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Medical Essays, 1842-1882 By: Oliver Wendell Holmes (1809-1894) |
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By Oliver Wendell Holmes 1842 1882
CONTENTS: I. HOMEOPATHY AND ITS KINDRED DELUSIONS II. THE CONTAGIOUSNESS OF PUERPERAL FEVER III. CURRENTS AND COUNTER CURRENTS IN MEDICAL SCIENCE IV. BORDER LINES OF KNOWLEDGE IN SOME PROVINCES OF MEDICAL SCIENCE V. SCHOLASTIC AND BEDSIDE TEACHING VI. THE MEDICAL PROFESSION IN MASSACHUSETTS VII. THE YOUNG PRACTITIONER VIII. MEDICAL LIBRARIES IX. SOME OF MY EARLY TEACHERS
PREFACE. The character of the opposition which some of these papers have met with
suggests the inference that they contain really important, but unwelcome
truths. Negatives multiplied into each other change their sign and
become positives. Hostile criticisms meeting together are often
equivalent to praise, and the square of fault finding turns out to be
the same thing as eulogy. But a writer has rarely so many enemies as it pleases him to believe.
Self love leads us to overrate the numbers of our negative constituency.
The larger portion of my limited circle of readers must be quite
indifferent to, if not ignorant of, the adverse opinions which have been
expressed or recorded concerning any of these Addresses or Essays now
submitted to their own judgment. It is proper, however, to inform
them, that some of the positions maintained in these pages have been
unsparingly attacked, with various degrees of ability, scholarship,
and good breeding. The tone of criticism naturally changes with local
conditions in different parts of a country extended like our own, so
that it is one of the most convenient gauges of the partial movements in
the direction of civilization. It is satisfactory to add, that the views
assailed have also been unflinchingly defended by unsought champions,
among the ablest of whom it is pleasant to mention, at this moment of
political alienation, the Editor of the Charleston Medical Journal. "Currents and Counter Currents" was written and delivered as an Oration,
a florid rhetorical composition, expressly intended to secure the
attention of an audience not easy to hold as listeners. It succeeded
in doing this, and also in being as curiously misunderstood and
misrepresented as if it had been a political harangue. This gave it more
local notoriety than it might otherwise have attained, so that, as I
learn, one ingenious person made use of its title as an advertisement to
a production of his own. The commonest mode of misrepresentation was this: qualified
propositions, the whole meaning of which depended on the qualifications,
were stripped of these and taken as absolute. Thus, the attempt to
establish a presumption against giving poisons to sick persons was
considered as equivalent to condemning the use of these substances.
The only important inference the writer has been able to draw from the
greater number of the refutations of his opinions which have been kindly
sent him, is that the preliminary education of the Medical Profession is
not always what it ought to be. One concession he is willing to make, whatever sacrifice of pride it
may involve. The story of Massasoit, which has furnished a coral, as it
were, for some teething critics, when subjected to a powerful logical
analysis, though correct in its essentials, proves to have been told
with exceptionable breadth of statement, and therefore (to resume
the metaphor) has been slightly rounded off at its edges, so as to
be smoother for any who may wish to bite upon it hereafter. In
other respects the Discourse has hardly been touched. It is only an
individual's expression, in his own way, of opinions entertained by
hundreds of the Medical Profession in every civilized country, and has
nothing in it which on revision the writer sees cause to retract or
modify. The superstitions it attacks lie at the very foundation of
Homoeopathy, and of almost every form of medical charlatanism. Still
the mere routinists and unthinking artisans in most callings dislike
whatever shakes the dust out of their traditions, and it may be
unreasonable to expect that Medicine will always prove an exception to
the rule... Continue reading book >>
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