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
An artifice, which is not unfrequently employed by the dishonorable
physician after being called in consultation, is this. On meeting
some friend of the patient he inquires very particularly about the
case, asks whether this or that medicine or measure has been tried,
expresses by word, or perhaps only by his manner, some surprise
at being answered in the negative, though he really has no reason
for doing so, and says that he will see the attending physician in
relation to the matter. He does not see him—he has no intention
to do so. His only object is to create dissatisfaction, or, if the
patient dies, to produce the impression, that the measures which he
alluded to were agreed upon, and ought to have been followed, and if
they had been, they perhaps would have saved the patient.
The selfish and cunning physician is apt to make comparisons between
the cases to which he is called in consultation, and some of his
own cases of the same complaint, which he speaks of as having been
very severe, though they terminated successfully. His object is to
set forth his own skill, and in doing this he commonly very much
over-estimates the severity of the disease in his own cases.
Some physicians _manifest_ a deep interest in the patients of their
brethren, and make many inquiries of their friends, in regard
to the nature of the disease, and the mode of treatment. And if
their services are requested in consultation, they are exceedingly
attentive at the time, and make some very friendly calls afterwards.
This undue attention, assuming the guise of great kindness and a
lively interest in the welfare of the patient, though a burdensome
and pains-taking trick, is nevertheless a very common one.
Sometimes a physician is called in consultation in a case which is
not of a grave character, because the friends of the patient think
that the attending physician places too low an estimate upon the
severity of the disease. If he be an honorable man, he will under
such circumstances have no hesitation as to his duty, but will at
once say, that the attending physician is right in his views of
the case, and that they are unnecessarily alarmed. The cunning and
dishonorable practitioner pursues a different course. He makes a
great show of examining the case thoroughly, asking many utterly
needless questions; and, though he may sooth the anxieties of the
family of the patient, and express the belief that he will recover,
he does it in such a way as to favor the impression, that the
attending physician was not really aware of the magnitude of the
case, but that _he_ on the other hand, has estimated it aright, and
has looked into it as it should be done.
Public-domain text, read in full here on John Shaqi.
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