Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

The human hand: not really that good for anything

Roy A. Meals, MD
Conditions and Diseases
August 6, 2018
Share
Tweet
Share

Long ago primitive sharks had ridges running down their sides from gill to tail. Later, muscles grew into the folds, and eventually, the central portion of each ridge receded while the ends enlarged to form fins both fore and aft. All was well.

Then one day several hundred million years ago, a fish was swimming blissfully in a shallow pool. The tide went out and much to the fish’s surprise, she could use her five-rayed fins to move around a bit on the rocky bottom. The tide came in and she swam away, never to give this event another thought. The world, however, was forever changed.

For many generations thereafter, that fish’s offspring went back to the pool and progressively got better at moving across the rocky surfaces on their fins. Some even started squirming short distances overland from pool to pool. They developed pockets in their throats that could absorb oxygen directly from the air, which was far more efficient than deriving oxygen from moving water through their gills. Not only was breathing more efficient on terra firma, but also plant food was abundant and there were no predators. The fish slowly developed stronger skeletons, waterproof skin, and longer fins. They now walked and hopped and only returned to the water when they laid eggs. Amphibians were born. Birds and reptiles were next; the sequence is under some dispute, but those fins were now assuming various shapes to facilitate flying, running, and even fighting. For now, there were competitors.

Then mammals came along with warm blood, hair rather than feathers or scales, and the ability to nurse their young. The earliest mammals were tiny and entirely intimidated by the dinosaurs. They wisely kept out of sight; but when those terrible lizards bit the dust, mammals came out of their crevices. Some went to the mountains, others to the plains, some to the trees, others underground. The ones who adapted most efficiently to their new environments survived and thrived.

Mammals assumed many sizes, shapes, hair colors, and habits. Those pectoral fins from their fish ancestors became amazingly diverse and particularly suited for special purposes on land. Various habitats favored different ad­aptations. Long fingers in some instances favored reaching the best berries and eggs. Sharp claws in other instances could shred bark or competitors. For elephants, their noses evolved into their grasping appendages, capable of uprooting trees and picking up peanuts. Elephants, therefore, benefited more from broad, thick weight-bearing platforms for hands and feet than they would from five dexterous digits. Other large animals found no use for five digits and efficiently adapted to their environmental niches with fewer. The rhinoceros has three digits, the camel two, and the horse only one, best for running, which horses do on their fingernails–well, hoofs.

Some mammals found life on the land too dangerous or competitive and went underground. Moles, with strong tunneling tools for upper limbs, are particularly well adapted for this life. An extra bone, which at first glance looks like a sixth finger, widens the hand.

A few mammals found a special niche by taking to the air. Bats still have five digits, but they are as thin as the elephants’ are thick. The thumb retains a claw useful for crawling, and the index and middle fingers are fused together to form the primary strut. Thin webs of skin stretch from fingertip to fingertip to provide tools for flight.

Other groups of mammals decided that life in the ocean was not all that bad and rejoined their fish ancestors. Sea otters continued with paws and claws, while whales and seals developed flippers for maximally efficient swimming and for chasing their fish relatives.

Then there are human hands — not really that good for anything. We can’t bear hundreds of pounds of pressure on them while we pull down trees with our noses. We can’t walk on them for weeks across hot sand or run a mile in two minutes on our fingernails. Nor can we flap our elbows and fly, swim the oceans for our entire lives, or burrow across the neighbor’s lawn. Ah, but here is the beauty of the human hand — not terribly good at any one thing, but pretty good at a lot of things. We can bear some weight on them and we can swim a little. If we need to run we can use our feet. This frees our hands to use tools rather than to be tools. Need to dig? Pick up a shovel. Need to cut? Grab scissors. Need to fly? Build an airplane or reserve a ticket online. Even fly away for a fishing vacation. Just respect the fins on those scaly creatures you catch and know that you share some ancestors.

Roy A. Meals is an orthopedic surgeon who blogs at About Bone. 

Image credit: Roy A. Meals, Shutterstock.com

Prev

6 money decisions for physicians

August 6, 2018 Kevin 0
…
Next

Rallying at the end of life

August 6, 2018 Kevin 7
…

Tagged as: Orthopedics

< Previous Post
6 money decisions for physicians
Next Post >
Rallying at the end of life

 

ADVERTISEMENT

More by Roy A. Meals, MD

  • Orthopedic surgery enters the modern age on a chance observation

    Roy A. Meals, MD
  • Do viruses infect bones?

    Roy A. Meals, MD
  • An orthopedic surgeon analyzes presidents’ skeletal maladies

    Roy A. Meals, MD

Related Posts

  • The medical student who had a genuine human profile

    DrizzleMD
  • Be a human first and a doctor second

    Sarah Murad
  • We are human and all in this together

    Hannah Todd, MPH
  • Is health care just legal human trafficking?

    Debra Blaine, MD
  • A first-hand account of single-payer health care

    Darrel Moellendorf
  • This patient interaction is a reminder of the power of being human

    Johnathan Yao, MD, MPH

More in Conditions and Diseases

  • Shift work and circadian rhythms shape the 24/7 workplace

    Deepak Gupta, MD
  • Telehealth and postpartum psychosis defy simple blame

    Rabia Cheema, MD
  • Underage online gambling needs more than a checkbox

    Kayvan Haddadan, MD
  • Why must fourth trimester care begin after delivery?

    Allison P. Boyle, DPA, PA-C
  • Nutrition during cancer treatment is more than calories

    Dr. Manjari Chandra
  • Why witnessing death outside the hospital felt different

    Denise Moulton, RN
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The human hand: not really that good for anything
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...