David Coston Sabiston was a distinguished American surgeon. As chairman of the department of surgery at Duke University School of Medicine, North Carolina, he was, reputedly, one of the greatest surgeons who ever lived. In 1962, he grafted a vein from a patient's leg to feed blood past a blocked coronary artery, the very first coronary artery bypass grafting (CABG), and promptly became known as a moderniser of cardiac surgery. He was president of virtually all the principal surgical societies in the United States, including the American College of Surgeons, the Association for Academic Surgery, the Society of University Surgeons, the American Surgical Association, the Southern Surgical Association, the American Association for Thoracic Surgery…the list goes on. At the same time, he was kind and generous, a family man revered by his children, grandchildren and colleagues. Yet, to his surgical residents-in-training, he always remained an incredibly tough taskmaster, who would continuously strike fear in their hearts. Love, hate, productivity and camaraderie were the ingredients for his recipe for nurturing young surgical leaders in his training environment at Duke University...
Sabiston's premier surgical training programme preserved the Halsted/Blalock/Hopkins tradition and became known, to the rest of the world, as 'The Decade with Dave'. Some of that label was myth, which the residents loved to perpetuate. Most residents spent only eight years in the programme, including two years of basic science research. Although most rotations were every-other-night call, the residents looked out for each other and were allowed three full days off every other week. The residents referred to Sabiston as 'The Man' or 'TM' for short. A 'positive TM sign' meant Sabiston's Cadillac was in his parking space and everyone had to be on their toes.
TM had a passion for detail, cleanliness and formality. Anyone found in scrub clothes outside of the operating room suites flirted with expulsion. Once, the chief resident, who had invented the world's first artificial heart, was sent home to change out of his casual trousers.
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