Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
My attack on over-drugging brought out some hostile comments and
treatment. Thirty years ago I expressed myself with more vivacity than
I should show if I were writing on the same subjects today. Some of
my more lively remarks called out very sharp animadversion. Thus
my illustration of prevention as often better than treatment in the
mother's words to her child which had got a poisonous berry in its
mouth,--“Spit it out!” gave mortal offence to a well-known New York
practitioner and writer, who advised the Massachusetts Medical Society
to spit out the offending speaker. Worse than this was my statement of
my belief that if a ship-load of miscellaneous drugs, with certain
very important exceptions,--drugs, many of which were then often given
needlessly and in excess, as then used “could be sunk to the bottom of
the sea, it would be all the better for mankind and all the worse
for the fishes.” This was too bad. The sentence was misquoted, quoted
without its qualifying conditions, and frightened some of my worthy
professional brethren as much as if I had told them to throw all physic
to the dogs. But for the epigrammatic sting the sentiment would have
been unnoticed as a harmless overstatement at the very worst.
Since this lecture was delivered a great and, as I think, beneficial
change has taken place in the practice of medicine. The habit of the
English “general practitioner” of making his profit out of the pills and
potions he administered was ruinous to professional advancement and the
dignity of the physician. When a half-starving medical man felt that he
must give his patient draught and boluses for which he could charge him,
he was in a pitiable position and too likely to persuade himself that
his drugs were useful to his patient because they were profitable
to him. This practice has prevailed a good deal in America, and was
doubtless the source in some measure of the errors I combated.
THE CONTAGIOUSNESS OF PUERPERAL FEVER.
This Essay was read before a small Association called “The Society for
Medical Improvement,” and published in a Medical Journal which lasted
but a single year. It naturally attracted less attention than it would
have done if published in such a periodical as the “American Journal of
Medical Sciences.” Still it had its effect, as I have every reason
to believe. I cannot doubt that it has saved the lives of many young
mothers by calling attention to the existence and propagation of
“Puerperal Fever as a Private Pestilence,” and laying down rules for
taking the necessary precautions against it. The case has long been
decided in favor of the views I advocated, but, at the time when I wrote
two of the most celebrated professors of Obstetrics in this country
opposed my conclusions with all the weight of their experience and
position.
Public-domain text, read in full here on John Shaqi.
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