high cholesterol and obesity. Amazingly, obesity has been shown to be the strongest underlying cause of other risk factors, hypertension, diabetes and hypercholesterolemia. So, nature cannot be blamed in many of these patients but our own patterns of behaviour. Science has shown that walking at least 5,000 steps each day, complying with the design of our body, reduces the likelihood of developing coronary artery disease by 15 per cent.

The unseen physiology of the rest of our body systems and the interaction between systems make us wonder how we are made.  A rise of our body temperature by one degree due to a bug infection affects all body systems from the brain to the heart. A virus which cannot be seen by the most powerful microscope can destroy our lungs and cause premature death, as was the case with COVID-19 and others.

Finally, human inventions in the form of powerful microscopes have allowed scientists to study the human cell, which is the smallest living component of our body.  Such small cells cannot be replicated in any factory in the twenty-first century, despite the vast scientific developments that surround us. You'll be surprised to learn how complicated and meticulously fine-tuned a human cell is and also how it functions, connects with other cells and other parts of the body. An example of this is the interaction between body minerals, calcium, sodium and potassium with heart and muscle individual cells. Such a function is critically controlled by many factors such as time, electric stimulation and pressure differences producing remarkably harmonious contractions and relaxation of the muscles without missing a beat.

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4 min read

Nine Lessons and Carols needs to be long

The carol service that take time to pull at the golden thread of Christmas.
Choristers stand and sing in choir stalls in a church
BBC.

I have decided that I will make it an annual ritual to grumpily defend a Christmas tradition that I love. Last year it was the traditional Nativity Play. This year it is the traditional carol service. For over a hundred years, at King’s College Chapel at least, the traditional Festival of Nine Lessons and Carols has borne witness to the very best of Anglican liturgy. The service combines candlelight, communal and choir carol singing, and lessons from Holy Scripture in a beautifully evocative manner. I adore the service, and it is very much a highlight of my Advent contemplation.

I am thrilled to say that carol services seem to be as popular as ever! I can hardly name a church that won’t be putting one on, either solo or uniting with other parishes. This warms my heart…and yet a shard of ice remains. A small, but very important gripe: editing. I notice that many services don’t follow the traditional pattern of nine lessons. Some have six. Some five. Some only a few, focusing as much as possible on the carol singing. I have a few clergy friends who enjoy giving me a gentle ribbing when I tell them my plans: “Oh you’re not doing ALL NINE are you!? Oh dear! It’ll be so long!” 

Brevity can be a virtue, and the Church hasn’t always cultivated it. I understand people have busy lives, and that very few of us want to be out late on a cold, wintry evening. I know that mince pies and mulled wine are as close to an irresistible temptation as there could be. I know that 30 to 45 minutes of hymn singing with a bit of Bible seems so lovely and compact. I understand all of this. 

However, I want to argue in favour of keeping all nine lessons: the length is the point! 

We end with a meditation on primordial concepts that cannot be truly comprehended by any mortal, and can only be put to paper in poetry. 

Some of the lessons are long (I’m looking at you Genesis!), and some a wonderfully pithy. It starts at the very beginning of the Bible and spends a good deal of time – nearly half of the readings – meditating on Genesis and Isaiah before we even begin to get to the baby Jesus, and the manger, and the shepherds, and the wise men. We seem to take ages not actually reading about the Story of Christmas…and this is VITAL! 

The traditional carol service concludes with the Prologue of John, that masterful exposition of the theology of the Incarnation, the perfect encapsulation of what a Christian believes is the truth, and the light, and the meaning of Jesus being born in a stable in Bethlehem. The service concludes with mention of the Word, of pre-existence, of Creation, of light defeating darkness, of salvation wrought through spirit and not flesh. We end with a meditation on primordial concepts that cannot be truly comprehended by any mortal, and can only be put to paper in poetry…and yet this is the true meaning of Christmas, and the true meaning of the Scriptures. Everything from Genesis 1.1 has been leading up to this, and everything written in Scripture only makes sense in light of these remarkable verses by John (or so Christians believe). 

When defending the traditional Nativity, I wrote about narrative and story and how they are fundamental to understanding our place in the world and the very meaning of our lives. The same can be said about the full nine lessons. Starting at the Fall of Mankind in the Garden of Eden, stopping to ponder the mercy and promise of God to Abraham and Isaac, being confronted with the wonderful Prophecies of Isaiah (the promise of peace and joy in the Kingdom of God), and then charting the story of the miraculous Birth of Christ, we see the underlying narrative thread of all Scripture: God loves His creation, God makes a promise to His creation, God keeps His promise and brings salvation and reconciliation to His creation. The Christmas story is wonderful and joyous, but it is an act in a larger drama, and we cannot truly understand it (or how it relates to the Prologue of John) if we don’t allow ourselves to encounter the whole story. 

Perhaps I’m putting too much emphasis and expectation on a single service in the year. Carol Services are celebratory, and anything that makes them accessible to as many people as possible is not something I want to malign…but…I pray that the full sweep of Scripture, the full and precious golden thread of the narrative of Scripture, is not lost. It is the meaning of Christmas, and it is the meaning of life, and it fills me with joy when it is celebrated with fellowship, singing, and worship. 

Anyway, grump over. I’m going to eat a mince pie.

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