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
No one should enter the sick room from curiosity or from a mere vague
desire to do good. Nothing but the actual prospect of doing good
should prompt him to go there. Indeed, everything which interferes
with the proper quiet of the sick should be most scrupulously
avoided. It should always be remembered, that in many cases of
disease, mental excitement may do as much harm as the excitement
produced by stimulating medicines. And it is as much the business
of the physician to direct in the management of this matter, as in
the administration of remedies; for it has as real, if not as great
a bearing on the recovery of the patient. Indeed, sometimes it is
vastly more important than all the medicine that is given in the
case. I call to mind a case which illustrates this last remark so
strikingly, that I will state it as briefly as possible. A patient
was taken sick, with some important business pressing upon his
attention at the time of the attack. He was persuaded to dismiss it
entirely from his thoughts for the time. He was soon relieved by the
remedies that were used, and he was in a fair way for a recovery.
He was, however, in such a state, that it was very important that
he should be kept from all excitement, and as I saw that he was
disposed to do the business now with some friend, whom he wished to
have called in for the purpose, I told him and his family in plain
terms the risk which he would run if he should pursue this course. He
however disregarded my injunctions, and the consequence was that in
the evening of the same day he was very sick, and in a few days died
from disease in the brain, which was clearly induced by the mental
excitement. If he had followed my directions as scrupulously in
regard to this point as he did in regard to the medicines which were
given, recovery instead of death would probably have been the result.
Some in their anxiety to secure the quiet of the sick, go to an
extreme, and give almost the silence of the grave to every sick room.
They institute a sort of prison discipline, and shut out both the
light of heaven and all cheerfulness of intercourse. The very means
which they take to produce quietness, the stealthy step and the
whisper, are apt to disturb the patient more than noise or excitement
would do. Discretion should be exercised by the physician, and the
friends of the patient should rely on him to direct this part of the
management of the case, as well as that which is strictly medical.
He must judge as to the degree and kind of excitement appropriate to
the case, and direct in its application, for the same reason that he
should, in a case of disease of the eye, direct as to the amount of
light which should be admitted to it.
Public-domain text, read in full here on John Shaqi.
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