Pathophysiology and Diagnosis

IT SEEMS reasonable for me to be participating in the discussion of the town-gown syndrome and of the manifestations of morbidity which it presents. I am in a sense a split personality—I make my living looking after a private practice and I derive great pleasure from the position, Dean of Medical Students. The advantages of this double vision are obvious. I can assume an air of completely cool detachment collecting coldly calculated data, or with heated brow and obvious bias I can stand with either town or gown. It has thus been possible, as a hybrid, to observe and study the basic cellular structure of the pathophysiology of this disorder with the double standard, which the syndrome so richly deserves, of a scientist and a fishwife. It might first be in order to give the town-gown syndrome a proper eponym. Every syndrome worthy of consideration needs an eponym. The town-gown