Social Work; Essays on the Meeting Ground of Doctor and Social WorkerCabot, Richard C. (Richard Clarke)
Science
Social Work; Essays on the Meeting Ground of Doctor and Social Worker
Cabot, Richard C. (Richard Clarke)
Charities, Medical; Friendly visiting; Medical social work -- United States; Social service
Let us take fatigue in some of its very simple phases, as it applies to
your life and mine. The first thing to recognize is that it can affect
any organ; our stomachs can get tired just as well as our legs. When a
patient complains of pain, vertigo, nausea, we first ask ourselves,
"What disease has he got?" That is correct. Disease must be found if it
is there. But the chances are he has no disease, but only a tired
stomach, since fatigue easily and frequently affects that organ. When
the whole person has been strained by physical, moral, and especially by
emotional work, he may give out anywhere. He may give out in his weakest
spot, as we say. That weak spot is different in different people.
Therefore the study must be individual. We cannot do anything important
with our own lives until we learn how and when we get tired. It is the
same with people whom we try to help in social work.
Fatigue, then, may be _referred_ to any particular spot in the body.
People often go to an oculist to see what is the matter with their eyes,
when there is nothing in the world the matter with their eyes: the
honest oculist tells them that they are tired, and that for some reason
unknown to him their fatigue expresses itself in the eyes.
This is a very common and very misleading fact. The patient finds it
hard to believe that medicine ought seldom to be put on the spot where
he feels his pain. If the pain is in his stomach he wants some medicine
to put in his stomach and not a harangue on his habits, which is usually
the only thing we can really do to help him. If he has a pain in his
back he wants a plaster or a liniment for his back. It is very hard to
get people out of that habit of mind, and we shall surely fail unless
we are clear about it ourselves. It must be perfectly clear in our
minds, or better, in our own experience, that fatigue may be referred to
one spot or to another, in such a way as seriously to mislead us. I
suppose that half of all the pains that we try to deal with in a
dispensary--and pain, of course, is the commonest of complaints--are not
due to any local or organic disease in the part. Doubtless there are
some wholly unexplored diseases or disturbances of nutrition in that
part, as there may be in the eyes when they ache because you have been
walking up a mountain. But medical science knows nothing about that.
What we do know is that the pain, if it is to be helped, will be helped
not by thinking about that spot or doctoring it, but by trying to get
that person rested.
Public-domain text, read in full here on John Shaqi.
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