All joking aside though Tom, you do look different compared to four weeks ago.
At the time of being admitted as a member of the medical profession:
I solemnly pledge to consecrate my life to the service of humanity;
I will give to my teachers the respect and gratitude that is their due;
I will practice my profession with conscience and dignity;
The health of my patient will be my first consideration;
I will respect the secrets that are confided in me, even after the patient has died;
I will maintain by all the means in my power, the honour and the noble traditions of the medical profession;
My colleagues will be my sisters and brothers;
I will not permit considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race sexual orientation, social standing or any other factor to intervene between my duty and my patient;
I will maintain the utmost respect for human life;
I will not use my medical knowledge to violate human rights and civil liberties, even under threat;
I make these promises solemnly, freely and upon my honour.
It’s in the act of making things that we figure out who we are.
There must be a beginning of any great matter, but the continuing unto the end until it be thoroughly finished yields the true glory.
The heart has its reasons which reason knows not.
There is no possibility for teaching without learning. As well as there is no possibility of learning without teaching.
Cotton Mather, you dog, dam you! I’l inoculate you with this; with a pox to you!
A disease must be regarded as an indivisible whole from its beginning to its end, a regular set of characteristic symptoms and a succession of periods.
A thorough physical exam was deferred as patient was noncooperative and threatened to spit and defecate on me.
On March 27, 1897, whilst eating some soup, [J.W.] aspirated a bone. This accident was followed by attacks of violent cough and dyspnoea, which, however, became gradually less… On direct laryngeal examination by mean of Kristein’s spatula, the patient being seated with his head strongly deflected to the left, I saw in the right principal bronchus a white mass. On the following day I introduced, under cocaine anaesthesia, a straight tube of 9 millimeters diameter and of 25 centimeters length through the larynx and the trachea until I came near the foreign body. The curvature of the trachea was thus removed, and the foreign body could be seen distinctly. I had great difficulty in catching hold of the foreign body, using a pair of slender forceps which had specially and quickly been made. The difficulties were great, as at that time…I was still without the necessary practice which enables one to look easily, and even more to operate, through long tubes. Eventually I succeeded in catching the bone and in extracting it. The patient was able to return home the following day.
Gustav Killian, 1902.
Direct endoscopy of the upper air-passages and oesopghagus; its diagnostic and therapeutic value in the search for and removal of foreign bodies. J Laryngol Rhinol Otol 17:461, 1902.