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nucleus: summer 1993

His Compassions Never Fail

At some point in our careers, we will fail. Whether it is failing a first-year anatomy exam, or primary FRCS, or losing a patient, all of us will have to face up to this problem. Some of us will be inwardly and outwardly fine after such an experience; but, at...

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Direction Determines Destination

A poor start I hope the fact that I entered University as a most unpromising student may be an encouragement to others. My school career was decidedly undistinguished, and, having no real sense of vocation, I applied for admission to the engineering school at Trinity College, Dublin, my father having excelled...

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Living Wills - Should we Support Them?

Introduction Advance Directives, also known less helpfully as 'Living Wills', are documents which allow people to express in advance how they would like to be treated, or how they would not like to be treated, should they become incapable of communicating their views to doctors and other healthcare professionals. They are...

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Just Looking at the Truth

Truth is a concept which has disappeared as much from the lips of late 20th Century Western people (or perhaps even more so) as it had from the tips of the people of Israel in Jeremiah's time; and British medical schools are no exception. When in dialogue about Christianity, non-Christian...

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Dionysius Dialogues - Sexuality

What is marriage? Nitpickerus: Dionysius, at the end of our last discussion you implied that unwanted pregnancy and sexual immorality were related. Dionysius: Yes. Usually unwanted pregnancy results from the kind of sex God forbids, sex outside marriage. Nitpickerus: But doesn't that depend on how you define marriage? Dionysius: Then let's...

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Lemuel's Limericks

When tapping a pleural effusion Proceed with due care (in profusion) Trephining the heart is not very smart And may compromise general perfusion Aspiring to Plastics SR? Then carefully think where you are A hasty decision on site of incision Can leave a much uglier scar If faced with a ruptured aorta Don't wait for a hospital...

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Know Your Bible 6

Answers The twin pregnancies of both Rebekah and Tamar were complicated by hand presentations. In the former, Jacob was born second clasping his brother Esau's heel. In the latter, Zerah put his hand out first but was eventually born after his brother Perez. (Gn 25:20-26; 38:27-30) According to the writer of...

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Differential Diagnosis 4

King Jehoram's intestinal disease was characterised by chronicity, prolapse and death in great pain at the relatively young age of 40. Severe bacillary dysentery may result in prolap&e but is usually not chronic, while inflammatory bowel diseases such as Crohn's and Ulcerative colitis are chronic but don't cause prolapse. Sigmoidorectal...

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