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Page 11 text:
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TOP IMPRINT MARGIN M6403200 INDIANA UNIVERSITY HOSPITALS HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Class of 1974, cont. Impression: a . A tatus post Registered letteritis . b. Minites titis x 2, by iix. c. chronic pA.ogtieAA4.ve. pain in post. L. hip 2°- to deflation walleti following several acute financial dis charg eA. d. flea-bitis’ by hx. e. levator palpebrae hypertrophy with claudication bilat. 2° to chronic occular exploitation of the mitten wo ad. f. chronic cervical myalgia 2° to otic lectural stimulation. g. ”Sophomoritis , by hx. h. naA2A disproportia 2° to Jailing textA qHS. i. SOB with ”digiti cAampuA” 2 to f-sequent adminiAtAation of H 6 P's. j. chAonic EtOH intoxication x 4 y i. [at leaAt) but insufficient to pAomote a diuresis of the present illness. k. multiple cAanial academic attacks. l. general fatigue 2° to ” junior-yearitis and uncompensated Aelative hypothyAoidiAm. m. GAam negative Scut injection x 11 mon., by hx. n. mild vaAicoAities 2° to operation longuAn and Atanding waAd AounduA”. o. chAonic gaAtAoenteAitiA l° to Botulee botulii IAtAain: hoApitali cafeterium). p. mental waAting 2° to acute, overwhelming boaAditis x 2. q. palpitations and tachycardia of eminent graduation. A. foreseeable acute FLEXion in next month or so. Summary: Tn summary, this pt. haA a case of chAonic medicaloAchoolitis” of four (4) yeaAS duAation brought-on by an immunological deficiency to Registered letteritis. Recommendations : a. banouet and merriment, A tat. b. EtOH, PRN. c. one doAe of Graduation Medicali in approx. IS hrs. d. rest, ad infinitum. e. Aexual enhancement, PRN. RTC 5 yr. for Reunion d' CIoaa therapy. STATEMENT OF HOSPITAL RELEASE - INDIANA UNIl ERSm MEDICAL CENTER ThiA pi. is hereby released to himself and the world with the above recommendations with wishes for the best of luck and future success. i 77. itAM, 9 USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE)
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Page 10 text:
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TOP IMPRINT MARGIN M6403200 INDIANA UNIVERSITY HOSPITALS HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Class of 1974, cont. Psychiatric: Mood Lightly elevated. Increased emotional drives. Excessive tue of lengthy medical words. SI. preoccupation u)ttk something (he, keeps mumbling the word graduation when not being stimulated). Illusion of future grandeur hinted at but not delved into at this couching. Period of possible poor judgement 4 1 2 ur ago. Little insight into present problem but pt. feels a cure is in the offing. Admitting Laboratory Data: Blood: Wgb-14. HcZ7 42. (0BC-7,210 Idif. WML) Creat.-1.1 BUM-9. Ma-135 Cl-100 K-4.5 HC03-25 C02-23 Ca-9 P-2 bili-1.1 C S x 3- neg. Low serum litre to Registered letteritis. Urine: U A- WNL CCMS for C S- neg. Kray: Chest PA 6 L. lot.- read as WML with no cardiomegaly. UGJ- si. gastric mucosal changes consistent with but not diagnostic of chronic paroxysms of gastric irritation, probably x 4-5 yr. EKG: tachycardia with regular rhythm and non-specific ST-T wave changes; not consistent with myocardial pathology. EEG: area of focal external attack with regions of hyper-memory overload 6 memory wasting. Thyroid Scan: normal uptake with no areas of focal defect. Able to look through everything except a good looking girls dress and reducing everything to black and white (negative- ly speaking) were Heun Yune, Eugene Klatte (chairman), Edmund Franken and John Smith. Delving into the rigormortized inner sanctum and blazing a path through medicine were Amos Michael, William Wahle, James Benz, Joshua Edwards (chairman), and J. Donald Hubbard. USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE)
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Page 12 text:
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Basic Science Freshman Year Medical students . . . naturally have faith in their instructors, turning to them for truth, and taking what they may choose to give them; babes in knowledge, not yet able to tell the breast from the bottle, pumping away for the milk of truth at all that offers, were it nothing better than a Professor's shrivelled fore- finger. Oliver Wendell Holmes Undoubtedly the (medical) student tries to learn too much, and we teachers try to teach him too much - neither, perhaps, with great success. The existing evils result from neglect on the part of the teacher, student and examiner of the great fundamental principle laid down by Plato - that education is a lifelong process, in which the student can only make a beginning during his college course. The system under which we work asks too much of the student in a limited time. To cover the vast field of medicine in four years is an impossible task. We can only instill principles, put the student in the right path, give him methods, teach him how to study, and early to discern between essentials and non-essentials. Perfect happiness for student and teacher will come with the abolition of examin- ations, which are stumbling blocks and rocks of offence in the pathway of the true student. Sir William Osier Illegitimi non Carborundum Don't let the bastard wear you down.
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