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
I cannot forbear here to notice one thing, which often exerts a
bad influence upon the mind of the child in sickness. It is the
habit which many people have of threatening their children, when
in health, with sending for the doctor to bleed them, or to give
them some bitter medicine, as a punishment for their misdeeds. The
inevitable tendency of this is to increase the mental depression and
agitation which disease produces, by the gloomy associations which
are thus necessarily attached to sickness in the mind of the child.
The physician should never be held up as a bugbear to children, but
should uniformly be spoken of in their presence in such terms, that
when he visits them in sickness they may rejoice to see him, both as
a friend and as one who is to bring them relief. There is no doubt
that many a child is seized with an ill-defined terror, when the
physician is called in, and thinks of him only as some dreadful
monster that cuts off children’s ears, and gashes their flesh almost
for sport. The effect of such a feeling on the weakened and agitated
nerves is always injurious and undoubtedly is sometimes fatally so.
One may get some adequate idea of the feelings of children under
such circumstances, by imagining himself, in a state of weakness and
disease, to be visited by an incarnate demon, who has both the power
and the disposition to torment him.
I am anxious to impress most faithfully the mind of the reader with
the importance of giving rest to the mind in sickness. I have already
remarked on the extent and the intimacy of the union between the mind
and the body. It is never to be forgotten in the chamber of sickness,
that the mind not only is not by itself, alone and independent, but
that it is not connected with sound nerves, but acts upon a deranged
body, and is acted upon by it, through the multitude of nervous
filaments, which, scattered everywhere, are receiving impressions
at every point, and transmitting them to the mind. If, therefore,
the mind, thus disturbed by disease, be at the same time troubled by
causes applied directly to it, the result must be a reaction from
the mind through the nerves upon the disease itself. The mental and
the bodily irritations must increase each other. It is then just as
important to withhold all irritating causes from the mind, as from
the diseased organ. For example, if the brain be inflamed, that
inflammation may be aggravated as certainly by exciting the mind, as
it would be by the administration of any stimulant to the body. In
either case the same result occurs—the brain is stimulated—the only
difference is in the channel through which it comes. And it is the
duty of the physician to shut out the irritation from one channel,
as much as from the other. When the eye is inflamed, one part of
the curative means is to exclude the light, because the light, by
exciting the nerve of sight, would increase the inflammation. But the
action of the mind is as really connected with the brain and nervous
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