Article
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.

Article
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Easter
Politics
4 min read

Amid the power plays the Passion of Zelensky stands out

How to respond to the Trumps and Pilates of this world?

George is a visiting fellow at the London School of Economics and an Anglican priest.

President Zelensky, wearing black, sits silently.
White House via Wikimedia Commons.

It started with prime minister Keir Starmer’s shameful toadying to President Donald Trump in the Oval Office at the White House, when he flourished a letter from his King inviting Trump for his second state visit to Britain. 

My first thought was what Starmer was going to produce for Ukraine’s Volodymyr Zelensky when he visited London shortly afterwards. A Fortnum & Mason voucher? My second thought was marginally more profound. Thirty pieces of silver came to mind. And I wondered why. Was it possible that Starmer was betraying Ukraine for the trinkets and baubles of our monarchy, just to stay in favour with the world’s most powerful man? 

As we have just slid past Ash Wednesday into the season of Lent, these thoughts take on a fiercer focus as the ends of our stories look like they’re in our beginnings, as the cast of characters in Passiontide ahead of Easter seem to take their places in our world politics now. 

Is US Vice President JD Vance a little like the Temple high priest of Jerusalem, Caiaphas, when he demands rhetorically: “It is better for you that one man die for the people than that the whole nation perish”? Isn’t the price of bringing Zelensky down and appeasing Russia’s Vladimir Putin worth it for peace in Ukraine? 

It might be customary in a column such as this to continue to ascribe characteristics of the cast of the Passion of the Christ to the leaders of today’s great powers. But that’s too easy and doesn’t really work. Starmer is no Judas. His courtly flattering of Trump preceded the attempted humiliation of Zelensky in Washington and since that event Starmer is widely applauded across the political spectrum for playing a blinder and not putting a foot wrong. 

He is no betrayer of Zelensky, quite the reverse. And, anyway, casting him in that role risks the sacrilege of deifying Zelensky, who is definitely not the Messiah. Indeed, you don’t have to be a devoted Trumpian to invoke Monty Python’s Life of Brian and note that his performance before Trump and Vance was not messianic, but that of a very naughty boy. 

Such comparisons are not going to get us very far. Maybe it’s better to turn them the other way around. Of greater value, perhaps, is to use the power plays that we’ve just witnessed on our global stage better to understand the one we’ll shortly be commemorating from a couple of millennia ago in Jerusalem. 

In doing so, we may even begin to peek into some insights that demolish any case that the historical events of Passiontide are of no relevance today. And this isn’t just about politics, it’s about our human capacity for abusive power. 

Like Trump, Pilate just wanted to make a deal to keep the peace. Like Trump, he told Jesus that he wasn’t being sufficiently appreciative of what he was trying to do for him.

Take that scene in the Oval Office when Zelensky was bullied by the two most powerful figures (Elon Musk excepted) in the new US regime. It’s a classic weapon in any domestic abusive relationship to blame the victim. So it was that Trump/Vance sought to blame Zelensky and by extension his nation for his and its oppression by Russia. 

And so it was when the Nazarene stood before Pontius Pilate, the mouthpiece of the most powerful man on earth of his day, the Emperor of Rome, Tiberius. The similarities between the two situations are striking. And not just because one can reasonably doubt that Jesus of Nazareth wore a suit on that day either. 

The latter, a battered artisan and preacher from the provincial hills and a man described as being “without sin”, was a classic subject of victim-blaming. Like Trump, Pilate just wanted to make a deal to keep the peace. Like Trump, he told Jesus that he wasn’t being sufficiently appreciative of what he was trying to do for him. Like Trump, he told him that he had absolute power over his fate. And, like Trump, he is certain that truth is anything he wishes it to be in the moment when he asks contemptuously: “What is truth?” 

The intriguing question is how this tells us to respond to the Trumps and Pilates of this world. In the immediate circumstances of interrogation in both the Oval Office and the praetorium, the answer seems partly to be silence. The Christ chooses it; Zelensky has it forced upon him by the coercive control of his interlocutors. 

Again, I make no claim for a Christ-like Zelensky. But silence as a human response invariably has its source in humility. In the most worldly of senses, that is now very apparent in the conciliatory words of the Ukrainian president towards his bully, calling his leadership “strong”, regretting how the meeting turned out and expressing willingness to return to the table. 

Humility isn’t weakness. It brings the power of peace and enables the triumph of love. That’s the lesson from two thousand years ago. And the lesson is also that no good can come from a total lack of it, just as for Trump as it was for Pilate. 

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