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On this last day of 2008 I wish every Doctor and professor of medicine would read this entry.I hope you have had the opportunity to see and hear "The Last Lecture" by Randy Pausch, if not go directly to the book store and buy it!Open to page 62-63 and there in lies the secret to life and to being not only the best person but the best physician that you can be. Medicine as life has too many rules , barriers and hurdles but Dr. Pausch put it very clearly on the page. His entry defines hope, the moment at hand ,our loved ones and what is most important. In reading these brief pages I feel like Confuscius has entered the room because he has clearly stated what being a good physician is all about. Present and future is all we have , lets move forward with grace and the eyes of  a 5 year old clear and wondering!