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Pathophysiology and Diagnosis

F. Tremaine Billings, MD
JAMA. 1964;189(2):116-117. doi:10.1001/jama.1964.03070020044009.
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IT SEEMS reasonable for me to be participating in the discussion of the town-gown syndrome and of the manifestations of morbidity which it presents. I am in a sense a split personality—I make my living looking after a private practice and I derive great pleasure from the position, Dean of Medical Students. The advantages of this double vision are obvious. I can assume an air of completely cool detachment collecting coldly calculated data, or with heated brow and obvious bias I can stand with either town or gown. It has thus been possible, as a hybrid, to observe and study the basic cellular structure of the pathophysiology of this disorder with the double standard, which the syndrome so richly deserves, of a scientist and a fishwife.

It might first be in order to give the town-gown syndrome a proper eponym. Every syndrome worthy of consideration needs an eponym. The town-gown


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