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
The first thing, in consulting Abernethy, if you were a medical man,
was to be clear, and "well up" in the nature of the case; and the next
thing, not to state any opinion, unless you were prepared to give a
good reason for it. These conditions premised, we never saw any one
more unaffectedly deferential to the opinion of another.
A surgeon took a serious case to him, in which the question was as to
the removal of a large tumour in the neck, which seemed to be acquiring
connections of such depth and importance as to threaten (should that
step be desirable) to render the removal of it impossible. The patient
was advised to allow his surgeon in ordinary to state his case, and to
interrupt him only if he omitted anything in regard to it within the
patient's knowledge. This was done; the general habits of the patient
described, with the difference which had existed antecedent to the age
of thirty, and subsequently thereto. Mr. Abernethy examined the tumour.
To the SURGEON. It is parotid, is it not?
SURGEON. I think not, sir.
ABERNETHY (_hastily_). Why not?
SURGEON. Because, sir, reflecting on the depth and situation of the
parotid gland, I should hardly expect the tumour to be so moveable.
ABERNETHY. Ah, I see! Very well. (Then to the patient). Well, sir,
I should advise you to attend to your general health, and continue
to follow Mr. ——'s advice on that subject. What I say is—— (Then
followed a short lecture on the digestive organs.)
PATIENT. Do you think, sir, I shall get rid of it?
ABERNETHY. Nay, I cannot tell that. But now suppose you pursue a plan
steadily, say for a month, and the tumour does not increase, will it
not be encouraging to you?
PATIENT. Certainly, sir.
ABERNETHY. Well, then, try it; for if its removal should become
necessary, you will at least be in better condition for the operation.
If it does not get larger, or otherwise inconvenience you, let it alone.
The patient had heard so much of Abernethy's roughness, that he came
away equally pleased and astonished.
A surgeon took a Colonel in the army to him, with a case which was
progressing fairly, but, as he conceived, in consequence of the patient
not paying so much attention to his health as he was recommended to do,
not so satisfactorily as he desired. The Colonel briefly stated his
case.
ABERNETHY. Show me your tongue. Ah! that is bad enough.
COLONEL. You are quite right there.
ABERNETHY. Well, man, I don't require to be told that.
Here the surgeon stated the treatment, which had, in addition to
attention to the general health, involved some local administrations,
of which, in general, Abernethy approved, but, as it would seem, not in
this case. His difference of opinion he thus stated, in the presence of
the patient:
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account