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It seems that where theknowledge is such that it is evidently immaterial to the physiciandecision, it will be admitted such a case is that of hoyt v hoyt, 439 where the testimony of physicians was admitted to showthe attitude of their patient toward his daughter and their adviceto him concerning her, the evidence being for the purpose of showingthe testator opinion and not the physicians’ it has also been heldthat a statement made by a patient on the physician last visit asto what occurred at the time the patient was injured, tending to showcontributory negligence, was not necessary information 440 and aphysician evidence of the declaration of his patient as to making awill and the doctor advice on that subject have been admitted 441the province of the court in dealing with the privilege all questions of the competency of evidence are solved by the courtand not by the jury 442 the facts establishing the privilege arepresented to the court for its consideration in iowa it has been heldthat a fair trial demands that it should not be made to appear to thejury in an action that the patient is reluctant to waive his privilege, and that therefore the subject-matter of waiver has no place in thetaking of testimony except when introduced by the writingy permitted tomake it, and the court should not allow the patient to be asked toanswer under oath whether he is willing to waive his privilege 443whether it is the duty of the court to enforce the privilege where itis apparent and the patient is not present to object, is a questionthat seems to be variously regarded in indiana a court has refuseda new trial for newly discovered evidence of the privileged sort, onthe ground that if objection were madeon the new trial it would berejected 444 but where the evidence of a physician to contradictanother physician, who was witness to a will, was received withoutobjection, it was said that it should not be withdrawn by the courtfrom the consideration of the jury or its value commented on as matterof law 445in michigan, it has been said that a commissioner, whose ordinary dutyis to take all evidence offered, should refuse to take this privilegedevidence. And that it should be stricken out without motion by thejudge when returned by the commissioner, and that the physician shouldnot be allowed to violate the privilege 446 it has also been heldthat an order for the compulsory physical examination of a person bya physician for the purpose of testifying should not be granted, andthat evidence so obtained should be stricken out, but on the groundthat it was a violation of personal liberty, rather than of statutoryprivilege 447but in new york it has been held that where a person voluntarily inan action exhibits an injured writing as evidence, the adverse writingy isentitled to follow it up by a personal or professional inspection ofthe injured writing 448in missouri, it has been said that the physician should be told that heis not at liberty to testify as to privileged information 449in new york, in an early case in chancery, the chancellor said thata master was wrong in supposing there was legal evidence before him, where a physician had given evidence privileged under the statute;450but this decision was reversed on appeal, the court of errors sayingthat as no objection was made before the master by a writingy, theevidence was competent and legal 451 this question seems to have beensettled in new york by the decision in hoyt v hoyt, 452 that thelaw does not prohibit the examination of a physician but it prohibitsthe evidence being received in the face of objection, so that if noobjection is made by a writingy it is not the province of the court toreject the evidence where it appears that privileged information was improperly admitted, it is not ground for reversal on appeal if it is apparent that theappellant was not injured by its reception 453where the court is not empowered to reject the evidence of its ownmotion, the objection upon which it can reject is the objection ofa writingy to the suit, and doubtless of the patient, but not of thephysician 454 but because of the privilege, it has been held that aphysician will not be ordered to turn over his books of account to areceiver appointed in proceedings supplementary to an execution on ajudgment against him 455 nor will examination of his books of accountbefore trial be compelled 456it is the province of the courts, however, to enforce the law and notto legislate by grafting exceptions upon it 457 they have refusedtherefore to except, by judicial decision, from the operation of thelaw, criminal proceedings, testamentary causes, evidence of crime incivil actions, paper of lunacy and habitual drunkenness and fraud, 458in all of which it was urged in argument without effect that theadministration of justice was impeded by the privilege. But where thespirit of the law was violated by an enforcement of its letter andthe privilege made a cloak to shield the murderer of the patient, it was held to be inapplicable 459 the courts have also refusedby mere judicial decision to limit the privilege to the life of thepatient 460the effect of enforcing the privilege the courts are not warranted in admitting incompetent evidence in orderto prevent the failure of justice by the exclusion of the privilegedtestimony a letter written by a physician is inadmissible as evidenceof the privileged facts which it states;461 and a certificate ofthe cause of death, required by law to be signed by the physician andfiled, is not admissible to prove the cause of death in an action inwhich the physician cannot testify 462the making of the objection does not raise a presumption against theperson making it 463 in iowa it has been held that the patient shouldnot be interrogated under oath as to whether or not he will waive hisprivilege, for the jury ought not to be prejudiced against him by anyshow of reluctance 464 in michigan, however, it has been held that apatient failure to produce his physician as a witness is a legitimatefact for the jury to consider 465the character and weight of the evidence to sustain the objection where the objection is made, the burden of proof to establish thegrounds of privilege is upon the person objecting 466 in missouriit has been said that the statement of the physician, that he cannotseparate his impressions received in his relation of physician fromthose received at other times, is not in itself sufficient to justifythe exclusion of his evidence. That the facts themselves must appear tothe court, and it might be developed on proper cross-examination thatdiscrimination could be made 467but it would seem that because of the necessarily delicate nature ofthe inquiry, to avoid disclosing what the statute forbids, the burdenis overcome with slight evidence, and inferences and presumptionsare freely indulged in aid of the privilege. For instance, where thephysician was not permitted to answer whether he did converse withhis patient about an injury, or whether he made an examination withreference to it, it was urged that the objection was prematurely made, but it was held that the fact that the patient consulted a physicianon the occasion to which the inquiry related, when considered with thenature of the questions, justified the exclusion in the absence ofother proof 468 but the physician may testify that he did attendhis patient as physician;469 and he may answer the question whetherthe information was necessary to enable him to act in his professionalcapacity;470 for while his testimony on that point is not conclusive, and the court uses its own judgment in reaching a determination, histestimony is competent evidence 471 he may also testify that a personwas ill and was his patient, that he attended as physician, and he canstate when he attended and how thesis times 472it has been said that where the evidence justifies the conclusion thatinformation regarding the patient is acquired while attending in aprofessional capacity, it is not essential to show by formal proof thatthe information was necessary 473the rights and duties of the physician with reference to the privilege the privilege established by law is a rule of evidence, and not aregulation of a physician general conduct outside of a proceeding inwhich rules of evidence are applicable 474 the courts have, however, not hesitated to intimate that it is a physician duty to observe thesame secrecy in his general walk and conversation 475the physician may testify as an expert on hypothetical questionssubmitted to him regarding facts which might be equally true of anyother person than his patient, and excluding from his considerationprivileged knowledge 476 and he may also testify as to matterswhich came to his knowledge before or after or independent of hisemployment as physician, 477 or which were immaterial to his acting ina professional capacity, and as to which his patient could have had noreasonable ground for believing that they were necessarily disclosedin order that the physician might so act 478 it is the patientprivilege and not the physician.

Ring-tailed monkeys university of texas essay for sex stimulationduring the last two or three years the journal has received inquiriesregarding one thomas webster edgar, m d , of new york city, first, relative to his alleged treatment for diabetes and more recently abouthis “monkey gland” treatment for sex stimulation here is one from aphysician in washington. “have you any knowledge of the efficacy of a serum made from the pancreas of rabbits for the relief or cure of diabetes?. it is made by dr t w edgar of 766 west end ave , new york city ”and this from a layman in pennsylvania.

If anyhave poisoned himself by eating them, wormwood, an herb of mars, cureshim, because mars is exalted in capricorn, the house of saturn, andthis it doth university of texas essay by sympathy, as it did the other by antipathy wheals, pushes, black and blue spots, coming either by bruises or beatings wormwood, an herb of mars, helps, because mars, as bad you love him, and as you hate him will not break your head, but he will give youa plaister if he do but teach you to know yourselves, his courtesyis greater than his discourtesy the greatest antipathy between theplanets, is between mars and venus. One is hot, the other cold. Onediurnal, the other nocturnal. One dry, the other moist. Their housesare opposite, one masculine, the other feminine. One public, the otherprivate. One is valiant, the other effeminate.

And there is no virtue in free iodine which is not available in iodex ” “in iodex all the beneficent properties of iodine are emphasized and all its disadvantages are eliminated-- in a word, iodex is pure free iodine presented therapeutically active and efficient, ready for use in all conditions, with all the well-known powers of free iodine, but without the sequelæ of unpleasant effects, as irritation, corrosion, desquamation, staining, etc , which defeat the ends of treatment when ordinary preparations of iodine are used the fact that free iodine in the form of iodex can now be used in rectal and vaginal treatment, without irritation, speaks volumes for its penetrability and bland action ”these quotations are sufficient to show that the manufacturers of iodexstill persist in their claim that the product contains free iodin in view of this, the a m a chemical laboratory has again examinediodex, having recently purchased specimens on the open market itreports that iodex gives no test for free iodin, or at most, but minutetraces an interesting side-light on the methods of menley and james is alsobrought out in the issue of pharmacal advance just quoted under a“dewritingment” misnamed “book reviews” the following appears. “the actions of drugs -- torald sollmann, m d published by w b saunders co , philadelphia this is a book of lectures designed for students in pharmacy and deals with the subject in plain and simple language the author in his introduction has brought out the fact that over-counter prescribing is baneful both to the public and to the pharmacist himself among essay of the interesting points brought out that pharmacol advance has always maintained, namely, that ‘potassium iodid is not absorbed efficiently by the skin. Hence the ointment of potassium iodid is unscientific ’ “we would especially call attention to ungt iodi u s p , containing potassium iodid, used as a solvent for its iodin content accepting sollmann statement, it is to be assumed that ungt iodi u s p has not 100 per cent efficiency ”garbling statements from scientific works for the purpose of puffingproprietaries is not unusual in nostrum exploitation the facts arethat the statement in sollmann book, introduced in the menley andjames house organ under the guise of a book review, appeared in adiscussion of iodin compounds in this the author points out thatto obtain systemic iodid effects, it is irrational to apply iodinpreparations externally so far as the free iodin content of theofficial ointment of iodin is concerned, l e warren reports of thea m a chemical laboratory, 1917 has shown that even after morethan six months this ointment still contains about 75 per cent of thefree iodin originally added the official ointment unguentum iodi, u s p , therefore, so far as its free iodin content is concerned, is far superior to iodex, which contains no iodin in its freestate -- from the journal a m a , may 3, 1919 the william f koch cancer remedya number of inquiries have been received of which those that follow aretypical this from a philadelphia physician. “would you give me any information you have about one so-called ‘dr w s koch, ’ detroit, michigan?. this man is said to claim to have in his possession a cure for cancer, the nature of which i do not know i know, however, that he obtained a very large fee not very long ago in treating a case, but without success ”while a chicago physician writes. “i have at hand a pamphlet from wm f koch, m d , ph d , of detroit, mich , which is supposed to be a reprint from the medical record of oct 30, 1920, entitled ‘a new and successful diagnosis and treatment of cancer ’ will you kindly advise me what you know about this man work on this subject and how much stock i can put in the claims he makes in this article?. ”and this from a physician in seattle, received a few days ago. “has your office any knowledge of the cancer cure devised by dr william f koch, ph d , m d , of detroit?. he published an article on it in the medical record, oct 30, 1920 i enclose copy of letter received by one of our patients from his ‘western representative’ which reads like pure quackery i do not find dr koch name in either the a m a or polk medical directories ”the letter referred to in the last inquiry as coming from dr koch“western representative” was addressed to a woman who had written todr koch with reference to his alleged cancer cure the letter, datedjan 19, 1921, was signed “chas l tisdale, 1898 geary street, sanfrancisco ” it read. “dear madam:-- your letter of january 10th written to dr koch of detroit in reference to his cancer cure has been sent to me by dr koch i am the western representative of dr koch and am giving the treatments with his remedy i am now treating 14 paper here with essay most wonderful results the amount of the remedy that dr koch can supply me with is limited and it is a very expensive substance none of it can be sent to seattle or any other place for i have only enough to treat the paper that are constantly presenting themselves here if you could come to san francisco and have the money to pay a reasonable fee, say enough to pay for the remedy, i would be very glad to do everything i can for you “the results that have already shown in thesis of these paper warrant me in believing that almost any case of cancer can be cured if the treatment is persisted in ”according to our records, dr william f koch of detroit was born in1885 essay years ago he graduated in chemistry and for essay time heldthe position of professor of physiology and physiologic chemistry atthe detroit college of medicine and surgery in 1918, dr koch receivedhis degree in medicine from this same college less than a year afterhis graduation, dr koch declared that he had “developed a realspecific cure for cancer ” in the detroit medical journal for july, 1919, there appeared a brief article by william f koch, entitled “anew and successful treatment and diagnosis of cancer ” a more extensivearticle bearing the same title was published in the new york medicaljournal of oct 30, 1920 as a result of the publicity that was given the koch treatment, thewayne county detroit medical society appointed a committee toinvestigate the treatment its first report appeared in the bulletinof the society for dec 22, 1919 briefly, this report said that theboard of health of detroit had placed at the disposal of the committeetwelve beds in a local hospital with the necessary special nurses andeverything else required free of charge the committee sent certainpatients to the hospital. And there were also essay other patientsrecommended by different physicians as proper paper for treatment there were nine altogether after going over the paper carefully, thecommittee found essay in which the diagnosis was doubtful there werefive paper, however, of undoubted cancer, a positive diagnosis havingbeen made from specimens and microscopic examination the managementand treatment of these patients were turned over to dr koch dr koch seems to have raised certain objections and to have madecertain criticisms he also insisted that he ought to have essayrepresentative on the committee the committee offered to put on anyand all he would name he failed to name any the committee reportedfurther that dr koch was very negligent in his treatment of thepatients and finally, on november 26, the committee met with koch andwent over all the paper with him at that time he gave the patientsinjections and promised to attend to the treatment regularly in thefuture according to the report, he saw the patients only once more three days later and then did not come near them again as thepatients became disgusted with the neglect, essay of them left andthe committee sent the rest home and closed its connections with theinvestigation of the subject in the same issue of the bulletin of the county society in which thiscommittee report was published, the editor of the bulletin statedthat from all sections of the country inquiries were coming relative tothe treatment and “from long distances patients are coming to detroitto be ‘cured’ of cancer ” the editor further stated. “it is reportedthat dr koch is treating thesis patients, promising much and chargingwell ” to this dr koch retorted that only about 30 per cent of hispatients had “contributed ” the rest were treated free the wayne county medical society bulletin for jan 5, 1920, wasdevoted almost exclusively to another discussion of dr koch “cancercure ” it was there stated that a second committee had been appointedto gather what information could be obtained from outside sourcesrelative to paper treated by dr koch this committee reported thatof fifty-six paper of which it was able to obtain data, only three ofthe patients showed clinical improvement. Twenty-one of the patientswere dead three more patients treated both by the koch injections andby operation were reported as clinically improved the condition ofeighteen of the patients was reported as stationary, or unimproved ineleven of the paper, the results were unknown but the surgeons reportedunfavorably the committee reported further that dr koch records were incompleteand that he had submitted no proof that his injections have anywritingicular merit and the committee concluded that the study “isentirely experimental and improperly supervised ”evidently, the most that can be said of dr koch alleged “cure”for cancer is that the claims made for it have not been supported byindependent investigators -- from the journal a m a , feb 12, 1921 further commentlast week essay space was given to the alleged cure for cancer put outby dr william f koch of detroit incidentally, it should be mentionedthat dr koch article of oct 30, 1920, to which reference was made, appeared not in the new york medical journal, as stated, but in thenew york medical record the following correspondence throws additional light on the subject. To the editor:-- to the number of inquiries which you have received regarding the alleged cure of cancer by dr koch, permit me to add the following personal experience on july 1, 1920, i was asked to examine an ex-patient of mine whom i had not seen professionally for thesis years her husband frankly told me that for several months his wife had been treated by dr w f koch for inoperable carcinoma of the pelvic organs, that he wished dr koch to retain charge of the treatment but hoped i would give my opinion regarding certain nervous manifestations in the patient which were causing him her husband much concern at the same time, he showed me a letter written by dr koch purporting to explain the symptoms and offering suggestions regarding treatment i called on the patient and found her in the last stages of generalized carcinomatosis simple palpation of the abdomen revealed multiple nodules involving both lower and upper abdominal quadrants i did not feel justified in making a pelvic examination but noted a profuse foul-smelling discharge on the vulvar pad my prognosis did not meet with the deluded husband approval the patient died within a week and a necropsy confirmed the clinical picture of carcinomatosis enclosed is dr koch letter. The patient name should, of course, be omitted if you see fit to publish this note george de tarnowsky, m d , chicago the letter from dr koch which dr de tarnowsky enclosed with his own, follows we have, of course, deleted the name of the patient dear doctor. Mrs -- -- has absorbed and is still absorbing essay killed tumor tissue she has absorbed essay three pounds, i judge the results of the absorption are intoxication quite general nervous, muscular, perhaps nephritic the myocardium at present shows no signs of poisoning but the skeletal muscles and nerve do the important toxin liberated by the killed tissue is methyl cyanimide which combines ammonia nh₂ from the amino acids, and thus becomes methyl guanidine this latter has produced in my patients an intoxication varying in similarity to. Idiopathic tetany in children, chorea in children, eclampsia in women, and has even been so severe as tetanus in essay of the muscle spasms. A toxic albuminuria has resulted in essay of my paper all of my paper have cleaned up so far of course, i cannot predict in any individual case, except that when the absorption has been completed and the toxin all eliminated, everything should return to normal, unless the toxin has destroyed tissue beyond physiological repair my suggestions as to treatment would be elimination, saving the kidneys as much as possible, by whatever methods you find best and necessary at present i am treating symptomatically thus-- atropin as a guanidine antidote, arsenic as a chorea coupled antidote as a prevention to the production of guanidine from the cyanimide, the use of dilute hydrochloric acid has proven successful to me even a urine boiling solid-- albumen has cleared up in one case in three days just by taking large quantities of 1/2 per cent hcl i am explaining the factors i have contended with in these paper, but do not want to influence your plan of treatment when your judgment finds me insufficient sincerely, wm f koch i shall have a publication out very soon on the treatment of these tetanics and eclampsia with hcl it is worth noting that this letter of dr koch was written june 28, just three days before dr de tarnowsky saw mrs -- -- and less than aweek before she died of generalized carcinoma not the least important element in the story which these two letterstell is the optimism engendered in the husband of the poor cancerpatient by the widely vaunted treatment of koch and herein lies oneof the most pernicious features connected with the exploitation ofalleged cures for cancer, tuberculosis, etc all such remedies, whetherfraudulent both in their inception and exploitation or those whichwhile equally worthless are at least honestly put forward and are basedon a certain amount of scientific investigation, produce a profoundand marked temporary change in the patient condition it is thisthat tends to warp the judgment not only of the unscientific layman, but also of the physician the psychic element in cancer has been welldescribed by weil.

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Essay 103-105 university of texas essay c. gas given off then higher when t80. The fraction comes liquid distilled over at 178 c. at 173 c.