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
In order to show the readiness with which the public commit errors,
on the points to which I have alluded, in their estimate of
comparative success, I will suppose a case which occurs not very
unfrequently. Here are two rival physicians side by side. The one is
really skillful, and, if the results of his practice could be justly
estimated, he would obtain great credit for success. He engages in
medicine, not as a mere trade, but as a noble science. He pursues a
straightforward, honorable, and quiet course, resorting to no tricks
to acquire business. The other, on the contrary, is unskillful,
cares little for medicine as a science, depends upon artifice, rather
than real merit, to obtain business, and, though he may desire to
be successful, he desires more that he may have the reputation of
being so. The issue which is made by these two physicians before the
public is a false one. Though the unskillful one loses more patients
than the other does, in proportion to the whole number who come under
his care; yet he perhaps does not lose as many, in proportion to the
number of those which are considered bad cases by the community. For
he makes many cases to be bad ones which need not to have been so,
and, besides this, represents many as being bad, that are really not
attended with any danger.
Suppose, to make this clear, that, each physician has one hundred
cases of some prevailing epidemic—that each has thirty bad cases—that
the skillful physician loses five of these, the unskillful one eight,
the real balance being therefore much against the latter. But the
latter more than compensates for this difference, by making ten bad
cases out of comparatively mild ones, of which he loses perhaps but
one or two, (such cases having, as I have before shown, a strong
tendency to recovery,) and by representing ten others to be bad
cases which are not so. How then stands the account? The unskillful
physician, has, it is true, lost more patients than the other. But
then, he has _appeared_ to have more cases of the epidemic fall into
his hands; for, while his rival has had but thirty bad cases, he
reckons up fifty of his as having been of this character, and the
community know but little of those cases which are acknowledged to be
mild ones—these make no noise, and are not commonly taken into the
account, in the estimates which the public make on this subject.
Public-domain text, read in full here on John Shaqi.
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