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 bone-setter sometimes acquires considerable reputation from some
cases of stiff joints and contracted tendons, which are benefitted by
a persevering course of friction, fomentation, &c. Physicians often
prescribe such a course in such cases, but they do not, like the
bone-setter, make the applications themselves, nor perhaps see that
they are made. In the one case the course is faithfully pursued, and
in the other it is not. A gentleman who had a stiff knee cured by a
quack principally by friction, detailed the treatment to a medical
friend. ‘I often prescribe just such a course for similar cases,’
said the physician. ‘Yes,’ replied the gentleman, ‘but you do not
take hold and rub yourself. If I came to you with an aching tooth you
would pull it, and not tell me or my friends to do it.’ There was
much truth in this reply. Physicians often give directions of this
kind, but do not see that they are followed up by the patient. I do
not mean to say that they should do all the rubbing themselves. But
they should show others how it is done, and then see that they do it.
All the credit which bone-setters get from neglect of duty on the
part of physicians, they have a perfect right to.
Another class of cases may properly be noticed here, of which I
will cite but two examples. A lady sprained her ankle. Instead of
the gradual recovery usual in such cases, the joint continued for
a long time to be excessively tender—she could not bear to have
it moved or touched without the most extreme care. The celebrated
Professor Smith, of New Haven, on being called in to see the patient,
recommended that all this caution in moving and touching the joint
be discontinued, and that it at once be put to use. The prescription
seemed to the patient to be a cruel one; but it was obeyed, and the
recovery was rapid and perfect. The extreme sensitiveness of the
joint in such cases is dependent upon two causes, the imagination and
nervous irritability—sometimes almost wholly upon the former. If this
case had chanced, like the one about to be mentioned, to pass into
the hands of a natural bone-setter, his rubbing and other manœuvres
would have accomplished the same object, and a great cure would have
been proclaimed.
Public-domain text, read in full here on John Shaqi.
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