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
A man had a bad fracture of the wrist, which was taken care of by
a regular physician. After the fracture united, the joint he said
continued to be very weak, but it did not prevent him from getting a
livelihood by doing light work in a factory. More than a year after
the accident, the wrist became quite sore. Rest and some appropriate
applications would probably have restored it to its usual condition
in a short time. But he was persuaded to show it to a famous
bone-setter, who lived a few miles distant. The bone-setter said at
once that it was not set right in the beginning, and that it must be
broken over again, in order to set it as it should be done. The great
violence he did to the joint produced a severe inflammation. It was
in this state that I first saw it. Abscesses formed in consequence of
the inflammation, and the final result was that the arm was rendered
useless for life. If this man had been thus treated by an educated
surgeon, instead of an _infallible_ bone-setter, he could undoubtedly
have recovered large damages for such mal-practice.
The second case which I shall relate is that of a young man who had a
chronic disease of the shoulder, which came on gradually, without any
evidence that the joint had ever received any injury. A bone-setter,
whom he accidentally met, assured him that he could remove the
difficulty, and give him a good arm. He told him that the bone of
the arm had ‘dropped down out of the socket,’ that there was ‘callus
in the socket,’ and talked about ‘squeezing it out.’ This opinion he
gave without any examination of the shoulder. He did not even remove
a thick overcoat which the young man had on. He directed a liniment,
which was to be used for some time previous to the operation of
setting the shoulder. After using the liniment for six weeks, he
went to the bone-setter’s residence to be operated upon. Three stout
assistants held the patient, while the bone-setter _squeezed out the
callus_, and set the joint. The pain produced by this operation was
so severe that the young man fainted. The bone-setter, thinking that
the joint was not yet quite right, repeated the operation the next
day. The consequence of all this violence was an increase of the
inflammation. There was much soreness and pain, and at length several
abscesses appeared in succession, which discharged abundantly, and
the arm became exceedingly weak, very limited in its motions, and
much emaciated.
Public-domain text, read in full here on John Shaqi.
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