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 must the physician say nothing about results to the public?
Certainly he should.
In the first place, he should endeavor to guard those, with whom
he has daily intercourse, against erroneous views of results in
medicine, by showing them the difficulties that lie in the way of
estimating them with correctness. If he succeeds at all in producing
a proper impression upon their minds, and thus induces them to be
modest and careful, instead of being bold and heedless, as too many
are, in expressing their opinions on such subjects, he will exert an
effectual influence, in preventing them from being deluded by the
partial views of facts, and the mis-statements, upon which empiricism
relies for its success.
In the second place, whenever he can make a comparison between the
results of good practice and those of quackery, _which can be fairly
understood_, let him do it. To warrant such a comparison the facts
should be clear, well authenticated, and in sufficient number to
justify the general conclusions drawn from them.
In the third place, whenever he can show, by facts which can be
appreciated by the common observer, that the practice pursued by any
pretender has been entirely inappropriate to any case, especially
if this can be done by evidence discovered in an examination after
death, let him do it, and explain with all clearness the nature of
that evidence to the friends of the patient, and, if necessary, to
the community. At the same time, he should avoid joining in with the
popular disposition to ascribe death to the treatment pursued as a
matter of course, whether the proof be or be not satisfactory.[28]
There is no doubt that death is frequently the consequence of bad
practice, when it cannot be proved to be so; but not even the quack,
murderous as his course certainly is, should be condemned upon faulty
and defective evidence.
FOOTNOTES:
[25] The above remarks may be applied to an exclusive system quite
popular just now—I refer to Hydropathy. Cold water is a valuable
remedial agent, used both internally and externally, as the recorded
experience of medical men abundantly proved long before Priesnitz
appeared on the stage. But the indiscriminate and exclusive use of
it, which is prescribed by his system, is as bad practice as the
indiscriminate and exclusive use of anything else—and _a full and
impartial record of Hydropathic practice would show it to be so_.
[26] When an epidemic is prevalent, such a physician instead of
allaying the undue public excitement, as it is his duty to do,
increases it by his very grave and wise air of conversation, and by
his reports of his cases, of which he is apt to have more than his
neighbors, and to be of course very successful in their treatment.
Even when there are only distant rumors of the epidemic, he has
occasion to report to gossiping circles some cases which at least
come _very near_ to being true cases of it.
Public-domain text, read in full here on John Shaqi.
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