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
Now, this is quite a series of processes, all contributing to one
result, and it is presided over, or directed, by the _vis medicatrix
naturæ_. The object of this series is a definite one; and each
process does its part in effecting it, and does it commonly at the
right time, and in the right manner. Just look for a moment at the
complicated character of this apparently simple operation. Here
is quite a large deposition of substance which is to be removed;
and this is the object to be effected. Observe how it is done. The
softening of the swelling is not a mere change of solid substance
into a fluid, as if by decay, but it is the result of an active
process, which we call _suppuration_. When this process is properly
performed, good pus is made, or as the old writers in medicine rather
quaintly expressed it, _laudable_ pus. This process of suppuration,
when it is well done, does not go on here and there in the swelling,
making it like a honeycomb with a multitude of little abscesses; but
there is a consent, an agreement of action by the vessels of the
part, as really as if they worked intelligently. It is this consent
of action which not only makes the line of movement in the abscess,
but points it towards the surface, instead of giving it some other
direction, laterally, or inward, upon some of the internal organs.
But it is farther to be observed, that in this agreement of action,
the vessels of the part do not all do one thing. Three different
offices are performed by them in the different quarters of the
abcess. While some of these little workmen are forming the pus,
there are others thinning the wall of the abcess in the direction of
the surface, by absorbing or taking up the substance there; while
there are others still, in the rear, and at the sides of the abcess,
depositing substance, in order to make a barrier to prevent the pus
from being diffused in the surrounding parts. Each class of these
workmen perform their particular work with even more exactness and
harmony than would be expected of any company of intelligent laborers
under the direction of a leader. The absorbents absorb together,
the wall builders build together, and the makers of pus make pus
together, and deposit it in a common reservoir.
But observe farther, and you will soon see an entire change come over
the whole scene of operations. When the absorbents have completed
their passage for the matter through the skin, the pus is gradually
discharged from its reservoir, and the “occupation” of the pus makers
is soon “gone.” The wall builders also cease their work, and while
the vacancy becomes filled up by contraction and deposition, the wall
of defense, so carefully maintained, so long as it was needed, is
now taken up by the absorbents—workmen which seem to know just when,
as well as how, to do their duty, and is emptied into the common
circulation, to be discharged from thence with the general refuse, by
the various outlets of the system.
Public-domain text, read in full here on John Shaqi.
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