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
The undue reliance which is placed upon positive medication is also
seen in the disposition, which is so very common, to demand of the
physician, that he shall be doing something all the time to overcome
the disease. They who make this demand, do not reflect, that in the
warfare with disease, as well as in every other warfare, there are
times to do, and _times also to rest from doing_. In some cases,
indeed, there are periods when it would be certain death to the
patient to employ any positive agencies of any amount, of power. It
was the remark of a shrewd old physician, who was often found fault
with for giving so little medicine, that it takes as much knowledge
to know _what not to do_, as it does to know what to do? This is an
important truth; and I have not a doubt that, in the practice of
every physician, who is disposed to give much medicine, sickness
often results in death in really curable cases, simply because he
did not know what _not_ to do, and therefore did what he ought to
have left undone. And yet those who drug their patients freely, are
more apt to satisfy the mass of the community, than those who place
less reliance upon positive medication. The friends of persons who
have died, often remark, as a matter of consolation, that they are
sure enough was done, that no means of relief that was suggested
was left untried, &c., not seeming to dream that it was possible
that too much was done. It appears sometimes to be the idea of the
friends of the sick, that one remedy after another must be tried,
in order to overcome the disease, until the effectual one is found;
and that all the remedies which fail in this trial, simply fail, and
do no positive harm. Accordingly, when any grave case occurs, they
are disposed to call in many physicians, one after another, with
the idea that “one may think of something that another did not.”
And they are satisfied with no one who is thus called in, unless he
recommend to the attending physician some medicine or measure, that
has not yet been tried in the case. If he recommend the lessening
of some medicine in quantity, or the discontinuance of it, this
does not satisfy such persons, though the change may be of so great
importance, that it may be justly considered as an entirely new
course of treatment—as really new as it would be, if a new set of
remedies were adopted.
It is a very common idea, that medicines have a sort of natural
relation to disease. This idea appears in different forms. Some
talk about disease as if it were a palpable thing, which is to be
attacked, to be hit, to be driven out, or drawn out from its hiding
place; and they suppose that there are certain remedies which are
calculated to effect these different objects. They therefore speak
of the drawing off of “bad matter,” by a blister, and of the “bad
blood,” which is taken from one by bleeding, as if the disease itself
in palpable shape, was abstracted in these ways from the system.
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