> In my eight years of surgical training, I had seen only one patient with an ulcer so severe that the stomach’s acid had eroded a hole in the intestine. vs >

> In my eight years of surgical training, I had seen only one patient with an ulcer so severe that the stomach’s acid had eroded a hole in the intestine. vs > patients arrived almost nightly with the condition It sounds to me like the limiting factor in innovation was a sufficient supply of patients FOR ONE SURGEON to practice on, in which case working in an underserved area is an advantage.