Louisville Medicine Volume 63, Issue 5 | Page 19

The Latin title of the original “Gaudeamus Igitur” poem is taken from the first line of a European medieval song, De Brevitate Vitae (on the Shortness of Life), as below: Gaudeamus igitur Juvenes dum sumus Post jucundum juventutem Post molestam senectutem Nos habebit humus. Let us rejoice therefore While we are young. After a pleasant youth After a troublesome old age The earth will have us. Ubi sunt qui ante nos In mundo fuere? Vadite ad superos Transite in inferos Hos si vis videre. Where are they Who were in the world before us? You may cross over to heaven You may go to hell If you wish to see them. Vita nostra brevis est Brevi finietur. Venit mors velociter Rapit nos atrociter Nemini parcetur. Our life is brief It will be finished shortly. Death comes quickly Atrociously, it snatches us away. No one is spared. Vivat academia Vivant professores Vivat membrum quodlibet Vivat membra quaelibet Semper sint in flore. Long live the academy! Long live the teachers! Long live each male student! Long live each female student! May they always flourish! Vivant omnes virgines Faciles, formosae. Vivant et mulieres Tenerae amabiles Bonae laboriosae. Long live all maidens Easy and beautiful! Long live mature women also, Tender and loveable And full of good labor. Vivant et republica et qui illam regit. Vivat nostra civitas, Maecenatum caritas Quae nos hic protegit. Long live the State And the One who rules it! Long live our City And the charity of benefactors Which protects us here! Pereat tristitia, Pereant osores. Pereat diabolus, Quivis antiburschius Atque irrisores. (C. W. Kindeleben 1781) Let sadness perish! Let haters perish! Let the devil perish! Let whoever is against our school Who laughs at it, perish! John Stone’s very evocative poem “Gaudeamus Igitur” that deals with the triumphs and paradoxes of practicing medicine was inspired by the above medieval song. Its construction in which every line begins with “For” or “Let” was written similar to “Jubilate Agno” (“Rejoice in the Lamb”) by Christopher Smart, an 18th century poet, in praise of his companion cat, Jeoffrey, while he was incarcerated in a mental asylum. The poem resonates with anyone who takes care of another fellow human being in some capacity but particularly with the new physicians who will experience happiness and terror, doubt and wisdom, clarity and stupidity, victory of regained health and tragedy of death – and sometimes all of these emotions at once. Dealing with knowing too much and too little hounds all clinicians: “For this is the day you know too little. Against the day when you will know too much For you will be invincible and vulnerable in the same breath which is the breath of your patients.” There are occasions to feel elated and joyful (on saving someone’s life or making a swift diagnosis) and there will be moments of depression and burn-out and some physicians will try to find solace in addictive behavior: “For there will be addictions: whiskey, tobacco, love/ For they will be difficult to cure/ For you yourself will pass the kidney stone of pain.” “For there will be days of joy/ For there will be elevators of elation/ and you will walk triumphantly/ in purest joy/ along the halls of the hospital/ and say Yes to all the dark corners/ where no one is listening.” The following haunting piece reminds us that we are all in the same boat - physicians and patients - we will all become patients one day, and we will all face the same end, “The Final Examination.” “For this is the end of examinations For this is the beginning of testing For Death will give the final examination and everyone will pass.” The dread of not knowing in medicine is a perpetual reminder of our ignorance as noted in this section of the poem: “For there will be the arts and some will call them soft data whereas in fact they are the hard data by