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
But withholding irritation, and securing rest and quiet, do not
comprise all the physician’s duty in relation to the mind, any more
than they do in relation to the body of the patient. He is sometimes
to excite the mind to positive action, for the same reasons that
exciting medicines are sometimes administered to the body; and he
may thus often exert, through the mind, a very happy influence upon
disease. This remedy, as I have already hinted, is to be applied
with discretion, according to the nature of each case, and so
as not to interfere with that rest, which I have shown to be so
necessary to the mind in the treatment of disease. The excitement
must, with some few exceptions, be agreeable in character, in order
that it may produce a genial influence upon the nervous system.
The mode, the time and the degree of its application require the
exercise of discrimination, as much as the dose, and form, and time
of any stimulant or other medicine that is given to the patient.
The judgment and tact of the physician are never more needed than
upon such points as these. Tissot, a French physician, relates an
amusing case, showing the utility of discrimination in regard to
the kind of mental stimulation to be applied. A lady was affected
with a lethargy, and many applications were used to rouse her, but
to no purpose. At length a person, who knew that the love of money
was the ruling passion of her soul, put some French crowns into her
hand. After a few minutes she opened her eyes, and was soon entirely
aroused from her stupor.
The influence of the imagination upon the body is familiar to every
one. I will mention a few cases to show its power.
Beddoes, an English physician of great enthusiasm, had imbibed, among
other new ideas, the notion that palsy could be cured by inhaling
nitrous oxide gas. He requested that eminent chemist, Sir Humphrey
Davy, to administer the gas to one of his patients, and sent him to
him for that purpose. Sir Humphrey put the bulb of a thermometer
under the tongue of the paralytic, to ascertain the temperature of
the body, so that he might see whether it would be at all affected
by the inhalation of the gas. The sick man, filled with faith from
the assurances of the ardent Dr. Beddoes, and supposing that the
thermometer was the remedy, declared at once that he felt better.
Davy, desirous of seeing how much imagination would do in such a
case, then told him that enough had been done for that time, and
directed him to come the next day. The application of the thermometer
was made from day to day in the same way, and in a fortnight the man
was cured.
Public-domain text, read in full here on John Shaqi.
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