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
It is easy to see how the credulity of the patient can be imposed
upon in such cases. He supposes that there must be something out
of place, and is not satisfied with being told that there is not.
Rest, the principal remedy in such a case, seems to him to be a
very ineffectual remedy at least, and he gets out of patience. His
imagination, with the aid of friends, and neighbors, at length
conjures up before him the idea of a limb forever crippled. The
bone-setter is now consulted, and he says, of course, that there _is_
something wrong. No bone-setter was ever known to say otherwise under
such circumstances. After executing certain manœuvres, he pronounces
all now to be right. The patient is now satisfied, although the limb
improves no faster than it did before, perhaps not so fast. He is
satisfied, because he feels now that _something has been done_. If
the surgeon who first saw the case had gone through with the same
pretended setting of the joint, the patient probably would have been
equally well satisfied. A surgeon of some note once remarked, that he
pulled nearly all the sprained joints that came under his care and
pretended to set something right; ‘for,’ said he, ‘if I did not do
this, such patients would go to a bone-setter to have it done, and he
would do them some harm, which I am careful not to do.’
But it may be said, that in many cases the testimony of the patients
in regard to the setting of the bone is of the most positive
character, and even that decided relief is at once experienced. That
it is often imagined, I know. I have seen many cases of this kind,
in which there was the most undoubted evidence that the relief was
wholly imaginary.
As the deception of the bone-setter in such cases is so common, and
so successful, even with persons of shrewdness and discernment, I
will mention two cases in illustration.
A stout Irish girl had an inflammation of the ankle, which had come
on gradually. She in some way imbibed the idea that the ankle was
out of joint, though she did not remember to have hurt it in any
way. I told her that it was not possible to put the ankle out of
joint without knowing when it was done. But she chose to send for the
bone-setter. He came and pretended to set the ankle, and she declared
that he relieved her at once. The inflammation however was still
there, and was gradually dissipated by appropriate remedies.
A gentleman, esteemed to be very shrewd by all his friends, received
an injury of the first joint of his forefinger, which resulted in
inflammation. After commencing medical treatment, he was persuaded to
consult a bone-setter. He returned with a poor idea of the knowledge
of regular physicians, because ‘_they could not even set a dislocated
finger_,’ and loudly praised the skill of the bone-setter. He soon
found, however, that the finger was no better, and, openly declaring
that he had been deceived, submitted the finger to proper treatment,
which in a little time removed the inflammation.
Public-domain text, read in full here on John Shaqi.
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