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

Page 11 text:

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

Page 10 text:

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

Page 12 text:

Medicine is a service profession. The doctor is educated and trained to give services to people. People have the right to make demands on the doctor. Sick people have the right to make irrational demands on the doctor. By the terms of the bond, the doctor will always spend a large part of his waking hours in professional activities. If he believes all professional activity is work, he will work a long day and develop a feeling of self-pity. If he believes the interplay between himself and his patients is as interesting and entertaining as a good play, an excellent novel or a game of tennis, he will have a hard time separating work from play, and he will wake up each morning with a feeling of zest for the adventures of the day. I have always been grateful that, in the summer of 1928, Emory University Medical School accepted Eugene Stead, Jr. as a freshman student. I know of no other career which could have brought me so many satisfactions. Eugene A. Stead, Jr., M.D. Professor of Medicine Former Chairman of Department of Medicine