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 propensity has shown itself in some measure even among
physicians. Enthusiasts in our profession have always been disposed
to attribute to favorite remedies, a sort of universality in their
operation upon disease. Every new medicine that comes up to notice
has almost every kind of virtue ascribed to it by such physicians.
And it is only by long-continued and well-weighed experience, that
the statements made in relation to any remedy can be sifted, and the
real truth be discovered in regard to the degree and extent of its
efficacy, and the circumstances which should govern us in its use.
This process has been gone through with, in the case of every article
of the materia medica that has ever had any notoriety. Take for
example, digitalis. At one time, this medicine was in common use in
many diseases, and especially in consumption; and some enthusiasts,
if they did not go so far as to say that it was a certain cure
when used sufficiently early, at least extolled it as almost a
specific for this disease. The accumulated and compared experience
of physicians in regard to it has at length determined pretty nearly
its value, and while it is now used far less than it once was, it is
used more judiciously from the more definite knowledge of its effects
which this experience has gained for us.
The same remarks could be made about other articles.[6] And while the
test of experience has corrected our valuation of some remedies, and
thus enabled us to use them with more skill; there are others once
supposed to be valuable, which, under the application of this test,
have gone wholly out of use. I will mention but a single example. Dr.
Beddoes, an English physician of some note, but a great enthusiast,
thought that some of the gases might be advantageously used in the
treatment of disease. The results were said to be astonishing, and
the practice of pneumatic medicine, as it was called, became very
prevalent. I find in a work, called Medical Extracts, published in
1799, the narrative of sixty-nine cases of various diseases, said to
be cured by the respiring of these gases. Among them are certainly
some formidable maladies, such as dropsy in the head and chest,
consumption, gout, epilepsy, leprosy, scrofula, &c. Some of these
cases had been previously under the care of celebrated physicians,
and some had even been pronounced by them to be incurable. A
description given by one of the patients, a clergyman, of his
own case, almost transcends the descriptions given now-a-days by
some clergymen of the effects of some patent medicine, or of the
infinitesimal doses of homœopathy.
Now, if the respiring of these gases really did produce these
results, or any good proportion of them, the same practice would have
been in vogue now. But it has not stood the test of experience, and
therefore has been rejected. No physician at the present day thinks
of setting his patients to breathing these gases.
Public-domain text, read in full here on John Shaqi.
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