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 dyspepsia was very fashionable; but now it is so
old-fashioned, that we hear but little about it, and no hobby-rider
thinks at the present day of setting up any pretensions to great
skill in the treatment of this complaint. Diseases of the throat have
taken its place in the public mind, and multitudes are running to
those, who are reputed to have peculiar skill in clipping off tonsils
and palates, and swabbing out windpipes. The new treatment, as it is
called, is good practice in some cases; but the almost indiscriminate
application which some hobby-doctors make of it is ridiculous and
contemptible. The confirmed consumptive, who has his palate clipped,
or his throat or windpipe swabbed, and because he fancies that he
feels better, revives for a time the delusive hope of recovery, and
cheerfully pays the doctor his fee, has a most unjustifiable cheat
practised upon him. And such fees! From five to twenty dollars,
according to the circumstances of the patient, is asked by some of
these doctors for clipping the palate, one of the most trifling
operations in surgery.[30]
When this fashion shall have passed by, as pass it will, like all
other fashions before it, and this hobby shall have ceased to be
ridden, how little will be the actual knowledge of diseases of the
throat and windpipe, which will be found to be added to the stock
of information in the possession of the profession by those, who
have now the reputation in the community of being very skilful in
the treatment of these complaints! Some, who have had less eclat,
and have therefore reaped less pecuniary benefit, will have made the
proper discriminations; and to them will the profession be indebted
for all that has been really discovered in relation to the nature and
treatment of these diseases.
A habit of making loose and exaggerated statements has become
so common in the medical profession, that it is really no small
obstacle in the way of the accumulation of accurate observations in
medicine. The credulity of the public tempts to an indulgence in such
statements, in the common intercourse of physicians with those who
are around them, and to whom they relate their cases, and state the
results of their experience. If they yield to the temptation, the
habit grows, and it inevitably begets and fosters another habit—that
of loose observation. The statements of such physicians are not to
be relied upon, even when they appear on the pages of some medical
journal. Much of the recorded experience of the profession is
undoubtedly from this cause worse than valueless.
Public-domain text, read in full here on John Shaqi.
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