Word: narrowed
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...exams. It showed; the general surgery team fidgeted and rocked as he spoke to us at early Saturday morning "guest-attending rounds." He was a little stooped and white-haired, but no geezer. He wasn't one of our Ivy league professors of surgery, specialists in their elite yet narrow fields, but rather a 70-year-old doctor who had gone to our medical school before there was penicillin. He'd lived out his career someplace in Western New York - someplace where he was The Doctor. Our guest had done it all: took out gallbladders and appendices, delivered babies, pulled...
...services - the worst disaster patient is somebody else's problem at the end of six weeks. There's no office to run, no payroll, insurance, rent etc. You only do the interesting part of the job: medicine. Long fellowships and residencies prolong this state. And produce a bunch of narrow specialists...
...playing havoc with emergency medicine, too. How can a neurosurgeon who "only does back surgery" be on call to treat head trauma in an emergency department? General surgeons, right now, are a dying breed; their residency programs have failed to fill for the past few years. As the specialists narrow down and lose competence in their "parent" fields, they will necessarily leave certain patients without needed, basic care. It's a serious problem that calls for a nationwide strategy...
...real fun of our field is putting it all together and getting a happy human being out of one who came in disturbed by a problem. Keeping up one's interest level in treating only a narrow patient population can be a challenge. I do mostly shoulders (that's my sub-specialty), but also hands, knees, hips, various fractures, a few feet and, unavoidably, some backaches. Despite the backaches, general orthopedists are pretty lucky still to be able to have this run of the body. I couldn't imagine just putting in 10 total knees a week, 49 weeks...
With the bunker's heavy metal lid dragged to one side, dank musty air rose up from the entrance, the forbidding gloom of the narrow steel-lined shaft below unbroken by the bright sunlight. It had taken seven months of searching to finally discover one of the underground bunkers that had enabled Hizballah to fire thousands of rockets into northern Israel last summer even under the pounding of Israeli air and ground operations. But any sense of exhilaration at the achievement was dampened by the nagging anxiety of claustrophobia...