appiness which escapes you, and you cannot attain it till
you are considerate.
It is inconsiderate and it is discourteous to send an immediate demand
for a physician "to come at once" if there is no urgent need for his
services, and if you have just been inspired for aid after a week's
blindness, there is no urgency in the matter. A call in an hour would
do just as well.
Take the following case: A mother discovers a small quantity of blood in
the diaper of her two months old baby. There is a larger quantity in the
afternoon and she decides to give the baby a dose of castor oil. During
the night it slept fitfully and in the morning it has a large stool as a
result of the castor oil and there is a large quantity of blood in the
stool. She sends a "rush" call for a physician. The physician discovers
the following facts: The baby is being artificially fed; it has been
vomiting its food for a week; its stools have been green, foul and
contained mucus; it had a fever for a number of days; it has lost much
weight and looked pale and sickly. The physician obtained this history
from the mother--she therefore knew the baby's condition. Why did she
delay sending for a physician? How sick did she want the child to be
before the need for aid seemed justifiable to her? Why didn't the sight
of blood in the stool suggest the need of assistance? What do the public
expect of physicians in such cases? But why ask questions? Many mothers
will doubt the existence of such a mother as is described above. They
need not; she was one of my own patients. I do not understand such
women; I only know that such mothers exist in quite large numbers. This
particular mother has other children; she is a good housekeeper, is
personally attractive, and is thought well of in the community. If such
seemingly heartless conduct can spring from such a source is it not
evidence of the fact that the average mother needs instruction, needs
education, and does it not bespeak the need of eugenics being sown
broadcast throughout the land?
Delays are dangerous in all sicknesses that last, despite a thorough
cleaning out of the bowels. To wait, hoping that "things will change,"
is bad practice. It is unjust to the medical profession, and it is
infinitely more unjust to the victim.
There are two kinds of surgical operations--those of choice and those of
necessity.
Every one knows about the operations of necessity, most of which must
be performed as a result o
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