/* * Plugin Name: APCu Object Cache * Description: APCu backend for the WP Object Cache. * Based on Plugin named APCu Object Cache Backend * Plugin URI: https://wordpress.org/plugins/apcu/ * Author: Pierre Schmitz * Author URI: https://pierre-schmitz.com/ * Plugin URI: https://wordpress.org/plugins/apcu/ * * * @Authors James Dugger, Jonathan Bardo * @copyright 2017 GoDaddy Inc. 14455 N. Hayden Road Scottsdale, Arizona */ $oc_logged_in = false; foreach ( $_COOKIE as $k => $v ) { if ( preg_match( '/^comment_author|wordpress_logged_in_[a-f0-9]+|woocommerce_items_in_cart|PHPSESSID_|edd_wp_session|edd_items_in_cartcc_cart_key|ccm_token/', $k ) ) { $oc_logged_in = true; break; } } $oc_blocked_page = ( defined( 'WP_ADMIN' ) || defined( 'DOING_AJAX' ) || defined( 'XMLRPC_REQUEST' ) || 'wp-login.php' === basename( $_SERVER['SCRIPT_FILENAME'] ) ); function wpaas_is_using_apcu() { return version_compare( PHP_VERSION, '5.6.0', '>=' ) && function_exists( 'apcu_fetch' ); } if ( 'cli' !== php_sapi_name() && ! $oc_logged_in && ! $oc_blocked_page && wpaas_is_using_apcu() ) : /** * Save the transients to the DB. The explanation is a bit too long * for code. The tl;dr of it is that we don't have a single 'fast cache' * source yet (like memcached) and so some long lived items like transients * are still best cached in the db and then brought back into APC * * @param string $transient * @param mixed $value * @param int $expire * @param boolean $site = false * * @return bool */ function wpaas_save_transient( $transient, $value, $expire, $site = false ) { global $wp_object_cache, $wpdb; // The 'special' transient option names $transient_timeout = ( $site ? '_site' : '' ) . '_transient_timeout_' . $transient; $transient = ( $site ? '_site' : '' ) . '_transient_' . $transient; // Cap expiration at 24 hours to avoid littering the DB if ( $expire == 0 ) { $expire = 24 * 60 * 60; } // Save to object cache $wp_object_cache->set( $transient, $value, 'options', $expire ); $wp_object_cache->set( $transient_timeout, time() + $expire, 'options', $expire ); // Update alloptions $alloptions = $wp_object_cache->get( 'alloptions', 'options' ); $alloptions[ $transient ] = $value; $alloptions[ $transient_timeout ] = time() + $expire; $wp_object_cache->set( 'alloptions', $alloptions, 'options' ); // Use the normal update option logic if ( ! empty( $wpdb ) && $wpdb instanceof wpdb ) { $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); if ( $site && is_multisite() ) { $wpdb->query( $wpdb->prepare( "INSERT INTO `{$wpdb->sitemeta}` ( `option_name`, `option_value`, `autoload` ) VALUES ( %s, UNIX_TIMESTAMP( NOW() ) + %d, 'yes' ) ON DUPLICATE KEY UPDATE `option_name` = VALUES ( `option_name` ), `option_value` = VALUES ( `option_value` ), `autoload` = VALUES ( `autoload` );", $transient_timeout, $expire ) ); $wpdb->query( $wpdb->prepare( "INSERT INTO `{$wpdb->sitemeta}` ( `option_name`, `option_value`, `autoload` ) VALUES ( %s, %s, 'no' ) ON DUPLICATE KEY UPDATE `option_name` = VALUES ( `option_name` ), `option_value` = VALUES ( `option_value` ), `autoload` = VALUES ( `autoload` );", $transient, maybe_serialize( $value ) ) ); } else { $wpdb->query( $wpdb->prepare( "INSERT INTO `{$wpdb->options}` (`option_name`, `option_value`, `autoload`) VALUES ( %s, UNIX_TIMESTAMP( NOW() ) + %d, 'yes' ) ON DUPLICATE KEY UPDATE `option_name` = VALUES ( `option_name` ), `option_value` = VALUES ( `option_value` ), `autoload` = VALUES ( `autoload` );", $transient_timeout, $expire ) ); $wpdb->query( $wpdb->prepare( "INSERT INTO `{$wpdb->options}` (`option_name`, `option_value`, `autoload`) VALUES ( %s, %s, 'no' ) ON DUPLICATE KEY UPDATE `option_name` = VALUES ( `option_name` ), `option_value` = VALUES ( `option_value` ), `autoload` = VALUES ( `autoload` );", $transient, maybe_serialize( $value ) ) ); } $wpdb->suppress_errors( $flag ); } return true; } function wpaas_prune_transients() { global $wpdb; if ( ! empty( $wpdb ) && $wpdb instanceof wpdb && function_exists( 'is_main_site' ) && function_exists( 'is_main_network' ) ) { $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); // Lifted straight from schema.php // Deletes all expired transients. // The multi-table delete syntax is used to delete the transient record from table a, // and the corresponding transient_timeout record from table b. $time = time(); $wpdb->query( "DELETE a, b FROM $wpdb->options a, $wpdb->options b WHERE a.option_name LIKE '\_transient\_%' AND a.option_name NOT LIKE '\_transient\_timeout\_%' AND b.option_name = CONCAT( '_transient_timeout_', SUBSTRING( a.option_name, 12 ) ) AND b.option_value < $time" ); if ( is_main_site() && is_main_network() ) { $wpdb->query( "DELETE a, b FROM $wpdb->options a, $wpdb->options b WHERE a.option_name LIKE '\_site\_transient\_%' AND a.option_name NOT LIKE '\_site\_transient\_timeout\_%' AND b.option_name = CONCAT( '_site_transient_timeout_', SUBSTRING( a.option_name, 17 ) ) AND b.option_value < $time" ); } $wpdb->suppress_errors( $flag ); } } /** * If another cache was flushed or updated, sync across all servers / processes using * the database as the authority. This uses the database as the authority for timestamps * as well to avoid drift between servers. * @return void */ function wpaas_init_sync_cache() { global $wpdb; if ( empty( $wpdb ) || ! ( $wpdb instanceof wpdb ) ) { return; } $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); $result = $wpdb->get_results( "SELECT option_name, option_value FROM `{$wpdb->options}` WHERE option_name = 'gd_system_last_cache_flush' UNION SELECT 'current_time', UNIX_TIMESTAMP( NOW() ) AS option_value;", ARRAY_A ); $wpdb->suppress_errors( $flag ); if ( empty( $result ) ) { return; } $master_flush = false; foreach ( $result as $row ) { switch ( $row['option_name'] ) { case 'current_time' : $current_time = $row['option_value']; break; case 'gd_system_last_cache_flush' : $master_flush = $row['option_value']; break; } } $local_flush = wp_cache_get( 'gd_system_last_cache_flush' ); if ( false === $local_flush || $local_flush < $master_flush ) { wp_cache_flush( true ); wp_cache_set( 'gd_system_last_cache_flush', $current_time ); } } /** * Start default implementation of object cache */ if ( ! defined( 'WP_APC_KEY_SALT' ) ) { define( 'WP_APC_KEY_SALT', '' ); } function wp_cache_add( $key, $data, $group = '', $expire = 0 ) { global $wp_object_cache; if ( 'transient' == $group ) { wpaas_save_transient( $key, $data, $expire ); return $wp_object_cache->add( "_transient_$key", $data, 'options', $expire ); } elseif ( 'site-transient' == $group ) { wpaas_save_transient( $key, $data, $expire, true ); return $wp_object_cache->add( "_site_transient_$key", $data, 'site-options', $expire ); } else { return $wp_object_cache->add( $key, $data, $group, $expire ); } } function wp_cache_incr( $key, $n = 1, $group = '' ) { global $wp_object_cache; return $wp_object_cache->incr2( $key, $n, $group ); } function wp_cache_decr( $key, $n = 1, $group = '' ) { global $wp_object_cache; return $wp_object_cache->decr( $key, $n, $group ); } function wp_cache_close() { return true; } function wp_cache_delete( $key, $group = '' ) { global $wp_object_cache, $wpdb; if ( 'transient' == $group ) { if ( ! empty( $wpdb ) && $wpdb instanceof wpdb ) { $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); $wpdb->query( $wpdb->prepare( "DELETE FROM `{$wpdb->prefix}options` WHERE option_name IN ( %s, %s );", "_transient_{$key}", "_transient_timeout_{$key}" ) ); $wpdb->suppress_errors( $flag ); } $wp_object_cache->delete( "_transient_timeout_$key", 'options' ); // Update alloptions $alloptions = $wp_object_cache->get( 'alloptions', 'options' ); unset( $alloptions["_transient_$key"] ); unset( $alloptions["_transient_timeout_$key"] ); $wp_object_cache->set( 'alloptions', $alloptions, 'options' ); return $wp_object_cache->delete( "_transient_$key", 'options' ); } elseif ( 'site-transient' == $group ) { if ( ! empty( $wpdb ) && $wpdb instanceof wpdb ) { $table = $wpdb->options; if ( is_multisite() ) { $table = $wpdb->sitemeta; } $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); $wpdb->query( $wpdb->prepare( "DELETE FROM `{$table}` WHERE option_name IN ( %s, %s );", "_transient_{$key}", "_transient_timeout_{$key}" ) ); $wpdb->suppress_errors( $flag ); } $wp_object_cache->delete( "_transient_timeout_$key", 'site-options' ); // Update alloptions $alloptions = $wp_object_cache->get( 'alloptions', 'options' ); unset( $alloptions["_site_transient_$key"] ); unset( $alloptions["_site_transient_timeout_$key"] ); $wp_object_cache->set( 'alloptions', $alloptions, 'options' ); return $wp_object_cache->delete( "_site_transient_$key", 'site-options' ); } return $wp_object_cache->delete( $key, $group ); } function wp_cache_flush( $local_flush = false ) { global $wp_object_cache, $wpdb; if ( ! $local_flush ) { if ( ! empty( $wpdb ) && $wpdb instanceof wpdb ) { $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); $wpdb->query( "INSERT INTO `{$wpdb->options}` (`option_name`, `option_value`, `autoload`) VALUES ( 'gd_system_last_cache_flush', UNIX_TIMESTAMP( NOW() ), 'no' ) ON DUPLICATE KEY UPDATE `option_name` = VALUES ( `option_name` ), `option_value` = VALUES ( `option_value` ), `autoload` = VALUES ( `autoload` );" ); $wpdb->suppress_errors( $flag ); } } return $wp_object_cache->flush(); } function wp_cache_get( $key, $group = '', $force = false ) { global $wp_object_cache, $wpdb; if ( 'transient' == $group ) { $alloptions = $wp_object_cache->get( 'alloptions', 'options' ); if ( isset( $alloptions["_transient_$key"] ) && isset( $alloptions["_transient_timeout_$key"] ) && $alloptions["_transient_timeout_$key"] > time() ) { return maybe_unserialize( $alloptions["_transient_$key"] ); } $transient = $wp_object_cache->get( "_transient_$key", 'options', $force ); $timeout = $wp_object_cache->get( "_transient_timeout_$key", 'options', $force ); if ( false !== $transient && ! empty( $timeout ) && $timeout > time() ) { return maybe_unserialize( $transient ); } if ( ! empty( $wpdb ) && $wpdb instanceof wpdb ) { $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); $result = $wpdb->get_results( $wpdb->prepare( "SELECT option_name, option_value FROM `{$wpdb->options}` WHERE option_name IN ( %s, %s ) UNION SELECT 'current_time', UNIX_TIMESTAMP( NOW() ) AS option_value;", "_transient_{$key}", "_transient_timeout_{$key}" ), ARRAY_A ); $wpdb->suppress_errors( $flag ); if ( ! empty( $result ) ) { $transient = false; $timeout = false; $current_time = time(); foreach ( $result as $row ) { switch ( $row['option_name'] ) { case "_transient_$key" : $transient = $row['option_value']; break; case "_transient_timeout_$key" : $timeout = $row['option_value']; break; case 'current_time' : $current_time = $row['option_value']; break; } } if ( false !== $transient && ! empty( $timeout ) && $timeout > $current_time ) { return maybe_unserialize( $transient ); } } } return false; } elseif ( 'site-transient' == $group ) { $transient = $wp_object_cache->get( "_site_transient_$key", 'options', $force ); $timeout = $wp_object_cache->get( "_site_transient_timeout_$key", 'options', $force ); if ( false !== $transient && ! empty( $timeout ) && $timeout > time() ) { return maybe_unserialize( $transient ); } if ( ! empty( $wpdb ) && $wpdb instanceof wpdb ) { $table = $wpdb->options; if ( is_multisite() ) { $table = $wpdb->sitemeta; } $flag = $wpdb->suppress_errors; $wpdb->suppress_errors( true ); $result = $wpdb->get_results( $wpdb->prepare( "SELECT option_name, option_value FROM `{$table}` WHERE option_name IN ( %s, %s ) UNION SELECT 'current_time', UNIX_TIMESTAMP( NOW() ) AS option_value;", "_site_transient_{$key}", "_site_transient_timeout_{$key}" ), ARRAY_A ); $wpdb->suppress_errors( $flag ); if ( ! empty( $result ) ) { $transient = false; $timeout = false; $current_time = time(); foreach ( $result as $row ) { switch ( $row['option_name'] ) { case "_site_transient_$key" : $transient = $row['option_value']; break; case "_site_transient_timeout_$key" : $timeout = $row['option_value']; break; case 'current_time' : $current_time = $row['option_value']; break; } } if ( false !== $transient && ! empty( $timeout ) && $timeout > $current_time ) { return maybe_unserialize( $transient ); } } } return false; } else { return $wp_object_cache->get( $key, $group, $force ); } } function wp_cache_init() { global $wp_object_cache; if ( mt_rand( 1, 100 ) == 42 ) { wpaas_prune_transients(); } add_action( 'muplugins_loaded', 'wpaas_init_sync_cache' ); $wp_object_cache = new APCu_Object_Cache(); } function wp_cache_replace( $key, $data, $group = '', $expire = 0 ) { global $wp_object_cache; return $wp_object_cache->replace( $key, $data, $group, $expire ); } function wp_cache_set( $key, $data, $group = '', $expire = 0 ) { global $wp_object_cache; if ( defined( 'WP_INSTALLING' ) == false ) { if ( 'transient' == $group ) { return wpaas_save_transient( $key, $data, $expire ); } elseif ( 'site-transient' == $group ) { return wpaas_save_transient( $key, $data, $expire, true ); } else { return $wp_object_cache->set( $key, $data, $group, $expire ); } } else { return $wp_object_cache->delete( $key, $group ); } } function wp_cache_switch_to_blog( $blog_id ) { global $wp_object_cache; return $wp_object_cache->switch_to_blog( $blog_id ); } function wp_cache_add_global_groups( $groups ) { global $wp_object_cache; $wp_object_cache->add_global_groups( $groups ); } function wp_cache_add_non_persistent_groups( $groups ) { global $wp_object_cache; $wp_object_cache->add_non_persistent_groups( $groups ); } class GD_APCu_Object_Cache { private $prefix = ''; private $local_cache = array(); private $global_groups = array(); private $non_persistent_groups = array(); private $multisite = false; private $blog_prefix = ''; public function __construct() { global $table_prefix; $this->multisite = is_multisite(); $this->blog_prefix = $this->multisite ? get_current_blog_id() . ':' : ''; $this->prefix = DB_HOST . '.' . DB_NAME . '.' . $table_prefix; } private function get_group( $group ) { return empty( $group ) ? 'default' : $group; } private function get_key( $group, $key ) { if ( $this->multisite && ! isset( $this->global_groups[ $group ] ) ) { return $this->prefix . '.' . $group . '.' . $this->blog_prefix . ':' . $key; } else { return $this->prefix . '.' . $group . '.' . $key; } } public function add( $key, $data, $group = 'default', $expire = 0 ) { $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); if ( function_exists( 'wp_suspend_cache_addition' ) && wp_suspend_cache_addition() ) { return false; } if ( isset( $this->local_cache[ $group ][ $key ] ) ) { return false; } // FIXME: Somehow apcu_add does not return false if key already exists if ( ! isset( $this->non_persistent_groups[ $group ] ) && apcu_exists( $key ) ) { return false; } if ( is_object( $data ) ) { $this->local_cache[ $group ][ $key ] = clone $data; } else { $this->local_cache[ $group ][ $key ] = $data; } if ( ! isset( $this->non_persistent_groups[ $group ] ) ) { return apcu_add( $key, $data, (int) $expire ); } return true; } public function add_global_groups( $groups ) { if ( is_array( $groups ) ) { foreach ( $groups as $group ) { $this->global_groups[ $group ] = true; } } else { $this->global_groups[ $groups ] = true; } } public function add_non_persistent_groups( $groups ) { if ( is_array( $groups ) ) { foreach ( $groups as $group ) { $this->non_persistent_groups[ $group ] = true; } } else { $this->non_persistent_groups[ $groups ] = true; } } public function decr( $key, $offset = 1, $group = 'default' ) { if ( $offset < 0 ) { return $this->incr( $key, abs( $offset ), $group ); } $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); if ( isset( $this->local_cache[ $group ][ $key ] ) && $this->local_cache[ $group ][ $key ] - $offset >= 0 ) { $this->local_cache[ $group ][ $key ] -= $offset; } else { $this->local_cache[ $group ][ $key ] = 0; } if ( isset( $this->non_persistent_groups[ $group ] ) ) { return $this->local_cache[ $group ][ $key ]; } else { $value = apcu_dec( $key, $offset ); if ( $value < 0 ) { apcu_store( $key, 0 ); return 0; } return $value; } } public function delete( $key, $group = 'default', $force = false ) { $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); unset( $this->local_cache[ $group ][ $key ] ); if ( ! isset( $this->non_persistent_groups[ $group ] ) ) { return apcu_delete( $key ); } return true; } public function flush() { $this->local_cache = array(); // TODO: only clear our own entries apcu_clear_cache(); return true; } public function get( $key, $group = 'default', $force = false, &$found = null ) { $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); if ( ! $force && isset( $this->local_cache[ $group ][ $key ] ) ) { $found = true; if ( is_object( $this->local_cache[ $group ][ $key ] ) ) { return clone $this->local_cache[ $group ][ $key ]; } else { return $this->local_cache[ $group ][ $key ]; } } elseif ( isset( $this->non_persistent_groups[ $group ] ) ) { $found = false; return false; } else { $value = @apcu_fetch( $key, $found ); if ( $found ) { if ( $force ) { $this->local_cache[ $group ][ $key ] = $value; } return $value; } else { return false; } } } public function incr2( $key, $offset = 1, $group = 'default' ) { if ( $offset < 0 ) { return $this->decr( $key, abs( $offset ), $group ); } $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); if ( isset( $this->local_cache[ $group ][ $key ] ) && $this->local_cache[ $group ][ $key ] + $offset >= 0 ) { $this->local_cache[ $group ][ $key ] += $offset; } else { $this->local_cache[ $group ][ $key ] = 0; } if ( isset( $this->non_persistent_groups[ $group ] ) ) { return $this->local_cache[ $group ][ $key ]; } else if ( function_exists( 'apcu_inc' ) ) { $value = apcu_inc( $key, $offset ); if ( $value < 0 ) { apcu_store( $key, 0 ); return 0; } return $value; } return false; } public function replace( $key, $data, $group = 'default', $expire = 0 ) { $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); if ( isset( $this->non_persistent_groups[ $group ] ) ) { if ( ! isset( $this->local_cache[ $group ][ $key ] ) ) { return false; } } else { if ( ! isset( $this->local_cache[ $group ][ $key ] ) && ! apcu_exists( $key ) ) { return false; } apcu_store( $key, $data, (int) $expire ); } if ( is_object( $data ) ) { $this->local_cache[ $group ][ $key ] = clone $data; } else { $this->local_cache[ $group ][ $key ] = $data; } return true; } public function reset() { // This function is deprecated as of WordPress 3.5 // Be safe and flush the cache if this function is still used $this->flush(); } public function set( $key, $data, $group = 'default', $expire = 0 ) { $group = $this->get_group( $group ); $key = $this->get_key( $group, $key ); if ( is_object( $data ) ) { $this->local_cache[ $group ][ $key ] = clone $data; } else { $this->local_cache[ $group ][ $key ] = $data; } if ( ! isset( $this->non_persistent_groups[ $group ] ) ) { return apcu_store( $key, $data, (int) $expire ); } return true; } public function stats() { // Only implemented because the default cache class provides this. // This method is never called. echo ''; } public function switch_to_blog( $blog_id ) { $this->blog_prefix = $this->multisite ? $blog_id . ':' : ''; } } if ( function_exists( 'apcu_inc' ) ) { class APCu_Object_Cache extends GD_APCu_Object_Cache { function incr( $key, $offset = 1, $group = 'default' ) { return parent::incr2( $key, $offset, $group ); } } } else { class APCu_Object_Cache extends GD_APCu_Object_Cache { // Blank } } endif; A story of ‘Country doctor’ photo by W. Eugene Smith - Old Pictures
Stories

A story of ‘Country doctor’ photo by W. Eugene Smith

4 Mins read
Country Doctor

The best-known photo by W. Eugene Smith: Country Doctor, 1948

At first glance, it’s just a picture of a well-dressed man with a suitcase, somewhere in a rural America. Man looks exhausted, the clouds are expressively darkening behind, and someone may guess that photographer wanted to capture marvelous skies and landscapes instead of a doctor. So what’s so special about a W. Eugene Smith photo ‘Country doctor’?

The key is the role played by local doctors in the middle of the 20th century. Nowadays it’s hard to realize what tasks they have faced in the rural area seventy years ago. In many cases, a country doctor was the only hope of survival for locals, who couldn’t cover another hundred miles to get to the hospital. They were not physicians anymore, they were saviors.

Kremmling story by Eugene Smith

The small town of Kremmling, Colorado, 1948

What was wrong with local doctors?

This story starts in the middle of 1948 when W. Eugene Smith was assigned by the LIFE magazine to cover the medical practice of Colorado’s country doctor, 32 years old Dr. Ernest Ceriani. Doc skipped a well-paid position in Denver’s hospital to become the only medic for more than 2,000 souls populating the Kremmling area, Colorado (current population: 1,500). By that time photographer was well-known for his WW2 Pacific Battles photo series. W. Eugene Smith spent 23 days with Ceriani capturing literally every step of his practice, and, sometimes, even personal life. In the days when there was no internet when even TV network wasn’t that expansive yet, this LIFE’s publication was groundbreaking. It was the only way to show how important, selfless, heroic, and exhausting was the life of the country doctor.

Ceriani examines x ray, photo by Eugene Smith

The doctor examines an x-ray

It’s difficult to explain how overloaded local doctors were in the 40s (well, and later on). Let’s start with the fact: in the 1940s, 41 percent of the US population stayed rural, while 83 percent of doctors were in cities. Med colleges started to grant a specialization instead of just a GP title, and it brought a higher potential income. Here’s why young doctors preferred to stick to the large hospitals, specialize in their practice, and never settle in a rural area.

American Medical Association was concerned about this tendency, and it tried to communicate the importance and demand for the GP doctors. LIFE’s publication was a result of the communication efforts of the administration. Association was looking for an attractive, charismatic country doctor for the magazine article. LIFE’s editor even guaranteed the cover story, if the hero will worth it. The Med society of Colorado pointed at Dr. Ernest Ceriani, a young, photogenic local physician. Ironically, his life story had to attract young students to focus on general practice.

Dr CERIANI resting on an operating table.

Dr. CERIANI resting on an operating table.
Dr. Ernest Guy CERIANI, a country doctor (aged 32), takes care of all the people in the town of Kremmling and in the 400 miles surrounding the town.

The story of Dr. Ernest Ceriani

In fact, the day-to-day Dr. Ernest Ceriani’s life and practice had nothing to do with attraction and prestige.

When Smith met Dr. Ernest Ceriani, it was just one year after Ceriani settled in Kremmling and they were both of the same age. Eugene Smith followed his style during the Colorado trip, capturing every move of Dr. Ceriani in all the variety of his practice occasions, including sessions with patients and even during operations.

Ceriani injecting morphine

Ceriani injecting morphine to a woman suffering from heart ailments in the backseat of her car.

W. Eugene Smith secret behind the famous photo 

Nowadays, you’ll never see a reporter during your visit to your doctor. Well, it was not ok in the 40s too, and Dr. Ceriani had to introduce Smith to the patients, asking them to accept his silent presence. Smith did his best to stay unnoticed during Ceriani’s action, and doc recalled that he learned how to ignore the photographer completely very soon. He did the same trick during the famous Minamata trip too. 

Becoming invisible is the ultimate goal of any cameraman. The only way to catch a hero in the most natural way. Like capturing Dr. Ceriani smoking with a cup of coffee exhausted. What’s so interesting about this W. Eugene Smith photo? Ceriani just lost a patient woman and her child, both died, and he could not do anything about it. Now imagine, his emotional state, does he really want a photographer to take any pictures?

Eugene Smith photo essay: Country Doctor

Critical situation: Ceriani just stitched wounds of a girl who was kicked by a horse.

The photo story in LIFE magazine had massive success. Dr. Ceriani gained some popularity and was a frequent guest on radio shows. He had multiple job offers from the leading hospitals but decided to devote himself to serving the people of Kremmling. Eugene Smith proved himself as a first-class reporter, who was telling the whole story of people in focus, just like another LIFE’s photographer, Margaret Bourke-White, did. Smith never accepted any compliments for his images, always thinking of weak spots of every picture. He wasn’t happy about the page design that LIFE magazine did in the Ceriani’s story. It was a signature Smith’s move, always looking for a conflict with an editor about the way his images were used. He was disappointed with the order in which photos were published, stressing on fact that the sequence is as important as photos themselves.

W. Eugene Smith insisted to publish 300  out of his 2898 photos brought from Kremmling.  Editor of Life magazine took just 30.

Later, the ‘Country doctor’ photo appeared in the TOP 100 most influential images in human history.

More great photos by W. Eugene Smith here.

Pittsburgh photo essay by W. Eugene Smith (18 pictures)

Ceriani photo by Eugene W Smith

Ceriani examines an amputation surgery he’s just performed—the result of gangrene infection

Eugene Smith photos

Ceriani is helping to carry an injured farmer to an ambulance car

Dr. Ceriani helps the town marshall carry his heart attack victim to the ambulance

Dr. Ceriani helps the town marshall carry his heart attack victim to the ambulance

Eugene Smith photos, Ceriani

The doctor makes a call to a priest from a patient’s home, letting them know his 82-year-old heart attack patient passed away

Dr. Ernest Ceriani en route to a house call under rainy conditions in Kremmling, Colorado, in 1948

W. Eugene Smith photo: On the way to the patient under the heavy rain

USA. Colorado. Kremmling. 1948. Dr. CERIANI resting in his kitchen, after having spent the night operating. Dr. Ernest Guy CERIANI, a country doctor (aged 32), takes care of all the people in the town of Kremmling and in the 400 miles surrounding the town. 1948.

Dr. CERIANI resting in his kitchen, after having spent the night operating. Dr. Ernest Guy CERIANI, a country doctor (aged 32), takes care of all the people in the town of Kremmling and in the 400 miles surrounding the town. 1948.

Ceriani with his patient

W. Eugene Smith photo: Dr.Ceriani with his patient

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4 years ago

[…] Also, take a look at the story of a Country doctor by W.Eugene Smith […]

Vlad
Vlad
3 years ago

You can’t find such a doctor nowadays…

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