No matter what ailed you, you went to see the barber surgeon who wound up cupping you, bleeding you, purging you. And, oh yes, if you wanted, he would give you a haircut and pull your tooth while he was at it.
Pray tell us, what's your favorite number?"... "Shiva jumped up to the board, uninvited, and wrote 10,213,223"... "And pray, why would this number interest us?" "It is the only number that describes itself when you read it, 'One zero, two ones, three twos, two threes'.
My sense is that the wonderful technology that we have to visualize the inside of the body often leaves physicians feeling that the exam is a waste of time and so they may shortchange the ritual.
My VIP patients often regret so many things on their deathbeds. They regret the bitterness they'll leave in people's hearts. They realize the no money, no church service, no eulogy, no funeral procession no matter how elaborate, can remove the legacy of a mean spirit.
A beautiful literary collection that tells of today's country doctor, somewhat removed from our romantic black-bag image of days gone by, but still fulfilling an essential need in caring for spread-out populations. At times, with today's advances in technology, medicine in rural America looks very like it does in America's cities, but the variety of practices is enormous. The Country Doctor Revisited captures the trials and tribulations of medicine, but also the satisfaction and the extraordinary rewards that come to those who embrace such a practice.
There are moments as a teacher when I'm conscious that I'm trotting out the same exact phrase my professor used with me years ago. It's an eerie feeling, as if my old mentor is not just in the room, but in my shoes, using me as his mouthpiece.
The flip side of suicide is that it leaves a lingering question in the minds of the people who survived. Its like a cancer thats metastasized. The suicide is the cancer and the metastasis is all these people saying, Why? Why? Why?
What we need in medical schools is not to teach empathy, as much as to preserve it. The process of learning huge volumes of information about disease, of learning a specialised language, can ironically make one lose sight of the patient one came to serve; empathy can be replaced by cynicism.
Your job is to preserve yourself, not to descend into their hole. It's a relief when you arrive at this place, the point of absurdity, because then you are free, you owe them nothing.
I think America is really in denial about the degree to which residents, particularly foreign medical graduates, man the county hospitals of this country, and but for their services, I'm not sure how exactly we could manage.
We come unbidden into this life, and if we are lucky we find a purpose beyond starvation, misery, and early death which, lest we forget, is the common lot.