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
Setting of bones wholly mechanical. There cannot be an _innate_ skill
in this, any more than there can be in any other kind of mechanics.
Explanation of bone-setting. Skill obtained in this just as in
anything else. Bone-setter _learns_ all that he actually knows, by
his own observation, and from others. It is not _born_ with him.
Gets some of his knowledge by stealth. _Errors committed by natural
bone-setters._ Supposing a fracture to be a dislocation. Injuries
of joints in which there is neither dislocation nor fracture—harm
sometimes done in such cases by the bone-setter. Failure in the
_medical_ part of the treatment in some cases. Failure in the
management of fractures. Physicians not all good bone-setters.
Mechanical tact requisite. Though so many cases of mal-practice
can be found among the patients of natural bone-setters, generally
supposed by the community to be infallible. Difficulty in getting a
verdict of damages against them. _Reasons why they, in spite of their
errors, acquire a reputation for skill._ Setting sprains. Facility
of the imposition practised. Breaking up old adhesions. Stiff joints
and contracted tendons—efficacy of rubbing. Imagined tenderness and
inability of motion. Sub-luxations—random pulling. False reports of
cases.
CHAPTER VIII.
GOOD AND BAD PRACTICE, 172
Not easy to distinguish between good and bad practice by results. If
it were, would not be such differences of opinion among physicians
and in the community. Examples of these differences. Stimulating and
depleting measures. Homœopathy, Hydropathy, Thompsonism. Quacks aware
of the difficulty in estimating comparative results—act accordingly.
No mode of practice wholly good—none wholly bad. Some good points
in all modes. Exclusive systems. Distinctions between good and bad
practice pointed out. Cases in which the question of life and death
immediately affected by practice. Failure of unskilfulness in such
cases. Interesting case. Seldom is the influence of bad practice so
manifest as in this case. Difficulty of culling out from the mass
cases which are dangerous from the first. Various causes of this.
Difficulty inherent. Cases misrepresented by mistake or wilfully.
Some said to be _very sick_ when not so. Light cases made bad by
treatment—though appear grave, apt to recover. Illustrations.
Comparisons between rival physicians as to results. Public often
mistake in such comparisons. Notice some less direct effects of bad
practice. Unnecessary complications of disease. State of system after
recovery. General state of health in families. Length of sickness.
Summing up of differences in results between good and bad practice.
Two requisites for observing these correctly. 1. Sufficient amount
of evidence. 2. Skill in observation. Community deficient in these.
Confident appeals of quacks to alleged results. Show what the
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