d your patient was being poisoned, say, by a
copper kettle, you would instantly, as you ought, cut off all possible
connection between him and the suspected source of injury, without
regard to the fact that a curious mine of observation is thereby lost.
But it is not everybody who does so, and it has actually been made a
question of medical ethics, what should the medical man do if he
suspected poisoning? The answer seems a very simple one,--insist on a
confidential nurse being placed with the patient, or give up the case.
[Sidenote: What a confidential nurse should be.]
And remember every nurse should be one who is to be depended upon, in
other words, capable of being, a "confidential" nurse. She does not know
how soon she may find herself placed in such a situation; she must be no
gossip, no vain talker; she should never answer questions about her sick
except to those who have a right to ask them; she must, I need not say,
be strictly sober and honest; but more than this, she must be a
religious and devoted woman; she must have a respect for her own
calling, because God's precious gift of life is often literally placed
in her hands; she must be a sound, and close, and quick observer; and
she must be a woman of delicate and decent feeling.
[Sidenote: Observation is for practical purposes.]
To return to the question of what observation is for:--It would really
seem as if some had considered it as its own end, as if detection, not
cure, was their business; nay more, in a recent celebrated trial, three
medical men, according to their own account, suspected poison,
prescribed for dysentery, and left the patient to the poisoner. This is
an extreme case. But in a small way, the same manner of acting falls
under the cognizance of us all. How often the attendants of a case have
stated that they knew perfectly well that the patient could not get well
in such an air, in such a room, or under such circumstances, yet have
gone on dosing him with medicine, and making no effort to remove the
poison from him, or him from the poison which they knew was killing him;
nay, more, have sometimes not so much as mentioned their conviction in
the right quarter--that is, to the only person who could act in the
matter.
FOOTNOTES:
[1]
It is a much more difficult thing to speak the truth than people
commonly imagine. There is the want of observation _simple_, and the
want of observation _compound_, compounded, that is, with the
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