Good afternoon colleagues, guests, and, most of all, friends. I am honored to be here addressing all of you this afternoon. I have been looking forward to this address with a mixture of excitement and trepidation, knowing what I wanted to say but unsure of how to say it. My discussion may not be concise, but I hope it is at least clear and interesting. I know that the ideas expressed are meaningful to me, and I believe that they are valuable to you as well. As I have advanced in age and career, I have examined my past experiences, acknowledged where I am, and attempted to define where I was going and what might await me in the future. In essence, I have asked myself the following four questions, simply stated: Why am I here? How did I get here? Where am I going in the future? What, if anything, will I leave behind? The more I pondered these questions, the more I became convinced of their universality. These are questions all of us have asked in our own way. I hope these remarks will make you examine these issues further and give you food for thought. We have just entered this new millennium. I remember thinking about the year 2000 when I was young. How old would I be, or would I even be here to see us enter the millennium? Now I find myself having entered this new era with a hope for the future but a firm footing in the past. A past not made of melancholy thoughts, sadness, or regrets, but one of clearly defined ideas, dreams that have been realized, and dreams that will, I hope, become realized. I have seen what, to me, was a relatively simple world with simple goals become one of increasing complexity. I have seen a world that had been very personal become depersonalized and one that was once comprehensible become more difficult to understand. Communication has increased, the world has shrunk, and scientific knowledge has expanded exponentially, far beyond the rate at which I personally can keep up. I am experiencing a world that is in many ways improved almost beyond the visionaries’ expectations, yet perhaps its fundamental concepts are changing away from what was meaningful in the past. I remember making the decision to enter the field of medicine. It came from a deep-seated fascination with science, the workings of the human body, and the attempt to understand how we changed, adapted, and fought illness. On the basis of scientific knowledge, I was enthralled about how a cell was structured, how each part worked, and how we evolved and adapted. But when I was making the decision to enter the field of medicine, I also remembered how I felt as a child when I was ill. That was at a time when making house calls was still routine. I remember that no matter how ill I felt, the assuredness of my family doctor, the hand holding mine, the smile, and the comfort that was given instantaneously made me feel better. It made me believe that “this too shall pass,” and all would be well again. I believed with that simple act of caring that I would shortly be able to go out to play, just Submitted for publication March 3, 2000. Accepted for publication March 2, 2000. Copyright © 2000 by Lippincott Williams & Wilkins, Inc. From the Department of Surgery, The Heart Institute, Columbia University, St. Michael’s Medical Center, Newark, New Jersey. Presidential Address presented at the 30th Annual Meeting of the Western Trauma Association, February 27–March 4, 2000, Squaw Valley, California. Address for reprints: Barry C. Esrig, MD, St. Michael’s Medical Center, Heart Institute, Building 1, Level 3, 268 Dr. M.L.K. Jr Boulevard, Newark, NJ 07102. Barry C. Esrig, MD President, Western Trauma Association The Journal of TRAUMAt Injury, Infection, and Critical Care
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