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“Some people expect things to fall into their lap. Oh, they might work a bit for it. I'll just shake this tree, and if I shake it long enough that pretty red apple will plop right into my hand. Never occurs to them that they might have to climb the damn tree, fall out a couple times, get some scrapes and bruises before they get to that apple. Because if the apple's worth wanting, it's worth risking a broken neck.”
Nora Roberts“The story was an 82 year old guy with a broken neck. He had apparently fallen in his bathroom that morning, cracking his 1st and 2nd vertebrae. I had a vague memory from medical school that this wasn't a good thing--the expression "hangman's fracture" kept bobbing up from the well of facts I do not use --but I had a much more distinct impression that this was not a case for cardiology."And Ortho isn't taking him because?" I said wearily."Because he's got internal organs, dude."I sighed. "So why me?""Because they got an EKG."The MAO was clearly enjoying himself. I remembered he had recently been accepted to a cardiology fellowship. I braced myself for the punch line."And?""And there's ectopy on it. Ectopy." He then made a noise intended to suggest a ghost haunting something.”
Terrence Holt, Internal Medicine: A Doctor's Stories