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The statement is aptly said, тАЬThere lies a great difference between textbook medicine and the world of a practising physician.тАЭ All would admit the fact that there is a sea difference between practical and theory. Theoretically the things could sound different but while taking practical form their form could turn out totally different.Same occurs in the life of Andrew. He was a medical-practitioner.
Though he seems to be novice, but he had undergone various experiences in his short-term medical practice to trust mere theoretical facts in his medical line. The nurse though appears quite oblivious of the difference between theory and practical. So when a case of asphyxia-pallida appears, she fails to understand that the infant could be resuscitated to normal self once again.
While Andrew was trying to follow the required treatment, she just whimpered in consternation, тАЬfor mercyтАЩs sake, DoctorтАж. ItтАЩs stillborn.тАЭLater on when the child returned to consciousness, she had no medical explanation for it but just thanked God for having mercy on it. Whereas Andrew knew where to tick the bowl for better sound. He proved that knowledge of mere textbook is not sufficient in their profession. It would be rather quack/shallow, which could prove fatal to some. Had he taken it the case of тАШstillbornтАЩ it would have an end to JoeтАЩs hopefulness in his life and he himself wonтАЩt have been able to bring himself to say ,тАЬI have done somethingтАжтАЭ