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
A few years ago a pamphlet appeared from the pen of Dr. Sewall of
Washington, on the pathology of drunkenness, with plates exhibiting
the state of the drunkard’s stomach in different stages of disease.
Among others is a plate representing the appearance of the stomach of
a man who died of delirium tremens; and Dr. Sewall says, that it is
a true representation of the state of the stomach in all these who
die of this malady. This sweeping assertion is based upon nothing
but his personal observation, which, it seems from his own account,
was very limited. He speaks of having had _several_ opportunities of
inspecting the stomach after death in such cases, and says that the
appearances on dissection have been extremely uniform. How many he
meant by the word ‘several’ I know not; but one thing is certain—that
nothing short of _many_ observations could establish the fact, that
the plate in question exhibits the true state of the stomach in _all_
cases of death by delirium tremens.
Now what is the truth on this point? This question is not to be
answered by what any _one_ man has found in ‘several,’ or even
in many cases. It can be properly answered, only by taking the
observations of many different physicians, who have had extensive
opportunities of making examinations after death in this disease. The
uniformity of appearances, spoken of by Dr. Sewall, we find, has not
been observed by others; but the stomach has been found in various
states in the different cases.
Dr. Sewall infers from the appearances in his cases, that the
opinion advocated by some, that delirium tremens has its seat in the
stomach is correct. Even if such appearances were competent proof in
regard to this point, which is by no means true, it would require
a larger number of cases than can properly be included under the
term ‘several,’ to establish the correctness of such a conclusion.
It is worthy of remark here, that others, taking, like Dr. Sewall,
the partial view of facts presented by a limited experience, but
having their attention directed to another quarter, have located this
disease in some other organ. Thus some have supposed its seat to be
in the brain, and have based this opinion, as Dr. Sewall did his,
upon what they found in examinations after death. The truth is that
all the phenomena of this disease show, that is a peculiar affection
of the nervous system, and not a local disease of any one organ. Now
in the general disordered condition of the drunkard’s organs, this
affection is of course liable to be complicated with various local
diseases. And delirium tremens of itself alone is not apt to end
fatally; but when death occurs, it is ordinarily the result of some
local complaint united with this disease. Wherever this complaint
happens to be,—in the stomach, or the liver, or the brain, or some
other organ,—_there_ will be found on examination after death the
greatest amount of disease. And a partial view of facts has often led
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account