My patient was brought in to the examining room, where I took a history. The patient was a young black pregnant woman who had been referred to the medical clinic by the obstetrics department for evaluation of a heart murmur. Here I was—a consultant before I had even received my medical degree. It wasn't until years later that I realized the seriousness of my task—being entrusted with the welfare of two lives. After taking a history, I proceeded to examine the patient. By that time, the attending physician had arrived, and I presented the case to him. Time has dimmed my memory as to what procedures we decided upon to evaluate her murmur. Certainly we didn't have much technology at our disposal. I think that electrocardiograms were three leads at that time. Chest x-rays were available, and a cardiac series consisted of posteroanterior, lateral, and two oblique views. The oblique views were done after a barium swallow to follow the contour of the left atrium. Echocardiograms, cardiac catheterization, and sound tracings of heart sounds and murmurs were all nonexistent. If I wanted a CBC, I took out my personal lab kit and did it myself. If I wanted a urinalysis, I did it myself. Laboratory services were meager and hard to get. As I look back on those times, compared to today, medicine was really primitive from a technology standpoint.