William Osler and the "fixed period" of creativity.

In 1905, William Osler was the pre-eminent physician in American medical circles but was unknown to the general public. The latter suddenly learned of him through damning newspaper accounts of his address announcing his retirement from the Johns Hopkins Medical School. In it Osler mentioned two "fixed ideas" he held-(1) that most major advances in civilization have been made by men under age 40 (the "fixed period") and (2) that those over 60 should retire because they create little of significance and sometimes stifled the initiatives of younger colleagues. He highlighted the second idea with a Victorian novel describing a mythical society which chloroformed men at age 60. He never imagined that this literary allusion would be taken as a serious solution for his second idea. However, countless newspaper articles ridiculed the first and condemned him for the second. Scurrilous press attacks on him continued for several months and resurfaced occasionally thereafter. The extent of the public approbation can also be found in poems and stories linking him with euthanasia. Also discussed here are the sources of Osler's equanimity in the face of such public derision and the inner drives which accounted for over 1300 publications by him-nearly half of which were composed after age 40.