l and unintentional, are much seldomer told in answer to
precise than to leading questions. Another frequent error is to inquire
whether one cause remains, and not whether the effect which may be
produced by a great many different causes, _not_ inquired after,
remains. As when it is asked, whether there was noise in the street last
night; and if there were not, the patient is reported, without more ado,
to have had a good night. Patients are completely taken aback by these
kinds of leading questions, and give only the exact amount of
information asked for, even when they know it to be completely
misleading. The shyness of patients is seldom allowed for.
How few there are who, by five or six pointed questions, can elicit the
whole case and get accurately to know and to be able to report _where_
the patient is.
[Sidenote: Means of obtaining inaccurate information.]
I knew a very clever physician, of large dispensary and hospital
practice, who invariably began his examination of each patient with "Put
your finger where you be bad." That man would never waste his time with
collecting inaccurate information from nurse or patient. Leading
questions always collect inaccurate information.
At a recent celebrated trial, the following leading question was put
successively to nine distinguished medical men. "Can you attribute these
symptoms to anything else but poison?" And out of the nine, eight
answered "No!" without any qualification whatever. It appeared, upon
cross-examination:--1. That none of them had ever seen a case of the
kind of poisoning supposed. 2. That none of them had ever seen a case of
the kind of disease to which the death, if not to poison, was
attributable. 3. That none of them were even aware of the main fact of
the disease and condition to which the death was attributable.
Surely nothing stronger can be adduced to prove what use leading
questions are of, and what they lead to.
I had rather not say how many instances I have known, where, owing to
this system of leading questions, the patient has died, and the
attendants have been actually unaware of the principal feature of the
case.
[Sidenote: As to food patient takes or does not take.]
It is useless to go through all the particulars, besides sleep, in which
people have a peculiar talent for gleaning inaccurate information. As to
food, for instance, I often think that most common question, How is your
appetite? can only be put because the que
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