Drexel University College of Medicine - Medic Yearbook (Philadelphia, PA)

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September i963 and we were in the promised land of the Senior Year. The world was our apple. We marveled a bit at the difference . . . that the moonlighting experience of iunior internships had wrought in the appearance and mannerisms of our fellow classmates. The boys were beginning to look like Doctors. And the talk . . . ln my clinical experi- ence-' '... , and, So I told the Chief- ,... and thus . . . all the imperceptible changes which had been going on for three years had crystallized over the iunior vacation. Senior medical affiliations afforded an excellent opportunity to see how medicine is practiced outside the lvory Tower . PGH was a zoo of pathology. Harrisburg was a high pressure service - up at l0-ll a.m. every day, work up 3 patients in 4 weeks, touch football along the Susquehanna with the student nurses as cheerleaders, Harry's at lO o'clock every night, occasionally, a trip to Martin's for wining and danc- ing. After the H'burg affiliation, Veteran's provided a rest. Here were a multitude of palpable livers, esophageal varices, and bleeding ulcers, but with no interns here, it was go man go - pass tubes, drains, spinal taps, liver biopsies - all tax free! The senior student, veteran of modern mid-wifery, as taught at The Hahnemann, goes to his attiliation with confidence born of excellent, exhaustive and -ing training. Here, lessons about misplaced placentas, premature separations, and rupture of marginal sinuses assume vital significance in differential dx. Here, also, are lessons in philosophy, sociology, and communication. Martha Washington Smith, lno relation to A. L Smith, with melenal age Scream follows scream. Bear down like you're going to move your bowels, honey, and l'll - NURSE! Didn't she have an enema? Millimeter by millimeter, hour by hour, finally station by station until - eye glued to the introitus you have the feeling that you're being watched - YOU ARE - another eye. Lights, carrier, rush instructions - Don't strain, don't bear down, don't belch, don't cough, don't breathe - Easy now Table, stirrups, water, scrub, gown, gloves, drape, cover, basin, stool - stool? Quick, towel, scissors, left mediolateral, haircut-haircut? Modified Ritgen, aspirator, rotate, slushpop - Wraaaci!l Clamp, clamp, cut, blanket, crede', clip, alcohol,binder. Third stage? What's that? - Oh, I see, it's in the bucket there. Then in scholarly and soothing tones, he purrs, But honey, I have to mash down on your belly to get all the clobs out of your virginia.

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The poetry and the drama of childbirth can best be summed up in the Dilemma of the Aspiring Fetus or Hamlet in Utero: To flex, or not to flex -that is the question. Whether 'tis better an R.O.P. To let my head extend and present myself abrow, Or even turn a face and make The two convexities of spine a good excuse To give the doctor the chance he needs To prove his diagnostic powers, Or whether in this sea of amniotic fluid To simply do a version on my own And as an LSA dilate the os And iust prolapse iust an inch or so of cord. But time grows short - I feel the pains of labor round me press, Increasing in their strength and frequency, The membranes buldge! Ah, me! My heart is sad, l'm lust an LOP. - JUNIOR PEDIATRICS rattled us with head measurements, chest meas- urements, fontanelle closures, tooth eruptions, doubled birth weights, tripled birth weights, difference between cow's milk and human milk, etc., etc. ,... and so forth. We were told in no uncertain terms that a pediatric patient is not a little man or woman. Dr. Baren taught us the proper method of taking a pediatric history, and consequently, long hours were spent interviewing distraught mothers, asking such questions as the type of delivery, whether forceps or spontaneous, number and normality of sibling's - all because ofa ganglion on the wrist. This was the year of genetic diseases and sex 'chromatin aberrations. Mongolism became Downs Syndrome and any physical finding you could name could be combined with two others and called a syndrome. After six weeks at Hahnemann we were convinced that congenital heart disease occurs in about 857, of all newborns. This is the year of the meal ticket, Which come in red, yellow and blue. Without it you stand 'round like a picket, But with it you always get through. ...L After working all day and sometimes at night, Big Mama standing there sure is a fright. No ticket, no food, is the word of the day, Then over you must goto Abe's and pay. Some people don't trust us . . . We'd take more than our share. So in came the tickets Now everything's fair. The food is great even the puddin' Oh yeah, just who Am I kiddin ? Big Mama's efficient Although she ain't kind, And the grub is sufficient And it's out on time. J- xl ..-' fy n Nu U

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Senior surgery is the preceptor yeor, Wherever he is, we will be neor. Run, scrub, cut, ond more, To hold retroctors is whot we're for. Some students elected to poss some gos And they possed it well, in order to poss. Some people took plumbing on ci bet, And rolled up their trousers, so they wouldn't get wet. Neurosurgery wos much lobor, But which mony students reolly did sovor. Sowing ond costing enticed o few, Although it's o field thot is not new. 9111 M-fwMWf'2i2'1+f f' Soon o finol we oll did hove, Which we took in the phormocology lob. ls thot regression? Oh yes, you soy. But then, thot's how we seniors poss our doy. PEDS Clinic is greot, both AM ond PM All the little children with their mild exonthems. And ringworm ond hookworm ond chickenpops too, And if you don't wotch out, they'Il give them to you. The kiddies ore fine, the teoching is greot! But pleose, wotch out if the kiddie iust ote. Mony shots in the orm tor one little sneeze Cause o meon ole' ollergy moy couse o wheeze. Boby shots, boby shots, upper ond lower, From booth to booth - olwoys onother. Formulos, formulos, cut out the creoml lt's endless but fun, see whot I meon? lt losts only three weeks, ond ohl whot o shome, As the stol'tmen hordly even know our nomes. lt's to onother clinic with o greot big smile For we'll soon be M.D.'s in iust o little while. On our deporture, we the Closs of 1964, wish to express our grotitude ond heortfelt oppreciotion to the Foculty of l-lohnemonn Medicol College. Although, in our collow immoturity, we hove disogreed with you ond even moligned you, deep down in our heorts we respect you. We think our fothers fools so wise we grow, our wiser sons no doubt will think us so. For we ore nothing sove for you. As physicions we ore but o conglomerotion of your knowledge ond experience, ond os we deport eoch of us tokes something of you with us. I om port of oll thot I hove met, soid Tennyson in Ulysesses. ln this respect o teocher is immortol. Since you hove given us the benefit of your knowledge ond experience, os your teochers' did before you ,... these things will live in us to be possed on in turn. The rewards of a teacher are few, and perhaps the greatest is a student's appreciation. This we freely give to you. ilili llaitv rn -1