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
Let us first look at the _trials_ of a medical life.
The physician is subjected to great fatigue both of body and mind. He
has no time that he can call his own. That regularity of life, which
is so essential to comfort as well as to health, he must in a great
measure abandon, especially if he practice in a scattered population.
While most men have their stated seasons of repose, he is liable
to be called for at any hour, and often night after night sleep is
a stranger to his eyelids. His duties to his patients are often
of such immediate importance, that no stress of weather, however
violent, is considered as an excuse for delay. When prevailing
disease spreads terror through the community he must be at his post,
and expose himself to the pestilence under the influence of powerful
predisposing causes—anxiety and fatigue. And then there are at all
times anxieties and perplexities, producing a wear and tear of mind,
which is worse than all the bodily fatigue that he is called to
endure. It is not surprising then, that it has been satisfactorily
ascertained by statistics, that physicians constitute one of the
short-lived classes of the community.
And for all this generally the medical man gets comparatively a small
compensation. Though some physicians acquire wealth, especially
in our large cities, still as a body of men they are in moderate
circumstances, and the practice of medicine may be truly said to
be far from being a money-making business. A large proportion of
those whom they serve are too poor to give them any compensation,
and very many of those who are able to pay them do not without
reluctance and delay. This, it is true, is in part to be attributed
to the remissness of physicians in presenting their claims. But why
this remissness? If I mistake not, it arises from the unwillingness
to pay, which they so often meet with, even in quarters where they
have no reason to expect it. The consequent dislike to the business
of collecting begets a habit of neglecting it. A large proportion
of their patients feel a less urgent obligation to pay them, than
they do to pay others. I know not any other reason for this than the
_intangibility_ of the favor which is bestowed by the physician. If
a man buy a coat of the tailor, or a barrel of flour of the grocer,
he has a _tangible_ memento of his obligation; for the coat is seen,
and is felt upon his back, and the flour is eaten, and makes its
_sensible_ impression on the palate and stomach. But health restored
is a thing of air, and the visits of the physician, as they have
left no memorial behind them that addresses the _senses_, are easily
forgotten. For the same reason a man will not so easily forget his
obligations to his physician if he has amputated a limb for him, as
he would if he had attended him through a course of fever. His crutch
or his wooden leg, is ever present to remind him of them. And for the
same reason also, as the tailor and grocer can get their pay more
Public-domain text, read in full here on John Shaqi.
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