The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
If this was the line taken about smallpox, the microbe of which
has never yet been run down and exposed under the microscope by the
bacteriologist, what must have been the ardor of conviction as to
tuberculosis, tetanus, enteric fever, Maltese fever, diphtheria, and
the rest of the diseases in which the characteristic bacillus had been
identified! When there was no bacillus it was assumed that, since
no disease could exist without a bacillus, it was simply eluding
observation. When the bacillus was found, as it frequently was, in
persons who were not suffering from the disease, the theory was saved
by simply calling the bacillus an impostor, or pseudobacillus. The same
boundless credulity which the public exhibit as to a doctor's power of
diagnosis was shown by the doctors themselves as to the analytic
microbe hunters. These witch finders would give you a certificate of the
ultimate constitution of anything from a sample of the water from your
well to a scrap of your lungs, for seven-and-sixpense. I do not suggest
that the analysts were dishonest. No doubt they carried the analysis as
far as they could afford to carry it for the money. No doubt also they
could afford to carry it far enough to be of some use. But the fact
remains that just as doctors perform for half-a-crown, without the least
misgiving, operations which could not be thoroughly and safely performed
with due scientific rigor and the requisite apparatus by an unaided
private practitioner for less than some thousands of pounds, so did they
proceed on the assumption that they could get the last word of science
as to the constituents of their pathological samples for a two hours cab
fare.
ECONOMIC DIFFICULTIES OF IMMUNIZATION
Public-domain text, read in full here on John Shaqi.
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