Montaigne simply turns his mind loose and writes whatever he feels like writing. Mostly, he wants to say that reason is not a special, unique gift of human beings, marking us off from the rest of nature.

The human brain is the most public organ on the face of the earth, open to everything, sending out messages to everything. To be sure, it is hidden away in bone and conducts internal affairs in secrecy, but virtually all the business is the direct result of thinking that has already occurred in other minds.

It is a distortion, with something profoundly disloyal about it, to picture the human being as a teetering, fallible contraption, always needing, watching and patching, always on the verge of flapping to pieces.

As evolutionary time is measured, we have only just turned up and have hardly had time to catch breath, still marveling at our thumbs, still learning to use the brand-new gift of language. Being so young, we can be excused all sorts of folly and can permit ourselves the hope that someday, as a species, we will begin to grow up.

Well, biology today as I see it has an amiable look - quite different from the 19th-century view that the whole arrangement of nature is hostile, 'red in tooth and claw.' That came about because people misread Darwin's 'survival of the fittest.'

The whole dear notion of one's own Self-marvelous old free-willed, free- enterprising, autonomous, independent, isolated island of a Self- is a myth.

The dilemma of modern medicine, and the underlying central flaw in medical education and, most of all, in the training of interns, is the irresistible drive to do something, anything. It is expected by patients and too often agreed to by their doctors, in the face of ignorance.