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Osler Centenary Papers: When the diagnosis is futile…
  1. Paulo Luz
  1. Medical Oncology, Centro Hospitalar Universitário do Algarve, Faro, Portugal
  1. Correspondence to Dr Paulo Luz, Medical Oncology, Centro Hospitalar Universitário do Algarve, Faro 8000, Portugal; p_luz{at}

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Sir William Osler, the Father of Modern Medicine, is often said to have remarked, “The good physician treats the disease; the great physician treats the patient who has the disease”. That was one of the main messages that I took from my Internal Medicine internship.

The Internal Medicine internship is one of the most important of the Medical Oncology Residency and its length reflects just that. I participated in this internship from January 2017 to June 2018 at the University Hospital Center of the Algarve. As an oncology intern, I had a special interest in hospitalised patients to study metastases from a still unknown primary or occult neoplasia. There were also hospitalised patients for other reasons that, during the hospitalisation, received an oncological diagnosis. For whatever reason, the entire diagnostic march in search of the histology of the …

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