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
Every physician can add much to his stock of knowledge by a proper
review of cases which have come under his care. But a faulty mode
of doing this will lead him into error. For example, one physician
is so exceedingly fearful that in those cases, in which death has
occurred, something which he did or left undone was the cause of the
fatal event that he sees nothing clearly, and arrives at no definite
and available conclusions; and he ends every review with nothing but
unavailing regrets. Another, on the contrary, is too self-confident,
scarcely harboring the idea that he could have ever committed any
error. This notion of infallibility, though not distinctly avowed,
is indulged to a greater or less extent by many physicians. If they
do not think that they _never_ err, they at least think that it is
very uncommon for them to do so. To such the past is worth nothing as
corrective. They add from it nothing to their stock of ascertained
facts, though they may add to their medley of true and false
inferences. Both of these extremes should be avoided. The physician,
in reviewing his cases, should not fear to find errors; for if he
investigated them properly at the time with the best lights which he
could command, and acted in good faith, he is not to be blamed if he
did err. But, on the other hand, he should not pronounce any measure
which he has adopted to be an error without substantial evidence.
The disposition to form conclusions from a limited number of facts is
a fertile source of error in medical observation. This has already
been alluded to in previous chapters.
This disposition is very common among young physicians. A small
number of cases is often sufficient to lead them to adopt
conclusions, which a larger number of cases would show to be false.
The fact that their experience has been limited should teach them
to be cautious in their inferences; but very often this caution is
never learned, till a larger experience has revealed to them their
errors. The disposition under consideration is often increased, and
sometimes rendered inveterate, by the practice, so common especially
among young aspirants for medical fame, of speaking quite freely in
non-professional circles of the results of their experience. This
practice is not only disgusting, but it contributes essentially to
the establishment of a habit of loose observation and reasoning.
But the disposition to adopt conclusions from a limited observation
is by no means confined to young practitioners. It is a very
common error in the profession at large; and the annals of medical
experience are loaded down with errors, which come from this source.
A few illustrations will suffice.
Public-domain text, read in full here on John Shaqi.
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