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Surgical Reminiscence
September 1998

I Will Never Forget. . .

Arch Surg. 1998;133(9):1023. doi:10-1001/pubs.Arch Surg.-ISSN-0004-0010-133-9-srm8002

SEVERAL MONTHS ago, a 5-year-old boy was sent to my clinic by his pediatrician for evaluation of an inguinal hernia. A third-year medical student assigned to my service presented the case to me after obtaining the history and performing a physical examination. The history and description of the physical findings were unmistakable for those of a reducible right inguinal hernia. The medical history was remarkable only for patent ductus arteriosus as an infant. I asked the student what he had heard on auscultation of the heart. He promptly replied, "This is surgery clinic, not cardiology clinic. I didn't listen to the heart." I was then, and I remain now, disappointed with such an approach to clinical medicine and surgery.

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