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
If the establishment of an intimate personal relationship is necessary
in the diagnosis of functional disturbances, it becomes doubly
necessary in their treatment. Unless there is complete confidence
in the sympathetic understanding of the physician as well as in his
professional skill, very little can be accomplished; but granted that
you have been able to get close enough to the patient to discover the
cause of the trouble, you will find that a general hospital is not at
all an impossible place for the treatment of functional disturbances.
The hospital has, indeed, the advantage that the entire reputation of
the institution, and all that it represents in the way of facilities
for diagnosis and treatment, go to enhance the confidence which the
patient has in the individual physician who represents it. This gives
the very young physician a hold on his patients that he could scarcely
hope to have without its support. Another advantage is that hospital
patients are removed from their usual environment, for the treatment
of functional disturbances is often easier when patients are away
from friends, relatives, home, work, and, indeed, everything that is
associated with their daily life. It is true that in a public ward one
cannot obtain complete isolation in the sense that this is a part of
the Weir Mitchell treatment, but the main object is accomplished if one
has obtained the psychologic effect of isolation which comes with an
entirely new and unaccustomed atmosphere. The conditions, therefore,
under which you, as students, come into contact with patients with
functional disturbances are not wholly unfavorable, and with very
little effort they can be made to simulate closely the conditions in
private practice.
Public-domain text, read in full here on John Shaqi.
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