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Blue Ridge Orthopedics

David Couk, MD
JAMA. 1982;247(9):1261-1265. doi:10.1001/jama.1982.03320340023009.
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A Drive Through the Country  There was a period during what I now call "the bad old days" when I was the only practicing orthopedist in all of Culpeper, Fauquier, Orange, Madison, and Rappahannock counties, an area in northwestern Virginia with a population of almost 80,000.I look back and wonder how and why I kept going during those years. I remember one Mother's Day weekend when I worked night and day, except for a few short naps, all day Thursday, Friday, Saturday, and Sunday. We were having a large number of car accidents with serious injuries. I finally got to bed at around ten o'clock on Sunday night. I had a heavy operating schedule the following day, so I was thankful to get some sleep. I had slept for about two hours when the phone rang. (I always put my phone on the far side of the room, because if


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