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 friends of the sick often put the consulting physician in an
awkward position, by the inquiries which they make of him in regard
to the measures which have been pursued. If he really approves of
them all, of course there is no difficulty. But suppose that he does
not—that he cannot say with truth, that if he had been called to the
case at the first he should have adopted precisely the same course.
What answer shall he make then to the inquiries put to him? Shall he
reply to them fully and frankly? By no means. It would be cruel both
to the friends of the patient and to the physician to do so. He has
no right to take such a course, unless there be gross and palpable
mal-practice, which the good of the patient and of the community
requires should be exposed. This is the only case which can justify
such a measure. Where there exists merely that difference of opinion,
which results from the various individual notions and preferences and
doctrines of physicians, all such inquiries of the friends of the
sick should not be replied to.
There are also some exceptions to the rule in its application
to expressions of approbation. If for example an older and
well-established physician, on being called in to the patient of
a junior member of the profession, sees that the propriety of the
course, which has been pursued, has been called in question by some
of the friends or by busy bodies, it is his duty to volunteer in
the defence of that course if he can conscientiously do it. Older
physicians often have such opportunities of doing essential service
to meritorious young men.
It is only such cases as I have mentioned, which form the exceptions
to the rule laid down. The general practice of remarking upon what
has been done cannot be too severely reprobated, as opening a wide
door for cunning intrigue and ungenerous insinuation. The honorable
physician desires no such privilege, but the dishonorable prize it
highly, as one of the means of inflicting their base wounds upon the
reputation of their competitors. Such physicians are ever ready to
answer the inquiries of friends and neighbors, about the previous
treatment, in every case to which they are called. They commonly
prefer to do this in a corner, rather than openly. Whenever they
see that a stab can be given to the professional character of any
competitor they do it, and often so stealthily, that it is not seen.
A word, a look, a mere movement of the head may do it, and perhaps
oftener does it than any tangible expression of opinion. An open show
of the weapon that inflicts the wound the cunning and dishonorable
physician most studiously avoids.
Public-domain text, read in full here on John Shaqi.
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