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
The idea then that experience will _at any rate_ confer knowledge is
a false idea. It is not true, that the old physician, _as a matter of
course_, knows more than he did when he was young. If he has observed
well, he does know more; but if he has not observed well, he not only
does not know more, but he knows less. In the latter case, he may
indeed have more ideas and opinions than he had when he began his
practice, but he does not know as many real ascertained facts, and
those which he does know are so encumbered with the long accumulating
rubbish of error, that they are of little use to him.
It is easier to adopt a theory with a corresponding system of
remedial means, or even to originate one, than it is to encounter
the labor of strict daily observation at the bedside of the sick.
Many physicians pursue the former course, and go through with a
routine of practice from year to year. If they have some tact in
managing the capricious credulity of the public, they succeed
in attaining the object at which they aim. These followers of a
_system_ are generally considered by the community as very rational
and scientific men. Some of them, though they live on the opinions
advanced, and the facts discovered by others, contrive to get up
quite a reputation for originality, by making so much account of
these opinions and facts, that the public awards to them, in part at
least, the credit of their discovery. It gives them a sort of eclat
to stand out from their medical brethren, as the advocates of some
peculiarity of doctrine or practice.
The medical profession has had too much to do with theories, and
modes, and systems. Every prominent theory can be shown to be
unsubstantiated by facts, and is therefore valueless. Every mode, or
system of practice, however numerous are the facts which are adduced
for its support, can be shown to exclude many facts of a valuable
character; and being thus exclusive, it must lead to practical error.
_All these systems therefore should be discarded._ A true eclecticism
should be introduced into medicine, and it should have relation not
to opinions and theories, but to facts only. Whenever a fact is
really ascertained, it should be treasured up in the storehouse,
ready for practical use. If it be apparently inconsistent with other
facts, this is no reason for rejecting it. If it be really proved,
it should be received, and its consistency with other facts may
afterward be discovered. Indeed, quite a large proportion of the
facts practically applied in medicine, are _independent_ facts,
neither explained themselves, nor capable as yet of being used in
the explanation of other facts. I have alluded to this point before.
A single example here will suffice. No fact in medicine is better
established than that arsenic in almost all cases cures hemicrania,
or periodical neuralgia on one side of the head. How or why it does
this no one knows. The bare fact is known.
Public-domain text, read in full here on John Shaqi.
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