Peru as It Is, Volume 1 (of 2): A Residence in Lima, and Other Parts of the Peruvian Republic, Comprising an Account of the Social and Physical Features of That CountrySmith, Archibald
History
Peru as It Is, Volume 1 (of 2): A Residence in Lima, and Other Parts of the Peruvian Republic, Comprising an Account of the Social and Physical Features of That Country
Smith, Archibald
Peru -- Description and travel
One common consequence of this mode of thinking is, that, by a single
fatal case in practice, all the former success of the practitioner is
overlooked, at least for a time; from which it follows that various
medical advisers are sure to replace one another often in those families
where death is a frequent visitor.
We seldom meet in families that shyness or reserve in divulging bodily
ailments which can render them reluctant to change their family
physician; and no physician, though specially entrusted with a patient,
can be sure that others of the profession do not, at secret interviews,
tamper with his peculiar treatment. This baneful custom leads to
professional jealousies and mutual distrust. We believe many families
countenance it from motives of consideration for the doctor _ostensibly_
in trust, whose self-love they propose to spare by this clandestine
practice, when they think a more open manner of proceeding would be
repulsive to his feelings. There is, however, another very obvious reason
which lends its influence to this furtive system of visiting the sick;
and it is, that by this means the opinion of several advisers may be had
at comparatively little expense. Should only two individuals be called
to meet at the bedside of the patient at an appointed hour to consult
on his case, the meeting is a _bonâ fide_ junta, and each member of it
is entitled to his four or four and a half dollars; whereas the single
visits are only valued at one dollar each, and such detached visits
are in many instances not paid by the sick, but by the friends at whose
request the professional calls are made. Here then is great economy;
eight opinions (and if the patient be poor, so that he is only expected
to pay a half dollar fee for a detached visit, _sixteen opinions_) may be
procured for the standard price of two when given in consultation; and
custom, as well as reason and prudence, require that several opinions
should be taken in cases of hazard and difficulty.
Owing in a considerable degree to the comparative poverty of the present
times, medical juntas are by no means so frequent as they used to be;
but yet it is a common saying on serious occasions, where the assistance
of more than one medical adviser is thought necessary, that more is seen
by four eyes than by two.—“_Mas se ve con cuatro ojos que con dos._”
By multiplying skill according to this rule, a score of eyes may be
assembled in one junta to search into the patient’s obscure malady, so as
to point out the cause and the remedy; or, if there should be no other
alternative, let him die according to rule.
CHAPTER V.
Condition of Slave population, and its influence on the family
economy and moral sentiments of the European race.
Public-domain text, read in full here on John Shaqi.
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