Health and Beauty

1883

Medical Essays - Currents and Countercurrents

My attack on over-drugging brought out some hostile comments and
treatment. Thirty years ago I expressed myself with more vivacity
than I should show if I were writing on the same subjects today.
Some of my more lively remarks called out very sharp animadversion. Thus my illustration of prevention as often better than treatment in the mother's words to her child which had got a poisonous berry in its mouth,--"Spit it out!" gave mortal offence to a well-known New York practitioner and writer, who advised the Massachusetts Medical Society to spit out the offending speaker. Worse than this was my statement of my belief that if a ship-load of miscellaneous drugs, with certain very important exceptions,--drugs, many of which were then often given needlessly and in excess, as then used "could be sunk to the bottom of the sea, it would be all the better for mankind and all the worse for the fishes." This was too bad. The sentence was misquoted, quoted without its qualifying conditions, and frightened some of my worthy professional brethren as much as if I had told them to throw all physic to the dogs. But for the epigrammatic sting the sentiment would have been unnoticed as a harmless overstatement at the very worst.

Since this lecture was delivered a great and, as I think, beneficial
change has taken place in the practice of medicine. The habit of the
English "general practitioner" of making his profit out of the pills
and potions he administered was ruinous to professional advancement and the dignity of the physician. When a half-starving medical man felt that he must give his patient draught and boluses for which he could charge him, he was in a pitiable position and too likely to persuade himself that his drugs were useful to his patient because they were profitable to him. This practice has prevailed a good deal in America, and was doubtless the source in some measure of the errors I combated.

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