Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1 — John Shaqi
Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1Witthaus, R. A. (Rudolph August)
Science
Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1
Witthaus, R. A. (Rudolph August)
Medical jurisprudence; Poisons; Toxicology
_Physicians Cannot Contract that they shall Not be Responsible for
Want of Ordinary Care and Skill._—An important and salutary exception
to the general rule that all parties may contract freely as between
themselves stipulations measuring their reciprocal obligations,
doubtless applies to the relations between physician and patient.
It is an exception which has been applied to the contract relations
existing between a common carrier and a shipper or a passenger. This is
that persons contracting to perform services which are to a certain
extent public in their nature, and which, as in the case of the common
carrier or in the case of the physician or surgeon, are founded
upon conventional relations, and affect the public welfare, are not
permitted, from reasons of public policy, to contract for a release or
escape from liability arising out of their own negligence or wrong. In
short, a physician or surgeon cannot contract with a patient that the
patient shall waive any claim for damages growing out of his want of
ordinary care and skill. Nevertheless, the physician or surgeon may
frankly inform his patient of his want of knowledge and experience as
to the particular kind of treatment required by any special and unusual
disease or injury. If after full information on this point, and full
opportunity to employ some one else, the patient insists that the
physician or surgeon go on with such treatment as he is able to give
to the case, and injuries result which a more skilful and experienced
practitioner might have avoided, it is probable that the courts would
hold that the practitioner was not liable under such circumstances,
or that such circumstances could be pleaded in mitigation of damages.
But it would be the duty of the practitioner in such a case to be
exceedingly careful in performing any surgical operations, and not
administer any powerful drugs with the strength and medicinal qualities
of which he was not acquainted. If he should assume to perform such
operations or administer such drugs instead of confining himself to
modifying the ravages of disease by the use of well-known simple
remedies, or protecting against the consequences of severe injury by
the use of ordinary antiseptic dressings and treatment, he would no
doubt be liable for any resulting damage, and could not recover pay for
his service.
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