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
But I will take an example from the practice of physicians, as well
as from quackery. The stimulating practice, of which some have been
so fond as to apply it quite extensively in the treatment of disease,
furnishes a good illustration of my remarks. As a system it is bad,
just as a system on the opposite extreme is bad. And yet either of
these systems is good in some cases, and often both are applicable
to the same case in different stages of it. The truth is, that no
_exclusive_ system of practice can be said to be a good system, for
it is impossible that it should suit all the varying states presented
by disease.[25]
It is now sufficiently obvious to the reader, that I mean by bad
practice, simply that which is inappropriate to the particular
case under treatment. And it is also obvious to him, that a correct
decision upon this point, made from observation of results, is
arrived at with much more difficulty, than it would be, if what is
good in practice were wholly and always good, and what is bad were
wholly and always bad.
I will now proceed to show what are the real points of difference
between the results of good, and those of bad practice, and why it
is that the community are so liable to mistake in their attempts at
comparing these results.
In the chapter on the Uncertainty of Medicine, I treated quite at
large of the _vis medicatrix naturæ_, or the tendency of the system
to throw off disease, and thus cure itself. _In the great majority
of cases of sickness which fall under the care of the physician,
this recuperative power is competent to effect a cure if they are
left to themselves, and in most of them it will do so, even though a
positively bad treatment may be pursued._ Let me not be understood
to say that the kind of treatment which these cases receive makes
no difference with them. It does make a great difference; but this
difference does not ordinarily have any direct and present relation
to the question of life and death, but it lies in circumstances which
may be subjects of dispute, viz., the length of the sickness, the
course which the symptoms take, the injury inflicted upon this or
that organ, or upon the constitution, &c. Of these points I shall
soon speak more particularly.
Public-domain text, read in full here on John Shaqi.
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