Dear Marion, We didn't need to go to Konnarock after all. Anna Ludwig Wilson, a family friend, the daughter of Rudolph Fridolin and Grace Ludwig, sometime tenants of the Konnarock parsonage, who, together with Onkel Fritz appear on a picture that I attached to an e-mail of June 22, telephoned Margrit in Konnarock, and on hearing Margrit was sick, came to visit her, spent two nights, and put Margrit on the plane to Boston. Margrit had the benefit of a wheelchair on boarding at TriCities Airport near Bristol, on changing planes in Charlotte NC, and on disembarking from the plane in Boston. The scheduled arrival time was 12:08 a.m., but when we had retrieved her luggage and left the parking garage at the airport, it was 1 a.m. Once we got to Belmont, I gave her some broth and water, - she wouldn't eat anything, measured her blood pressure and counted her pulse, but was unable to find a vein sufficiently large for drawing blood. She slept well, without further vomiting, and has slept all day. When I've woken her every hour or two to give her fluids, was been oriented and alert. At about 5 p.m. saying "I guess I should show you my tumor," and permitted me to palpate a 10 x 20 cm mildly tender mass that protruded just below the left inguinal ligament, which I did not try to reduce. I then remembered the Konnarock physician's having made incidental mention of a hernia, when discussing the vomiting and presumed gastic bleeding. I waited for Klemens who was on his way home from a long busy day, "on service" at his hospital, which now calls itself "Tufts Medical Center." After Klemens had examined the hernia, he telephoned his emergency room and told them we were coming. Contrary to reports of interminable waiting for emergency room patients, Margrit was seen very quickly. We were treated with great consideration and courtesy. The emergency room nurse also was unable to find a vessel for venipuncture, but it was finally accomplished, - I didn't have a chance to observe. Liver and kidney function was normal, as were chest X-ray and EKG. The surgery resident was unable to reduce the hernia, and scheduled immediate surgery. By 11 p.m. Margrit was in the operating room; at 1 a.m. I had a telephone call from the surgeon who reported that he had found a strangulated, perforated femoral hernia with pus surrounding the herniation; that he had resected 6 inches of bowel and repositioned the anastomosed ends into the peritoneal cavity, leaving a penrose drain to permit the tissues to granulate after the infection had been controlled. Because of ileus, which he said might take days to resolve, a nasogastric tube was left in place. Margrit would stay in the hospital for about a week; convalescence would require at least a month. I will be going to see her as soon as my patient, scheduled for 12 noon, has left. It's obvious that, for a change, I've been doing something useful. As for my various useless activities, I never did get back to the Katenus Mansion on Main Street where I was to plan the weekend, - the uncertainty of my sister's problem distracted me. ========================= Thank you for looking at my essay. I'm not sure that reading it is worth the effort. As for the denouement, there is none. What I was trying to do, without obvious success, and what I have been attempting since, is to describe a certain cognitive detachment, - which I call doubt -, a detachment which, as it were, "brackets" the assertions of the sciences, - of both "Naturwissenschaften" und "Geisteswissenschaften" -. The sciences convey experiences distinct from the immediacy of perception and intuition. Hence the contrast between Mt. Rogers and White Top as extinct volcanos, remote in time, and the immedicay of the bees visitng the goldenrod, ready to sting me, right now. I'm not sure to what extent such doubt, even if it were at all reasonable and something more than a figment of the frustrated thirst for knowledge, would be susceptible to propaganda. Perhaps, to the extent that it's real, such doubt has only subjective meaning and should be concealed, like other facets of subjectivity, under the wraps of modesty and decency. ========================= I conclude that various issues will be clarified, and some disagreements will be resolved on closer scrutiny of the nature and quality of our awareness. I ponder the differences between the unconsciousness of sleep and, for example, the critical awareness of threading a needle. I conclude that there is a wide and rich spectrum of awareness, of consciousness, There are many levels of mental activity. Mental concentration, it seems to me, is highly variable. "You are not paying attention (to what I am saying)," is a complaint to which I must frequently make my defense. The imagination of the child who has not learned to distinguish fantasy from reality is easily distracted and exploited. Even for the mature mind, the distinction between what is imagined and what is real remains problematic: if only because everything that is real, in order to be perceived, requires also to be imagined; furthermore, many products of the imagination have a reality which in some respects is indistinguishable from the reality that is perceived independent the exercise of the imagination. To phrase it differently: the perception of reality is attended by imagination that differs from occasion to occasion and from person to person in degree and in quality. For the uncritical imagination the "alien" from outer space is as real as is the fireman from Waltham or Arlington. For the uncritical imagination, the dinosaurs of 200 million years ago are as real as the deer that I see grazing under the apple trees of the lawn fifty feet from the porch on which I sit. For the uncritical imagination, the Greek soldiers who fought and died at Thermopylae are as real as my patient who happens to die of a stroke or a heart attack in my office. For me, that which I see or hear is more compelling by far than that which I imagine. History is essentially imagination; that is why the historical event is not as real to me as the event which is present to my eyes or ears. The "reality" attributable to the inferences of archeology, paleontology, evolutionary biology, cosmology and geology are unavoidably contingent on imagination. All of these are historical disciplines. What they tell me is less real than what I glean from nature with my own perception. My surmise that evolutionary biology might be considered history was corroborated by an article that I found on the Internet. O'Hara, Robert J. "Homage to Clio, or Toward an Historical Philosophy for Evolutionary Biology" Syst. Zoology 37(2):142-155, 1988 If evolutionary biology is history, then it is Geisteswissenschaft as distinct from Naturwissenschaft, and must be understood to be subject to the same constraints that govern all other history. And not only evolutionary biology, - geology, cosmology, paleontology, archeology would all of them appear to be historical disciplines, and as such, subject to the limitations of history. Maybe its because I've been too distracted by Margrit's illness that this has turned out to be not much of a letter, but I'll send it nonetheless. Jochen