The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
And here we come to the danger that terrifies so many of us: the danger
of having a hygienic orthodoxy imposed on us. But we must face that: in
such crowded and poverty ridden civilizations as ours any orthodoxy
is better than laisser-faire. If our population ever comes to consist
exclusively of well-to-do, highly cultivated, and thoroughly instructed
free persons in a position to take care of themselves, no doubt they
will make short work of a good deal of official regulation that is now
of life-and-death necessity to us; but under existing circumstances, I
repeat, almost any sort of attention that democracy will stand is better
than neglect. Attention and activity lead to mistakes as well as
to successes; but a life spent in making mistakes is not only more
honorable but more useful than a life spent doing nothing. The one
lesson that comes out of all our theorizing and experimenting is that
there is only one really scientific progressive method; and that is the
method of trial and error. If you come to that, what is laisser-faire
but an orthodoxy? the most tyrannous and disastrous of all the
orthodoxies, since it forbids you even to learn.
THE LATEST THEORIES
Medical theories are so much a matter of fashion, and the most fertile
of them are modified so rapidly by medical practice and biological
research, which are international activities, that the play which
furnishes the pretext for this preface is already slightly outmoded,
though I believe it may be taken as a faithful record for the year
(1906) in which it was begun. I must not expose any professional man to
ruin by connecting his name with the entire freedom of criticism which
I, as a layman, enjoy; but it will be evident to all experts that my
play could not have been written but for the work done by Sir Almroth
Wright in the theory and practice of securing immunization from
bacterial diseases by the inoculation of "vaccines" made of their own
bacteria: a practice incorrectly called vaccinetherapy (there is nothing
vaccine about it) apparently because it is what vaccination ought to be
and is not. Until Sir Almroth Wright, following up one of Metchnikoff's
most suggestive biological romances, discovered that the white
corpuscles or phagocytes which attack and devour disease germs for us do
their work only when we butter the disease germs appetizingly for them
with a natural sauce which Sir Almroth named opsonin, and that our
production of this condiment continually rises and falls rhythmically
from negligibility to the highest efficiency, nobody had been able
even to conjecture why the various serums that were from time to time
introduced as having effected marvellous cures, presently made such
direful havoc of some unfortunate patient that they had to be dropped
hastily. The quantity of sturdy lying that was necessary to save the
credit of inoculation in those days was prodigious; and had it not been
for the devotion shown by the military authorities throughout Europe,
Public-domain text, read in full here on John Shaqi.
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