The top right panel is representation of the medieval "Piss Prophet." If you look carefully you can see the physician examining a flask of urine to make a diagnosis. This panel reminds us that internal medicine has an ancient foundation- all societies have had healers. It also reminds us that medical doctors now use science for diagnosis and as proof of efficacy of therapies. In fact, applying science to the care of patients in a compassionate manner is a major challenge for the modern physician. The panel also is an allusion to Dr. Jackson Yium, the first kidney specialist in the Chattanooga area, a founder of the I.M.E.F. and the Chief of the Division of Nephrology at the Chattanooga Unit of the University of Tennessee College of Medicine.

The lower right panel is Moccasin Bend, a distinguishing geological characteristic in Chattanooga. This large meander of the Tennessee River has importance in American Indian, Civil War and Chattanooga history. It reminds us that the medicine that is being practiced at the Chattanooga Unit is linked to the particular geographical and cultural history of Chattanooga. It has not escaped our attention that the outline of Moccasin Bend is the shape of a heart as seen on chest radiography.

The lower left panel represents a group of medical students and residents from the University of Tennessee College of Medicine examining a skeleton. Medical students from Memphis and other medical schools in the southeast come to Chattanooga to study in the Department of Medicine. The panel reminds us that the study of medicine has a very personal meaning. Physicians and students all suffer and die from the diseases that we treat. Physicians are also patients.

The top left panel is the main campus of the Erlanger Health System, the safety-net provider for southeastern Tennessee, northern Georgia and Alabama and western North Carolina. It provides advanced medical, trauma and burn care and is the academic affiliate of the University of Tennessee College of Medicine in Chattanooga.