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 dishonorable physician often makes difficulty, by attempting to
hold on to the patient of another, when he has been called in a case
of emergency. His plain duty under such circumstances is to give up
the patient to the family physician when he arrives, or to request
that, for this purpose, he should be sent for, if it has not already
been done. And in all cases, in which the physician is doubtful,
whether he has been called accidentally or from choice, he should
take measures to remove the doubt. Some, in their eagerness to get
practice, make no effort to settle this question, but disregard all
the evidence which may appear against their claim to the patient;
and, taking it for granted that the case is theirs, proceed at once
to its treatment, and hang on to it till they are actually driven
from the ground. And if they have a good share of assurance, they
manage by this dishonorable course to keep possession of many cases
which rightfully belong to their more modest neighbors. For many
persons, from the fear of giving offence, are reluctant to tell
them frankly that their services are needed only for the present
emergency, and the physician of the family feels that it would be at
least awkward for him to assert his rights under such circumstances.
Sometimes a second physician is sent for to see a patient without the
knowledge of the one in attendance. This may be done from the whim of
the moment, or from the earnest recommendation of some meddler, or
from a desire to obtain the opinions of another practitioner, which,
it is perhaps thought, will be more candid and unbiassed, without
a formal consultation. A strictly honorable man, when thus called
in, declines giving any opinion at all, for he considers that he has
no right to have anything to do with the case, unless he meets the
attending physician in consultation, or the case is fully and openly
transferred to his care. Not so with the dishonorable and intriguing
physician. Such calls furnish him with opportunities for exercising
his cunning, which are too good to be lost.
It is a very common idea, that physicians are generally attached, to
a foolish degree, to the rules of etiquette in their intercourse.
Many talk as if the welfare of the sick, and sometimes even life, is
sacrificed to it. The physician is often entreated to lay it aside,
as being an obstacle in the way of his usefulness. When, for example,
he is sent for to visit the patient of another physician without his
knowledge, it is perhaps said to him, ‘we wish you to give up all
etiquette—if you can do any good to this poor sufferer, do it.’
Public-domain text, read in full here on John Shaqi.
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