Moral Principles and Medical Practice: The Basis of Medical JurisprudenceCoppens, Charles
Philosophy
Moral Principles and Medical Practice: The Basis of Medical Jurisprudence
Coppens, Charles
Medical ethics; Medical jurisprudence
5. There are various kinds of medical treatment to which we can scarcely
have recourse without exposing ourselves to serious evil consequences.
Such is the use of cocaine, morphine, and even in special cases of
alcohol. The drugs in themselves are useful, but they often lead to evil
results. Now in the use of all such drugs as are apt to be beneficial in
one way and injurious in another, we must ever be guided by the rules
formerly explained concerning evil indirectly willed, or rather
permitted to result, while good results are directly willed or intended.
If the Doctor is satisfied that a dose of morphine or an application of
cocaine will do more good than harm, he can, of course, prescribe or
apply it. Still in such matters he must remember that the good effect is
but temporary, while its pernicious consequences, especially when habits
are thus contracted, are likely to be permanent and cumulative. Besides,
the good results affect the body only, the evil often affect body and
soul. Many a wreck in health and morals has been caused by imprudent
recourse to dangerous treatment, where a little more patience and wisdom
would have been equally efficient in curing the bodily ailment, without
any deleterious consequences. If once a patient becomes a slave to the
morphine or cocaine habit, the only cure is to cut off all the supply of
the drug either at once or, at any rate, by daily diminution. To leave
him free control of the poison is to co-operate in his self-destruction.
6. The sixth duty of a Doctor is of a different kind. There exists a
tacit or implicit contract between him and his patients that he shall
keep their secrets of which he becomes possessed in his professional
capacity. It is always wrong wantonly to betray the secrets of others;
but the Doctor is bound by a special duty to keep his professional
secrets; and it is doubly wrong and disgraceful in him to make them
known. For instance, if he has treated a case of sickness brought on by
sinful excesses of any kind, he is forbidden by the natural law to talk
about it to such as have no special right to know the facts. Parents and
guardians are usually entitled to be informed of their children's and
their wards' wrong-doings, that they may take proper measures to prevent
further evil. Besides, the Doctor is properly in their service; he is
paid by them, and, therefore, his contract is with them rather than with
the children. He can, therefore, prudently inform them of what is wrong,
but he cannot inform others.
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