For 29 years I have practiced emergency medicine in Anchorage. I have taken care of bear maulings, heart attacks, gunshot wounds, broken legs, concussions, earaches, pink eye, collapsed lungs and ectopic pregnancies. I have reduced dislocated shoulders, hips, ankles and elbows. I have sutured lacerations, cut open hemorrhoids, drained boils and disimpacted constipated patients. I have inserted tubes into chests, bellies and bladders; needles into hearts, spinal columns and almost every joint; and my index finger into every orifice found in the human body. I have worked hard to help save lives and sometimes my help was not enough.