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Page 9 text:
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CHILDREN ARE different helpless, carefree, obnoxious, beautiful. Toddlers and teenagers, preemies and frogs, they all need us. “Start an I.V. . . . where? What vein? You’re kidding me. . .” “No ma’am, your child doesn’t need a shot; you have to expect him to throw up occasionally if you feed him 12 timesaday.”’. . Trying to catch a glimpse of a wildly moving fundus... “What do you mean his I.V. infiltrated?’ Listening for a murmur in a crying infant with a heart rate of 200... “let me just feel your tummy here, oops, oh it’s OK I'll just go wash my hands... Harriet Lane... bedwetters... Dr. Weech’s tricks . . . Lactase deficient huh, well, stop his Goat’s milk and start a soy formula... Isomil.. . Pregestimil . .. Pedialyte ... Cherry Koolaid.. . Satur- day morning conference; where’s the Schiebs? . . . Clot- ted off, clotted off at 2 in the morning; great timing nurse . meningitis ... leukemia. . . juvenile rheumatoid arthritis .. . Gaucher’s and Pompey’s . . . Children, the frustrations and joys of today; the hope fortomorrow ... Always take the time to listen, to con- sider and to try to comprehend the prob- lem your patient tells you about — above all listen. And when his problems are clear to you, explain them to the patient in language he can understand. Clear communication takes so little — yet means so much. William H. Donnelly The Birth of Kustam Shah Nameh The Book of Kings. 16th century, Indo-Persian This is yet the childhood of the world, and a supine credulity is still the most charming characteristic of man. Osler
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Page 8 text:
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Professor Tulp’s Anatomy Lesson, Rembrandt van Rijn, 1632 Anatomy brought life and liberty to the art of healing, and for these centuries the great names in medicine were those of the great anatomists. Osler Frontispiece to a collection of works by Galen, Venice, 1565 ks LIBRORVM PUS-4 SECVNDA CLASSIS Sswred MATERIAM SANITATISE Ma conferuatricem tradit.que circaacrem,cibum ae. ay = porum, fomnum vy igiliam, mortum ba ora quictem, inanitionem repletioncm, : animi deniq; affectus verfacur. APet QVARTA HAC NOSTRA EDITIONE, | Non paucts fane exornatacafticationibus,ex bo- norum grecorum codicum collatione. Locis etiam nunc primum in margine indicatis, quos Galenus fparfim ex Hippocrate affert. Librorum Elenchus proximo folio continerur, To T' s¢007. au) AM AN ii sD é ot O. a 2 ee VENETIIS ATPVD IVNTAS, } ie, aa “T believe, ina word, that the true scientific method confines - the mind without suffocating it, leaves it as far as possible face to face with itself, and guides it, while respecting the creative originality and the spontaneity which are its most precious qualities. Science goes forward only through n Ww ideas and through creative or original power of thought. In education, we must, therefore, take care that knowledge — which should arm the mind does not overwhelm it by its % weight, and that rules, intended to support weak parts of the mind, do not atrophy the strong and fertile parts. I need not enter into further explanations here; I have had to limit myself by forewarning biological science and experimental medicine against exaggerating the importance of erudition and against invasion and domination by systems; because sciences submitting to these would lose their.fertili would abandon the independence and freedom essential to the progress of humanity.” Seip “Experimentation must precede dog- ma Andreas Vesalius PATHOLOGY .. . the survivors of THE FIFTEEN are introduced .. . the same sort of informational overdose but amore relaxed crowd ... slides... gross sections. . the synopsis of Anderson is simply inadequate. . . the Framingham Study . . . an astounding increase in the number of vegetarians... aflatoxin. .. my god I ate two pieces of moldly bread last night . . . who is Hackett’s tailor? .. . kodachromes . . . microfiches . . . all skin lesions known to man in two hours... Echeverria... at least the disease that I’m dying from changes each week . . the loss of the metabolic pathway to produce alcohol may have been an evolutionary error... Alexander... Wilm’s Tumor... the exquisitely organized section on pediatric pathology .. . Bill Donnelly . . . first the in- troduction of a young man, then the introduction of his femur, only Enneking could . . . tests and more tests . and a very little physical digendems
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Page 10 text:
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Taking a lady’s hand gives her confidence in her physician. Osler BIRTH... center stage. . . doing something... 10cm...crowning.. episiotomy . . . a quintessential slipperiness ... nuchal cord... not enough hands... 36 hours on... the Harvard pump... pit drips... fetal heart monitors... Williams... Novak... you blew a 50-50... Dr. Hill . . . hysterectomies . . . exent- erations... Daly .. . the student room in. L D ... . short tempersaaas hostile nurses .. . getting up for your fourth fever check . . . ordering piz- zas and sandwiches . . . HURRY!; she’s delivering in the examining room... pelvics... outlying clinics ... three little circs allina row... C-sections..|. . pudendaleyaaae: placentas .. . wind, water, wound, walk, wonder drugs . . . the squamocolumnar junction...GC.. . PID... ectopics... placenta previa ... abruptio placenta... mag sulfate ... Doctor, take the baby from me! Oh lordy Jesus, take the baby from me! .. . Leopold’s maneuvers .. . IUDs...BCPs... grand multips... why are we concentrating on pathology in a clinical rotation? . . . how can you read when you’re asleep? ...a written final.
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