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I myself have nothing to do with clinical teaching. Yet I do not hesitate to say it is more essential than all the rest put together, so far as the ordinary practice of medicine is concerned; and this is by far the most important thing to be learned, because it deals with so many more lives than any other branch of the profession.
Besides, I've already observed from personal use and from results in my clinical practice that life extension vitamin programs do work.
A very strong impetus was given by the researches of Virchow on cellular pathology, which removed the seats of disease from the tissues, as taught by Bichat, to the individual elements, the cells. The introduction of the use of the microscope in clinical work widened greatly our powers of diagnosis, and we obtained thereby a very much clearer conception of the actual processes of disease.
Another thumb-nail sketch made of one of his associates is this: "When experimenting with vacuum-pumps to exhaust the incandescent lamps, I required some very delicate and close manipulation of glass, and hired a German glass-blower who was said to be the most expert man of his kind in the United States. He was the only one who could make clinical thermometers.
It is the opinion of intelligent physicians who are not parties to this controversy that the experiment which failed in 1846 would succeed now. The new plan adopted at Harvard, which exacts three years of study, and embraces lectures, recitations, clinical conferences and written examinations of the most stringent character, has, we are informed, attracted a class of very superior men.
They are the stick in the spinning wheel of the modern marketplace. The former kind of operators obviously has a character problem. Yet, there is a more problematic species: those suffering from serious psychological problems, personality disorders, clinical phobias, psychoneuroses and the like. This human aspect of the economic realm has, to the best of my knowledge, been neglected before.
We believe that careful clinical studies confirm our opinion and that his classification is based on less thorough observation and analysis. This subject will be discussed at greater length in a forthcoming book on “The Psychology of Morbid and Normal Emotions,” by Dr. MacCurdy.
Walter Reed was a favorite pupil of Professor Welch, a warm friend of all of us, and a frequent visitor to our laboratories. Dr. Jesse Lazear, who had been my house physician, had worked with Dr. Thayer and myself at malaria, and gave up the charge of my clinical laboratory to join the commission. Matthew Carey: A Short Account of the Malignant Fever, Philadelphia, 1793.
This general thought will be kept in view throughout my somewhat discursive address, which will begin with an imaginary clinical lesson from the lips of an historical personage, and close with the portrait from real life of one who, both as teacher and practitioner, was long loved and honored among us.
Jerome M. Schneck, clinical associate professor of psychiatry, State University of New York College of Medicine, is that hypnosis should be equated with states of immobilization on the basis of his observation that some subjects equate hypnosis with "death." He suggests this is comparable to the "death-feint" of animals to avoid danger.
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