Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community — John Shaqi
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 fact that when one organ is disordered in any way other organs
sympathize, or suffer with it, is familiar to every one. This
sympathy destroys the simplicity of disease, in two ways. In the
first place, it produces many symptoms at a distance from the organ
affected. Pain, for example, is often far away from the disease
which causes it. The pain in the right shoulder from disease of the
liver, in the knee from disease of the hip joint, and in the head
from disordered stomach, are familiar instances. Convulsions, in the
great majority of cases, especially in children, are a mere symptom
developed by the sympathy of the brain and nervous system with
disease in some other organ—for example, a disordered stomach, the
irritation of teething, &c. Now if sympathy renders disease complex,
by developing such marked symptoms as those we have mentioned, at a
distance from the affected organ, much more will it do this by the
numerous less observable, and less definite symptoms, attendant upon
our various bodily maladies.
In the second place, sympathy destroys the simplicity of disease,
not only by exciting symptoms in organs at a distance from the part
affected, but also by creating actual disease in those organs. A
single example will suffice. The child, whose brain sympathizes
with the disease in its stomach, may have inflammation after a time
fastened upon its brain in consequence of this sympathy, the symptoms
at first being obscure, but at length clear and unequivocal.
The influence of sympathy in modifying disease occasions constantly
much perplexity in the mind of the physician. He often finds it
difficult, and sometimes impossible, to decide whether an organ,
which he sees to be affected, is really diseased, or is merely
sympathizing with some other organ.
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