Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community — John Shaqi
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
Sometimes the physician finds that he must be satisfied for the
present with but a partial view of the case before him. He sees
that there are some agencies at work, which are hidden from his
view. Under such circumstances, while the careless and adventurous
practitioner makes up his theory of the case confidently, and acts
upon it, supplying what is not known from his own imagination, and
mingling all together in one confused mass; the judicious physician,
on the other hand, cautiously distinguishes between what he actually
knows and what may be supposed, acts upon this knowledge, and watches
for farther developments to clear up what is doubtful. He treats
the case according to the indications of the presenting symptoms,
carefully scrutinizing the effects of his remedies. Perhaps he
succeeds in cutting off at first some of the tributaries of the
disease; and, by so doing, patiently and perseveringly, he at length
comes at the main disease—the starting point of the whole case.
In pointing out the characteristics of medical skill, allusion was
made to the quantities and forms in which remedies are administered.
These must, of course, be varied to suit each individual case.
Sometimes a very nice adaptation is necessary, especially in regard
to quantity. A remedy, which is appropriate to a case, may be given
in such a quantity as to be injurious. The use of a medicine may be
continued too long. It may have accomplished all the good that it
can; and the continuance of it will do harm, perhaps even beyond the
undoing of all the good which it has effected. Sometimes a change
occurs in the condition of the patient of such a character, that a
remedy, which has been up to that time beneficial in its influence,
will now produce bad results. Medicine is often continued under such
circumstances. Such are some of the errors to which the physician is
liable in regard to the quantity of medicine to be given, if he be at
all loose in his habits of observation.
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