This personal account is based on numerous professional contacts with Dr. Victor Almon McKusick between 1968 and 2008. These reflect McKusick's international role in establishing medical genetics as an independent field of medical science. He nearly single-handedly introduced a systematic order into medical genetics. In addition, he paved the way to understanding the multiple genetic and genomic causes of genetic disorders."Stop, stop, Holstein cows in Holstein!" Victor Almon McKusick demanded repeatedly. I had to ask for patience, explaining that it was not a good idea to stop on the autobahn. We were on our way from Hamburg to Lübeck in Schleswig-Holstein on May 6, 1972. Victor added: "I have seen Holstein cows many times before, but never in Holstein". Eventually I found a safe place to stop. We got out of my Volkswagen, climbed a fence, jumped over a ditch, and walked into the wet field. Victor began to take photographs (Figure 1). When I commented, "I guess they will never know who took their pictures",