Duke University School of Medicine - Aesculapian Yearbook (Durham, NC)

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THE USE OF LABORATORY RESULTS TO IMPROVE CLINICAL DIAGNOSIS A computer cannot examine a patient. No amount of laboratory work can substitute for clinical observations. Looking at the color of the mucous membranes before and after the hemoglobin tests have been reported will improve the physician's ability to determine the degree of anemia. By examining the patient's heart and lungs before and after X-ray films are available will improve the physician's ability to make emergency diagnoses without the help of the X-rays e.g. spontaneous pneumothorax atelectasis of one lung or fluid in the chest. Some diagnoses can be made from the physical examination and the X-rays which cannot be made with the X-ray alone. A diffuse bilateral disease of both lungs may be tuberculosis, bronchial pneumonia, sarcoidosis, silicosis or berylliosis. If numerous medium size rales are heard after an expiratory cough, the diagnosis is tubercloisis or bronchopneumonia. If no rales are heard, the diagnosis may be sarcoidosis, silicosis or berylliosis. A history of exposure will eliminate silicosis or berylliosis or leave the diagnosis sarciodosis. A pneumonic lesion with a cavity by X-ray may be tuberculosis or an abscess. If the sputum is foul smelling the diagnosis is abscess. A filling defect in the liver scan may be a tumor or an abscess. If the patient has fever and the liver is tender on palpation the diagnosis is abscess. David T. Smith Professor Emeritus Division of Microbiology

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lication BAYLIN George J. Baylin was born in Baltimore, Maryland fifty-eight years ago to Pauline and Maurice J. Baylin. His father, a Russian immigrant, was in the general practice of medicine in Baltimore. George Baylin had a good start, he says, with the three most important people in his life, his parents, his mentor, and his wife. The A.B. degree at Johns Hopkins University in 1931 and upon entering the Duke University School of Nledicine. Here he came under the scrutiny and guidance of Dr. Frances Swett, who was chairman of the department of Anatomy at that time. One of the most valuable things he learned from Dr. Swett was the necessity of introspection and total honesty with oneself. Dr. Baylin earned his M.D. degree from Duke in 1937. One year later he married Sarah Hartman. They now have three sons: Stephen, an intern in medicine at Duke, who plans a career in cardiology: Jonathan, who has a IVlaster's degree in urban planning, and Eric, a very gifted and accomplished artist who recently graduated Phi Beta Kappa. Dr. Baylin is currently professor of Radiology at Duke. He has also held positions in the Department of Anatomy. He is a member of Alpha Omega Alpha and Sigmi Xi, and has received the North Carolina Medical Society IVledal. He was voted the SANIA Golden Apple Award in 1965. Watching his Herculean efforts in the outpatient radiology department is made more impressive by the fact that he has found time to author over one hundred publications. 41' 4 if f fs fi X W2 '

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Many of you know that I believe you should achieve worthwhile happiness throughout your entire trip through education, including, of course, undergraduate medical education, graduate medical education and your continuing medical education throughout the remainder of your life. Don't delay happiness until the awarding of the doctorate or until you receive Board certification or until the establishment of your own practice. These should be memorable landmarks along your trip and should be celebrated. In addition, you should enjoy each day throughout your entire trip the pleasures of doing, of serving, of planning and of building. The happiness that should attend the doing of your multitudinous daily tasks of service will overshadow the pleasures you will receive through honors bestowed on you. Happiness is complex and there are undoubtedly many possible paths. One that l recommend involves the expenditure of the extra effort required to excel. Everyone enjoys most the games in which he excels. Likewise the extra expertice which you may acquire in your daily work will be paralleled by increased happiness during your work periods. lVlay I wish for all of you all possible happiness in your trip through medical education and your medical career. J. E. Markee lVl.D. Former Chairman, Department of Anatomy