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WC. Frequency and significance ofM-mode echocardiographic evidence of mitral valve prolapse in clinical isolated pure mitral regurgitation: analysis of65 patients having mitral valve replacement. Am J Cardioll984; 53:139-47 Bloch A, Vignola PA, Walker H, Kaplan AD, Chiotellis PN, Lees RS, et ale Echocardiographic spectrum of posterior systolic motion of the mitral valve in the general population. J ciin Ultrasound 1977; 5:243-47 Markiewicz W, Stoner J, London E, Hunt SA, Popp RL. Mitral valve prolapse in 100 presumably healthy young females. Circulation 1976; 53:464-73 Procacci PM, Savran S~ Schreiter SL, Bryson AL. Prevalence of clinical mitral valve prolapse in 1,169 young women. N Eng} J Med 1976; 294:1086-88 Savage DD, Garrison RJ, Devereux RB, Castelli W~ Anderson SJ, Levy D, et al. Mitral valve prolapse in the general population: 1. epidemiologic features: the Framingham study. Am Heart J 1983; 106:571-76 Haikal M, Alpert MA, Whiting RB, Ahmad M, Kelly D. Sensitivity and specificity of M-mode echocardiographic signs of MVE Am J Cardioll982; 50:185-90 Levine HG, Isner 1M, Salem DN. Primary versus secondary mitral valve prolapse: clinical features and implications. Clin Cardioll982; 5:371-75 Mumford M, Prakash R. Electrocardiographic and echocardiographic characteristics of long-distance runners: comparison of left ventricular function with age-and-sex matched controls. Am J Sports Med 1981; 9:23-8 Clemens JD, Ransohoff DR A quantitative assessment of predental antibiotic prophylaxis for patients with mitral valve prolapse. J Chronic Dis 1984; 37:531-44 Holgado GM, Prakash R, Kaushik VS, Sarma R, Marks G. Prevalence of mitral valve prolapse in hypertension: an echocardiographic study of 486 hypertensive and cardiac patients. Circulation 1985; 72(supp III):288(abstract)
Humane Medicine, A New Journal The doctors basic and fundamental mission is not only to treat but also to care for, to support, to understand and to teach his patient how to overcome suffering. He must allow himself to be touched and affected by the suffering of his patient.
This is a quotation from an essay in a recent issue of the periodical, Humane Medicine. Other articles in the same issue carry a comparable message: the need for clinicians to share the experience of caring. Current and future contributions are intended to communicate these insights concerning the art of medicine with the new generation of physicians and other health workers. Dr. Dimitrios G. Oreopoulos, a distinguished nephrologist from Toronto, Canada, is the Editor-in-
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Chief of Humane Medicine. The first issue of this handsome journal was published in the spring of 1985 with the hope of offering four issues per year. The contents ofOctober issue contain intriguing and provocative commentaries, including a splendid historicai essay by Dr. Charles Roland, who serves Chest as department editor fur the section on medical history. Dr. Roland suggests that Sir William Osler's strength lies not so much in his work as a scientist or practitioner, but in his common sense advice and guidance for the inexperienced. 2 DI: Marco J. De Vries discusses "Healing andtbe Process of Healing, The Synthesis of the Mind and Heart in Medicine." An article by DI: Bruce Rowat, is entitled cCAsher and the Seven Sins of Medicine." Asher asserted that the seven sins of medicine are obscurity, cruelty, bad manners, overspecialization, love of the rare, common stupidity, and sloth. DI: Gunnar B. Stickler is saddened by the fact that more and more patients seem to come to a physician to obtain a prescription rather than to receive advice. He describes his philosophy in an essay entitled "Primum Nil Nocere (First Do No Harm)." A new section, CCThe Wounded Heale~" provides an opportunity for physicians and other health care professionals to describe their experiences when they were CCon the other side," that is, when they themselves were patients. The section, cCControversies in Health Care," contains a fascinating debate on the patient's right of access to medical records. In a statement of purpose, Dr. Oreopoulos stresses that cCA major task of medical education in a modern technological society is to inculcate, especially in the young, the attitudes which undergird the ministry of humane care." These are lofty purposes and fulfill a critical need in medical journalism today. The journalistic format of this new journal is superioI; with superb graphics; it is a beautiful periodical I Those interested in subscribing to Humane Medicine should write to DI: D. G. Oreopoulos, Toronto Western Hospital, 399 Bathurst Street, Toronto, Ontario, Canada M5T 2S8. Alfred Soffer, M.D., FCCP Park Ridge, IL REFERENCES
1 Oreopoulos LG. The meaning of suffering. Humane Medicine 1985; 1:82-5 2 Roland eG. Sir William Osler, advice to medical students in 1903. Humane Medicine 1985; 1:62-6
editorials