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Surgical Reminiscence
March 1999

A Medical Student's Meeting With Two Giants

Arch Surg. 1999;134(3):322. doi:10.1001/archsurg.134.3.322

IN 1967, as a second-year medical student at University of California, San Francisco, I had the fortune or misfortune of diagnosing an arteriovenous malformation in my wife's neck near the base of her skull. After acquiring a bit of knowledge in physical examination and cardiovascular physiology, I came to the conclusion that the "machinery-like" murmur I had heard in her neck might be pathological. I referred my wife to my preceptor in internal medicine, Joe Kaufman, MD, a cardiologist, who told us that my wife had a cirsoid aneurysm off the vertebral artery and that it was serious.

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