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A great doctor

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What makes a great doctor? " Great " is such a vague term. I am sure that

many people have assembled a list of attributes to characterize a great

doctor. My great grandfather Sterling Price Gammill was often considered

the greatest physician in the Arkansas Ozark Mountains. It was said that he

could deliver a baby better drunk than any other doc could while sober.

Hmmm. Dual skills.

Most influential for me was Bill Halseth, a cardiovascular surgeon. I spent

a couple of years working with him as a surgical extern. I learned from him

what " Dr. " stood for - " Drone. " I remember once we had a woman on the table

(just a simple triple bypass) and we could not get her off the pump for

seven hours - every time we tried she would start to sink. What did I

learn? You stay focused and work and work and work. There is little glory

in perseverance, but I think you would want to see it in any physician you

appoint.

Most mornings as we scrubbed for surgery he would ask me, " , what do

you know for sure? " No matter how I responded he would reflect before he

commented. All of us would love to know things for sure, but if truth be

known, there is little or nothing we can know for sure.

As to the docs who have built themselves grand pedestals on TV, the internet

or the lecture circuits, they may not know much medicine (ask any medical

school professor) or about health (Mercola shines a red light pocket laser

on his steak before he dines), but I think they are all fine human beings

who provide well for their families.

A great medical person learns from their mistakes. A wonderful example is

the nurse-administrator Florence Nightingale. During the Crimean War she

was directly responsible for the infectious disease deaths of 16,000 young

soldiers by insisting that they be held in the Scutari Barracks Hospital

that was built over an open sewer. After the war she became obsessed with

changing such practices and developed the concept of the pavilion style of

open air wards subsequently saving millions of lives. I was once housed in

such a ward in a military hospital (perforated ulcer) and can vouch for its

value. You might be reading this thanks to Florence Nightingale.

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