Dear Marion, Thank you very much for your letter, especially for the account of the film Footnote. Your description makes me want to compose Eliezer's acceptance speech for him. The coincidence of outward and inward drama seems to me to set the stage for pathos, irony and satire on a monumental scale. I was reminded of the wedding chapter in Die Andere, http://home.earthlink.net/~ernstmeyer/andere/k41.html Thank you also for your comments on faith: _ _ "I think of faith as a proffered antidote to the worry, _ uncertainty, fear, dread, paralyzing feelings of inadequacy, _ helplessness and despair that may afflict people _ when they confront life's difficulties. _ If faith in a system, a force, a Being becomes a habit of mind, _ it can be deployed as a psychological tool _ to comfort and strengthen a person." _ obviously valid and persuasive, a blueprint, it seems to me, for a species of Deism without the name. But then: What's in a name? A rose by any other name would smell as sweet. The comparison of "faith" with "Glaube" seems to me to corroborate my thesis that thought is the consequence of language. As compared with "Glaube", Faith, to my hearing, has a much stronger component of trust, which in German would be expressed by "Vertrauen". To be faithful means "treu sein". "Jemandem glauben" is to believe that someone is speaking the truth, "Etwas glauben" means to believe that something is true. I'm fascinated by the differences between the languages, and begin to understand better why I write in German. I've forgotten the considerations that led me to explore the economics and procedures of self-publishing. I'm as reluctant as ever to try to "promote" my writing (and myself); but I can't deny that for years I cultivated relationships to optometrists who referred patients to me by taking them to lunch.... It worked. I succeeded in building and mainatining an ophthalmology practice. Today, successful publication of some of what I have written strikes me as an interesting political challenge, worth trying if only for the excitement. As a result of contemporary technology which makes it possible to duplicate "e-books" and the like at minimal cost, and makes it feasible to manufacture printed books "on demand", only when they have been ordered, the costs of publishing are almost entirely those of my energy. I ask myself, how should I apportion my time between additional writing, and soliciting attention for what I've already written. A dilemma that I find stimulating. I've begun by making some of the chapters of Die Andere more presentable, by converting them into html format, and replacing the double vowels ae, oe, and ue with their dotted equivalents, ä, ö, ü, and the hard s, written as sz, with the symbol "ß". In addition I should, prior to attempting distribution, carefully proofread the 1700 existing pages. Is it worth the time? Just now, I received in a medical newsletter, some comments about asthma which might be of interest to you, and which I append below. I hope you are, and will continue to be well. I'll write to you about the hearing Thursday night. Jochen ========================================================= Asthma Defies "One Size Fits All" Diagnosis Many patients with mild-to-moderate asthma have persistently noneosinophilic disease. Asthma is considered an eosinophilic disorder, and anti-inflammatory treatment (i.e., inhaled corticosteroids [ICS]), is aimed at eosinophilic airway inflammation. However, because many asthma patients do not respond to traditional therapy, recent attention has focused on the heterogeneity of this disorder. Investigators reviewed sputum studies from nine clinical trials involving patients with mild-to-moderate asthma (age range, 12-70 years). In patients not receiving ICS who provided multiple sputum samples, 53% had persistent or intermittent sputum eosinophilia and 47% never had eosinophilia. Most patients were allergic, all had reversible airflow obstruction or methacholine hyperreactivity, and both eosinophilic and noneosinophilic patients had similar responses to inhaled albuterol. However, eosinophilic patients had significantly better responses to aggressive 2-week courses of oral and inhaled steroids than did noneosinophilic patients. Comment: This study gives more support to the idea that asthma is not a "one size fits all" diagnosis. These patients all had similar symptoms, reversible airflow obstruction, and airway hyperreactivity, but only those with airway eosinophilia responded to steroid treatment. This explains why many of our patients do not do well with current asthma treatments, although we don't yet know what to offer these patients. Unfortunately, sputum cytology is best performed in research settings -- and neither blood eosinophilia nor exhaled nitric oxide is an adequate surrogate marker.