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Dedication
This book is dedicated to decreasing suffering.
Everyone who takes an action to ease the burden of suffering on our planet, no matter how small, is my brother or sister. I send you my love.
CONTENTS
PREFACE
Why did we go to medical school? What was the beautiful vision of yourself in the future, when you set out to challenge obstacles, conquer barriers and commit yourself to medicine?
Hold On! You are ALMOST DONE!
The energy you need for your final push lies in the sacred vision you had of yourself when you started. Go back. Go back in time and remember your MCAT and medical school application essay and your personal statement for your residency application. I still have mine.
I wrote in flowery words about compressing all the desire of thousands of years of human history in the single moment of cosmic understanding that allows us to heal the world, grow an immortal soul, have a heart perfumed by love and bring into existence by our own constant work a better civilization where there are no separate groups, and people live with hope, peace, art, music, science and freedom from fear and pain.
My faculty advisor said, Conrad, arent you weird enough already? Take that out of your statement.
I kept it in.
Go back to beginning. Dont stop five minutes too soon. What you have in your hands will help you.
Save the world. Save the world outside you with medicine. Save the world inside you with hard work and eternally fragrant love.
Conrad Fischer, MD
INTRODUCTION AND HOW TO USE THIS BOOK
Look for the precise sequence through time to manage the computer-based case simulation (CCS) portion of the exam. That is the primary purpose of Correlations and Clinical Scenarios: Internal Medicine. You will find direction on exactly how long to move the clock forward in time and the precise sequence of which text or treatment should be done first in managing a patient. This will cover the order in which to give treatments, order tests and how to respond to test results. All CCS-related instructions appear in RED TYPE.
If you have never seen a particular case or you are a physician in a specialty other than internal medicine, this book is especially for you. It never has statements about using your judgment because you basically do not have any in these areas. If you want a cookbook that says, Do this, do that, do this, then you have the right book in your hands. All initial case presentations and their continuing scenarios appear in yellow boxes.