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
Dr. Rush gives a striking instance of the influence of association,
which I will relate in his own words: “During the time,” says he,
“that I passed in a country school in Cecil county, in Maryland, I
often went on a holiday with my schoolmates to see an eagle’s nest,
upon the summit of a dead tree in the neighborhood of the school,
during the time of the incubation of that bird. The daughter of
the farmer in whose field this tree stood, and with whom I became
acquainted, married and settled in this city about forty years ago.
In our occasional interviews, we now and then spoke of the innocent
haunts and rural pleasures of our youth, and, among other things, of
the eagle’s nest in her father’s field. A few years ago I was called
to visit this woman, in consultation with a young physician, in the
lowest stage of a typhus fever. Upon entering the room I caught her
eye, and with a cheerful tone of voice said only, _the eagle’s nest_.
She seized my hand without being able to speak, and discovered strong
emotions of pleasure in her countenance, probably from a sudden
association of all her early domestic connections and enjoyments with
the words I had uttered. From that time she began to recover. She is
now living, and seldom fails, when we meet, to salute me with the
echo of _the eagle’s nest_.”
It is important in the treatment of disease, to remove all causes
which awaken disagreeable associations in the minds of the sick, for
they often retard, and sometimes prevent the recovery of the patient.
It is as clearly the duty of the physician to detect the causes of
such associations, and to remove them if possible, as it is to detect
and remove the material causes of any irritation or inflammation.
Dr. Rush mentions a case that came under his observation, in which
the influence of disagreeable associations hindered the recovery
of the patient. “A gentleman in this city,” he says, “contracted a
violent and dangerous fever by gunning. After being cured of it, he
did not get well. His gun stood in the corner of his room, and being
constantly in sight, kept up in his mind the distressing remembrance
of his sickness and danger. Upon removing it out of his room he soon
recovered.”
Some are much more readily affected by mental associations than
others. A gentleman in a stage coach was observed to keep his cloak
lying by his side, while he was shivering with the cold. He was asked
by one of his fellow travellers why he did not put it on. He replied,
‘I have just returned from a voyage, in which I was very sea-sick,
and while so I lay with that cloak wrapped around me. Foolish as it
may seem, I cannot put it on without renewing the nausea.’
Public-domain text, read in full here on John Shaqi.
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