1/ #UncleBob started medical school 50 years ago. Medicine is always progressing. Here are some things we did not have:
Diseases: HIV, Lyme, Takasabu, MRSA
infectious disease Medications: Only 1st generation cephalosporins, no fluoroquinolones, a variety of MRSA drugs, etc.
Diseases: HIV, Lyme, Takasabu, MRSA
infectious disease Medications: Only 1st generation cephalosporins, no fluoroquinolones, a variety of MRSA drugs, etc.
2/Treatment for HFrEF - first study of decreasing mortality in the 80s, no ACE-I, ARB, beta-blockers, neprolysin inhibitors, Calcium channel blockers
No interventional cardiology - CABG or nothing
M-mode Echo was in its infancy - no 2D echo
No nuclear medicine stress testing
No interventional cardiology - CABG or nothing
M-mode Echo was in its infancy - no 2D echo
No nuclear medicine stress testing
3/ No home oxygen, no home IV infusions
No CT scanning, very little ultrasound (clearly in its infancy), no MRI, no PET
Limited endoscopy and colonoscopy
No "scopic" surgeries - think laparoscopic, arthroscopic, etc
I cannot even describe cancer chemotherapy
No CT scanning, very little ultrasound (clearly in its infancy), no MRI, no PET
Limited endoscopy and colonoscopy
No "scopic" surgeries - think laparoscopic, arthroscopic, etc
I cannot even describe cancer chemotherapy
4/ Now the good stuff
No P4P, no RVUs, no guidelines (expert opinions only)
No computerized medical records - we actually wrote our notes
No P4P, no RVUs, no guidelines (expert opinions only)
No computerized medical records - we actually wrote our notes
5/ No work hour restrictions
Only 10% of our class were women
Only 10% of our class were women
6/ Medicine is always progressing. Once you reach 20 years, start looking back with amazement at both progress and things you consider worse. The scientific advances continue to amaze me. The administrative requirements and intrusions continue to aggravate me.
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