Medical knowledge and technical savvy are biodegradable. The sort of medicine that was practiced in Boston or New York or Atlanta fifty years ago would be as strange to a medical student or intern today as the ceremonial dance of a !Kung San tribe would seem to a rock festival audience in Hackensack.

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When you see something that is technically sweet you go ahead and do it and you argue about what to do about it only after you have had your technical success. That is the way it was with the atomic bomb.