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
How then can a common observer test a physician in regard to this
talent? If the observer were himself a physician, he could do this
by watching him in his examinations of cases of disease. But as he
is not, and is therefore ignorant of the subjects to be examined,
he will fail in any attempt of this kind. He will be apt to commit,
for example, this error. He sees that a physician makes a great
many inquiries of his patients in regard to their complaints, and
he may for this reason alone conclude that he is a nice observer.
This minuteness of examination often gives a physician very unjustly
this reputation; and in fact it is one of the most common tricks of
the trade. There is often a great parade of questioning with very
little true observation. A physician who is a skilful observer will
learn more of a patient’s condition, by watching him as he lies in
bed, and making a few inquiries, than another will by a multitude
of questions; just as one man, who scarcely appears to look at
anything as he passes through a street, may really observe and
know more about the various objects in that street, than another
man, who appears with eyes wide open to look at everything. A mere
glance will sometimes reveal to the skilful observer the true nature
of the case, when the unskilful have not been able to discover it
with the most diligent examination of the symptoms. I will mention
a single example. A man who was severely sick was attended by two
physicians, who were somewhat at a loss in regard to the nature of
his disease. Another physician, who was called in, before asking a
single question, suspected from the posture of the patient that he
had a hernia, in common language a rupture; and on examination this
was found to be the case.
I might mention some other errors, to which the inquirer would be
liable, if he attempted to judge directly of the physician’s mode of
examining disease, but it is not necessary.
How then, the question recurs, shall he test the physician on the
point under consideration?
Let him see how the physician observes in regard to some subject,
with which he himself is acquainted. He will discover in this way
what his habits of observation are; and he may be sure, that these
same habits mark his investigations of disease in the chamber of
the sick. No man has different habits of observation for different
subjects.
Suppose that you have a curious article in your possession, and you
have become acquainted with all the facts in regard to it. If you
show it to several physicians, and observe the inquiries which they
make in relation to it, you can discover the different characters
of their minds, and may thus know how they observe and investigate
disease.
One of them asks perhaps but few questions, and some of those are
irrelevant. He discovers but little in regard to the article, and
you may be sure that he will never discover but little in regard to
disease.
Public-domain text, read in full here on John Shaqi.
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