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" "In its own unhurried way, age soundlessly and with persistence treads ever closer behind us on slippered feet, catches up, and finally blends itself into us—all while we are still denying its nearness.
Sherwin Bernard Nuland (born Shepsel Ber Nudelman; December 8, 1930 – March 3, 2014) was an American surgeon and writer who taught bioethics, history of medicine, and medicine at the Yale School of Medicine, and occasionally at Yale College.
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Long after the theories on which they were based had been debunked, Galen's concepts of sickness and its treatment continued to have a pervasive influence on the daily practice of medicine. Indeed, it is a measure of medicine's progress over the past fifty years that a goodly number of his remedies were still being used until well into the twentieth century.
Of hundreds of known diseases and their predisposing characteristics, some 85% of our aging population will succumb to the complications of one of only seven major entities: atherosclerosis, hypertension, adult-onset diabetes, obesity, mental depressing states such as Alzheimer's and other dementias, cancer, and decreased resistance to infection. Many of those elderly who die will have several of them. And not only that; the personnel of any large hospital's intensive care unit can confirm the everyday observation that terminally ill people are not infrequently victims of all seven.