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If I have seen farther than others it is because I have stood on the shoulders of giants

"I have devised the strategy of your enemy, and you will learn to be quick and discover what tricks the enemy has for you.  Remember, child.  From now on, the enemy is more clever than you. From now on, the enemy is stronger than you.  From now on, you are always about to lose. You will be about to lose, child, but you will win. You will learn to defeat the illness. It will teach you how." --Ender's Game, Orson Scott Card

This is the new normal.

"Being a good doctor means being incredibly compulsive. It has nothing to do with flights of intuition or brilliant diagnoses or even saving lives. It's dealing with a lot of people with chronic diseases that you really can't change or improve. You can help patients. You can make a difference in their lives, but you do that mostly by drudgery--day after day paying attention to details,seeing patient after patient and complaint after complaint, and being responsive on the phone when you don't feel like being responsive." -from "M.D.-Doctors Talk About Themselves" by John Pekkanen

"This rush toward what some have termed the 'commercialization' of medicine and others have called the 'industrialization' of medicine has bewildered physicians, perhaps because we have instinctively sensed that although there have always been some business aspects to medical practice, medicine, in the most fundamental sense, is not a business." -from "The Medical Practice in the Competitive Market" in the New England Journal ofMedicine, 2/5/87

"From inability to let alone; from too much zeal for the new    and contempt for what is old; from putting knowledge before wisdom,     and science before art,     and cleverness before common sense; from treating patients as cases;  and from making cure of the disease     more grievous than the endurance of the same, Good Lord, deliver us." -Sir Robert Hutchinson

"There is no touchstone through which physicians can ensure that the process of their own continuing education will keep them abreast of advancing knowledge in the field, but they must find a way to base their decisions on the best available scientific evidence if they are to discharge their responsibility to their patients. An essential element of this process may be for physicians to take an active role, such as participating in medical student and resident education. Efforts in continuing self-education will also be fostered, for example, if clinical problems can be made a stimulus for a review of standard literature, alone or in consultation with an appropriate colleague or consultant. This continuing review will do much to identify those inconsistencies or contradictions that will indicate, in the ultimate best interest of patients, that things are not what they seem or have been said to be. Physicians still learn most from their patients, but this will not be the case if they fall into the easy habit of accepting their patients' problems casually or at face value because the problems appear to be simple." --Nelson Textbook of Pediatric Medicine, 17th edition.

("Prayerof Maimonides" attributed to Moses Maimonides, a twelfth-century Jewish physician in Egypt, but probably written by Marcus Herz, a German physician. First appeared in print in 1793. Translated by Harry Friedenwald in the Bulletin of the Johns Hopkins Hospital, 1917)

Almighty God, Thou has created the human body with infinite wisdom. Ten thousand times ten thousand organs hast Thou combined in it that act unceasingly and harmoniously to preserve the whole in all its beauty the body which is the envelope of the immortal soul. They are ever acting in perfect order, agreement and accord. Yet, when the frailty of matter or the unbridling of passions deranges this order or interrupts this accord, then forces clash and the body crumbles into the primal dust from which it came.

Thou sendest to man diseases as beneficient messengers to foretell approaching danger and to urge him to avert it. Thou hast blest Thine earth, Thy rivers and Thy mountains with healing substances; they enable Thy creatures to alleviate their sufferings and to heal their illnesses. Thou hast endowed man with the wisdom to relieve the suffering of his brother, to recognize his disorders, to extract the healing substances, to discover their powers and to prepare and to apply them to suit every ill.

In Thine Eternal Providence Thou hast chosen me to watch over the life and health of Thy creatures. I am now about to apply myself to the duties of my profession. Support me, Almighty God, in these great labors that they may benefit mankind,for without Thy help not even the least thing will succeed.

Inspire me  with love for my art and for Thy creatures. Do not allow thirst for profit, ambitionfor renown and admiration, to interfere with my profession, for these are the enemies of truth and of love for mankind and they can lead astray in the great task of attending to the welfare of Thy creatures.

Preserve the strength of my body and of my soul that they ever be ready to cheerfully help and support rich and poor, good and bad, enemy as well as friend. In the sufferer let me see only the human being. Illumine my mind that it recognize what presents itself and that it may comprehend what is absent or hidden. Let it not fail to see what is visible, but do not permit it to arrogate itself the power to see what cannot be seen, for delicate and indefinite are the bounds of the great art of caring for the lives and health of Thy creatures. Let me never be absent-minded. May no strange thoughts divert my attention at the bedside of the sick, or disturb my mind in its silent labors, for great and sacred are the thoughtful deliberations required to preserve the lives and health of Thy creatures

Grant that my patients have confidence in me and my art and follow my directions and counsel. Remove from their midst all charlatans and the whole host of officious relatives and know-all nurses, cruel people who arrogantly frustrate the wisest purposes of our art and often lead Thy creatures to their death.

Should those who are wiser than I wish to improve and instruct me, let my soul gratefully follow their guidance; for vast is the extent of our art. Should conceited fools, however, censure me, then let love for my profession steel me against them, so that I remain steadfast without regard for age, for reputation, or for honor, because surrender would bring Thy creatures sickness and death.

Imbue my soul with gentleness and calmness when older colleagues, proud of their age, wish to displace me or scorn me or disdainfully teach me. May even this be of advantage to me, for they know many things of which I am ignorant, but let not their arrogance give me pain. For they are old and old age is not master of the passions. I also hope to attain old age upon this earth, before Thee, Almighty God!

Let me be contented in everything except in the great science of my profession. Never allow the thought to arise in me that I have attained to sufficient knowledge, but vouchsafe to me the strength, the leisure and the ambition ever to extend my knowledge. For art is great, but the mind of man is ever expanding.

Almighty God! Thou hast chosen me in Thy mercy to watch over the life and death of Thy creatures. I now apply myself to my profession. Support me in this greaty task so that it may benefit mankind, for without Thy help not even the least thing will succeed.

N-Space, or Hilbert space, is a topologically simple space of infinite dimension. My mind however tends to be topologically complex.


 * DISCLAIMER**: I am a medical student.  I am not a physician  I make mistakes.  These pages were meant to be crib notes for the board exam, never ever medical advice.  Please please please do not use these pages for medical advice.  Go to the emergency room and see a real doctor.  Please.

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=Topics of Note=

Microbiology
=Calendar=

=Connection= =Awareness= =Diety= =War=

=༴ཋིས་ཨིས་ཨ་ཏེསཏ་ཨོཕ༹་ཐེ་ཅོམཔུཏེརའྶ་ཨབིལིཏཡ་ཏོ་རེཅོགནིཟེ་ཏིབེཏན་ཕོ༹རམཏཏིང༴= =Linguistics= =Memory= =Schedule= =Surgery=

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