Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
If there are some who conceive that any important end would be answered
by recording such opinions, or by collecting the history of all the
cases they could find in which no evidence of the influence of contagion
existed, I believe they are in error. Suppose a few writers of authority
can be found to profess a disbelief in contagion,--and they are very few
compared with those who think differently,--is it quite clear that they
formed their opinions on a view of all the facts, or is it not apparent
that they relied mostly on their own solitary experience? Still further,
of those whose names are quoted, is it not true that scarcely a single
one could by any possibility have known the half or the tenth of the
facts bearing on the subject which have reached such a frightful amount
within the last few years? Again, as to the utility of negative facts,
as we may briefly call them,--instances, namely, in which exposure has
not been followed by disease,--although, like other truths, they may
be worth knowing, I do not see that they are like to shed any important
light upon the subject before us. Every such instance requires a good
deal of circumstantial explanation before it can be accepted. It is not
enough that a practitioner should have had a single case of puerperal
fever not followed by others. It must be known whether he attended
others while this case was in progress, whether he went directly from
one chamber to others, whether he took any, and what precautions. It is
important to know that several women were exposed to infection
derived from the patient, so that allowance may be made for want of
predisposition. Now if of negative facts so sifted there could be
accumulated a hundred for every one plain instance of communication here
recorded, I trust it need not be said that we are bound to guard and
watch over the hundredth tenant of our fold, though the ninety and
nine may be sure of escaping the wolf at its entrance. If any one is
disposed, then, to take a hundred instances of lives endangered or
sacrificed out of those I have mentioned, and make it reasonably clear
that within a similar time and compass ten thousand escaped the same
exposure, I shall thank him for his industry, but I must be permitted to
hold to my own practical conclusions, and beg him to adopt or at least
to examine them also. Children that walk in calico before open fires are
not always burned to death; the instances to the contrary may be worth
recording; but by no means if they are to be used as arguments against
woollen frocks and high fenders.
Public-domain text, read in full here on John Shaqi.
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