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
Let me not be understood, that I would have the friends of a patient
make no inquiries at all of the physician in relation to the case.
His intercourse with them should be candid and free, and the
intelligent and honorable physician wishes it to be so. All that
I claim is, that the practitioner should not be _harrassed_ with
inquiries, and especially with such scrutiny, and such expressions of
doubt as to the effect of remedies, as shall indicate their lack of
confidence in the treatment, and therefore tend to destroy his own
confidence in it. The physician knows, and for the most part should
be left to judge, how much ought to be communicated to the friends of
a patient in relation to his case.
Neither let me be understood to mean, that physicians are afraid
to have their practice watched and scanned. Every honorable and
intelligent practitioner is willing that his treatment of any case
be scanned most thoroughly, but he would prefer that it should be
done by _skilful_ eyes. The friends of the patient should always
remember, that they have not sufficient knowledge of the human
system, and of the effects of agents upon it, to appreciate properly
the workings of disease, and the operation of remedies; and they
should therefore be careful not to put themselves in the attitude of
_clinical_ critics—a station for which none but a physician is really
fitted. The physician himself is in constant danger of making wrong
inferences, on account of the complicated character of the system,
and the various circumstances which therefore modify the operation
of agents brought to bear upon it—even he, prepared as he is by
study and well-weighed experience to observe accurately, is obliged
to sift well the evidence in regard to the effects of remedies, in
order to avoid mistake in his conclusions. How much more then should
_they_ be cautious in the inferences which they draw, who have never
studied the human frame, and who have had but little experience of
the treatment of disease. And yet many make no scruple in forming the
most decided opinions of the practice of physicians, in every case of
which they have any knowledge, however limited, and in proclaiming
those opinions with all the authority of an oracle. The practitioner
is sometimes so much harrassed by these meddlers that he is in danger
of mixing up with the measures of his practice expedients to satisfy
or foil their officiousness—a compound which brings no benefit to
the patient. The attention and the skill of the physician should
be _concentrated_ upon one object—the proper treatment of the case
before him. And the expenditure of his ingenuity, in using feints
and practising concealments, to avoid a collision with the whims and
prejudices of by-standers, impairs this concentration to the injury
of the patient, and that sometimes a _fatal_ injury.
Public-domain text, read in full here on John Shaqi.
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