Modern medicine is basically developing continuously along the thinking method of reductionism. Reductionists believe that life phenomena and their dynamic processes can be reduced to physical and chemical molecular motion processes. Therefore, with the development of human society, science and technology are deepening in two directions, on the one hand to a more macroscopic universe, and on the other hand to a more microscopic world. The development of biomedicine has moved to the level of cells, genes, protein molecules, and even small chemical molecules. Therefore, the continuous development of medicine will inevitably lead to more and more detailed divisions. This is also the basic result of following reductionism.
The hospital departments are becoming more and more detailed, which of course affects clinical medicine and its application fields, and also affects patient seeking medical attention. Recently, I went to a hospital to see a doctor, and first got a general surgery number. Doctor: "The number is wrong, you should go to the endocrinology department (the endocrinology department is also divided into many departments)." After I registered, I went to the endocrinology department. Doctor: "Your registered number is not suitable, you should go to the dermatology department." I registered and went to the dermatology department (My personality is OK, just follow the doctor's instructions)...
Actually, my few times are nothing. A friend of mine went to a hospital to see a doctor. He only knew that he should see the internal medicine department. Go to the hospital for registration, and the registration room takes out the internal medicine department that can be registered. My friend was dumbfounded. There are too many divisions in the internal medicine department of the primary hospitals, and it is difficult to choose the right department at once.
He asked: "Which department should I register?"
The registration room showed him the various departments under internal medicine: "Look at it."
He: "How do I know so many departments!"
Registration room: "You should understand before registering."
He: "How do I understand the situation in advance?"
Registration room: "Well, let's talk about your health first. I will recommend a department to try based on your situation. If it's not right, then change the number."
In fact, the hospital cannot be blamed for things that are difficult to register at one time. This is the result of modern medicine following the theoretical system of reductionism. This results in medicine is the division of department must be more detailed.
Here is a joke. Will in the future modern medicine be divided into a certain genetic department, such as insulin, growth hormone, estrogen, parathyroid hormone, prostaglandin, antibody, T cell factor department... There are a total of more than 20,000 genes. When you go to a hospital to see a doctor, the patient will see that the hospital has hundreds of departments. Registration will become a problem.
Someone said: "It doesn't matter. When the patient goes to the hospital, he first pays for the genome, transcriptome, and proteomics test, and then looks at the department number."
We know that when you got the transcriptome and proteomics results, you find that there are hundreds of genes up-regulated and hundreds of genes down-regulated. If among these hundreds of molecules, choose which department to register, it will become a bigger problem.
How far can the current reductionism thinking of biomedicine go?