The Hospital Bulletin, Vol. V, No. 2, April 15, 1909Various
Philosophy
The Hospital Bulletin, Vol. V, No. 2, April 15, 1909
Various
Medical colleges -- Alumni and alumnae -- Maryland -- Baltimore -- Periodicals; Medicine -- Periodicals
Would you be ethical in giving the best that is in you to your patients,
you must give ungrudgingly of your time. This may again seem a useless
piece of advice, and yet almost all of us are familiar with the man
whose motto is "Veni, Vidi, Vici"--"I came, I saw, I conquered." This
intuitive diagnostician is by no means a myth. The man who comes in a
rush and goes in a rush, and who, with pencil in one hand and
prescription pad in the other, feels the pulse while the thermometer is
under the tongue; who sees at a glance, without necessity of personal or
family history or of physical examination, just what is the matter, and
who, giving four or five prescriptions, rushes out, trusting that
something in his shotgun therapy may hit the enemy. Perhaps the next day
he prescribes four or five more remedies or combination of remedies, and
should the patient begin to improve, prides himself that he has made and
confirmed a diagnosis by his experimental therapy. Is it necessary for
me to say that no ethical man with any regard for the rights of his
patients and his obligation to his profession can really practice
medicine in this manner? The plea that you are too busy to give the
proper time to your cases is no justification for your neglect. Anything
less than a careful inquiry into family and personal history, followed
by a painstaking and thorough physical examination, is unjust to your
patient and unjust to yourself. No ethical man can give the best that is
in him by doing less than this. If you haven't the time to do your work
thoroughly, make a clean breast of the matter and take fewer cases. But
you will say that a man, even in large practice, cannot afford to give
any of it up. He needs every dollar that honestly comes his way, and to
say that he hasn't time for his work is only another way of throwing
practice into the hands of a rival. This is, indeed, a proposition hard
to solve, as most of us do need every dollar that honestly comes our
way; but if our work is only half done, if we have neglected some
important point in diagnosis, and thereby omitted some equally important
measure in treatment, have our dollars been honestly earned? Let us
start out with and carry in mind this axiom of a truly ethical life,
that success in medicine cannot be measured by commercial success; that,
while no sensible man can neglect the business side of his vocation, or
refuse to demand and collect just compensation for his service, such
compensation cannot be measured in dollars and cents alone; that a good
conscience and whole-souled devotion to duty, giving ungrudgingly of the
very best that is in you to those that have confided in you, will be
your very best asset when the final account is made up.
Public-domain text, read in full here on John Shaqi.
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