Doctor and patient : $b Papers on the relationship of the physician to men and institutions — John Shaqi
Doctor and patient : $b Papers on the relationship of the physician to men and institutionsPeabody, Francis Weld
Science
Doctor and patient : $b Papers on the relationship of the physician to men and institutions
Peabody, Francis Weld
Medicine; Medicine -- Practice; Physicians
doctors was accustomed to look at a case as a whole. Many a patient,
after going the rounds of the specialists, has found relief in mental
healing or New Thought or Christian Science, because he lacked the
guidance of a sound general practitioner who understood his physical
condition, his nervous temperament and knew the details of his daily
life. And many a patient, who on his own initiative has sought out
specialists, has had minor defects accentuated so that they assumed a
needless importance, and has even undergone operations that might well
have been avoided. Those who are particularly blessed with this world’s
goods, who want the best regardless of the cost and imagine that they
are getting it because they can afford to consult as many renowned
specialists as they wish, are often pathetically tragic figures as they
veer from one course of treatment to another. Like ships that lack a
guiding hand upon the helm, they swing from tack to tack with each new
gust of wind, but get no nearer to the Port of Health because there is
no pilot to set the general direction of their course.
The latest substitute for the breadth of vision of the general
practitioner is that offspring of the American God of Efficiency, the
Diagnostic Clinic. What a strong appeal it makes, this apparently
ideal combination of a group of specialists so closely affiliated
as to afford all the advantages of expert knowledge and at the same
time maintain the desirable general supervision! Practically the
method seems to work out about like most substitutes--sometimes well
and sometimes badly. It all depends upon the men who constitute the
group. At its best the patient finds himself in the hands of a wise,
broadly trained physician who handles his case personally and refers
as occasion demands to intimate and trusted associates who are skilled
in special fields. One man has personal supervision over the case
and devotes enough time to it to grasp all of its ramifications, so
that he can estimate the relative importance of the findings of the
specialists on the production of the symptoms in the individual. At its
worst, however, the Diagnostic Clinic is a machine, and the patient is
automatically passed from one specialist to another and submitted to a
series of examinations, so detailed in their nature that it would seem
that nothing could be overlooked. The result is a list of so-called
“diagnoses”--in reality a list of deviations from the normal, some of
which may, and others of which certainly do not have any bearing on the
patient’s trouble. The unfortunate thing is that only too often the
patient undergoes treatment for some of these unimportant conditions
and at the same time, because of the lack of some one man who
understands the situation as a whole, the real underlying difficulty is
entirely overlooked.
Public-domain text, read in full here on John Shaqi.
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