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
Efforts, it is true, have been made by the medical profession
to correct the tendency to empiricism, which is so rife in the
community. But I believe that it can be satisfactorily shown that
these efforts have, to a great extent, been made with wrong means,
and in a wrong direction; and that for this reason they have failed
to strike at the root of the evil.
Much reliance has been placed upon giving to the people a knowledge
of anatomy, physiology, dietetics, &c. For this purpose books have
been published, journals of health have been issued, and lectures
have been delivered. All this is very well. Valuable information
has thus been communicated. Still, it leaves the great sources of
empiricism nearly, if not quite, untouched. These are pouring forth
their destructive streams more abundantly than ever, notwithstanding
the great increase of late of popular knowledge on medical subjects.
And this is as we should expect it would be from the nature of the
case. For the knowledge, which one obtains from popular books and
lectures, of the human system as a piece of mechanism, can have but
little influence upon his notions in regard to the operation of
remedies, on that system; for the operation of remedies, for the most
part, lies beyond the mere mechanical principles of the organization,
and therefore cannot be materially elucidated by a knowledge of those
principles. For example, the knowledge, which the dyspeptic gains,
from popular instruction, of the situation and the shape of the
stomach, of the number of its coats, and of the process of digestion,
cannot enlighten him in regard to the treatment of his disease, and
will therefore not guard him against delusion on this subject. He
will be just as ready, as he was before he acquired this knowledge,
to take some patent medicine, or to resort to some boasting empiric.
None of the common popular errors can be removed by the knowledge
referred to. If a man should adopt the notion, that the blood is the
seat of all disease, and therefore that remedies relieve disease by
purifying the blood, would it be possible to dislodge that error,
simply by showing him the heart, and describing to him minutely
the circulation? The mechanical contrivances of this beautiful
and wonderful piece of machinery have manifestly no reference to
the state of the blood contained in it. How can he know, from an
examination of the heart and the arteries and the veins, whether
he is right in attributing all disease to a corrupt state of the
life-giving fluid? Or what light will this examination give him in
relation to the remedies which he supposes enter the circulation and
rectify the blood, by neutralizing whatever it contains which is bad?
Public-domain text, read in full here on John Shaqi.
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