Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
The setting of bones is wholly a mechanical operation; and there
cannot be a natural innate skill in this particular kind of
mechanics, any more than there can be in any other kind. It would
be as proper to say that a man is a natural watch maker, steamboat
builder, carpenter, &c., as to say that he is a natural bone-setter.
A man may be born with a taste for mechanics in general, but not with
a taste for any particular kind of mechanics. This innate mechanical
taste shows itself in various ways, as the child grows up into the
man; and it is governed altogether by circumstances, in selecting
the particular branches of mechanics, from which it will seek its
gratification.
Every one applies these plain principles almost instinctively to
every subject but the sciences of medicine and surgery. An exception
is made of these, not only by the ignorant, but often also by the
well-informed and the learned. The healing art seems to be cast out
of the common pale of reason; and learning, as well as ignorance,
often refuses it the plainest and most established principles both of
science and of common sense. There has always been a disposition to
mysticism on this subject, and the idea of a mysterious bestowment
of natural gifts has been an error of all ages, and, I may add, of
all conditions in life.
I have said that bone-setting is a perfectly mechanical operation.
The bones of the body are united together on simple mechanical
principles by ligaments and muscles. When a bone is put out of joint,
it is generally done by the action of the muscles, perhaps we may
say that it always is so, when there is dislocation alone without
any fracture. A man falls from a house—when he comes to the ground
he puts out his hand, and the wrist, or elbow, or shoulder, is
dislocated. If he were dead when he fell, no dislocation would occur,
though there might be fracture; for the muscles would fix none of the
bones upon any point of support, so as to give the head of one bone a
different direction from the head of its neighboring bone. It is for
the same reason that a man, whose muscles are relaxed and powerless
from intoxication, is not apt to have his bones dislocated in a fall,
though they may be fractured.
After a bone is put out of joint, it is the muscles and ligaments
which hold it there. In order to replace it then, the resistance
of these muscles must be overcome by force gradually and steadily
applied, so that the head of the bone which is thrown past the head
of the other may be brought opposite to its proper place. When
brought to this point it is to be pressed into its place, which is
commonly very easily done—sometimes the muscles themselves do it.
Public-domain text, read in full here on John Shaqi.
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