Sophistry and VICC

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What is sophistry?

This term has evolved much over the years. According to the Collins Dictionary:

Definitionnoun

  • 1. a) a method of argument that is seemingly plausible though actually invalid and misleading
  • 1. b) the art of using such arguments
  • 2. subtle but unsound or fallacious reasoning

Interestingly, in ancient Greece, indeed, pre-Socrates, a Sophist was a teacher using philosophical methods to teach virtue. They were extremely persuasive in argument.  As their worth progressed, they commanded high fees (unlike Socrates, who shunned payment). By the time of the Roman Empire, a Sophist was one who made compelling arguments in public, and used rhetoric.  Over time, sophistry has become a derogatory term; a crafted argument in order to represent a specious or fallacious statement or reasoning.

Although most of the explanations we consider to clinical queries in this series are far from purposefully misleading, or sophistic, they may still suffer from years of propagation, ‘Chinese whispers’ or simply arguments built on incorrect supposition and foundations.

Question (or rather ‘statement’)

VICC (venom induced consumptive coagulopathy) causes cardiac arrest early in envenomation (particularly in brown snake envenomation) because of rapid micro-clot formation in the initial pro-coagulant phase, occurring within the coronary arteries.

The subsequent question:

If there is widespread clotting within the coronary arteries, why do we not see clot in the arterial supply of other organs?

We open this to our faithful readers…

Feel free to submit ANY answer to the comments section – we would love to hear your own thoughts, first principle analysis, expert exegesis or revel in revered references.  Remember NO answer can be wrong…otherwise we’d know the right answer already! If you want to discuss ‘Socrates and Sophistry’ topics on Twitter, use the #LITFLSAS hash tag.

If you have your own question, please submit it to… Michelle @ lifeinthefastlane.com

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About Michelle Johnston

Lives for teaching and loves clinical work, but when it comes to social media, she is like the syndromic cousin in the corner who gets brought out and patted on the head once in a while. Creator of Physiology Philes and Socrates and Sophistry - + Michelle Johnston | Contact

Comments

  1. This theory remains plausible: The clot is promptly dissolved by the anticoagulant properties. The only organs which are affected by transient partial arterial blockage are the ‘usual suspects’ which have very high metabolic demand and don’t tolerate ischaemia -- heart, brain (and to a lesser degree, kidney). The brain is clearly inaccessible during cardiac arrest to assess compromise. The heart also has a fairly unique characteristic -- arterial flow stasis / reversal during the cardiac cycle, which may be a critical additional procoagulant process.

    On the other hand, venom contains all sorts of nasty shit. Another compound could easily be the responsible agent.

    I’m happy to sit on the fence on this one.

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