The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
Simple and obvious as this is, nobody seems as yet to discount the
effect of substituting attention for neglect in drawing conclusions from
health statistics. Everything is put to the credit of the particular
method employed, although it may quite possibly be raising the death
rate by five per thousand whilst the attention incidental to it is
reducing the death rate fifteen per thousand. The net gain of ten per
thousand is credited to the method, and made the excuse for enforcing
more of it.
STEALING CREDIT FROM CIVILIZATION
There is yet another way in which specifics which have no merits at
all, either direct or incidental, may be brought into high repute by
statistics. For a century past civilization has been cleaning away
the conditions which favor bacterial fevers. Typhus, once rife, has
vanished: plague and cholera have been stopped at our frontiers by a
sanitary blockade. We still have epidemics of smallpox and typhoid; and
diphtheria and scarlet fever are endemic in the slums. Measles, which in
my childhood was not regarded as a dangerous disease, has now become
so mortal that notices are posted publicly urging parents to take it
seriously. But even in these cases the contrast between the death and
recovery rates in the rich districts and in the poor ones has led to
the general conviction among experts that bacterial diseases are
preventable; and they already are to a large extent prevented. The
dangers of infection and the way to avoid it are better understood
than they used to be. It is barely twenty years since people exposed
themselves recklessly to the infection of consumption and pneumonia
in the belief that these diseases were not "catching." Nowadays the
troubles of consumptive patients are greatly increased by the growing
disposition to treat them as lepers. No doubt there is a good deal of
ignorant exaggeration and cowardly refusal to face a human and necessary
share of the risk. That has always been the case. We now know that the
medieval horror of leprosy was out of all proportion to the danger
of infection, and was accompanied by apparent blindness to the
infectiousness of smallpox, which has since been worked up by our
disease terrorists into the position formerly held by leprosy. But the
scare of infection, though it sets even doctors talking as if the only
really scientific thing to do with a fever patient is to throw him into
the nearest ditch and pump carbolic acid on him from a safe distance
until he is ready to be cremated on the spot, has led to much greater
care and cleanliness. And the net result has been a series of victories
over disease.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account