Abstract
I CANNOT tell you what pleasure it has given me to exchange the gloom and fog of a London winter for the sparkling sun of Southern California and, in place of the colleagues with whom I have been examining for the last four weeks in the finals of the Fellowship of the Royal College of Surgeons of England, to find myself once more in that spirit of warm hospitality and overflowing enthusiasm that characterizes the surgeons of America. It is still a matter of wonder that this tremendous transformation in time, place and circumstance can be brought about in the space of four days. The transatlantic flight produces a liberation of the spirit that is not experienced in any form of surface travel or even in air journeys over land routes. Traveling for a few hours at a speed and a height at which life would be impossible were it
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