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
It seems to be the idea of some, that there is something very
salutary in a spiritual point of view in the knowledge of the
fact, that death is certain and near. That it is more alarming and
awakens more emotion than the mere idea of danger, I allow; but
that it is more apt to produce right views and feelings is by no
means satisfactorily proved. Even if it be true, that the certainty
of death is more likely to secure decisive action in regard to the
interests of eternity, a decision under such circumstances is by
no means so worthy of confidence as one which is arrived at when
the hope of recovery is not wholly extinguished. To test this, take
as an example the feeling of resignation. When death is seen to be
absolutely certain, its very certainty is apt to induce a sort of
calm semi-fatalism, which has the appearance of true submission,
and is often mistaken for it through the charity and fondness of
friendship. But when the result is seen to be uncertain, if there
be amid all the balancing of the mind between hope and fear a
willingness to acquiesce in the supreme will, there is good reason to
believe that the patient has a true Christian resignation. There was
much force in the remark of a patient, who had for some days had the
certain expectation of death, but who had at length experienced so
much relief, that there was some ground for hope. “I am glad,” said
she, “that this relief has occurred, even if I do not recover; for
now I can fairly test the reality of my submission. I can put life
and death together, and examine my wishes and desires in regard to
them.”
There is one disease in which the disposition to hope is so
marked, that Dr. Good enumerates it among its symptoms. I refer
to consumption. In some cases, it is true, this symptom does not
appear, but despondency for the most part prevails. But this arises
either from a morbid sensitiveness of the nervous system, or from a
diseased condition of the digestive organs. When neither of these
circumstances exists, and the disease is uncomplicated with other
maladies, the tendency to hope is so strong as often to resist the
force of the most decisive evidence. Nothing is more common than to
hear a consumptive patient say, “Doctor, if you will only cure this
cough, I shall be well,” as if the cough were only a slight matter,
and its continuance was rather provoking than dangerous. I once saw
a physician deceiving himself to the last week of his life with the
idea, that his disease was in the stomach and liver, when there was
the most palpable evidence that the lungs, and the lungs only, were
diseased.
This tendency to hope is beautifully alluded to in a poetical sketch
of consumption by an anonymous author:
Public-domain text, read in full here on John Shaqi.
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