Sir William Osler was a renowned Canadian physician known as the "Father of Modern Medicine". He studied medicine in Canada and Europe, making early observations of platelets in blood. He taught at McGill University, the University of Pennsylvania, and helped establish the Johns Hopkins medical school. Osler revolutionized clinical teaching by having students study patients at the bedside. He authored influential medical textbooks and helped establish evidence-based medicine. Osler remained a prolific writer and advocate for compassionate, scientific medical practice until his death in Oxford, England in 1919.

1. 23 de junio del 2010.
Sir William Osler.
Ha sido llamado uno de los grandes iconos de la
medicina, "El Padre de la Medicina Moderna“.
Creador: gamottar@yahoo.com.mx

2. Soy egresado de la Escuela Médico Militar (EMM).
Soy médico militar, radiólogo, con postgrado en Imagen
Seccional y ejerzo tanto institucional como en forma privada.

3. Cuando decidí ser médico, opte por la Escuela Médico Militar:
Porque representa un crisol del saber, con una seriedad y
profesionalismo basada en los valores que todo instituto
armado posee y que enriquece la formación médica en alguno
de sus aspectos.

4. 1984, Cursaba el 4to año y era cabo de cadetes
Más esta aventura de ser médico, de ser médico militar, no
termina cuándo finalice mis estudios …..
ahí fue donde empezó.

5. 1994, en el Consultorio del Pelotón de Sanidad en Tenosique, Tabasco.
.
En esos años – 28 años - he tenido vivencias, vicisitudes,
sinsabores, satisfacciones y he intentado acorde a mi profesión
el de siempre aprender y de servir al ser humano.

6. Dr. Píndaro Martínez Elizondo
Dr. Rafael de la Huerta
Dr. Antonio Ruiz Moreno
Dr. Mario Cardona Pérez
Dr. Antonio Moreno Guzmán
Dr. Rodolfo Lerma Shiumoto
y mas.
Me congratulo de haber convivido con médicos brillantes cuyas
personalidades me impactaron en todo sentido y no quisiera
dejar de mencionar a ninguno.
A TODOS ellos mi sincero agradecimiento.
La presente revisión de la biografía del Dr. William Osler viene
al caso dado que mencionare a 2 de los tantos médicos que me
enseñaron este arte y ciencia del ejercicio de la Medicina.

7. El 1ero fue quien por primera vez, ya siendo residente de
especialidad, me facilito un libro en el que la figura del Dr.
William Osler estaba presente.
Tte. Cor MC Ret. Melchor Sánchez Mendiola,
promotor de la EMB –Medicina basada en Evidencias -.
El 2do, quien fuese director de la EMM cuando ingrese, que a
la fecha logramos mantener comunicación, misma que es
enriquecedora y fructífera al ser mi General un medico con una
experiencia invaluable para mi, y con un deseo constante por
aprender.
Gral. Div MC Ret. Jaime Cohen Yánez

8. Sir William Osler
12 de julio, 1849
Nacimiento
Bond Head, Ontario
29 de diciembre,
Fallecimiento
1919, Oxford.
Referencia núm. 1

9. As Sir William Osler wrote,
“Errors in judgment must occur in the
practice of
an art which consists largely of balancing
probabilities.
Medicine is a science of uncertainty and an
art of probability.”
(The Quotable Osler, American College
of Physicians, Philadelphia, PA, 2003.)
Referencia núm. 1,10

10. Gracias a un interés común, que nos une tanto a mi Gral. Jaime
Cohen Yáñez como a mi, en lo referente a la traducción al español
del Dr. Osler:
“Errors in judgment must occur in the practice of an art
which consists largely of balancing probabilities.
Medicine is a science of uncertainty and an art of probability.”
Quedando así:
Los errores de juicio son inevitables en un
arte que consiste principalmente en balancear (o evaluar)
probabilidades. La medicina es una ciencia de la
incertidumbre y un arte de la probabilidad.

11. The practice of medicine is an
art, not a trade; a calling, not a
business; a calling in which your
heart will be exercised equally
with your head.
Aequanimitas:With other addresses to
medical students... 2nd ed.(Philadelphia:
Blakiston's Son,1920) p.386
Referencia núm. 9

12. “The practice of medicine is an art,
not a trade; a calling, not a business;
a calling in which your heart will be
exercised equally with your head.
Often the best part of your work will
have nothing to do with potions and
powders, but with the exercise of an
influence of the strong upon the weak,
of the righteous upon the wicked, of
the wise upon the foolish.”
Referencia núm. 15

13. Nació en Bond Head Canadá oeste
(ahora Ontario) y estudió en la
Universidad McGill en Montreal,
Quebec donde obtuvo la
licenciatura en Medicina.
Posteriormente fue profesor en la
Universidad de Pennsylvania y Jefe
de Medicina Clínica en dicha
universidad.
Referencia núm. 1,10

14. Universidad McGillen en Montreal, Quebec
Edificio de la Facultad de Artes. Es el edificio más
antiguo del campus, fue construido en 1843. Referencia núm. 1

15. Teaching At the Bedside:
Sir William Osler M.D.,
1849-1919 - 16"X20"
Limited Edition Print - Signed
En 1889 fue el primer profesor de Medicina de la
Universidad Johns Hopkins. En 1905 se traslada a
Inglaterra, permaneciendo en Oxford hasta su
muerte. Fue nombrado Sir en 1911 por sus grandes
contribuciones en el campo de la medicina.
Osler fue un gran coleccionista de libros de Historia
de la medicina. Referencia núm. 23

16. Estudió Medicina en Canadá y en Europa, donde
fue el primero en observar las plaquetas de la
Sangre en 1873.
Regresó a Canadá para dar clases en la
Universidad McGill de Montreal (1875-1884). Se
marchó a los EEUU para enseñar en la Universidad
de Pennsylvania (1884-1888) y allí fundó la
Association of American Physicians (Asociación de
médicos americanos). Referencia núm. 2

17. A picture of Johns Hopkins hospital, taken in 2006.
Desde 1888 a 1905 impartió clases en la recién
creada facultad de medicina de la Universidad
Johns Hopkins. Referencia núm. 2,12

18. William Osler, at the bedside of
a patient, while professor of
medicine at Johns Hopkins,
He helped transform clinical teaching; students
studied patients in the wards and took their
problems to the lab, and experts pooled their
knowledge to benefit both patient and student in
public teaching sessions. Referencia núm. 11

19. Revolucionó el concepto de la enseñanza de la medicina insistiendo en que los
alumnos de Medicina tuvieran responsabilidades ante los pacientes y reclamando
niveles de enseñanza y práctica de la medicina más profesionales y científicos.

20. Inspección, palpación, percusión y auscultación.

21. 1900 1909
1892
Su obra Principles and Practice of Medicine (1892) se
consideró durante mucho tiempo el libro de texto oficial de
las facultades de medicina de todo el mundo.
Se trasladó a Oxford (Inglaterra) para presidir la cátedra de
medicina (1905-1919). Referencia núm. 2, 7

22. Hombre de gran energía, escribió muchos libros,
ofreció numerosas conferencias, fundó varias
organizaciones y también se distinguió como
historiador de la medicina y coleccionista de libros
médicos. Referencia núm. 2

23. Portrait of William Osler,
Montreal, June 1909
Referencia núm. 10, 22, 24

25. Wm Osler, Last Studio Portrait, 1919, 6.25" x 10"
Inscription by Wilburt C. Davison, M.D.
" To Jack McGovern from Dave WCDavison "
On back of item in pencil
" This is a copy of Sir William's
last studio picture, which Lady
Osler sent me after his death.
Harold Pierce "
Referencia núm. 9

26. Osler, que fue un profesor brillante e innovador y un erudito en la evolución natural
de la enfermedad, revolucionó el arte de ejercer la medicina a la cabecera del
enfermo.
Es idolatrado por generaciones de estudiantes de medicina y de médicos
generales para quienes encarnó al médico ideal.
Pero fue más que un médico, fue un humanista muy inteligente. Plasmó el arte de
vivir en sus escritos, en su propia vida y a través del prisma de la Gran Guerra.
Quizá su legendaria compasión fue lo que elevó sus talentos curativos a una
especie de arte y lo que atrajo a su consulta privada estudiantes, colegas, poetas
(Walt Whitman, por ejemplo), políticos, miembros de la realeza, y gente anónima y
ordinaria con dolencias insólitas. modificado de Referencia núm. 4

27. Después de su muerte su colección formó la parte
principal de la Biblioteca de Historia de la Medicina
de la Universidad McGill, que fue fundada en 1929.
Referencia núm. 6

28. Es muy seguro que si Osler estuviese vivo hoy,
principios del siglo XXI, estaría de acuerdo con D.L.
Sackett, uno de los pontífices de la medicina
basada en la evidencia, quien en 1996 anotaba que
esta nueva estrategia es la integración del saber y
la experiencia médica, con lo mejor de la evidencia
disponible en la literatura científica, y que tal
evidencia jamás reemplazará a la habilidad y la
experiencia clínicas.
Referencia núm. 3

29. Sir William Osler & D.L. Sackett, EBM
Sackett DL, Haynes RB, Tugwell P. Clinical
epidemiology : a basic science for clinical medicine.
Boston: Little, Brown; 1985. This book on „clinical
epidemiology,‟ written by four physicians from
McMaster University in Canada, represents one of the
founding texts of evidence-based medicine.
Referencia núm. 13,14

30. Sir William Osler & EBM
The term “evidence–based medicine” (EBM) is usually attributed to a
commentary written in 1991 by Gordon Guyatt, an internist and clinical
epidemiologist at McMaster University in Canada, though the term
“evidence-based” had been introduced in 1990 by David Eddy, an
American surgeon and healthcare economist.
Referencia núm. 13,14

31. Canada's Osler stamp. Date of issue, June 23, 1969
Thirty-five million Osler stamps were printed by the
British American Bank Note Co., of Ottawa, the originators
of the design.
The six-cent stamp celebrated the 50th anniversary of the
year in which Osler died.

32. Look wise, say nothing, and grunt. Speech was given to conceal thought.
Sir William Osler
Shut out all of your past except that which will help you weather your tomorrows.
Sir William Osler
The greater the ignorance the greater the dogmatism.
Sir William Osler
To study the phenomenon of disease without books is to sail an uncharted sea,
while to study books without patients is not to go to sea at all.
Sir William Osler
One of the first duties of the physician is to educate the masses not to take
medicine. Sir William Osler, Aphorisms from his Bedside Teachings (1961) p. 105
The desire to take medicine is perhaps the greatest feature which distinguishes
man from animals.
Sir William Osler, In H. Cushing, Life of Sir William Osler (1925)
Live neither in the past nor in the future, but let each day's work absorb your entire
energies, and satisfy your widest ambition.
Sir William Osler, to his students Referencia núm. 5

33. The Four Doctors by John Singer Sargent,
1905, depicts the four physicians who founded
Johns Hopkins Hospital. The original hangs in
the William H. Welch Medical Library of Johns
Hopkin University. From left to right: William
Henry Welch, William Stewart Halsted, Osler,
Howard Kelly.
Referencias núms. 11,12

34. Cover of JAMA The Journal of the
American Medical Association, Vol.
193, No.6, August 9, 1965
Inscription by Wilburt C. Davison,
M.D.
"To Jack McGovern from Davis - W.C.
Davison"
Referencia núm. 9

35. William Osler
conducting
Grand Rounds
"The natural man has only two primal passions, to get and to beget."
"There is a form of laughter that springs from the heart, heard every day in the merry voice of
childhood, the expression of a laughter -- loving spirit that defies analysis by the philosopher,
which has nothing rigid or mechanical in it, and totally without social significance. Bubbling
spontaneously from the heart of child or man. Without egotism and full of feeling, laughter is
the music of life."
"Variability is the law of life, and as no two faces are the same, so no two bodies are alike,
and no two individuals react alike and behave alike under the abnormal conditions which we
know as disease.” quotes by Sir William Osler
Referencia núm. 11, 17

36. Sir William Osler
Referencia núm. 9

37. One of the first duties of the physician is to educate the masses not to take
medicine.
Sir William Osler, Aphorisms from his Bedside Teachings (1961) p. 105

38. En un bajorrelieve, el sereno perfil de Sir William Osler cubre el sueño eterno de las cenizas de
quien, en la invocación de la ecuanimidad, había dicho: “Los grandes bienes de una universidad están
constituidos por sus grandes hombres. No son el “orgullo, pompa y circunstancia” de una institución los
que la honran, ni su riqueza, ni el número de sus facultades, ni los estudiantes que atestan sus aulas,
sino los hombres que han hallado la espinosa senda que a través del esfuerzo, y hasta a través del odio,
conduce a la serena morada de la Fama, ascendiendo como astros hasta su cima designada”.
Referencia núm. 8,9

39. The course of William Osler's life took him from a
parsonage in the Canadian wilderness, the youngest of a
clergyman's children, to a prestigious post at Oxford
University, a baronetcy, and the reputation of being the
world's greatest living physician.
Referencia núm. 10

40. A scientist, doctor and teacher, Osler never made any
major medical discoveries. But he wrote a landmark
medical textbook, reformed medical education, and
changed the lives of multitudes.
Referencia núm. 10

41. “The good physician treats the disease; the great physician treats the patient who has the disease”
“We are here to add what we can to life, not to get what we can from life.”
“He who studies medicine without books sails an uncharted sea, but he who studies medicine without
patients does not go to sea at all.”
“There is no more difficult art to acquire than the art of observation, and for some men it is quite as difficult
to record an observation in brief and plain language.”
“The young physician starts life with 20 drugs for each disease, and the old physician ends life with one
drug for 20 diseases.”
“Courage and cheerfulness will not only carry you over the rough places in life, but will enable you to bring
comfort and help to the weak-hearted and will console you in the sad hours”
“It is much more important to know what sort of a patient has a disease than what sort of a disease a
patient has.”
“Observe, record, tabulate, communicate. Use your five senses. . . . Learn to see, learn to hear, learn to
feel, learn to smell, and know that by practice alone you can become expert.”
quotes by Sir William Osler
Referencia núm. 15

42. “The best preparation for tomorrow is
to do today's work superbly well.”
“The value of experience is not in
seeing much, but in seeing wisely.”
“The future is today.”
“Medicine is learned by the bedside and not in the classroom. Let not your conceptions of disease come
from words heard in the lecture room or read from the book. See, and then reason and compare and
control. But see first.”
“No bubble is so iridescent or floats longer than that blown by the successful teacher.”
“There is no disease more conducive to clinical humility than aneurysm of the aorta.”
“The very first step towards success in any occupation is to become interested in it.”
“What is the student but a lover courting a fickle mistress who ever eludes his grasp?”
quotes by Sir William Osler
Referencia núm. 15,21

43. Johns Hopkins Hospital:
Harvey Cushing,
Howard Kelly,
William Osler, and
William S. Thayer
(seated in front) ca. 1900
“By far the most dangerous foe we have to fight is apathy - indifference from whatever cause, not from a
lack of knowledge, but from carelessness, from absorption in other pursuits, from a contempt bred of self
satisfaction”
“It is much simpler to buy books than to read them and easier to read them than to absorb their contents.”
“Care more for the individual patient than for the special features of the disease. . . . Put yourself in his
place . . . The kindly word, the cheerful greeting, the sympathetic look -- these the patient understands.”
“Here's the advice Sir William Osler gave the students at Yale: "Live neither in the past nor in the future,
but let each day absorb all your interest, energy and enthusiasm. The best preparation for tomorrow is to
live today superbly well."”
“To study the phenomena of disease without books is to sail an uncharted sea, while to study books
without patients is not to go to sea at all.” quotes by Sir William Osler
Referencia núm. 15,18

44. “The librarian of today, and it will be true still more of the librarians of tomorrow, are not fiery dragons
interposed between the people and the books. They are useful public servants, who manage libraries in
the interest of the public . . . Many still think that a great reader, or a writer of books, will make an
excellent librarian. This is pure fallacy.”
“Throw away all ambition beyond that of doing the day's work well. The travelers on the road to success
live in the present, heedless of taking thought for the morrow. Live neither in the past nor in the future, but
let each day's work absorb your entire energies, and satisfy your wildest ambition.”
“The search for static security - in the law and elsewhere - is misguided. The fact is security can only be
achieved through constant change, adapting old ideas that have outlived their usefulness to current
facts.”
“Work is the open sesame of every portal, the great equalizer in the world, the true philosopher's stone
Which transmutes all the base metal of humanity into gold.”
“For the general practitioner a well-used library is one of the few correctives of the premature senility
Which is so apt to take him.”
quotes by Sir William Osler
Referencia núm. 15

45. Mi hijo Luis Alberto,
lector ávido desde sus 6 años
“Study until 25, investigate until 40, profession until 60, at which age I would
have him retired on a double allowance.”
William Osler

46. “Soap and water and common sense are the best disinfectants.”
“No dreams, no visions, no delicious fantasies, no castles in the air, with which, as the old song so truly
says, "hearts are broken, heads are turned".”
“In seeking absolute truth we aim at the unattainable and must be content with broken portions.”
“Things cannot always go your way. Learn to accept in silence the minor aggravations, cultivate the gift of
taciturnity and consume your own smoke with an extra draught of hard work, so that those about you may
not be annoyed with the dust and soot of your complaint.”
“No human being is constituted to know the truth, the whole truth and nothing but the truth; and even the
best of men must be content with fragments, with partial glimpses, never the full fruition”
“There are, in truth, no specialties in medicine, since to know fully many of the most important diseases a
man must be familiar with their manifestations in many organs.”
“The philosophies of one age have become the absurdities of the next, and the foolishness of yesterday
has become the wisdom of tomorrow.”
quotes by Sir William Osler
Referencia núm. 15

47. 23 de junio del 2010.
Cushing’s Biography of Osler, 1925
Grace Revere Osler, now Lady Osler, asked Cushing to write
the official biography of his mentor William Osler, who had died
in 1919. Cushing put himself into this huge labor of love and
wrote two large volumes. The book won a Pulitzer Prize.
Harvey Cushing, The Life of Sir William Osler. 2 vols. Oxford:
Clarendon press, 1925.
De ambos médicos militares he aprendido y esta es mi forma
de agradecérselos.
De ambos, reconocí a este gran ser humano, Sir William Osler
de quien me he ocupado el día de hoy de conocer más
ampliamente su quehacer y…..
Referencia núm. 17

48. ….. porque la intención es lograr que otros, como yo, no
olvidemos el legado de enseñanza y de humildad de nuestros
antecesores.

49. Dr. Osler in the Almshouse.
One of my first assignments for
Reader's Digest was a series of
paintings illustrating the life of Sir
William Osler. Dr. Osler was a
prominent nineteenth-century
physician, and a founder of the
Johns Hopkins School of
Medicine in Baltimore.
Referencia núm. 19

50. Nowhere in medicine is the use of observation, instinct, and innate
experience more important than in attempting to make a clinical
diagnosis.
I like to refer to this as the actual clinical medicine, because
modern doctors their language and communication skills are
limited; they depend on others to sort out their problems; and
when ill they prefer to be left alone.
Sir William Osler said
“There is no more difficult art to acquire than the art of observation”.
Modificado de referencia núm. 21

51. Referencias de textos e imágenes:
1. http://es.wikipedia.org/wiki/William_Osler
2. http://www.servetus.org/es/michael-servetus/servetians/servetian4.htm
3. http://www.encolombia.com/medicina/materialdeconsulta/Tensiometro63-2.htm
4. http://www.fisterra.com/human/1libros/no_ficcion/osles.asp
5. http://www.quotationspage.com/quotes/Sir_William_Osler/
6. http://www.cdnmedhall.org/sir-william-osler
7. http://www.medicalarchives.jhmi.edu/osler/osler150.htm
8. http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802005000500016
9. http://mcgovern.library.tmc.edu/data/www/html/people/osler/index.htm
10. http://digital.library.mcgill.ca/osler/index.php
11. http://www.answers.com/topic/william-osler
12. http://www.answers.com/topic/johns-hopkins-hospital
13. http://medicine.ucalgary.ca/files/med/sitename_images/Sackett.preview.JPG
14. http://knol.google.com/k/evidence-based-medicine-ebm#
15. http://thinkexist.com/user/personalAccount/register.asp?direction=/quotes/william_osler/5.html
16. http://www.medicalarchives.jhmi.edu/osler/amphitheater1.jpg
17. http://www.med.yale.edu/library/historical/cushing/jpgs/HC_Osler_biog.jpg
18. http://www.nlm.nih.gov/hmd/sowhatsnew/images/2b12-a.jpg
19. www.worldofportraitpainting.com/.../osler.jpg
20. http://www.uams.edu/humanities/Osler.jpg
21. studentBMJ 2001;09:85-128 April ISSN 0966-6494
22. www.thejabberwock.org/blog/2/osler2.gif
23. www.historicalmedicalart.com/.../textswo_lg.jpg
24. http://aaitems.com/Images/Products/S7300623.JPG
25. http://image2.onlineauction.com/auctions//43073/syxp-1123422-1.jpg

52. También mi interés en la FILATELIA se nutre:
GRACIAS
Creador: gamottar@yahoo.com.mx Referencia núm. 25