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June 1966

The Doctor's Disease

Arch Otolaryngol. 1966;83(6):513-514. doi:10.1001/archotol.1966.00760020515001

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WHILE not an otolaryngologic problem, coronary obstruction has its highest incidence among physicians, and otolaryngologists are not immune and must concern themselves with the causative factors. These are discussed by William Dock, professor of medicine at the State University of New York, in the February 1966, Resident Physician.

"In the worry and strain of modern life arterial degeneration is not only very common but develops often at a relatively early age." Thus wrote Osler exactly 70 years ago as the horse and buggy era drew toward its close. While it is true that emotional stress, probably greater today than in Osler's day, can raise the levels of plasma lipids and accelerate clot formation, it is worth noting that in telephone and insurance company studies clerks have more coronary disease than executives. Among physicians, introspective full-time scholars, sedentary psychoanalysts (who presumably are freer of personal emotional stress than most of us),

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