The entries recorded in the seven-volume "Medical Intensive Care Unit (MICU) Journal" cover a twenty-year period, beginning in January, 1980. They reflect the musings of Interns, Junior Assistant Residents, and Senior Assistant Residents in the Internal Medicine Residency Training Program at the Massachusetts General Hospital. To preserve the anonymity of both the patients and the physicians who have passed through the MICU, each date has been modified: sometimes by a few months, sometimes by several years. In addition, the diseases afflicting certain patients and on occasion even the gender...