This book, written by junior doctors, is intended
principally for medical students and house officers. The student becomes,
imperceptibly, the house officer. For him we wrote this book not because we know
so much, but because we know we remember so little. For the student the problem
is not simply the quantity of information, but the diversity of places from
which it is dispensed. Trailing eagerly behind the surgeon, the student is
admonished never to forget alcohol withdrawal as a cause of post-operative
confusion. The scrap of paper on which this is written spends a month in the
white coat pocket before being lost forever in the laundry. At different times,
and in inconvenient places, a number of other causes may be presented to the
student. Not only are these causes and aphorisms never brought together, but
when, as a surgical house officer, the former student faces a confused patient,
none is to hand.
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