Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First PublishedMacilwain, George
Science
Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published
Macilwain, George
Abernethy, John, 1764-1831; Physicians -- Great Britain -- Biography
There is, no doubt, some fault on all sides. The public are too
uninformed on these important subjects, and therefore do much that
is equally against their own interests and the preservation of that
dignity and respect which should ever attach to a high-missioned
profession. But is the profession itself free from blame? Do they
never themselves minister to this wretched system of double dealing?
We fear there is but one answer to this question. We are not careful,
for obvious reasons, to multiply examples of such things; but we are
convinced that there must be a change; and since the profession cannot,
as too many of the public may, plead ignorance—for this and a thousand
other reasons, they should lead the way. We only claim for ourselves
what we readily concede to others—the expression of our opinion—when
we say that consultations should be _bonâ fide_ examinations of the
case, and should be followed by _bonâ fide intelligible_ explanations
of it to the _patient_ or his _friends_, according to the obvious
suggestions of prudence or humanity in the individual case. When the
treatment is correct, the most honest proof should be afforded of it;
namely, the continuance of the plan of the attendant in ordinary,
unobscured by the farce or form of a prescription; or, if _additional_
appliance only is adopted, in such a case its subordinate character
should be honestly explained.
Where there is difference of view, if it be material, that also should
be candidly stated; and if this be done with _real fairness_, our
experience has convinced us that it may be effected without damage
to either party. In other differences of opinion, the public never
think it necessary to impute ignorance or incapacity: let them, _for
their own sakes_, repudiate this construction in regard to the medical
profession. Lastly, let them for ever abandon the practice of paying
any man for his bottles, the number of which will often be an inverse
ratio with his skill and judgment.
To return to Abernethy. No doubt his manner varied in consultation; but
of "Manner" we shall speak in a separate chapter. We will here record
our impressions as to "Abernethy in consultation;" the conditions
which seemed to secure a considerate opinion from him; the good sense
and reasonableness of those conditions; the practical result of the
observance of them, and the effect they were calculated to produce on
the public, in giving to consultations that efficiency by which they
should be characterized—an efficiency which _every one_ begins to
perceive to be necessary, and which must be equally to the advantage of
the public and the elevation of the profession.
CHAPTER XXVI.
"Quidquid enim justum sit id etiam utile esse censent; itemque quod
honestum idem justum, ex quo efficitur, ut quidquid honestum sit
idem sit utile."—CICERO.
Public-domain text, read in full here on John Shaqi.
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