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The Great American Doctor

2007· book-chapter· en· W4388359928 on OpenAlexaboutno aff
Michael Bliss

Bibliographic record

Venuenot available
Typebook-chapter
Languageen
FieldMedicine
TopicHistory of Medical Practice
Canadian institutionsnot available
Fundersnot available
KeywordsEmbarrassmentWifeMedicinePrivate practiceWhite (mutation)Hippocratic OathEliteGeneral surgeryHistoryClassicsFamily medicineLawPsychologyPolitical science

Abstract

fetched live from OpenAlex

Abstract Osler’s first private patient in Baltimore was an important elderly gentleman, a Hopkins trustee perhaps. Osler thought he felt a pelvic tumor, diagnosed it as an inoperable sarcoma, ‘and in as gentle a way as I could, told his wife, and advised that a surgeon see the case.’ The surgeon came the next day, drained the patient’s distended bladder with a catheter, and thus disposed of the ‘tumor.’ Osler used the embarrassment as an object lesson in his teaching. Otherwise, his private practice flourished. Consultations grew steadily in Baltimore until by the mid-90s he was seeing all the private patients he could handle and had to turn down an increasing number of requests (including, it is said, a man who then came back and read the Hippocratic Oath on his doorstep). He was consulting physician to the huge extended Osler family, to all his old friends back in Canada, to the students, nurses, doctors and their relatives at Hopkins, to the elite of Baltimore, to congressmen and several denizens of the White House, and to cases that interested him up and down the eastern seaboard and as far west as Wisconsin and Iowa.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.466
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0090.005

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.053
GPT teacher head0.332
Teacher spread0.280 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2007
Admission routes1
Has abstractyes

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