Forty Years in the Wilderness of Pills and Powders: Cogitations and Confessions of an Aged PhysicianAlcott, William A. (William Andrus)
Science
Forty Years in the Wilderness of Pills and Powders: Cogitations and Confessions of an Aged Physician
Alcott, William A. (William Andrus)
Medicine -- Anecdotes
We examined the patient, as soon as possible, and retired for
consultation. Dr. Bolus gave a full history of the progress of the case,
with a particular account of the treatment. I saw at once, both from the
existing symptoms and Dr. Bolus's statement, that the tendency to the
brain--so great as to keep up an almost constant delirium--was quite as
likely to be caused by the enormous quantities of morphine and quinine,
and other active medicines which had been administered, as to belong
properly to the disease. I therefore advised a gradual reduction and
ultimate discontinuance of the extra stimulants.
Dr. Bolus was opposed to the reduction I proposed, but finally consented
to it, at least in part, and the patient evidently derived almost
immediate benefit from it. When I had pushed my views with regard to the
stimuli as far as I could, we separated, and as the distance at which
the doctor resided was considerable, and as I was on the spot to watch
the patient, he proposed not to call again till early in the morning of
the following day.
I was by no means satisfied with the compromise we had made. It had not
accomplished its intended object. Dr. Bolus had, indeed, yielded a
little, but not enough to satisfy me. I believed the amount of stimulus
still given vastly too great, and was unwilling to continue it. In
truth, I persuaded one of the attendants to omit the principal articles,
whenever the hour came for administering them, assuring him that I would
take all the responsibility.
Of the other attendant I would have made the same requisition, but he
being exceedingly attached to Dr. Bolus, would never have tolerated the
slightest concealment, or departure from the strictest letter of the
law.
It was easy to see that the less stimulating treatment of each alternate
two hours, during which it was entirely omitted, left behind it, on the
patient's frame, a better influence than the more active treatment of
the other two. And when the next medical consultation came, I pleaded
for a still greater diminution of the stimulus. But, as I had
unwillingly used a little duplicity,--a thing I now deeply regret,--in
order to come at my conclusions against the stimulants, I was not
willing to state, in full, the grounds of my opinion, and therefore
could not prevail with Dr. Bolus to consent to any farther advances in
the unstimulating plan.
I was now, at length, compelled to leave for home; and the results, for
the rest of the time, were reported to me through the kindness of the
young man's friends. It is sufficient, perhaps, to say that he finally
recovered; but it was not till the lapse of several months. In the mean
time, a severe ulcer broke out on the lower part of his back, which
caused much suffering, and appeared to retard very greatly the progress
of his recovery.
Public-domain text, read in full here on John Shaqi.
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