James Hamilton, M. D.
Mark,
I really like zebras! Medical zebras, that is. There is an old saying among doctors "If you hear hoofsteps behind you, consider them to be horses, not zebras". That is to say that one should consider more common diseases when a patient presents with certain symptoms, than the more rare illnesses.
Health care personnel are barraged with lectures on the common and that is fine. But, now and then it is fun to talk about the uncommon. So, when I gave presentations at our hospital and other places, I chose to discuss interesting and less seen maladies such as envenomations from snakes, scorpions, spiders, Gila Monsters and intoxications and infections from eating certain fish and shellfish. Oh, yes, I occasionally resorted to more mundane topics also.
Although I am no longer in active practice, I keep up on all kinds of Internal Medicine problems and treatments from the medical literature and physician oriented web sites to which I subcribe. The news outlets often cover, or mis-cover, (not you Mike McL!) medical issues but they usually prompt me to look into things a bit more.
Infectious outbreaks fascinate me and relate to things I have studied as an undergraduate in microbiology as well as seen, treated and studied in my medical career. Just like all of us, as we age we gain some insight into things we have seen in our lifetimes and can relate them to what is happening today. This also goes for historical events that happend long before we were born but of which we were made aware along our educational tracts.
By the way, in medical school, many of our written tests were "take home and open book" (but not our licensing or specialty board exams). This took into account that they wanted us to look not only at text books, but also the recent literature for the answers. As we used to say "the questions each year are the same, but the answers often change".
So if anyone wants to search the internet for answers to my "quizzes", feel free to do so!
John,
Having seen the devistation in individuals and families so often over so many years that has resulted from a myriad of diseases, infectious and otherwise, I really don't think that "a round of bubonic plague would be preferable to our current national sickness".
Jim
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