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
Take the case of a young woman, for instance, who entered the hospital
with a history of nausea and discomfort in the upper part of the
abdomen after eating. Mrs. Brown had “suffered many things of many
physicians.” Each of them gave her a tonic and limited her diet. She
stopped eating everything that any of her physicians advised her to
omit, and is now living on a little milk with a few crackers; but her
symptoms persist. The history suggests a possible gastric ulcer or
gall-stones, and with a proper desire to study the case thoroughly, she
is given a test meal, gastric analysis, and duodenal intubation, and
roentgen-ray examinations are made of the gastro-intestinal tract and
gall-bladder. All of these diagnostic methods give negative results;
that is, they do not show evidence of any structural change. The case
immediately becomes much less interesting than if it had turned out to
be a gastric ulcer with atypical symptoms. The visiting physician walks
by and says, “Well there’s nothing the matter with her.” The clinical
clerk says, “I did an awful lot of work on that case and it turned out
to be nothing at all.” The intern, who wants to clear out the ward to
make room for some interesting cases, says, “Mrs. Brown, you can send
for your clothes and go home to-morrow. There really is nothing the
matter with you, and fortunately you have not got any of the serious
troubles we suspected. We have used all the most modern and scientific
methods and we find that there is no reason why you should not eat
anything you want to. I’ll give you a tonic to take when you go home.”
Same story, same colored medicine! Mrs. Brown goes home, somewhat
better for her rest in new surroundings, thinking that nurses are kind
and physicians are pleasant, but that they do not seem to know much
about the sort of medicine that will touch her trouble. She takes up
her life and the symptoms return--and then she tries chiropractic, or
perhaps Christian Science.
Public-domain text, read in full here on John Shaqi.
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