SECRETIONS
The human condition is a messy one. The human body is designed to produce or secrete endless number of fluids and by-products. Despite all the many billions of dollars that people spend on perfumes, sanitizing wipes, soaps, shampoos, and colognes our bodies continue this process around the clock. To most people, these secretions and fluids smell and are to be flushed, wiped or disposed off as quickly as possible. In medicine, however, these secretions are incredibly vital to the diagnosis of diseases and their therapy. From the chloride sweat test used to make the diagnosis of cystic fibrosis, to the complex serum chemistries that we do on blood, these fluids and secretions provide a fertile ground to test for possible diseases. The analysis of these fluids and secretions is becoming ever more advanced. We are finding small bits of cancer in blood called circulating tumor cells, at the molecular level we are doing protein analyses and gene analysis on blood and blood cells. Tissue that is removed at the time of a surgery is being diced, mashed and processed to give us an ever expanding ability to diagnose and predict the prognosis of patients with cancer.
The human condition is one of endless production of these fluids. Our bone marrow with its ability to produce a near endless supply of blood, our stomachs producing gastric acids, and our livers producing bile to help in our digestion are examples. Our sweat glands produce sweat in an effort to cool our bodies during exercise and in the heat of the summer. Our kidneys produce an ever continuing supply of urine to dispose of endless amounts of wastes that must be processed and removed from our body.
So much of what we worry about in many diseases today is based on the transmission of these secretions. Hospitals wipe down rooms to prevent coming in contact with aerosolized respiratory secretions. We wear rubber gloves to prevent the touching of skin to decrease the transmission of Staph infections. We do not enter a patient’s room without spraying out hands full of antimicrobial foam. We are seemingly in a constant battle to rid our patients and ourselves of the various secretions that are vital and really honestly make us human. The human condition can never ever be a sterile condition. We will never ever be rid the waste products that are produced by life. I find it amazing how this complex organism that we call the human body can make such an almost seemingly endless number of secretions and how our mind has spent hundreds of years trying to come up with ways to cover up, remove, and suppress these secretions.
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