Medical Wisdom and Doctoring The Art of 21st Century Practice
Medical Wisdom and Doctoring: the Art of 21st Century Practice is a guide to making better healers. This conversational book presents not just clinical maxims and precepts supported by current studies, but also historical anecdotes and tales of actual pat
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Medical Wisdom and Doctoring The Art of 21st Century Practice
Robert B. Taylor, M.D.
Robert B. Taylor Department of Family Medicine School of Medicine Oregon Health and Sciences University Portland, OR USA [email protected]
ISBN 978-1-4419-5520-3 e-ISBN 978-1-4419-5521-0 DOI 10.1007/978-1-4419-5521-0 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009942273 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Knowledge and wisdom, far from being one, Have oft-times no connection. Knowledge dwells In heads replete with thoughts of other men; Wisdom in minds attentive to their own. Knowledge is proud that he has learned so much; Wisdom is humble that he knows no more. From The Task, by British poet William Cowper (1731–1800) Medicine can never abdicate the obligation to care for the patient and to teach patient care. A quote from American medical educator and editor Maurice B . Strauss (1904–1974). From: Medicine 1964;19:43. To realize one’s destiny is a person’s only obligation. Advice from the man who calls himself king to the shepherd boy seeking his as-yet-unknown treasure and, ultimately, his Personal Legend, what he has always wanted to accomplish. Telling more about the Personal Legend, the man who calls himself a king continues: …there is one great truth on this planet: whoever you are, or whatever it is that you do, when you really want something, it’s because that desire originated in the soul of the universe. It’s your mission on earth. From The Alchemist, by Paulo Coelho, New York: HarperCollins; 1993, page 22.
Preface
This book is about what we have learned in several millennia of medical practice and about the art of doctoring – using that wisdom in daily patient care. It is about the elderly woman with pneumonia you treated yesterday afternoon and the middle aged man with chest pain you saw this morning. It is
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