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September 1987

Early Days at the Neurological Unit at Boston City Hospital

Author Affiliations

From the Department of Neurology, University of Cincinnati College of Medicine, and the Mayfield Neurological Institute, Cincinnati.

Arch Neurol. 1987;44(9):975-977. doi:10.1001/archneur.1987.00520210069022

Last year, I related1 how neurologic residents in the first third of this century learned about the vagaries of subdural hemorrhage, as the syndrome was becoming redefined at the always fascinating Boston City Hospital (BCH). I mentioned as catalyst the most excellent medical examiner of Suffolk County, Timothy Leary, who was mainly responsible for keeping the house staff on its toes in this regard. With his vigorous supervision, it was disadvantageous, to say the least, to allow an unsuspected subdural hematoma to reach his bailiwick. In closing, I recommended The Collected Papers of Wilfred Trotter,2 essentially philosophical writings of the great British surgeon, who, in 1914, had established trauma as the main factor in subdural hematoma. His monograph is particularly useful as a model for those wanting to write well.

I thought I might pursue some of the other aspects of medicine as it was practiced at the

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