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 other case was that of a lady, who had been long confined to
her bed with a spinal disease. She supposed, and her friends did
also, that it was not possible for her to move her back at all.
A physician, to whom one of her friends described the case, said
that he had no doubt that the disease had all been removed by the
treatment which had been pursued, and that the patient could move
about, and ought in some way to be made to do so. He saw that, as in
the case just related, the sensitiveness and inability of motion were
chiefly or wholly imaginary. And he predicted, that if she should be
put under the care of a bone-setter, as her friends had contemplated,
he would get her up and rub her back with his medicated applications,
and she would be able to walk about in a very short time. She was
carried to the bone-setter, the prediction was verified, and her
father, a distinguished clergyman, gave the quack a certificate of
the wonderful cure.
I remark upon these two cases—that, while Dr. Smith prescribed
intelligently, the bone-setter only _chanced_ to hit right—that
while the discrimination of Dr. S. saved him from applying a similar
treatment to cases to which it would be inapplicable, the bone-setter
does much, sometimes fatal, harm to many cases by his lack of this
discrimination, (cases which somehow fail to be reported)—and lastly,
that while Dr. S. had no public testimony paid to the success of
his discriminating skill, the _lucky hit_ of the quack has been
proclaimed, by the certificate of the clergyman, as the result of
pre-eminent skill, throughout the length and breadth of the land.
There is still another class of cases to be noticed. Sometimes the
motions of a joint are impeded, while there is no obvious deformity;
and yet the case may be something more than a mere sprain, and often
turns out to be so, when the subsidence of the swelling reveals the
true nature of the case. It is a sub-luxation. That is, the bone is
_partially_ thrown out of place, but is not fairly out of joint. In
such cases merely pulling upon the joint is commonly enough to set
it. As soon as the bones are sufficiently separated to allow of it,
the dislocated one slips into its place, or rather is drawn into it
by the muscles. I have no doubt that many such cases, pronounced by
physicians to be sprains, are remedied by the bone-setter, not from
any superior skill on his part, but from the fact that he makes it a
practice to pull the joint in every case.
One great source of the reputation of bone-setters is to be found
in the flaming reports of their cases, made by themselves and their
friends, _most of which are either partly or wholly false_. These
reports are got up precisely in the same way that the reports of the
great cures of other quacks are, and they have the same influence.
Public-domain text, read in full here on John Shaqi.
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