The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888Various
Science
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888
Various
Medicine -- Periodicals
The physician complains that the apothecary exceeds his function by
prescribing for the sick. A person applies to the pharmacist for a
remedy for a specified disease. The latter consults the dispensatory,
finds a number of medicines mentioned in the therapeutical index under
the name of that malady, selects one, and sells the article to the
patient. He regards the protest of the doctor merely as the wail of one
who is disappointed at not getting a fee for prescribing. The physician
has a right to complain of those who prescribe for any but the indigent
without a professional fee, for this makes it vastly harder for him to
collect the charges to which he is entitled; but he has higher ground
than this. With him the first step in every case of disease is
diagnosis, without which prescribing is simply drawing a bow at a
venture, with small probability of penetrating a joint of the harness;
and he insists that neither the apothecary nor the patient is qualified
to make a diagnosis. The determination of the character of a disease is
not a simple matter, often baffling the profoundest learning and the
broadest experience, and, in most cases, requiring special knowledge and
discriminating judgment. The most obtrusive symptoms are by no means
necessarily the most characteristic; a given symptom may be the
accompaniment of different diseases, and sometimes attends pathological
changes of diametrically opposite nature. But one who is uninstructed in
this branch has nothing but symptoms to guide him, and therefore
frequently, if not commonly, is led into error, which may produce the
gravest results. The educated physician is the only person who is
equipped to solve the problems of disease; and it is, in the long run,
cheapest, even from the financial point of view, for one who is ill to
obtain competent medical advice. Therefore, considering merely the
welfare of the patient, the physician deplores the custom of
counter-prescribing.
Public-domain text, read in full here on John Shaqi.
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