Surgeon Physician Quotes

Surgeons know nothing but do everything. Internists know everything but do nothing. Pathologists know everything and do everything but too late.

Going to give you some words of wisdom,” he said, “that were passed down to me when I became a surgeon. Consider them a surgeon’s survival guide.” I closed my eyes briefly, indicating I was ready to absorb. “When you can eat, eat. When you can sleep, sleep. When you can fuck, fuck. But do not fuck with the pancreas.

long-term survivors had poor relationships with their physicians—as judged by the physicians. They asked a lot of questions and expressed their emotions freely.

When doctor saves a life, he also saves a family.

An incompetent doctor practices, but a competent doctor performs.

In the first place, in the physician or surgeon no quality takes rank with imperturbability, and I propose for a few minutes to direct your attention to this essential bodily virtue.

During terms, Professor Marsden lives in Cambridge with his wife, chess player extraordinaire and distinguished physician and surgeon Bryony Asquith Marsden. His favorite time of day is half past six in the evening, when he meets Mrs. Marsden’s train at the station, as the latter returns from her day in London. On Sunday afternoons, rain or shine, Professor and Mrs. Marsden take a walk along The Backs, and treasure growing old together.

The important question isn't how to keep bad physicians from harming patient; it's how to keep good physicians from harming patients. Medical malpractice suits are a remarkably ineffective remedy. (In reference to a Harvard Medical Practice Study)... fewer than 2 percent of the patients who had received substandard care ever filed suit. Conversely, only a small minority among patients who did sue had in fact been victims of negligent care. And a patient's likelihood of winning a suit depended primarily on how poor his or her outcome was, regardless of whether that outcome was caused by disease or unavoidable risks of care. The deeper problem with medical malpractice is that by demonizing errors they prevent doctors from acknowledging & discussing them publicly. The tort system makes adversaries of patient & physician, and pushes each other to offer a heavily slanted version of events.

The reader, knowing nothing about the ‘dark continent,’ filled in the blanks. Pictured Stone in a tent, kerosene lamp held up by a Hottentot providing the only light, elephants stampeding outside while the good doctor recited Cicero and excised part of himself as blithely as if he were cutting for stone on the body of another.

Physicians, though they put their patients to much pain, will not destroy their nature, but will raise it up by degrees. Surgeons will pierce and cut but not mutilate. A mother who has a sick and self-willed child will not cast it away for this reason. And shall there be more mercy in the stream than there is in the spring? Shall we think there is more mercy in ourselves than in God, who plants the feeling of mercy in us?

Six witnesses affirmed that Jacoba had cured them, even after numerous doctors had given up, and one patient declared that she was wiser in the art of surgery and medicine than any master physician or surgeon in Paris. But these testimonials were used against her, for the charge was not that she was incompetent, but that—as a woman—she dared to cure at all.

The physician works with his mind. The surgeon works with his hands, and his brute strength.

Medicines ensures lengthy life but not necessarily healthy life.

I was temperamentally better suited to a cognitive discipline, to an introspective field—internal medicine, or perhaps psychiatry. The sight of the operating theater made me sweat. The idea of holding a scalpel caused coils to form in my belly. (It still does.) Surgery was the most difficult thing I could imagine. And so I became a surgeon.

physicians, Drs. Bill Castelli, Bill Roberts and Caldwell Esselstyn, Jr., that in their long careers they had never seen a heart disease fatality among their patients who had blood cholesterol levels below 150 mg/dL. Dr. Castelli was the long-time director of the famous Framingham Heart Study of NIH; Dr. Esselstyn was a renowned surgeon at the Cleveland Clinic who did a remarkable study reversing heart disease (chapter five); Dr. Roberts has long been editor of the prestigious medical journal Cardiology. BLOOD CHOLESTEROL AND DIET

that many decisions made by physicians appear to be arbitrary—highly variable, with no obvious explanation.

When things go wrong, it’s almost impossible for a physician to talk to a patient honestly about mistakes.

One professional I never wish to see is doctor.

A good doctor cures the disease, but a great doctor cures the cause.

They (surgeons) worry that praying makes them look weak and lacking in confidence. But what physician can't admit he or she could use help? We are all flawed human beings who cannot afford to reject God's help.

In 1967, psychiatrist Leonard Stein described the nurse’s role in an essay entitled “The Doctor–Nurse Game.” The object of the game, he said, was for a nurse to “make her recommendations appear to be initiated by the physician. . . . The nurse who does see herself as a consultant but refuses to follow the rules of the game in making her recommendations, has hell to pay. The outspoken nurse is labeled a ‘bitch’ by the surgeon. The psychiatrist describes her as unconsciously suffering from penis envy.

One American in seven has no coverage, and one in three younger than sixty-five will lose coverage at some point in the next two years. These are people who aren't poor or old enough to qualify for government programs but whose jobs aren't good enough to provide benefits either.

Silently, I mouthed the word to Demetri: “Epilepsy?” He nodded. I should have known: The kids were being fed a diet of fat, fat, and more fat. Only fat. More than a hundred years ago, physicians discovered that a diet consisting almost entirely of cream, oil, butter, and other fats could greatly decrease or even eliminate seizures in children with epilepsy.

But I will tell you another misery that is not to be denied. In the common, natural course of events physicians, surgeons and apothecaries are faced with enormous demands for sympathy: they may come into immediate contact with half a dozen deeply distressing cases in a single day. Those who are not saints are in danger of running out of funds and becoming bankrupt; a state which deprives them of a great deal of their humanity. If the man is in private practice he is obliged to utter more or less appropriate words to preserve his connexion, his living;and the mere adoption of a compassionate face as you have no doubt observed goes some little way towards producing at least the ghost of pity. But our patients cannot leave us. They have no alternative. We are not required to put on a conciliating expression, for our inhumanity in no way affects our livelihood. We have a monopoly; and I believe that many of us pay a very ugly price for it in the long run. You must already have met a number of callous idle self-important self-indulgent hardhearted pragmatic brutes wherever the patients have no free choice.

In medicine, we have long faced a conflict between the imperative to give patients the best possible care and the need to provide novices with experience. Residencies attempt to mitigate potential harm for supervision and graduated responsibility. And there is reason to think patients actually benefit from teaching. Studies generally find teaching hospitals have better outcomes than non teaching hospitals. Residents may be amateurs, but having them around checking on patients, asking questions, and keeping faculty on their toes seems to help. But there is still no getting around those first few unsteady times a young physician tries to put in a central line, remove a breast cancer, or sew together two segments of colon. No matter how many protections we put in place, on average these cases go less well with a novice then with someone experienced.

Whenever the man was unconscious, the surgeon was busy stitching up the large wound. Whenever the man awoke for a bit, he would hurl vehement curses and racial epithets at the surgeon who paused momentarily in his efforts until the man became stuporous again. This back-and-forth routine continued a few times until the stitching was completed. It would have been unethical for the physician to have refused to treat the man because of his insulting behavior.

In the first place, in the physician or surgeon no quality takes rank with imperturbability…. Imperturbability means coolness and presence of mind under all circumstances, calmness amid storm, clearness of judgment in moments of grave peril, immobility, impassiveness, or, to use an old and expressive word, phlegm. It is the quality which is most appreciated by the laity though often misunderstood by them; and the physician who has the misfortune to be without it, who betrays indecision and worry, and who shows that he is flustered and flurried in ordinary emergencies, loses rapidly the confidence of his patients. AEQUANIMITAS, IN AEQUANIMITAS, 3–4.

Medical ministry belongs in the work of every physician. The surgeon should have recourse to it as much and as often as the neurologist or psychiatrist. It is only that the goal of medical ministry is different and goes deeper that that of the surgeon. When the surgeon has completed an amputation, he takes off his rubber gloves and appears to have done his duty as a physician. But if the patient then commits suicide because he cannot bear living as a cripple - of what use has the surgical therapy been? Is it not also part of the physician's work to do something about the patient's attitude toward the pain of surgery or the handicap that results from it?

Theo, she say without lookin up, her voice low. Do you know who Dred Scott is? Shake my head. Dred Scott was a slave. Is a slave. Dred Scott’s master was a U.S. Army surgeon who took him along to various military assignments—fort in Illinois: free state; fort in Wisconsin: free territory. Mr. Scott was in free Wisconsin four years, wedding a wife and having a daughter, hiring himself out during long periods when the master was away. The master returned and took Mr. Scott and his family to slave states, then the master died. Mr. Scott and his wife had scrimped and saved to purchase their family’s freedom, and requested this of the physician’s widow, who refused. Mr. Scott took them to court, basing his claim on the family’s previous residences on free soil, and won. He won! But the fiend mistress appealed to the Missouri Supreme Court which, two years after Mr. Scott and family had gained their freedom, overturned the ruling, placing them back in slavery. Another trial, this time regarding the physical abuse Mr. Scott had endured. Another unjust outcome. So, the U.S. Supreme Court. The decision came yesterday.

There is an implication to be found in the statement of Surgeon Verneuil, though probably not meant by him, to which assent must be given when understood. It is TRUE that there is no such THING as tetanus, small pox. syphilis, etc., as is implied by the general use of nosological terms. Disease is not a thing, an entity: it is a condition, and the error of regarding the condition of disease as an entity has confirmed, where it has not originated, much of the prevailing erroneous treatment of the sick. Nosological terms have a use; it is that of bringing to the mind of the physician a group of pathological symptoms, which may or may not be present in the case of the patient under consideration; from them, *when present*, the diseased condition of the patient can be recognized and treated. Unfortunately, through not understanding this truth, attempts are frequently made to treat, *not the patient*, but the name, which has been given to a collection of morbid symptoms. A broken limb is a thing; the inflammation which results from it is a condition, and if gangrene ensues the *gangrene* is not a *thing*, but a condition to be taken into consideration with all the other symptoms in the treatment of the patient. The surgeon, Verneuil, had probably a glimmering perception of this truth, but he misapplied it, for his theory and practice, as a physician, and the theory and practice of nearly all modern medicine assume that the condition to be treated is a thing having a name and this name is treated instead of the patient. –Source: *The Blood and its Third Anatomical Element* by Antoine Béchamp, 1912, Translated by Montague R. Leverson

That must be my surgeon coming aboard. You will like him; a reading man too, most amazing learned; a full-blown physician into the bargain, and my particular friend. But I must tell you this, Yorke; he is wealthy – ‘ In point of fact Captain Aubrey had little idea of his surgeon’s fortune, apart from knowing that he owned a good deal of hilly land in Catalonia with a tumbledown castle on it. But Stephen had done pretty well out of the Mauritius campaign; his manner of living was Spartan – one suit of clothes every five years and perhaps a couple of shirts – and apart from books he had no visible expenses at all. Jack was no Macchiavel, but he did know that to the rich it should be given; that capital possessed a mystical significance; that even the most perfectly disinterested respected it and its owner; and that although a naval surgeon was ordinarily a person of no great consequence, the same man moved into quite a different category the moment he was endowed with comfortable private means. In short, that whereas an ordinary surgeon, living on his pay, might not readily be indulged in room for exotic livestock, an imperfectly- preserved giant squid, and several tons of natural specimens, in a stranger’s ship, a wealthy natural philosopher might meet with more consideration; and Jack knew how Stephen prized the collection he had made during their arduous voyage. ‘ – he is wealthy, and he only comes with me because of the opportunities for natural philosophy; though he is a first-rate surgeon, too, and we are lucky to have him. But this voyage the opportunities have been prodigious, and he has turned the Leopard into a down-right Ark. Most of the Desolation creatures are stuffed or pickled but there are some from New Holland that skip and bound about: I hope you are not too crowded in La Fleche?

From Major Leonard D. Heaton, physician and surgeon at Schofield Barracks’ Army Hospital. Writing in his diary the night of 7 December:   The best and happiest days of our lives went up in the smoke of Pearl Harbor, Wheeler Field, and Hickam Field today. I wonder if, when and how they will ever return.

There are forty-eight physicians and surgeons, but not all are lecturers. Including yourself, there are twenty-seven students of medicine. Each clerk is apprenticed to a series of different physicians. The apprenticeships vary in length for different individuals, and so does the entire clerkship. You become a candidate for oral examination whenever the bastardly faculty decides you are ready. If you pass, they address you as Hakim. If you fail, you remain a student and must work toward another chance.” “How long have you been here?” Karim glowered, and Rob knew he had asked the wrong question. “Seven years. I’ve taken examinations twice. Last year, I failed the section on philosophy. My second attempt was three weeks ago, when I made a poor thing of questions on jurisprudence. What should I care about the history of logic or the precedents of the law? I’m already a good physician.” He sighed bitterly. “In addition to classes in medicine you must attend lectures in law, theology, and philosophy.

Shun as most pernicious that frame of mind, too often, I fear, seen in physicians, which assumes an air of superiority, and limits as worthy of your communion only those with satisfactory collegiate or sartorial credentials. The passports of your fellowship should be honesty of purpose, and a devotion to the highest interests of our profession, and these you will find widely diffused, sometimes apparent only when you get beneath the crust of a rough exterior. THE ARMY SURGEON. MED NEWS [PHILADELPHIA] 1894:318-22.

Despite all this bad news, there is real-world evidence that groups do confront bullies as a group—and it works! A shining example is the “Code Pink” technique used by surgical nurses. These highly skilled professionals are often berated and belittled by pompous surgeons, both men and women. In some hospitals, whenever a bullying surgeon steps over the line into mistreatment, “Code Pink” is called by the targeted nurse. Immediately, supportive nurses form a circle around the physician. Together, they declare their unwillingness to assist that person with current and future patients, if an apology is not given with a promise to behave in a civil manner. The interdependent nature of surgery makes the surgeon powerless without the help of the team in the operating room. All work stops and the physician is accountable for her or his bullying. It is the physician who is responsible for the patient’s life. “Code Pink” is the group displaying its power to the bully, demanding cooperation instead of controlling games.

Dr. A.C. Jackson was a nationally recognized surgeon who was said by the Mayo Clinic to be the best African-American surgeon in the country. Jackson was one of fifteen African-American physicians in Tulsa at the time of the riot. He was only forty years old when he was gunned down outside his Greenwood home as he stood facing the vigilantes with his hands up. He told the mob that he was unarmed and that he wanted to go with them. He believed they were there to take him to safety at Convention Hall. As he walked out onto his front lawn, two men shot him down. While he was lying on the lawn, another man shot him in the leg. He bled to death in tremendous pain, unable to get help from the medical profession he so loved. He was a gentle man who sought only to do good for humanity and was beloved by both black and white associates.

However, Pauling’s interest in these carotenoids and flavonoids was confined to their chemical structures and the influence of structure on optical properties; he did not address their health functions. In 1941 Pauling was diagnosed with Bright’s disease, or glomerulonephritis, which was at the time an often-fatal kidney disorder. On the advice of physicians at the Rockefeller Institute, he went to San Francisco for treatment by Thomas Addis, an innovative Stanford nephrologist. Addis prescribed a diet low in salt and protein, plenty of water, and supplementary vitamins and minerals that Pauling followed for nearly 14 years and completely recovered. This was dramatic firsthand experience of the therapeutic value of the diet. Revelations When Pauling cast about for a new research direction in the 1950s, he realized that mental illness was a significant public health problem that had not been sufficiently addressed by scientists. Perhaps his mother’s megaloblastic madness and premature death caused by B12 deficiency underlay this interest. At about this time, Pauling’s eldest son, Linus Jr., began a residency in psychiatry, which undoubtedly prompted Pauling to consider the nature of mental illness. Thanks to funding from the Ford Foundation, Pauling investigated the role of enzymes in brain function but made little progress. When he came across a copy of Niacin Therapy in Psychiatry (1962) by Abram Hoffer in 1965, Pauling was astonished to learn that simple substances needed in minute amounts to prevent deficiency diseases could have therapeutic application in unrelated diseases when given in very large amounts. This serendipitous and key event was critically responsible for Pauling’s seminal paper in his emergent medical field. Later, Pauling was especially excited by Hoffer’s observations on the survival of patients with advanced cancer who responded well to his micronutrient and dietary regimen, originally formulated to help schizophrenics manage their illness.19,20 The regimen includes large doses of B vitamins, vitamin C, vitamin E, beta-carotene, selenium, zinc, and other micronutrients. About 40 percent of patients treated adjunctively with Hoffer’s regimen lived, on average, five or more years, and about 60 percent survived four times longer than controls. These results were even better than those achieved by Scottish surgeon Ewan Cameron, Pauling’s close clinical collaborator, in Scotland. After a long and extremely productive career at Caltech,

Yet the denial of feelings is one way of blocking the chronic depression that can descend like a dense fog on those who deal day after day with sickness and death. It is better than not caring at all, better than burning out. Only a few are tough enough to maintain both equanimity and caring for a lifetime; these renowned nurses and legendary physicians are saints of the medical profession. Copper knew a few of them, and he wished he could be more like them. It took a lot of growing up.

Aoun wrote of the search for 'that good physician who would say, 'I understand that this illness is happening to you, but we will face it together.

Ayman al-Zawahiri, a scholarly Egyptian eye surgeon who had served as bin Laden’s personal physician.

A device can be considered FDA-cleared if the manufacturer and the FDA agree that it is very similar to another device already on the market and is deemed safe to use. Becoming FDA-approved is a more rigorous process, used for devices for which there aren’t other, similar approved models on the market. What makes it even more confusing is that some devices may be FDA-cleared for one indication but used and marketed by physicians for a completely different indication. For example, some devices may be FDA-cleared for pain reduction, yet plastic surgeons use them to reduce fat.

You often hear that a physician’s bedside manner is more or less irrelevant. The theory seems to suggest that you just want someone who coldly, mechanically, robotically does the job, who doesn’t get distracted by emotion, who lives by that old saw that you’d rather have a surgeon who cuts straight and cares less. Ingrid, Simon knew, believed the opposite. You want a real person—a caring, empathic person—to be your physician. You want a person who sees you as a fellow human being who is scared and hurting and in need of reassurance and comfort. It was a responsibility Ingrid took very seriously. When a parent brought their child to see her—well, step back and think about it: When are you ever more vulnerable? You’re stressed, you’re terrified, you’re confused. Physicians who do not understand that, who act as though you are an anatomical object in need of repair like a MacBook visiting the Genius Bar are going to not only make the experience more miserable but they will miss something in the diagnosis.

After five or six years I dig up my Roses about October tenth, cut the tops down to about twelve inches, cut out some of the old wood, cut off the roots considerably, trench the ground anew, and replant. The following year the Roses may not bloom very profusely, but afterwards for four or five years the yield will be great. My physician in the[128] country is a fine gardener, and particularly successful with Roses. We have many delightful talks about gardening. When I told him of my surgical operations upon the Roses he was horrified at such barbarity, and seemed to listen with more or less incredulity. So I asked him if, as a surgeon as well as physician, he approved, on occasion, of lopping off a patient’s limbs to prolong his life, why he should not also sanction the same operation in the vegetable kingdom. He was silent.

Physicians amassed knowledge, but that knowledge did not lead to improved patient management. Visitors to France from Britain and the United States even expressed serious moral reservations about Paris and its priorities. They noted that all too often physicians were little concerned about alleviating suffering or preserving life; surgeons, it was said, regarded operations as primarily a means to achieve greater manual dexterity, and the curriculum did not stress that the primary mission was to heal. Knowledge and its advancement were all that counted. Patients were objects to be observed as if they were displays in a natural history museum or stage props in a theater, and their presence on a ward was principally a means to serve science. Dr.

Two years ago, Rhys Winterborne had hired Dr. Garrett Gibson to serve on the clinic's medical staff, despite people's suspicions that a woman wasn't suited for such a demanding profession. Garrett had dedicated herself to proving them wrong, and in a short time had distinguished herself as an unusually skilled and talented surgeon as well as physician. She was still regarded as something of a novelty, of course, but her reputation and practice had grown steadily.

This last thought took such possession of her conscience as to give her no peace, and by three o’clock of a fine December day Miss Stafford might have been seen stepping from a car at the corner of Kirkland Row, a short cross street that separated two great thoroughfares and. seemed to be almost entirely given up to physicians. At least, as Miss Stafford gazed at the doors she was amazed to see rows of placards announcing the office hours of any number of “Physicians and Surgeons.” “Dear me!” she said, as she passed the dozenth announcement of the kind. “It can’t be that any of the people on this street are ever ill; or else they all are, always. I wonder why the doctors huddle together in this way? So that if the one sought happens to be out, the luck may chance to fall on one of the others, I suppose.

In the course of his career as a naval surgeon travelling the world, Captain T.L. Cleave,97 together with South African physician G.D. Campbell, formulated the hypothesis that a variety of medical conditions – including dental caries and associated periodontal disease, peptic ulcers, obesity, diabetes, colonic stasis ‘and its complications of varicose veins and haemorrhoids’, heart attack (coronary thrombosis) and certain gut infections – are caused by diets high in sugar and refined carbohydrates, and should therefore be termed the ‘saccharine diseases’.

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

in the Eastern Christian Roman world, at least as early as the sixth century, and probably earlier, there were free hospitals served by physicians and surgeons, with established regimes of treatment and convalescent care, and with regular and trained staffs. In their developed form, the hospitals of Byzantium came in a variety of specializations:

The elaboration of such emic realities or reality-tunnels can reach extremes of creativity, in which a person "invents" a totally new and individualized gloss on the whole of existence. Such great creators will either win Nobel prizes (for art or science) or will get thrown in "mental hospitals,” depending on how much skill they have at selling their new vision to others. Some will even get locked up in nut-houses and later become recognized as great scientific pioneers — e.g., Semmelweiss, the first physician to suggest that surgeons should wash their hands before operating.

And so man IS just what he eats. Some of the most famous physicians and surgeons have said that 90 to 95 percent of all sickness and disease comes from faulty diet!

The Word of God is nothing short of a Surgeon’s scalpel which will lay you bare and show the real you

It was only the independent doctors like Ryan Cole, who were not reliant on Dr. Fauci’s largesse and who threw themselves into hand-to-hand combat against COVID-19, who discovered readily available treatment modes: “We had hero doctors that really had to break with the academic ivory tower,” says McCullough. Finally, a group of independent organizations, including the Association of American Physicians and Surgeons, the Front-Line Critical Care Consortium, and America’s Front-line Doctors, galvanized to organize the country into four national telemedicine services, and three regional telemedicine services. Following

I didn’t invent my regimen from whole cloth. It’s built on a foundation of scientific data generated by leading medical professionals and other experts in the field: people like Dr. Neal Barnard, founder and president of the Physicians Committee for Responsible Medicine, and T. Colin Campbell, professor emeritus of nutritional biochemistry at Cornell University and author of The China Study, a groundbreaking book published in 2005 that examines the close relationship between the consumption of animal proteins and the onset of chronic and degenerative illnesses such as cancer, heart disease, and obesity. In one of the largest epidemiological studies ever conducted, Professor Campbell and his peers determined that a plant-based, whole-food diet can minimize and actually reverse the development of these chronic diseases. Equally influential is Dr. Caldwell Esselstyn’s book Prevent and Reverse Heart Disease. A former surgeon at the Cleveland Clinic, as well as a Yale-trained rower who garnered Olympic gold at the 1956 Melbourne Summer Games, Dr. Esselstyn concludes from a twenty-year nutritional study that a plant-based, whole-food diet can not only prevent and stop the progression of heart disease, but also reverse its effects.

How did you come to live in Amsterdam?” I ask her. “Did you study there?” She twists a strand of hair around her fingers, staring out over the rail and across the water. “No, I studied medicine in Algiers, then earned my doctoral degree in Italy. Then spent several years as a ship’s surgeon because I couldn’t find professional work on the continent.” She squints, counting the years backward in her head. “Then I was hired to assist at the Hortus Medicus—the botanical garden in Amsterdam that cultivates medicinal plants from around the world. They’re funded by the university, and most of the physicians do at least some of their training there. I started teaching as a substitute when the male professors were traveling or unwell, and eventually they gave me my own classes and let me do my own research.” “Do you speak Dutch?” I ask. She nods. “And Italian. And Arabic, and some of the Berber dialects, though not fluently.” “And you’re a doctor,” I say, trying to make it a statement rather than a question though the concept still seems outlandish, not because women don’t have the capacity for medical professions, but because I’ve simply never heard of any reaching such a recognized level of achievement. “A real doctor.” She gives me a half smile. “Improbable as it may seem, I am.” “Felicity Primrose Montague!” I exclaim. Monty throws back his head and laughs. Felicity rolls her eyes. “Oh good, now there are two of you.” “You’re incredible,” I say to her. She looks down at her hands, color rising in her cheeks. “That’s very kind, thank you.” “You are!” I say. “You’re a doctor! And a professor! At a university!” “It really is bloody impressive, Fel,” Monty adds. “And a pirate!” I say. “You’re like an adventure-novel heroine! I wish I could introduce you to my fiancée. She’d go mad over you.” “Is she interested in medicine or piracy?” Felicity asks. “Neither in particular,” I say. “But she’s very interested in women who cast off societal expectations and work for change despite the men who endeavor to stand in their way.

CIA officers who conducted Bluebird interrogations at Camp King and Villa Schuster counted on guidance from “Doc Fisher,” a German physician who had worked at Walter Reed General Hospital in Washington and spoke good English. “Doc Fisher” was General Walter Schreiber, the former surgeon general of the Nazi army. During the war he had approved experiments at the Auschwitz, Ravensbrück, and Dachau concentration camps in which inmates were frozen, injected with mescaline and other drugs, and cut open so the progress of gangrene on their bones could be monitored.

In most cases, it wasn’t technology that failed. Rather, the physicians did not consider the correct diagnosis in the first place.

may surprise you,’ he urged. Lily’s eyes no longer smiled. Now their licorice darkness reflected only bitterness. ‘It’s not a matter of me finding the courage, Jack. I know my parents. They won’t surprise me. They’re very predictable. They’re also traditional and as far as they’re concerned, I’m as good as engaged … no, married! And they approve of Jimmy.’ Her expression turned glum. ‘All that’s missing are the rings and the party.’ ‘Lily, risk their anger or whatever it is you’re not prepared to provoke but don’t do this.’ He stroked her cheek. ‘Forget me. I’m not important. I’m talking about the rest of your life, here. From what I can see of my friends and colleagues, marriage is hard enough without the kiss of death of not loving your partner.’ ‘It’s not his fault, Jack. You don’t understand. It’s complicated. And in his way, Jimmy is very charismatic.’ Jack didn’t know Professor James Chan, eminent physician and cranio-facial surgeon based at Whitechapel’s Royal London Hospital, but he already knew he didn’t much like him. Jack might be sleeping with Lily and loving every moment he could share with her, but James Chan had a claim on her and that pissed Jack off. Privately, he wanted to confront the doctor. Instead, he propped himself on one elbow and tried once more to reason with Lily. ‘It’s not complicated, actually. This isn’t medieval China or even medieval Britain. This is London 2005. And the fact is you’re happily seeing me … and you’re nearly thirty, Lily.’ He kept his voice light even though he felt like shaking her and cursing. ‘Are you asking me to make a choice?’ He shook his head. ‘No. I’m far more subtle. I’ve had my guys rig up a camera here. I think I should show your parents exactly what you’re doing when they think you’re comforting poor Sally. I’m particularly interested in hearing their thoughts on that rather curious thing you did to me on Tuesday.’ She gave a squeal and punched him, looking up to the ceiling, suddenly unsure. Jack laughed but grew serious again almost immediately. ‘Would it help if I —?’ Lily placed her fingertips on his mouth to hush him. She kissed him long and passionately before replying. ‘I know I shouldn’t be so answerable at my age but Mum and Dad are so traditional. I don’t choose to rub it in their face that I’m not a virgin. Nothing will help, my beautiful Jack. I will marry Jimmy Chan but we have a couple more weeks before I must accept his proposal. Let’s not waste it arguing and let’s not waste it on talk of love or longing. I know you loved the woman you knew as Sophie, Jack. I know you’ve been hiding from her memory ever since and, as much as I could love you, I am not permitted to because I’m spoken for and you aren’t ready to be in love again. This is not a happy-ever-after situation for us. I know you enjoy me and perhaps could love me but this is not the right moment for us to speak of anything but enjoying the time we have, because neither of us is available for anything beyond that.’ ‘You’re wrong, Lily.’ She smiled sadly and shook her head. ‘I have to go.’ Jack sighed. ‘I’ll drop you back.’ ‘No need,’ Lily said, moving from beneath the quilt, shivering as the cool air hit her naked body. ‘I have to pick up Alys from school. She’s very sharp and I don’t need her spotting you – especially as she’s had a crush on you since you first came into the flower shop.’ Suddenly she grinned. ‘If you hurry up, at least we can shower together!’ Jack leaped from the bed and dashed to the bathroom to turn on the taps. He could hear her laughing behind him but he felt sad. Two more weeks. It wasn’t fair – and then, as if the gods had decided to punish him further, his mobile rang, the ominous theme of Darth Vader telling him this was not a call he could ignore. He gave a groan. ‘Carry on without me,’ he called to Lily, reaching for the phone. ‘Hello, sir,’ he said, waiting for the inevitable apology

During those years, the patients were not the only puzzle people who were being forged. The surgeons and physicians also changed not so rapidly, because their own lives were not at stake, but inexorably, because the lives of others were in their hands. Some were corroded or destroyed by the experience, some were sublimated, and none remained the same.

One common joke about surgeons (most commonly told by non-surgeon physicians, in my experience): “What’s the difference between God and a surgeon? God doesn’t think He’s a surgeon

As a minority physician, you will be constantly challenged, " He said. "your decisions will be questioned, your authority doubted. To be successful, you will ahve to have highter standards than everyone lse. You will have to study harder, train longer, and know your materials backward and forward. In the operating room , you will need to know the anatomy, how to do the operation, and what alternative operations might also work. You will have to be prepared to handle any emergency that might arise.

As a minority physician, you will be constantly challenged, " He said. "your decisions will be questioned, your authority doubted. To be successful, you will have to have higher standards than everyone else. You will have to study harder, train longer, and know your materials backward and forward. In the operating room, you will need to know the anatomy, how to do the operation, and what alternative operations might also work. You will have to be prepared to handle any emergency that might arise.” Pg. 50

We have no illusions about this. ... When an attending physician brings a family member in for surgery, people at the hospital think hard about how much to let the trainees participate. ... Conversely, the ward services and clinics where residents have the most responsibility are populated by the poor, the uninsured, the drunk, and the demented.

For example, if you are a patient under the knife of an attending physician who has not been allowed at least a six-hour sleep opportunity the night prior, there is a 170 percent increased risk of that surgeon inflicting a serious surgical error on you, such as organ damage or major hemorrhaging, relative to the superior procedure they would conduct when they have slept adequately.

I fear most physicians are defensive these days. You are not likely aware, but there is a great deal of contention between the various branches of medicine—physicians, surgeons, apothecaries. Physicians are the most qualified to treat and prescribe, but that does not stop the others from horning in on physicians’ rightful domain.

Your physicians question, they do not examine. Your surgeons take little heed of standards of cleanliness that date back to the guidance of Paracelsus. Your apothecaries care more for patent remedies than the proper uses of herbs. You thwart anatomical studies with medieval church laws, and thus your science does not progress.

Years after completing my medical training, I encountered one of my favorite public health professors, Harvard surgeon Dr. Lucian Leape. at a national surgeons' conference. He opened the gathering's keynote speech by looking out over the audience of thousands and asking the doctors to 'raise your hand if you know of a physician you work with who should not be practicing because he or she is dangerous.' Every hand went up.

The truth is, that as long as men reject Christ and do not savingly believe in him, however they may be awakened, and however strict and conscientious and laborious they may be in religion, they have the wrath of God abiding on them, they are his enemies and the children of the devil (as the Scripture calls all that be not savingly converted, Matt. 13:38; 1 John 3:10), and it is uncertain whether they shall ever obtain mercy. God is under no obligation to show them mercy, nor will he be if they fast and pray and cry never so much; and they are then especially provoking God under those terrors, in that they stand it out against Christ, and will not accept of an offered Savior, though they see so much need of him; and seeing this is the truth, they should be told so, that they may be sensible what their case indeed be. To blame a minister for thus declaring the truth to those who are under awakenings, and not immediately administering comfort to them, is like blaming a surgeon because, when he has begun to thrust in his lance, whereby he has already put his patient to great pain, and he shrieks and cries out with anguish, he is so cruel that he will not stay his hand, but goes on to thrust it in further, until he comes to the core of the wound. Such a compassionate physician, who, as soon as his patient began to flinch, should withdraw his hand and go about immediately to apply a plaster to skin over the wound and leave the core untouched, would be one that would heal the hurt slightly, crying "peace, peace," when there is no peace. Indeed

Try to tighten the feedback loop by actively seeking evaluations from teachers or peers, and test yourself often. Studies have found that in professions with less direct feedback loops -stock analysis, psychiatry, etc. -even the best get worse over time. Surgeons, by contrast, are the only class of physicians that improve the longer they are out of medical school. Why? Because if they mess things up, patients die. That is the power of timely feedback.

A Course in Miracles began with the sudden decision of two people to join in a common goal. Their names were Helen Schucman and William Thetford, Professors of Medical Psychology at Columbia University’s College of Physicians and Surgeons in

Joyce Jordan progressed slowly from Girl Interne to M.D., the change becoming complete around 1942. But the theme of a woman’s difficulty in a man’s world remained. In the earliest days it was a progression of suitors. Then Joyce faced the “necessity of choosing between a brilliant career as a physician or becoming the wife of a wealthy man,” hospital trustee Neil Reynolds. At last, married to foreign correspondent Paul Sherwood, Joyce found happiness threatened by Paul’s bitter and neurotic sister, Margot. Eventually Paul was written out of the script, and Joyce practiced medicine in the little town of Preston, becoming a surgeon at Hotchkiss Memorial Hospital.