Medical Inquiries and Observations, Vol. 1: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
History
Medical Inquiries and Observations, Vol. 1: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
X. Make it a rule never to be angry at any thing a sick man says or does
to you. Sickness often adds to the natural irritability of the temper.
We are, therefore, to bear the reproaches of our patients with meekness
and silence. It is folly to resent injuries at any time, but it is
cowardice to resent an injury from a sick man, since, from his weakness
and dependence upon us, he is unable to contend with us upon equal
terms. You will find it difficult to attach your patients to you by the
obligations of friendship or gratitude. You will sometimes have the
mortification of being deserted by those patients who owe most to your
skill and humanity. This led Dr. Turner to advise physicians never to
chuse their friends from among their patients. But this advice can never
be followed by a heart that has been taught to love true excellency,
wherever it finds it. I would rather advise you to give the benevolent
feelings of your hearts full scope, and to forget the unkind returns
they will often meet with, by giving to human nature----a tear.
XI. Avoid giving a patient over in an acute disease. It is impossible
to tell in such cases where life ends, and where death begins. Hundreds
of patients have recovered, who have been pronounced incurable, to the
great disgrace of our profession. I know that the practice of predicting
danger and death upon every occasion, is sometimes made use of by
physicians, in order to enhance the credit of their prescriptions if
their patients recover, and to secure a retreat from blame, if they
should die. But this mode of acting is mean and illiberal. It is not
necessary that we should decide with confidence at any time, upon the
issue of a disease.
XII. A physician in sickness is always a welcome visitor in a family;
hence he is often solicited to partake of the usual sign of hospitality
in this country, by taking a draught of some strong liquor, every time
he enters into the house of a patient. Let me charge you to lay an
early restraint upon yourselves, by refusing to yield to this practice,
especially in the _forenoon_. Many physicians have been innocently led
by it into habits of drunkenness. You will be in the more danger of
falling into this vice, from the great fatigue and inclemency of the
weather to which you will be exposed in country practice. But you have
been taught that strong drink affords only a temporary relief from those
evils, and that it afterwards renders the body more sensible of them.
XIII. I shall now give some directions with respect to the method of
charging for your services to your patients.
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