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If there is one operation for a disease, you know it works. If there are fifteen operations, you know that none of them work.
— Sherwin B. Nuland
surgeon, writer, non-fiction writer
1930 – 2014
If there is one operation for a disease, you know it works. If there are fifteen operations, you know that none of them work.
Tradition is a persuasive teacher, even when what it teaches is erroneous.
Long after the theories on which they were based had been debunked, Galen's concepts of sickness and its treatment continued to have a pervasive influence on the daily practice of medicine. Indeed, it is a measure of medicine's progress over the past fifty years that a goodly number of his remedies were still being used until well into the twentieth century.
Even putting aside the Judeo-Christian morality upon which the Constitution and our nation's culture are based, the notion of forced euthanasia would contradict the long-held body of medical ethics to which all American doctors must adhere.
Poets, essayists, chroniclers, wags, and wise men write often about death but have rarely seem it. Physicians and nurses, who see it often, rarely write about it.
With deep sedation or the blessed respite of terminal coma that comes to some at the end of a difficult struggle, the actual hour when the heart stops is indeed often tranquil. Many do, in this way, avoid a tormented passage; but many others are in physical and mental distress till nearly the last moment, or even at the last moment.
The tendency toward mysticism is ingrained in human nature. Superstition, religion, and medicine have made their long journey together, and even now are unable to let go of one another's hands.
In its own unhurried way, age soundlessly and with persistence treads ever closer behind us on slippered feet, catches up, and finally blends itself into us—all while we are still denying its nearness.
The later decades of a life become the time for our capabliites to find an unscattered focus, and in this way increase the force of their concentraled worth.
Too many of the elderly do not have the family or the communal attachments necessary to feel valued; too many are widowed or otherwise alone; too many live in surroundings where they are essentially without the companionship necessary to stimulate a mind in danger of deteriorating.
Where the despair of loneliness and poverty haunts every hour, the optimism to embark on new projects cannot find a place to alight on the brain's cortex. Poverty itself is an enormous obstacle to an enlightened and enlightening - not to say healthy - old age.
Long regarded as central to the contemporary understanding of medical ethics are four principles that must be satisfied in order to fulfill the requirements of moral decision-making. These principles are autonomy, justice, beneficence, and non-maleficence.
The growing professional disciplines of medical ethics and bioethics have had a profound impact on researchers, bedside doctors, associations of physicians, and government.
The writings and the recommendations of the earliest medical scientists and the new breed of clinicians between the mid-fifteenth and early seventeenth centuries were based on the supposition that sufficient study and experimentation would elucidate not only the origins of disease, but its treatment as well.
I never had a conscious fear of death, but I did have a conscious fear of sickness. By the time I completed medical school, that fear was gone.
Long regarded as central to the contemporary understanding of medical ethics are four principles that must be satisfied in order to fulfill the requirements of moral decision-making. These principles are autonomy, justice, beneficence, and non-maleficence.
Every hope of successive generations of scholars that order might be constructed from the chaotic mess of medical nomenclature has been frustrated. Even diseases recognized in the same historical period have been given names based on characteristics that have no relation to one another, and thus no common criteria.
Medical judgment can be taught - laboriously, in long periods of training - but it cannot be neatly handed over as the occasion demands it. It is the irreplaceable and untransferable contribution that the healer makes to the suffering individual who would be healed.
Too many of the elderly do not have the family or the communal attachments necessary to feel valued; too many are widowed or otherwise alone; too many live in surroundings where they are essentially without the companionship necessary to stimulate a mind in danger of deteriorating.
By the time of my ninth birthday, I had become a bit of a socialist, as I am said by conservative colleagues to be to this day. I went on within the next few years to volunteer as an envelope stuffer for the American Labor Party, and my political thinking has not shifted measurably since that time.
