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 truly judicious physician, in contrast with all these, is
neither bewildered nor precipitate. He takes a rapid view of all the
circumstances of the case, and looks carefully at the important and
perplexing questions which start up one after another in his mind,
and then decides intelligently, coolly, and definitely upon his plan
of treatment. He may err, it is true; but if he does, it is not his
fault, for he has made use of all possible precautions to prevent
error. The plan which he fixes upon, he does not pursue obstinately,
as being, without a doubt, the best. While it is that which he
believes to be the best at the time, he watches its progress, and
if he see reason afterward to alter it, he does so. Aware of the
uncertainty of his knowledge, while he decides at every step what it
is best to do, he is ready to reverse that decision, and change his
course, whenever any new development in the case shall call for it.
Sometimes he decides that it is best to wait and watch the movements
of the case. Many seem to demand that he shall pursue an active
course of treatment all the time, to conquer the disease—that he
shall be keeping up a constant cannonade upon it from beginning to
end, not reflecting that if he do so, many of his shots must be worse
than lost. And some physicians yield to this demand, and pursue this
destructive course. The public call them bold practitioners; and
they do gain some apparently splendid victories over disease; but if
the results of their whole campaign (to carry out the illustration)
could be fairly estimated, they would be found not to deserve the
reputation for success, which is accorded to them. The prudent and
judicious physician, like the prudent and judicious general, fires
as few random shots as possible, taking good care, too, that he hit
none but enemies—husbands carefully all his resources—rests from his
battle with disease whenever it is best to do so, maintaining, for
the time, a “masterly inactivity”—retreats when he finds his line
of movement is likely to prove disastrous—calculates probabilities
as accurately as he can at every step, and endeavors to make every
measure tell upon the great result, avoiding, as far as possible,
those which will not, and especially those which will hinder or
defeat it.
Public-domain text, read in full here on John Shaqi.
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