Physical symptoms connected to stress are reported in many cultures. Abraham Verghese, MD is a professor of medicine at Stanford University in California. His critically acclaimed novel Cutting for Stone (Vintage Books, 2009) is narrated by Marion Stone, a 50 year old surgeon born in dramatic circumstances at a hospital in Addis Ababa, Ethiopia. Dr Ghosh practices Internal Medicine at the hospital and early in Chapter 12 there is a description of some of his work.