The most influential coursework I have completed since the start of my freshman year has been a combination of Biology and Thermodynamics. It may sound odd, but between these two classes, I have been offered the most compelling contradictions I could ever imagine. On one hand, biology has taught me about the organization of life, the mechanisms by which everything that makes this planet has come to be. It has shown me how life spontaneously organizes itself and the environment around it. Meanwhile, a study of thermodynamics has shown me that these kinds of formations simply do not occur. There are spontaneous processes and non-spontaneous processes and I now know enough of both subjects to understand that life should be a non-spontaneous process.
I understand that billions of years of perfect conditions have lead to the super-organization of Earth today, but I can also now appreciate just how unlikely all of this was—how energetically unstable every cell of every organism on this planet must be. Sustaining life nearly defies physics. One mistake and it’s over—organisms die, cells decompose, and the universe approaches an ever-delayed equilibrium.
In short, these courses, together, have taught me that life is a miracle. I have gained an increased spirituality from the most unlikely of sources. Most importantly, I have touched upon the most fundamental challenge of medicine: sustaining the billions of entropically unfavorable processes that make up life. There’s nothing unnatural about death. Death is merely the allowance of a system to come to equilibrium. Preventing death is working against every force in the universe to sustain the most intricate and improbable of cycles. There could be no greater challenge than the practice of medicine, and of course none more important.