In 1947 Samuel and Marilyn had a son and named him Sam. After receiving his medical degree, Samuel joined his father and two elder brothers, Richard and Stephen, in business. Sheppard moved his young family back to Bay Village, Ohio, and purchased a home on the shore of Lake Erie.
Sheppard took up surgical residence at Bay View Hospital, where he was called Dr. Sam to distinguish him from the other Dr. Sheppards. The family of physicians worked together and prospered at the hospital, the town's largest employer, as well as in their private practice in the nearby suburb of Fairview Park. For the next few years Dr. Sam was on emergency medical call more than one third of his evenings, just as he was on the holiday weekend of July 4, 1954.
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