Medicine: Little Old Child

For three of his four years Paul Banks has fascinated pediatricians at the St.

Louis Children's Hospital. Paul is a cheerful little Negro boy with an I.Q. of 107 and a physical age of 70. His skin is wrinkled, he is nearly bald. Thick veins snake across his temples and the backs of his hands. His fingernails are dry and broken.

Paul is senescent. He is also very undersized (32½ in. high) and underweight (21½ lb. — about the size of a one-year-old child).

Soon after Paul was born, his father (Dining-car Steward Charles Banks)...

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