This was my opinion before I made any special study of therapeutics, and
while studying I found numbers of prominent medical men who agree with me.
One of them says that the "criticisms," quarrels, contradictions, and
inconsistencies of medical men are doing more to lower the profession in
the estimation of the intelligent laity and to cause people to follow the
fads of "new schools" than all else combined.
Think for a moment of some of these inconsistencies and contradictions.
One doctor in a town tells the people that he "breaks up" typhoid fever.
His rival, perhaps from the same college, tells the people that typhoid
must "run its course" and cannot be broken up, and that any man who claims
the contrary is a liar and a shyster. One surgeon makes a portion of the
people believe he has saved dozens of lives in that community by surgical
operations; the other physicians of the town tell the people openly, or at
least hint, that there has been a great deal of needless butchery
performed in that community in the name of surgery. And then the people
see editorials in the daily press about the fad of having operations
performed, and read in their health culture or Osteopathic journals from
articles by the greatest M.D.s, in which it is admitted that surgery is
practiced too largely as a graft. Professor Osler is quoted as saying:
"Surgeons are finding altogether too many cases of appendicitis these
days. Appendicitis is becoming so common and so easily detected that
the physician's wife can diagnose a case of it over the telephone."
One leading physician says medical treatment has little beneficial effect
on pneumonia; another claims to be able to cure it, and lets the friends
of his patient rely entirely on his medicine in the most desperate cases.
Another says the main reliance should be heat. Another says ice-packs.
Another says Antiphlogistine. Another says, "All those clay preparations
are frauds, and the only safe way to treat pneumonia is by blood letting."
Thus it goes, and this is only a sample of contradictions that arise in
the treatment of diseases.
Nor is the above an overdrawn picture. Most of it was from the journal of
the editor who said he refused to send it to a layman who had sent his
money in advance. But all that same stuff has been hashed and rehashed to
the people through the sources I have already mentioned. There are not
only these evidences of inconsistencies to edify (?) the people, but
constantly recurring examples of incompetency and pretensions.
There is no doubt a middle ground in all this, but it is not evident to
the casual observer. If the true physician would honestly admit his
limitations to the intelligent laity, much of this muddle would be
avoided. While by such a course he may occasionally temporarily lose a
patient, in the end both the public and profession would gain. The time
has gone by to "assume an air of infallibility toward the public."
CHAPTER V.
Public-domain text, read in full here on John Shaqi.
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