As a general rule at the first visit, they look as wise as possible,
shake their heads before the women, and always magnify the complaint,
which is a safe proceeding all over the world, since all physicians can
either cure or kill the patient; in the first event they get greater
credit and reward, while in the other alternative, the disease, having
been beyond the reach of art, bears the blame. The _medicos_ exhibit
considerable ingenuity in prolonging an apparent necessity for a
continuance of their visits. A common interest induces them to pull
together--a rare exception in Spain--and play into each other’s hands.
The family doctor, whenever appearances will in anywise justify him,
becomes alarmed, and requires a consultation, a _Junta_. What any
Spanish Junta is in affairs of peace or war need not be explained; and
these are like the rest, they either do nothing, or what they do do, is
done badly. At these meetings from three to seven _Medicos de
apelacion_, consulting physicians, attend, or more, according to the
patient’s purse: each goes to the sick man, feels his pulse, asks him
some questions, and then retires to the next room to consult, generally
allowing the invalid the benefit of hearing what passes. The
_Protomedico_, or senior, takes the chair; and while all are lighting
their cigars, the family doctor opens the case, by stating the birth,
parentage, and history of the patient, his constitution, the complaint,
and the medicines hitherto prescribed. The senior next rises, and gives
his opinion, often speaking for half an hour; the others follow in their
rotation, and then the _Protomedico_, like a judge, sums up, going over
each opinion with comments: the usual termination is either to confirm
the previous treatment, or make some insignificant alteration: the only
certain thing is to appoint another consultation for the next day, for
which the fees are heavy, each taking from three to five dollars. The
consultation often lasts many hours, and becomes at last a chronic
complaint.
[Sidenote: PRESCRIPTIONS.]
Public-domain text, read in full here on John Shaqi.
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