The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888 — John Shaqi
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888Various
Science
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888
Various
Medicine -- Periodicals
Again, a right appreciation of the status of such patients will lessen
the labors of the doctor and the lawyer in their legal aspect, and
remove the risk of failure to determine the true physical condition of
the habitué where the question of narcotic taking is the leading issue
in the case. To illustrate. Granting a general acceptance of my
assertion that the class to which this paper pertains are the subjects
of a disturbed organism, beyond their control, and for which they are
blameless; and granting an appreciation of this belief by the patients
themselves, then their main motive for concealment will be removed, and
no more reason for untruth exist than if they were the victims of any
other functional disease.
Again, the present general opinion of these patients is such that once a
case comes into court to settle the question of an opiate using, the
defendant, desirous of protecting himself, by denying his drug taking,
makes it essential that evidence be secured to disprove his statement,
and if certain signs be wanting, the habitué may quite outwit the
medical expert. The writer noted a case of this sort last summer. A
lady, cultured and refined, who had fallen a victim to morphia years
before, and who was party to a suit in court, was examined by two
well-known female physicians of this city, who, failing to apply the one
infallible test of an opiate using, testified that she was not an
habitué. They were mistaken—the lady was taking morphia, though she has
since recovered. The point involved, to spare the chagrin of such an
error, is obvious.
Lastly, what is the trend of a more rational view of this question as
regards the treatment of these cases? Reference has been made to the
statement that “no morphia habitué can be depended on to tell the
truth”—a statement so often at variance with the fact that it must be
the outcome of an experience with the baser class of cases—and I submit
the wrong of regarding _all_ as liars because _some_ fail to tell the
truth; or, added evidence of the “cruelty of ignorance;” or, an
unwarranted libel on a worthy class of unfortunates, who, Heaven knows,
have enough to bear without loading them with the reproach such an
injustice implies.
Nevertheless it is just such an opinion, and consequent lack of
confidence in the honor of these patients that influences their
management by some medical men. Looked upon as the victims of their own
wrong-doing, or as unworthy the sympathy that should ever exist between
physician and patient, or treated on the erroneous belief that such is
the only proper method, they are consigned to the brutal ordeal of
abrupt and entire opiate disusing, which, while it may end in the
desired result, entails such suffering of mind and body as to be utterly
inexcusable—because a more humane method will avail—except under
conditions peculiar and beyond control.
Public-domain text, read in full here on John Shaqi.
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