Internal medicine

“ Another difficulty is often found to arise, from the almost exclusive occupation of the physician’s mind by the diseased condition of the sufferer, the relief of which is, of course, our primary and incumbent duty. In order to give to each symptom, as well as to the whole assemblage of symptoms, a close and discriminating attention, and to adapt, with equal care, a corresponding treatment in medicine, diet and general management ”

“ If the art of keeping a community in health is but the application of plain physiological laws, it is no less true that the art of restoring the health, curative as distinct from preventive medicine, rests upon the same basis. In former days the physician was one who recognized what he called the disease of his patient, who referred to his books of precedents as a lawyer to his statutes, and who prescribed a proper remedy to cast out the disease. We now know that disease is, as the name implies, a purely subjective conception. ”

“ A new and in many respects a nobler conception of medicine has been developed. Formerly medical practice was almost exclusively a personal service to the sick individual, and measures looking toward the general relief of disease and its prevention received scanty consideration. The idea of a wider service to the city, to the state, to the nation, to humanity rather than the personal service to the individual, is becoming dominant in medicine. ”

“ In this lecture, I shall not attempt to teach you to become your own physicians, for when the barriers of health are once broken down, and disease has established itself, it requires the deepest attention, and an accurate acquaintance with the extensive science of medicine, to combat it; to attain this knowledge demands the labour of years. ”

“ The most practical medical man will admit that any illness is made lighter and more likely to recover in the presence of hope and serenity in the mind of the patient.
Naturally the great bulk of medical practice calls for no handling other than‌ that of the straight medical sort. A man comes in with a crushed finger, a girl with anæmia—the way is clear. It is only in deeper, more intricate departments of medicine that we altogether fail. The bacteriologist and the pathologist have no use for mental treatment, in their departments. ”

“ Notwithstanding all the laws enacted to raise the standard of medicine, and thus protect the public from quackery, there yet exists a disposition among many to cling to all that savors of the miraculous, or supernatural. To insure the future advancement of the healing art, physicians must instruct mankind in Physiology, Hygiene, and Medicine. When the people understand the nature of diseases, their causes, methods of prevention and cure, they will not be easily deceived, and practitioners will be obliged to qualify themselves better for their labors. ”

“ For these notes show that here too he had reached the same conclusion which we noted in the foregoing, namely, that the results produced by physicians in treating the sick depend upon securing the attention of the patient in favor of a certain diagnosis and the proper medicine to be taken for the supposed disease. In fact he says, convincingly, that “all medical remedies affect the body only through the mind.” The one who takes medicine must believe in medicine and anticipate the desired result. The result is then created by the believer. ”

“ During the past fifteen years the art of curing and preventing disease has taken on giant strides. The man or woman most ready to question the accomplishments and the ability of the humble family physician or the [650] motive of the science of medicine, is the one who appreciates least that it is due to the skill and intelligence of the medical men of to-day that he owes his comfort, his health, and his freedom from pestilence, plague and disease. ”

“ The mental association connected with the medicine is practically one of the ingredients in it, and as such has so modified its nature as to render it inappropriate to the case.
The physician can often do much in curing disease by diverting the mind of his patient. Disease is frequently broken up by producing a new action in the system. This is a principle in medical practice which is familiar to others, as well as to the physician. ”

“ PHYSICIANS' TREATMENT for Nervous Prostration.—The patient must be assured and made to believe that the disease is curable, but that it will take time and earnest help on the part of the patient. Much medicine is not needed, only enough to keep the system working well. Encouragement is what is needed from attendants. Remove the patient from the causes that produce the trouble, whether it be business, worry, over-study, too much social duties, or excesses of any kind. The patient must have confidence in the physician, and he must be attentive to the complaints of the patient. ”

“ Should she, out of respect to the resident physicians, decline to practise medicine, still she will have a noble function in the prevention of disease and physical deterioration, and in the assisting of physical development. ”

“ Physicians are only now beginning to realize that, in all phases of preventive medicine, their strongest, most necessary, and, indeed, essential ally, is the public, and the needed stimulus to a better medical per [Pg 42] formance is an intelligent knowledge on the part of the people as to what should be done. ”

“ To give medicine was often as irrational as it would be to give medicine to a tired horse dragging uphill a weight too great for him. What was needed was to unload the wagon or rest the horse; or, in human terms, to contrive methods for helping the individual to bear his own burdens in case they could not be lightened. Detailed individual study of the person, his history, circumstances, and character were frequently essential if one was to cure him of a headache, a stomach-ache, a back-ache, a cough, or any other apparently trivial ailment. ”

“ Only the healthy should keep these rules. Whoever is ill or a sufferer from any injuries, or has lost his health through bad habits, for him there are special rules for each disease, only to be found [Pg 105] in the medical books. Let it be remembered that every change in a life habit is the beginning of an ailment.
21. If no physician can be secured, then ailing people may use these rules as well as the healthy.
These rules are, of course, full of the common sense of medicine that endures at all times. ”

“ Future medicine will be largely prophylactic, preventive, sanitary, hygienic, dietetic. What holds true of medicine in general holds true of that particular branch of it that deals with neurosis. The treatment will become largely prophylactic, preventive, educational, or pedagogic. ”

“ To this end must be added the one thing needful, personal fitness, sagacity in recognizing the peculiarities of individual cases, and in adapting the treatment of them, hygienic, dietetic, and medicinal, to the special requirements of each. In a word, the physician must never forget that he has a patient as well as a disease to treat. ”

“ When there's a pain or disease, it's due to congestion of some organ, to infection, or to improper nourishment, or improper habits.
Ninety per cent of aches, pains and ailments can be cured by a dominant mental attitude and by proper attention to eating and exercise.
The habitual medicine user is not cured by the medicine but by nature; the medicine simply serves as a means to establish mental control and to create confidence in the sufferer that he is to get well. ”

“ Modern medicine, on the other hand, declares that disease must be studied in the living person of the patient. And the same disease may require different treatment, if the condition of the patient is different. ”

“ The great authorities in medicine, the men whose thought counted for most in the development of not only the science but the art of medicine, the men to whom we look back as having been great practicing physicians, have always used this remedial measure deliberately and have suggested to others that it should be so used. ”

“ The modern teachers of the art know very well how difficult is the task of combining in a satisfactory manner these two things—the safeguarding of the patient’s interests and the utilization of their maladies as object lessons for men who are preparing to cure or relieve the bodily ills of those who may at some future moment need their professional services. ”

“ For this reason it is that the physician who is chiefly trained in hospitals finds, when he enters the luxurious chambers of the rich, that the methods he once considered gentle are quite unsuited to his present clientele, with whom even the mildest medicinal measures must often be supplemented by a tonic or soothing regimen addressed not only to the malady but also to the mental and moral nature. ”

“ It is often thought that medicine is the curative process. It is no such thing; medicine is the surgery of functions, as surgery proper is that of limbs and organs. Neither can do anything but remove obstructions; neither can cure; nature alone cures. Surgery removes the bullet out of the limb, which is an obstruction to cure, but nature heals the wound. So it is with medicine; the function of an organ becomes obstructed; medicine, so far as we know, assists nature to remove the obstruction, but does nothing more. ”

“ Too often the orthodox doctor of medicine denounces the healer who overcomes apparent disease through mental suggestion or arrests a nervous breakdown in a patient by teaching that patient how to relax, when the doctor himself does not hesitate to give bread pills in the first instance and to recommend a sanitarium where relaxation is the only thing attempted in the second. ”

“ Medicine was the foster-mother of chemistry, because it has to do with the preparation of drugs and the detection of poisons; of botany, because it enabled the physician to recognize medicinal herbs; of comparative anatomy and physiology, because the man who studied human anatomy and physiology for purely medical purposes was led to extend his studies to the rest of the animal world. ”

“ The British Medical Journal of June 18, 1910, has published a series of papers by men ‘who could speak with the highest authority on the relations between mind and body, as exhibited in the phenomena of disease.’ ‘Their opinion,’ as the Journal tells us, ‘serves as an authoritative reminder that there are bodily ills which cannot be cured by pills and potions, but which yield to methods which, for want of a better word, may be called “mental” ”

“ Medicine, guarded too by preliminary impediments, and frightful medusa-heads of quackery, which deter many generous souls from entering, is of the half-articulate professions, and does not much invite the ardent kinds of ambition. The intellect required for medicine might be wholly human, and indeed should by all rules be,—the profession of the Human Healer being radically a sacred one and connected with the highest priesthoods, or rather being itself the outcome and acme of all priesthoods, and divinest conquests of intellect here below. ”

“ For, medicine being a compendium of the successive and contradictory mistakes of medical practitioners, when we summon the wisest of them to our aid, the chances are that we may be relying on a scientific truth the error of which will be recognised in a few years’ time. So that to believe in medicine would be the height of folly, if not to believe in it were not greater folly still, for from this mass of errors there have emerged in the course of time many truths. ”

“ To her, chiefly, I owed the awakening to the fact that sanitation is the supreme goal of medicine, its foundation and its crown. ”

“ I intend to study love as well as medicine, for it is one of the most mysterious and remarkable diseases that afflict mankind, and the best way to understand it is to have it. I may catch it someday, and then I should like to know how to treat and cure it.” ”

“ Was the government to prescribe to us our medicine and diet, our bodies would be in such keeping as our souls are now. ”

“ The treatment of every case of sickness must be determined ultimately for and by itself, tentatively by skilled men, and as their practical sagacity may determine, while they bear in mind that the virtues of a medicine depend less upon its intrinsic properties and powers than on the sagacity of the physician who administers it; just as the efficiency of firearms depends less upon the explosives and the missile they contain than on the judgment and accuracy of aim of the man who discharges them. ”

“ But now necessity itself made medicine to be sought out and discovered by men, since the same things when administered to the sick, which agreed with them when in good health, neither did nor do agree with them. But to go still further back, I hold that the diet and food which people in health now use would not have been discovered, provided it had suited with man to eat and drink in like manner as the ox, the horse, and all other animals, except man, do of the productions of the earth, such as fruits, weeds, and grass; ”

“ What is the use of discussing a man's abstract right to food or medicine? The question is upon the method of procuring and administering them. In that deliberation I shall always advise to call in the aid of the farmer and the physician, rather than the professor of metaphysics. ”

“ To list all the great discoveries in the field of science and medicine during the past century, such as aspirin, insulin, penicillin, and the streptomycin drugs would require the undivided attention of a medical historian and a veritable encyclopedia to record them.
And yet, there are still many diseases that plague man of which he has no knowledge. They eat and ravage his mind and body with excruciating pain and torture, and he is utterly helpless against [Pg 49] them. ”