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Chiedozie I. Udeh, MD

JAMA. 2000;283:2592.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

It is a privilege to practice medicine in these times; the explosion of new technologies over the last 50 years has fueled unprecedented advances in medical care, giving physicians better tools for diagnosis, therapeutic interventions, and therapeutic monitoring. Coming from Nigeria, a developing country where medicine is mostly still practiced as it was at mid-20th century, my medical experience in the United States has been stimulating. Practicing medicine in this country can be immensely gratifying, given the convenience, certainty, and precision afforded by the many facilities available.

Perhaps in no specialty is this more obvious than in critical care medicine, where hemodynamic and respiratory parameters can be continuously monitored using invasive and noninvasive equipment. Sophisticated tests and computerized imaging techniques now yield information on physical and even metabolic derangements. Gene therapy and precisely targeted drugs are becoming commonplace. Minimally invasive surgery, robot-assisted surgery, and percutaenous procedures . . . [Full Text of this Article]

Duke University Medical Center
Durham, NC

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