The longer I practise medicine, the more convinced I am there are only two types of cases: those that involve taking the trousers off and those that don't.
In acute diseases the physician must conduct his inquiries in the following way. First he must examine the face of the patient, and see whether it is like the faces of healthy people, and especially whether it is like its usual self. Such likeness will be the best sign, and the greatest unlikeness will be the most dangerous sign. The latter will be as follows. Nose sharp, eyes hollow, temples sunken, ears cold and contracted with their lobes turned outwards, the skin about the face hard and tense and parched, the colour of the face as a whole being yellow or black.
Everything but truth becomes loathed in a sick-room ... Let the nurse avow that the medicine is nauseous. Let the physician declare that the treatment will be painful. Let sister, or brother, or friend, tell me that I must never look to be well. When the time approaches that I am to die, let me be told that I am to die, and when.
Look around you: there is not a doctor who desires the health of his friends, not a soldier who desires peace for his country.
Of tobacco and its consequences, I will say nothing but that the practice is at too bad a pass to leave hope that anything that could be said in books would work a cure. If the floors of boarding-houses, and the decks of steam-boats, and the carpets of the Capitol, do not sicken the Americans into a reform; if the warnings of physicians are of no avail, what remains to be said? I dismiss the nauseous subject.
How many physicians, scientists, teachers, pastors, missionaries, statesmen, musicians, businessmen, and notable contributors to society have been murdered in the womb?
If migraine patients have a common and legitimate second complaint besides their migraines, it is that they have not been listened to by physicians. Looked at, investigated, drugged, charged, but not listened to.
There is but one power which heals—that is God. The state or condition through which the healing takes place is the confidence of the heart. By some this state is reached through pills, powders, and physicians. By others through hygiene, fasting, and prayer. By others through direct perception.
It was an odd relationship, but then she was an extraordinary woman: a prioress who doubted much of what the church taught; an acclaimed healer who rejected medicine as practised by physicians; and a nun who made enthusiastic love to her man whenever she could get away with it. If I wanted a normal relationship, Merthin told himself, I should have picked a normal girl.
The theory of medicine, therefore, presents what is useful in thought, but does not indicate how it is to be applied in practice-the mode of operation of these principles. The theory, when mastered, gives us a certain kind of knowledge. Thus we say, for example, there are three forms of fevers and nine constitutions. The practice of medicine is not the work which the physician carries out, but is that branch of medical knowledge which, when acquired, enables one to form an opinion upon which to base the proper plan of treatment.
I fear that many of us rush about from day to day taking for granted the Holy Scriptures. We scramble to honor appointments with physicians, lawyers, and businessmen. Yet we think nothing of postponing interviews with Deity postponing scripture study. Little wonder we develop anemic souls and lose our direction in living. How much better it would be if we planned and held sacred fifteen or twenty minutes a day for reading the scriptures. Such interviews with Deity would help us recognize his voice and enable us to receive guidance in all of our affairs.
Although physicians, as part of their training, are taught that the dosage of a drug that is prescribed for the patient must be very carefully determined and controlled, they seem to have difficulty in remembering that the same principle applies to the vitamins.
The physician must be able to tell the antecedents, know the present, and foretell the future — must mediate these things, and have two special objects in view with regard to disease, namely, to do good or to do no harm.
A physician is not angry at the intemperance of a mad patient, nor does he take it ill to be railed at by a man in fever. Just so should a wise man treat all mankind, as a physician does his patient, and look upon them only as sick and extravagant.
The evidence is overwhelming that marijuana can relieve certain types of pain, nausea, vomiting and other symptoms caused by such illnesses as multiple sclerosis, cancer and AIDS - or by the harsh drugs sometimes used to treat them. And it can do so with remarkable safety. Indeed, marijuana is less toxic than many of the drugs that physicians prescribe every day.
We know the average American physician interrupts their patient in 14 seconds.
Certainly when I got to medical school, I had role models of the kind of physicians I wanted to be. I had an uncle who, looking back, was probably not the most-educated physician around but he carried it off so well.
You and I, we must carry on, Gemma. I cannot afford the luxury of love. I must marry well. And now I must look after you. It is my duty." "If you wish to suffer, you do so of your own free will, not on my behalf. Or Father's or Grandmama's or anyone's. You are a fine physician, Thomas. Why is that not enough?" "Because it isn't," he says with a rare candor. "Only this and the hope of nothing more? A quiet respectability with no true greatness or heroism in it, with only my reputation to recommend me. So you see, Gemma, you are not the only one who cannot rule her own life.
As a physician I have sympathy for patients suffering from pain and other medical conditions. Although I understand many believe marijuana is the most effective drug in combating their medical ailments, I would caution against this assumption due to the lack of consistent, repeatable scientific data available to prove marijuana's benefits. Based on current evidence, I believe that marijuana is a dangerous drug and that there are less dangerous medicines offering the same relief from pain and other medical symptoms.
Every politician, clergyman, educator, or physician, in short, anyone dealing with human individuals, is bound to make grave mistakes if he ignores these two great truths of population zoology: (1) no two individuals are alike, and (2) both environment and genetic endowment make a contribution to nearly every trait.
The freedom of patient speech is necessary if the doctor is to get clues about the medical enigma before him. If the patient is inhibited, or cut off prematurely, or constrained into one path of discussion, then the doctor may not be told something vital. Observers have noted that, on average, physicians interrupt patients within eighteen seconds of when they begin telling their story.
It is the doctors who desert the dying and there is so much to be learned about pain.
I might have made a tactical error not going to a physician for 20 years. It was one of those phobias that didn't pay off.
Of several remedies, the physician should choose the least sensational.
Christ is never fully valued, until sin is clearly seen. We must know the depth and malignity of our disease, in order to appreciate the great Physician.
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