Wake Forest School of Medicine - Gray Matter Yearbook (Winston Salem, NC)

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History 84 Physical BOYVMAN GRAY - 1960 CHIEF COMPLAINT AND PRESENT ILLNESS 4 PAST HISTORY , , 5 REFERRING PHYSICIAN 8 REVIEYV OF SYSTEMS , A . 11 PHYSICAL EXAMINATION: Seniors P. . 32 Iuniors I ..,. 46 Sophomores . . I 50 Freshmen , V . 52 Pararnedical , , . 54 SOCIAL HISTORY: SAMA , A 62 Publications I , 64 Alpha Omega Alpha 65 Frederick R. Taylor Society 65 Phi Rho Sigma . 66 Phi Chi . . , 68

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CC8:PI CHIEF COMPLAINT: Well, Doctor, it all began several years ago when I de- veloped this uncontrollable urge to go to medical school: PRESENT ILLNESS: This 26 year old fplus or minusj medical student was ad- mitted to the Bowman Gray School of Medicine approximately four years ago at which time he for shej was complain- ing of a considerable lack of medical knowledge compensated only by an al- most pathologic desire to correct the situation ovemight. The disease had a rather insidious onset several years prior to admission but reached an acute crisis early in October of 1956 as he sat listen- 1 to some stranger describe how painless the cure really was. The ubiquitous financial situation, varying from the very rich to the very poor, made the prospects of institutionalization a rather questionable point. The patient lists a number of things that may have pre- cipitated the onset of the diseaseg numbered among them was a family that more or less encouraged him although the disease does not necessarily have a familial history. As with most illnesses, the illness has a percentage of morbidity and mortality that makes the treatment necessarily a vigorous one. The patient has tried everything from dexedrine to Miltown to allay his symptoms with only moderate success. According to the patient this disease has not effected his virulency, 3 . 5 . t Q :W T, slut 1 :ll 4. . .Penal . . . ok., 1. as p 10 . P . ,s4l H l 4, Q t '4 , 13' 7-' . 'tt' 5 'x' I L -. and, especially since institutionalization, the prolific pro- duction of offspring tends to indicate that it leans toward increased virulency if anything. Broken of mind, finances and body this young man has now been told by his re- ferring physician that there is no cure for this disease and that he must now be transferred to another hospital for rehabilitation and conversion of the disease process from an acute to a chronic stage. This will require from one year upward depending upon the severity of the malady and the individual's ability to survive on his antiquated salary and his wife's dexterity at stretching hamburger. Despite the many facets to the problem, the patient's spirit remain high. This is probably indicative that the ailment is colored with a considerable psychiatric over- toneg however, at present there is only palliative therapy available for this element. The patient presents himself now for discharge from this hospital and transfer else- where for rehabilitation. From reports of other unfor- tunates who tread the pathway earlier, the prospects of fewer sleepless nights and less work appears to be only a pipe dream. 4