Harper's New Monthly Magazine, Vol. V, No. XXV, June, 1852Various
General
Harper's New Monthly Magazine, Vol. V, No. XXV, June, 1852
Various
American literature -- Periodicals; Civilization -- Periodicals; Culture -- Periodicals
It does not at all follow that the intelligent physician who has
learnt how to treat successfully the illnesses of adults, has only to
modify his plans a little, to diminish the proportions of his doses,
for the application of his knowledge to our little sons and daughters.
Some of their diseases are peculiar to themselves; other diseases,
common to us all, take a form in children varying as much from their
familiar form with us as a child varies from a man. Different as the
ways are, or ought to be, by which we reach a fault in a child's mind,
and reach a fault in the mind of an adult; so, not less different, if
we would act successfully, should be our action upon ailments of the
flesh. There is another thing, also, which puzzles the physician who
attends on children. He comes to us when we are ill, and questions us
of this symptom, and of that; and on our answers he is taught, in very
many cases, to base a large part of his opinion. The infant can only
wail; the child is silenced by disease; or, when it answers, wants
experience, and answers incorrectly. Again, for life or death, all the
changes in the sickness of a child are commonly very rapid: so rapid,
that a child which suffers under an acute disease should be seen at
least every five or six hours by its medical attendant. He knows this
quickness of action; he knows how swiftly and how readily the balance
may be turned upon which hang life and death. He may have been to Paris
or to Vienna, and have studied in an hospital for children; and, out
of his experience, he may know how to restore the child whole to the
mother's bosom. But all English students can not go abroad for this
good knowledge; nor is it fit that they have need to do so. They have
need at present. In a rough way, English practitioners of medicine no
doubt administer relief to many children; but, that they are compelled
to see those perishing continually whom a better knowledge might have
saved, none are more ready than themselves--the more skillful the more
ready--to admit and to deplore.
The means of studying the diseases of children in London have been
confined to one dispensary, and the general hospitals. In these, the
hours, the management, and discipline are not readily adapted to the
wants of children. It was found, when a committee of the Statistical
Society, in 1843, inquired into such matters, that only one in a
hundred of the inmates of hospital wards was a child suffering from
internal disease. Can we wonder, then--when we call to mind the
peculiar characteristics of disease in a child, and the sagacity and
close observation they demand--can we wonder that the most assiduous
students, growing into medical advisers, can in so many cases, do no
more than sympathize with the distress of parents, look at a sick
child's tongue, feel its pulse, send powders, and shake their heads
with vain regret over the little corpse, around which women weep so
bitterly?
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