Another Dundee story

IF 4.5 2区 医学 Q1 GERIATRICS & GERONTOLOGY Journal of the American Geriatrics Society Pub Date : 2024-11-27 DOI:10.1111/jgs.19279
Michael Gordon MD, MSc, FRCPC
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Invited to attend a few of their sessions at medical school, I was impressed with how much they enjoyed their studies and the brightness of their attitudes towards medicine; a sharp contrast to the American medical students I knew, who always seemed so serious and complained about the weight of their studies.</p><p>An example of this special story experience occurred when I reviewed a file of a patient who came to the Toronto Memory Clinic at which I was working part-time after I retired from the 44 years at the Baycrest Geriatric Centre. I read, “Place of birth: Dundee.”</p><p>I knew that this was going to be a special visit. Ian, an older gent, came in, with his daughter, born in Canada but who had twice visited Dundee with her father. As soon as he opened his mouth, I recognized the distinctive regional accent. How I ended up in Dundee rather than in the United States, my home country, was a story.</p><p>My decision to study in Europe, preferably Copenhagen, was not rejected by my liberal-minded parents. It was long before the internet; thus, the investigations required hours in our public library. I applied to medical schools in Denmark, Sweden, Switzerland, Belgium, England, and Scotland. As the answers returned, I was disappointed that the Danish schools did not accept foreign students; many of their own citizens studied needed to study abroad. I received acceptances from Basel in Switzerland and Louvain in Belgium. All the Scottish schools accepted me for the following year, when I would graduate from Brooklyn College.</p><p>That late August a telegraph delivery man came to my door. I ripped open the envelope. (remember telegrams??) “You are offered a position in 2nd year of the University of St. Andrews Medical School, beginning on the 1st of October 1961. Please indicate by telegram if you would prefer to do your pre-clinical period at St. Andrews followed by your clinical years in Dundee, or would you prefer to do your pre-clinical and clinical period in Dundee?”</p><p>I could not believe it, my dream. That evening after telling my parents, I sent the return telegram and the next day arranged to meet with my local US Army selective service branch to get permission to study overseas rather be drafted which in 1961 meant Vietnam.</p><p>My years in Dundee were among the most wonderful of my life. The studies were engrossing, the teaching outstanding and my classmates amazing. Of the 70 students in our class, about half were from Scotland, a quarter from England and the rest from the Commonwealth. Only one or two were Yanks, as they called us. Two Dundonians Ian and Doug, befriended me within the first 2 days and became among my closest friends throughout the 5 years of study. We kept up our relationship with reunions until COVID when the 50th year reunion was canceled, not to be rescheduled.</p><p>I used l my 5 months vacation each year (three for the summer and one each for Christmas and Easter) to travel all over Europe and Israel. Through the International Federation of Medical Student's Associations, I would choose a country, a city and a medical speciality and spend a month with full room and board. I did surgery in Copenhagen; emergency room, surgery, and midwifery in Londonderry; orthopedics in Athens; pediatrics in Warsaw; midwifery in Israel; and forensic medicine in Portsmouth. Every rotation was a story.</p><p>I have visited Dundee many times since graduation through our annual reunions as well department of geriatrics three-day meetings with local geriatricians and one or two from McMaster University; lastly in 2016.</p><p>While you can take the boy of Scotland, you cannot take Scotland out of the boy. One of my recent patient interactions show how true is this old axiom. The patient, Ian, reminded me of my stories: After I told him I had studied in Dundee, the conversation focused on everything I could recall that might resonate with him. He had moderate dementia, likely due to Alzheimer's disease which meant that he would often ask me to repeat myself. Despite that, as expected, his long-term memory was still reasonably intact. He could accurately recall important Dundee landmarks. We talked about the <i>Deep-Sea Restaurant</i>, a favorite among university students, and he could name the street <i>the Nethergate</i> on which it was situated.</p><p>His daughter, Fiona, said when she had visited Dundee with him, her father relished walking the streets and old neighborhoods pointing out familiar buildings, especially churches and pubs. I asked him at the Queen's Hotel, which was opposite the University on the <i>Nethergate</i>.</p><p>“It weren't such a great place anymore. A bit rundoon.”</p><p>I answered with an “aye.” When I asked about the jute industry,</p><p>“That were the biggest business in Dundee- lots of lassies working there.”</p><p>“Aye,” I dutifully responded, and added,</p><p>“When I was there, only one <i>mull</i> (mill) was left.”</p><p>Ian replied, “What a din, those looms clanking away.” “Were you at St. Andrew's” he asked for the third time.</p><p>“Aye, but I was in Dundee for the medical school.” “The year after I graduated, the two got divorced and Dundee became its own university.”</p><p>“Did it?”</p><p>“Do you remember the sailing ship <i>Discovery</i>?”, I asked.</p><p>“Of course, down by the Tay, it went to the south pole. I think they got stuck there and had to be rescued” “Can't remember the name of the captain?”</p><p>I took out my smartphone and looked it up, “Robert Scott” an “English navy officer.”</p><p>“Really” he answered, “an Englishman, with a name like Scott?”</p><p>“Well, my name is Gordon but I'm not a Scot”, I replied.</p><p>“Really” he answered, “do you know the song “A Gordon for me?”</p><p>“Of course,” I replied, “but although I have a Scottish name, I'm Jewish.”</p><p>“Really, how's thot?”</p><p>I explained how my Lithuanian ancestors lived in a small village (shtetl). Czar Peter the Great hired a famous Scottish mercenary General Patrick Gordon, born in 1635, in Aberdeenshire (home of clan Gordon). He was a very successful soldier and was awarded the rank of general in the Russian army. My ancestors took the surname Gordon hoping that because of his friendship with the Czar, they might be protected against the many pogroms frequently perpetrated against the Jews of Lithuania. I remarked, “It didn't help; my ancestors had to leave Lithuania at the turn of the 20th century because of continued pogroms; most went to the US with many to South Africa.”</p><p>“Did you say you studied at St. Andrew's?” (for the fourth time).</p><p>His daughter looked at me winking “Just answer matter of factly each time, don't say ‘I told you three times already’” I counselled her to change the subject if she could. I looked at Ian, “Do you remember the Tay Bridge Disaster?”</p><p>“It was long before my time”, Ian replied, but I recall Willy (pronounced Wully) McGonagall's <i>Tay Bridge Disaster</i> and started to recite for me, “Beautiful railway bridge of the silv'ry Tay, Alas! I am sorry to say that 90 lives have been taken away….”</p><p>He then smiled and said, “He weren't half the poet as was Rabbie Burns,” “Wee sleekit, cowrin, tim'rous beastie, O, what a panic's om the breastie….The best-laid schemes o'mice an'men gang aft agley.”</p><p>His daughter smiled and said, “he loves Burns.”</p><p>Ian then added, “I had Gordons in my family, my late wife's family were connected to Gordons.”</p><p>“Well, we may find out that we're relatives” I replied. I consider myself an honorary Dundonian, and almost a Scot. I finished the interview with, “You are doing just fine.” Your next appointment will be with your regular doctor who just had a wee baern (baby). As he got up, I shook his hand and I said, “Lang may your lum Reek” (long may your chimney smoke). He gave me a big smile and said, “you too.”</p><p>As Jimmy Durante said about jokes, “I got a million of'em, a million of ‘em.” I may not have a million stories but after 44 years doing geriatrics, I have hundreds of them and when given a chance like a “guid Scot” will tell them to you anyone who might listen (Figure 1).</p>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 2","pages":"626-628"},"PeriodicalIF":4.5000,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19279","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Geriatrics Society","FirstCategoryId":"3","ListUrlMain":"https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.19279","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
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Abstract

When people ask my why I chose geriatrics as a speciality, my first reply is “stories.” I love speaking to patients – which is the reason I so enjoy the practice of medicine.

Stories propelled me to change my original plan to study engineering. Two books; A.J. Cronin's The Citadel and Paul de Kruif's Microbe Hunters that fascinated me. The next part of my story resulted from a junior year traversing Europe during my Brooklyn College studies. I ended up in Copenhagen where I befriended several female medical students. Invited to attend a few of their sessions at medical school, I was impressed with how much they enjoyed their studies and the brightness of their attitudes towards medicine; a sharp contrast to the American medical students I knew, who always seemed so serious and complained about the weight of their studies.

An example of this special story experience occurred when I reviewed a file of a patient who came to the Toronto Memory Clinic at which I was working part-time after I retired from the 44 years at the Baycrest Geriatric Centre. I read, “Place of birth: Dundee.”

I knew that this was going to be a special visit. Ian, an older gent, came in, with his daughter, born in Canada but who had twice visited Dundee with her father. As soon as he opened his mouth, I recognized the distinctive regional accent. How I ended up in Dundee rather than in the United States, my home country, was a story.

My decision to study in Europe, preferably Copenhagen, was not rejected by my liberal-minded parents. It was long before the internet; thus, the investigations required hours in our public library. I applied to medical schools in Denmark, Sweden, Switzerland, Belgium, England, and Scotland. As the answers returned, I was disappointed that the Danish schools did not accept foreign students; many of their own citizens studied needed to study abroad. I received acceptances from Basel in Switzerland and Louvain in Belgium. All the Scottish schools accepted me for the following year, when I would graduate from Brooklyn College.

That late August a telegraph delivery man came to my door. I ripped open the envelope. (remember telegrams??) “You are offered a position in 2nd year of the University of St. Andrews Medical School, beginning on the 1st of October 1961. Please indicate by telegram if you would prefer to do your pre-clinical period at St. Andrews followed by your clinical years in Dundee, or would you prefer to do your pre-clinical and clinical period in Dundee?”

I could not believe it, my dream. That evening after telling my parents, I sent the return telegram and the next day arranged to meet with my local US Army selective service branch to get permission to study overseas rather be drafted which in 1961 meant Vietnam.

My years in Dundee were among the most wonderful of my life. The studies were engrossing, the teaching outstanding and my classmates amazing. Of the 70 students in our class, about half were from Scotland, a quarter from England and the rest from the Commonwealth. Only one or two were Yanks, as they called us. Two Dundonians Ian and Doug, befriended me within the first 2 days and became among my closest friends throughout the 5 years of study. We kept up our relationship with reunions until COVID when the 50th year reunion was canceled, not to be rescheduled.

I used l my 5 months vacation each year (three for the summer and one each for Christmas and Easter) to travel all over Europe and Israel. Through the International Federation of Medical Student's Associations, I would choose a country, a city and a medical speciality and spend a month with full room and board. I did surgery in Copenhagen; emergency room, surgery, and midwifery in Londonderry; orthopedics in Athens; pediatrics in Warsaw; midwifery in Israel; and forensic medicine in Portsmouth. Every rotation was a story.

I have visited Dundee many times since graduation through our annual reunions as well department of geriatrics three-day meetings with local geriatricians and one or two from McMaster University; lastly in 2016.

While you can take the boy of Scotland, you cannot take Scotland out of the boy. One of my recent patient interactions show how true is this old axiom. The patient, Ian, reminded me of my stories: After I told him I had studied in Dundee, the conversation focused on everything I could recall that might resonate with him. He had moderate dementia, likely due to Alzheimer's disease which meant that he would often ask me to repeat myself. Despite that, as expected, his long-term memory was still reasonably intact. He could accurately recall important Dundee landmarks. We talked about the Deep-Sea Restaurant, a favorite among university students, and he could name the street the Nethergate on which it was situated.

His daughter, Fiona, said when she had visited Dundee with him, her father relished walking the streets and old neighborhoods pointing out familiar buildings, especially churches and pubs. I asked him at the Queen's Hotel, which was opposite the University on the Nethergate.

“It weren't such a great place anymore. A bit rundoon.”

I answered with an “aye.” When I asked about the jute industry,

“That were the biggest business in Dundee- lots of lassies working there.”

“Aye,” I dutifully responded, and added,

“When I was there, only one mull (mill) was left.”

Ian replied, “What a din, those looms clanking away.” “Were you at St. Andrew's” he asked for the third time.

“Aye, but I was in Dundee for the medical school.” “The year after I graduated, the two got divorced and Dundee became its own university.”

“Did it?”

“Do you remember the sailing ship Discovery?”, I asked.

“Of course, down by the Tay, it went to the south pole. I think they got stuck there and had to be rescued” “Can't remember the name of the captain?”

I took out my smartphone and looked it up, “Robert Scott” an “English navy officer.”

“Really” he answered, “an Englishman, with a name like Scott?”

“Well, my name is Gordon but I'm not a Scot”, I replied.

“Really” he answered, “do you know the song “A Gordon for me?”

“Of course,” I replied, “but although I have a Scottish name, I'm Jewish.”

“Really, how's thot?”

I explained how my Lithuanian ancestors lived in a small village (shtetl). Czar Peter the Great hired a famous Scottish mercenary General Patrick Gordon, born in 1635, in Aberdeenshire (home of clan Gordon). He was a very successful soldier and was awarded the rank of general in the Russian army. My ancestors took the surname Gordon hoping that because of his friendship with the Czar, they might be protected against the many pogroms frequently perpetrated against the Jews of Lithuania. I remarked, “It didn't help; my ancestors had to leave Lithuania at the turn of the 20th century because of continued pogroms; most went to the US with many to South Africa.”

“Did you say you studied at St. Andrew's?” (for the fourth time).

His daughter looked at me winking “Just answer matter of factly each time, don't say ‘I told you three times already’” I counselled her to change the subject if she could. I looked at Ian, “Do you remember the Tay Bridge Disaster?”

“It was long before my time”, Ian replied, but I recall Willy (pronounced Wully) McGonagall's Tay Bridge Disaster and started to recite for me, “Beautiful railway bridge of the silv'ry Tay, Alas! I am sorry to say that 90 lives have been taken away….”

He then smiled and said, “He weren't half the poet as was Rabbie Burns,” “Wee sleekit, cowrin, tim'rous beastie, O, what a panic's om the breastie….The best-laid schemes o'mice an'men gang aft agley.”

His daughter smiled and said, “he loves Burns.”

Ian then added, “I had Gordons in my family, my late wife's family were connected to Gordons.”

“Well, we may find out that we're relatives” I replied. I consider myself an honorary Dundonian, and almost a Scot. I finished the interview with, “You are doing just fine.” Your next appointment will be with your regular doctor who just had a wee baern (baby). As he got up, I shook his hand and I said, “Lang may your lum Reek” (long may your chimney smoke). He gave me a big smile and said, “you too.”

As Jimmy Durante said about jokes, “I got a million of'em, a million of ‘em.” I may not have a million stories but after 44 years doing geriatrics, I have hundreds of them and when given a chance like a “guid Scot” will tell them to you anyone who might listen (Figure 1).

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另一个邓迪故事
当人们问我为什么选择老年医学作为专业时,我的第一个回答是“故事”。我喜欢和病人交谈,这也是我喜欢行医的原因。故事促使我改变了原来学习工程学的计划。两本书;A.J.克罗宁的《城堡》和保罗·德·克鲁夫的《微生物猎人》都让我着迷。我故事的下一部分是在大三的时候,我在布鲁克林学院学习期间穿越欧洲的经历。我最后去了哥本哈根,在那里我结识了几个女医学生。我应邀参加了他们在医学院的几次会议,他们对学习的热爱和对医学的乐观态度给我留下了深刻的印象;这与我认识的美国医学生形成了鲜明的对比,他们看起来总是那么严肃,抱怨学业的重量。我在Baycrest老年医学中心工作了44年,退休后,我在多伦多记忆诊所兼职工作,回顾了一位病人的档案,这是一个特殊的故事经历的例子。我读到,“出生地:邓迪。”我知道这将是一次特别的访问。伊恩,一位年长的绅士,带着他的女儿走了进来,他的女儿出生在加拿大,但曾两次随父亲来过邓迪。他一开口,我就听出他那独特的地方口音。我是如何在邓迪而不是在我的祖国美国结束的,这是一个故事。我决定去欧洲留学,最好是哥本哈根,我开明的父母没有拒绝我的决定。那是在互联网出现之前很久的事;因此,调查需要在我们的公共图书馆待上几个小时。我申请了丹麦、瑞典、瑞士、比利时、英格兰和苏格兰的医学院。当答案返回时,我对丹麦学校不接受外国学生感到失望;许多本国公民需要出国留学。我收到了瑞士巴塞尔和比利时鲁汶的录取通知书。第二年,我将从布鲁克林学院毕业,所有的苏格兰学校都录取了我。那年八月底,一个送电报的人来到我家门口。我撕开信封。(还记得电报吗?)“圣安德鲁斯大学医学院二年级给你提供了一个职位,从1961年10月1日开始。如果你想在圣安德鲁斯完成临床前阶段,然后在邓迪完成临床阶段,还是想在邓迪完成临床前和临床阶段,请用电报表明?”我简直不敢相信,我的梦。那天晚上,在告诉父母之后,我发了回电报,第二天安排与当地的美国陆军兵役部门会面,以获得出国留学的许可,而不是被征召入伍,这在1961年意味着越南。在敦提的那些年是我一生中最美好的时光之一。学习是引人入胜的,教学是杰出的,我的同学是了不起的。在我们班的70名学生中,大约一半来自苏格兰,四分之一来自英格兰,其余来自英联邦。只有一两个是北方佬,他们这样称呼我们。两个邓顿人伊恩和道格,在最初的两天里就和我成为了朋友,并在我五年的学习中成为了我最亲密的朋友。我们一直保持着团聚的关系,直到新冠疫情,50周年聚会被取消,没有重新安排。我利用每年5个月的假期(夏季三个月,圣诞节和复活节各一个)周游欧洲和以色列。通过国际医学生协会联合会,我将选择一个国家,一个城市和一个医学专业,并在一个月的时间里吃饱吃足。我在哥本哈根做过手术;伦敦德里的急诊室、外科和助产士;雅典的骨科;华沙儿科;以色列的助产;以及朴茨茅斯的法医学。每一次轮换都是一个故事。毕业后,我多次访问邓迪,参加我们的年度聚会,参加老年病学系与当地老年病专家和麦克马斯特大学的一两个专家举行的为期三天的会议;最后是2016年。虽然你可以带走苏格兰的男孩,但你不能把苏格兰从男孩身上带走。我最近与病人的交流表明,这个古老的公理是多么正确。病人伊恩(Ian)让我想起了我的故事:在我告诉他我曾在邓迪(Dundee)学习之后,我们的谈话集中在我能回忆起的一切可能引起他共鸣的事情上。他有中度痴呆,可能是由于阿尔茨海默病,这意味着他会经常让我重复一遍。尽管如此,正如预期的那样,他的长期记忆仍然相当完整。他能准确地回忆起邓迪的重要地标。我们谈到深受大学生喜爱的“深海餐厅”,他还能说出餐厅所在的那条街的名字——“尼日盖特”。他的女儿菲奥娜(Fiona)说,当她和父亲一起去邓迪时,父亲喜欢走在街上和老社区,指着熟悉的建筑,尤其是教堂和酒吧。 我在皇后饭店问他,那是在大学对面的尼日盖特。“它不再是一个好地方了。有点跑龙套。”我的回答是“是”。当我问起黄麻产业时,她说:“那是邓迪最大的产业,有很多姑娘在那里工作。“是啊,”我尽职地回答,并补充说,“我在那里的时候,只剩下一个磨。”伊恩回答说:“那些织机叮当作响,太吵了。“你在圣安德鲁医院吗?”他第三次问道。“是的,但我是在敦提上医学院的。“我毕业后的第二年,两人就离婚了,邓迪大学也独立了。””“是吗?“你还记得发现号帆船吗?”我问。“当然,在泰河下游,它去了南极。我想他们是被困在那里了,必须被救起。”“不记得船长的名字了吗?”我拿出智能手机查了一下,“罗伯特·斯科特”,一位“英国海军军官”。“真的吗?”他回答,“一个叫斯科特的英国人?”“嗯,我叫戈登,但我不是苏格兰人,”我回答。“真的吗?”他回答说,“你知道这首歌吗?“当然,”我回答,“虽然我有一个苏格兰名字,但我是犹太人。”“真的吗?”我解释了我的立陶宛祖先是如何生活在一个小村庄(shtetl)的。沙皇彼得大帝雇佣了一位著名的苏格兰雇佣兵将军帕特里克·戈登,他出生于1635年,在阿伯丁郡(戈登家族的故乡)。他是一个非常成功的士兵,在俄罗斯军队中被授予将军军衔。我的祖先以戈登为姓,希望由于他与沙皇的友谊,他们可能受到保护,免受立陶宛犹太人经常遭受的许多大屠杀。我说:“没用;由于持续不断的大屠杀,我的祖先不得不在20世纪之交离开立陶宛;大多数人去了美国,还有很多人去了南非。”“你是说你在圣安德鲁学校学习的吗?(这是第四次了)。他的女儿看着我眨着眼睛说:“每次都要实事求是地回答,不要说‘我已经告诉过你三次了’。”我劝她尽量换个话题。我看着伊恩,“你还记得泰桥灾难吗?“那是在我出生之前很久的事了,”伊恩回答,但我想起了威利·麦格教授的《泰河大桥灾难》,开始为我背诵:“美丽的银色泰河铁桥,唉!”我很遗憾地说,已经夺走了90条生命....”然后他笑着说:“他连拉比·伯恩斯一半的诗人都比不上。”“太圆滑了,太可爱了,太可爱了。哦,你的胸脯里有多恐慌啊....。老鼠和人最周密的计划都是互相勾结的。”他的女儿笑着说:“他爱伯恩斯。”伊恩接着补充道:“我的家族中就有戈登家族,我已故妻子的家族与戈登家族有联系。“嗯,我们也许会发现我们是亲戚。”我回答。我认为自己是一个荣誉的邓顿人,几乎是一个苏格兰人。采访结束时,我说:“你做得很好。”你的下一个预约将是你的普通医生,他刚刚生了一个宝宝。他起身时,我握了握他的手,说:“愿你的烟囱烟长长”。他给了我一个大大的微笑,说:“你也是。”正如吉米·杜兰特(Jimmy Durante)谈到笑话时说的那样,“我有一百万个笑话,一百万个笑话。”我可能没有一百万个故事,但经过44年的老年病学研究,我有数百个故事,如果有机会,我就会像“苏格兰向导”一样告诉你任何可能听的人(图1)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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Issue Information Burden of Hypoglycemia and Hyperglycemia in Insulin-Treated Veterans Affairs Nursing Home Residents Comprehensive Medication Reviews in Medicare Were Not Associated With Reduced Central Nervous System-Active Polypharmacy in 2021 Efficacy of a Multicomponent Intervention for Frailty or Physical Function in Prefrail or Frail Older Adults: FRAILMERIT Multicenter Clinical Trial Comparative Safety of Medications for Severe Agitation: Lessons Learned From Management of Behavioral and Psychological Symptoms of Dementia
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