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  Vol. 9 No. 10, November 2000 TABLE OF CONTENTS
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Med School After 50 Years Plus 2 Weeks

Arch Fam Med. 2000;9:1197.

8AM: Proctoring neurology with 9 freshmen in sandals and frayed shorts, each nursing a coffee cup.

I said: Tay-Sach's, Wernicke-Korsakoff's, Antoni A schwannomas, Alzheimer's, Creutzfeld-Jakob, Lyme, minimata mal d'orient, Lesch-Nyhan self-mutilation.

They said: Fructose-1-P aldolase, sedoheptulose-7 phosphate, xanthomatous pleomorphism, tombstone tangles, prions in chromosome 20, Borrelia burgdorferi, Japanese mercury intoxication, hypoxanthine-guanine deficiency.

I said: Marchiafava-Bignami, plus Luckenschadel.

They said: Nicotinamide adenine dinucleotide, plus bone thinning.

I said: Munchaüsen's by proxy.

Smilingly, they asked: Who's Proxy?

I mentioned: Woltman's stiff-man syndrome.

They quickly said: Woltman's stiff-person!

I offered: Kugelberg-Welander, état marbre, Shy-Drager, plus 3 popular W's–Waardenberg, Wallenberg, and Wartenberg.

Then, soberly, with hands folded: Cranford's biological tenaciousness.

They answered: Thiamine deficiency, lipofuscinosis, putamenolysis, rejected all of the bergs, and said, Cranford's terminal "foreseeing" is simply a gentle apoptotic nudge for seniors with a grudge, but your entertaining eponymic rigidity suggests you may be mired in a second millennial turgidity.

Ed Spudis, MD
Wake Forest Medical School and Forsyth Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157-1052






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