When to Act and When to Refrain: A Lifetime of Learning the Science and Art of Medicine (Revised Edition)

Dr. Marvin Stone describes his fascinating journey through the last half-century in medicine: becoming a physician acquiring intense training in patient care and research and teaching at all levels. Along the way he introduces us to some exceptional leaders in the field through noteworthy first-hand accounts. This medical memoir now in an updated edition focuses on how clinical perspective and judgment develop as one travels through an exciting career. It will be of interest to students young doctors experienced physicians and lay persons with interest in and concern about medical science and health care.Marvin Stone is a classical triple-threat medical academic: accomplished in biomedical research expert in his clinical field and revered teacher. For those interested in how such a career trajectory happens he has written a book of immense value. Dr. Stone is a scholar but not a pedant. His memoir is warm articulate accessible and informative. His book describes a relatively seamless merger of the elements of his career extending from biochemical and genetic mechanisms of disease to expert and compassionate clinical care. Beyond that it addresses concern for ethical issues in patient care and research and discusses examples of greats in the history of medicine especially William Osler-in effect past mentors who though now silent still speak to their clinical descendants. The book will be especially valuable to the young in medicine from students through trainees to junior faculty. It is a clear coherent description of the kinds of settings people and opportunities that underpin a successful and satisfying career in medicine. It will more than repay the hours spent in its company. -Jeremiah A. Barondess MD William T. Foley Distinguished Professor in Clinical Medicine Weill-Cornell Medical CollegeHeavily influenced by the works of William Osler Stone approached his roles as cancer researcher administrator educator and clinician with unwavering idealism and commitment to professionalism and humanism. This remarkable memoir is a gift to the legions of patients and medical professionals whose lives were enhanced by his guidance and support-and to anyone interested in where medicine has been in the past 60 years and where its going. -Wendy S. Harpham MD FACP author of Healing Hope: Through and Beyond CancerA question-What am I doing here?-begins Marvin Stones richly insightful memoir. The pages that follow provide an answer to how he would spend his life: learning healing teaching cheering for Ohio State football (nobodys perfect) treating others with compassion-and above all serving as a modern manifestation of Sir William Osler. The writing clear and understated reflects the man: Think of this book as the opportunity for an extended conversation with a gently inspirational physician/humanist. -Dennis M. Kratz PhD Ignacy and Celina Rockover Professor of Humanities and Dean School of Arts and Humanities The University of Texas at DallasMarvin Stone has written a splendid memoir. It describes the life of a physician devoted to his profession his patients his quest for new knowledge his students his principled ideals and his supportive family. Grounded by superior training outstanding role models mentors and inspirational historical and lifelong colleagues he describes the excitement of a full medical life. His scholarship humility and wonderful capacity for friendship with mentors patients and colleagues provide an uplifting read for both those in and out of medicine. -William C. Roberts MD Editor in Chief American Journal of Cardiology and Baylor Proceedings