Medicine, as we are practising it, is a luxury trade. We are selling bread at the price of jewels... Let us take the profit, the private economic profit, out of medicine, and purify our profession of rapacious individualism... Let us say to the people not 'How much have you got?' but 'How best can we serve you?
A modern hospital is like Grand Central Station—all noise and hubbub, and is filled with smoking physicians, nurses, orderlies, patients and visitors. Soft drinks are sold on each floor and everybody guzzles these popular poisons. The stench of chemicals offends the nose, while tranquillizers substitute for quietness.
Emblematic of this era was the prolific Viennese surgeon Theodor Billroth. Born in 1821, Billroth studied music and surgery with almost equal verve. (The professions still often go hand in hand. Both push manual skill to its limit; both mature with practice and age; both depend on immediacy, precision, and opposable thumbs.)
I saved a man's life once," said Granny. "Special medicine, twice a day. Boiled water with a bit of berry juice in it. Told him I'd bought it from the dwarves. That's the biggest part of doct'rin, really. Most people'll get over most things if they put their minds to it, you just have to give them an interest.
So ask me if I am alright.'I’m fine; I’m always fine.'You see this look in my eyes.'No, I’m fine. I am always fine.'There is a corpse behind my smile.'Listen, I am fine. Always, always fine as fine can be.''Are you okay?''I am more than okay. I am more than fine. I am wonderful!
When speaking of the mighty Andes and the so-called "eyebrows" country at the range's eastern base- the Tropical Wet Forest region-I am first obliged to give homage to the Apu, the Mountain Lords, the ice-capped everlasting sovereigns of these great lands, on whose forested slopes manifests the most marvelous biological diversity.
As a recent editorial in the Journal of Clinical Oncology put it: "What we must first remember is that the immune system is designed to detect foreign invaders, and avoid out own cells. With few exceptions, the immune system does not appear to recognize cancers within an individual as foreign, because they are actually part of the self.
No man is brave that has never walked a hundred miles. If you want to know the truth of who you are, walk until not a person knows your name. Travel is the great leveler, the great teacher, bitter as medicine, crueler than mirror-glass. A long stretch of road will teach you more about yourself than a hundred years of quiet introspection.
She handed him a glass of water and two Aleve gelcaps. “They’re anti-inflammatories. They will dull the pain a little bit and keep down swelling and redness. Swallow the pills, don’t chew.”“Well, I thought I’d stick them into my nose and impersonate a walrus, but if you insist, I’ll swallow them.
I attained a triumph so complete that it is now rare to meet an American with marks of small pox on his face... Benefits are valuable according to their duration and extent... but the benign remedy Vaccination saves millions of lives every century, like the [gift] of the sun, universal and everlasting.[Remark made near the end of his life]
The possibilities and probabilities are all we have to work with in medicine, though. What we are drawn to in this imperfect science, what we in fact covet in our way, is the alterable moment-the fragile but crystalline opportunity for one's know-how, ability, or just gut instinct to change the course of another's life for the better.
My father, for whose skills as a surgeon I have the deepest respect, says, "The operation with the best outcome is the one you decide not to do." Knowing when not to operate, knowing when I am in over my head, knowing when to call for the assistance of a surgeon of my father's caliber--that kind of talent, that kind of "brilliance," goes unheralded.
There are times in my life when I have been medicine for some while poison for others. I used to think I was a victim of my story until I realized the truth; that I am the creator of my story. I choose what type of person I will be and what type of impact I will leave on others. I will never choose the destructive path of self and outward victimization again.
إن الأطباء يواجهون دائما نعين من المرضى : المرضى و أدعياء الطب
Chlamydia, today´s most common cause of venereal disease, does the equivalent of hiding in the police station.Schistosomes of the mansoni type go a step further and essentially steal police uniforms. These parasites, a serious cause of liver disease in Asia, pick up blood-group antigens so that they may look to the immune system like our own normal blood cells.
