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The newsletter takes a mocking tone, and two of its opening editorials take the time to chide annoyed readers: "No fair getting your feelings hurt"; "our policy is not to hurt any feelings, so it's 'no fair gettin' mad.'" It's hard to imagine any of the readership actually gettin' mad, though. The jokes at staff expense are very mild, and composed mainly of self-deprecating anecdotes and things that friends might tell their friends. (One staffer mistakes shaving cream for toothpaste; another is briefly caught up in a riptide; a third is in love.) There are marriage and baby announcements, and a certain amount of medical wordplay ("the weather was a little diluted," and the Hill Billy itself is "issued P.R.N.").
It's in the patient anecdotes that the Hill Billy takes the gloves off. A young patient's mother pronounces "pneumonia" as "peanut ammonia"; another child gets a bee sting on his tongue while running down the hill to tell his mother their house was on fire. In general, the portrayal of patients is very negative: they're portrayed as ill-informed and uneducated, and generally don't know what's what. Some of them are black, which is held to be inherently funny, and racist remarks abound.
Most of the time, I find that old publications read a lot like new ones. The Crohn's newsletters are recognizable precursors of the modern Internet, with a mixture of information and friendly chatter. And an alumni magazine is an alumni magazine whether you meet it in 1957 or 2017. Gallows humor is universal to caring professions, as is private frustration with patients and co-workers. But it's hard to imagine anything like The Marquam Hill Billy existing today. The idea of how a professional speaks and acts has just changed too much, and there's a much stronger boundary between our personal and working lives. Archivists may be annoyed by HIPAA more or less all the time, but at least it stops medical discourse from devolving into "poor people say the darnedest things." (I'll own, though, that "don't get mad at the nasty remark I'm about to make" remains a universal constant.)
The Marquam Hill Billy can be found in the University News and Publications Print Collection, 2004-003.