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
This principle of self-limitation is found in the movements of
other diseases of a less definite character than those which I have
mentioned, though it does not manifest itself so fully, and with so
much uniformity. You have already seen, that in a common inflammatory
swelling there is a regular set of processes going on to its
termination, in the restoration of the part to its healthy condition.
The tendency of the inflammation ordinarily is to finish itself, just
as is the case with any of the definitely shaped diseases, but its
rate of progress cannot be so well calculated upon. The same can be
said of inflammation of any of the organs of the body, in regard to
this tendency to come to a conclusion of itself; the ways in which
it does this varying much, according to the texture of the part
affected, and other circumstances.
The reader is now prepared to see how it is, that mistakes may be
made, by confounding the effects of remedies with the changes that
arise from the two tendencies, of which I have been speaking. These
mistakes have often been committed, even in those diseases which are
commonly simple and uniform, and definite in their shape and course.
Take, for example, small pox. It was once the custom of physicians
to give much medicine in this disease, with the idea that it was
controlled and lessened by such a course, and the system was thus
enabled to throw it off more easily and effectually. But experience
has corrected this error, and the physician now stands by, and sees
results occur in the progress of this malady without the agency of
medicine, which he used once to consider as produced, in part at
least, by the drugs that he administered. Let me not be understood
to say that no medicine at all should be given in this disease. The
office of the physician is to watch it, and if nature, in going
through the processes necessary to a favorable termination, needs to
be assisted by art, it should be done. But we should be careful not
to ascribe to art what is really effected by nature, for we should be
led by this error to a too officious interference with her efforts.
We may often do much good by medicine—we may moderate the fever,
support the strength when languishing, bring out the eruption when
it recedes, &c. But to attribute the successful termination of small
pox in all cases to the remedies which have been used, would be as
great an error as it would be to maintain that the poultices, and
other applications made to an inflammatory swelling, are of course
the cause of its suppuration and discharge—or, in other words, that
they cured the inflammation. All that can be truly said of them is,
that they assisted nature in the cure. And as these applications
may sometimes be of too stimulating a character to suit the case,
and therefore may increase and extend the inflammation; so the
remedies used in a case of small pox, if they be not actually needed,
may aggravate the disease. And if the patient recover under such
Public-domain text, read in full here on John Shaqi.
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