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Q.There lies a great difference between textbook medicine and the world of a practising physician. Discuss.

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Textbooks teach ideal procedures in ideal conditions; real practice, as Andrew's night shows, demands instinct, improvisation, nerve and compassion in messy, unpredictable emergencies.

The story vividly illustrates the gap between medicine as it is learnt from books and medicine as it is practised. A textbook presents illnesses in a tidy order, with clear symptoms and set procedures, under imagined ideal conditions. The real world Andrew steps into is nothing like that. He is called out near midnight, tired and low, to a poor upstairs bedroom lit only by an oil lamp, with an aged grandmother and a midwife for help. …

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