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
The various degrees and modes in which mental associations appear
in the sick room, require of course the exercise of discretion and
tact, in managing them to good purpose. There is often much injury
done by failure in this respect. If, for example, the patient have
great irritability of stomach, and if some medicine which has been
doing him good, at length become exceedingly offensive to him, the
continuance of that medicine might do him essential harm, by the mere
influence of mental association; though, aside from this, it may be
still an exceedingly appropriate remedy for his disease. Under such
circumstances a change must be made, or the patient will be injured,
it may be fatally. It will not do to call the patient whimsical, and
to go right on with the course. The mental association connected with
the medicine is practically one of the _ingredients_ in it, and as
such has so modified its nature as to render it inappropriate to the
case.
The physician can often do much in curing disease by _diverting_ the
mind of his patient. Disease is frequently broken up by producing a
new action in the system. This is a principle in medical practice
which is familiar to others, as well as to the physician. And
this change may sometimes be brought about in the system, by a
corresponding change effected in the mind, especially in those
cases where the state of the mind is particularly influenced by the
disease. The husband of a poor woman, who in a feeble state of health
had fallen into a settled melancholy, broke his thigh. The whole
current of her thoughts and feelings was now diverted into another
channel, from her own sorrows to the care of him and the relief of
his pains, and she recovered her sanity, and with it, for the most
part, her health, long before the fracture was united. The misfortune
of her husband was a severe remedy, but an effectual one.
A physician of my acquaintance some years since became thoroughly
impressed with the idea, that some symptoms which he had, indicated
the existence of an organic disease which was certain to end fatally.
At his request I made a full examination of his case, and found
the symptoms to be purely of a nervous character. The expression
of my opinion relieved him for the time of his anxiety. But as he
brooded over his feelings when alone, the same idea returned again.
I examined him repeatedly with the same result, but the comfort
which he received from me was only temporary. Knowing that he was
paying his addresses to a lady who was not only cheerful herself,
but who had the power of making every body else cheerful about her,
I recommended to him to be married at once, and told him that if
he would be, we never should hear any more about his aneurism. My
prescription was followed, and was entirely successful. The idea,
which had so long haunted him like an evil spirit, was cast out never
to return.
Public-domain text, read in full here on John Shaqi.
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