Brian Appavu, MD

Brian Appavu, MD's avatar
Brian Appavu, MD
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Physician, father, husband, and enthusiast for solutions to complex problems.
Whether it's reactions to Charlie Kirk or the recent uproar over the discussion surrounding acetaminophen (Tylenol) and autism, I'm continuing to observe the same thing: We're all looking at the same observations and data, but we're not comprehending each other. On the acetaminophen question, I donโ€™t believe that many of the staunchly committed voices on any side are all that confused about โ€œassociation vs. causation.โ€ I think there are quite a number of people with drastically different viewpoints who demonstrate some understanding of the limits of observational studies โ€” confounding, mediation, collinearity, and so on. So why do we still continue to talk past each other? I donโ€™t think the Charlie Kirk discourse is really about politics. I donโ€™t think the acetaminophen debate is really about politics or even science. I think the issue is deeper. I think some of it has to do with our emotional processing during discourse, and the language we use when we respond. But part of it also comes down to something even more basic: whether we share the same epistemology โ€” the way we define what counts as knowledge and truth. And hereโ€™s the problem: most people donโ€™t even know what the word โ€œepistemologyโ€ means. Yet without some shared understanding of it, I donโ€™t see how weโ€™ll ever truly understand each other. #philosophy #politics #knowledge image
I found this interview from Ilhan Omar very emotionally provocative. Initially, I felt a lot of anger, but I've heard a lot of terrible things said about Charlie Kirk and I wanted to explore why I found her words so provocative. I think the weight of her words were in saying that his legacy should be "in the dust bin of history". The thing is, if we think someone is wrong or terrible, we take their legacy as important. Not because we agree with them, but because we want to understand their motivations, errors, and not repeat the evils of the past. We understand that it's important to understand Adolf Hitler and his writings in Mein Kampf. We understand that it's important to understand the background and motivations of Osama Bin Laden. So why would someone want someone's ideas and legacy, which are clearly inspiring others, to be forgotten and never heard from again? I think that reason is that to erase ideas entirely is not to defeat them. The only reason to demand they be forgotten is fearโ€”fear that those ideas reveal truths that threaten the illusions that those individuals wish to protect.