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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

Med. Sciences, Feb. 1837, p. 299.]
It is by notes of cases, rather than notes of admiration, that we must
be guided, when we study the Revised Statutes of Nature, as laid down
from the curule chairs of Medicine.
Let the student read Dr. Meigs's 140th paragraph soberly, and then
remember, that not only does he infer, suspect, and surmise, but he
actually asserts (page 154), "there was poison in the house," because
three out of five patients admitted into a ward had puerperal fever and
died. Have I not as much right to draw a positive inference from "Dr.
A.'s" seventy exclusive cases as he from the three cases in the ward of
the Dublin Hospital? All practical medicine, and all action in common
affairs, is founded on inferences. How does Dr. Meigs know that the
patients he bled in puerperal fever would not have all got well if he had
not bled them?
"You see a man discharge a gun at another; you see the flash, you hear
the report, you see the person fall a lifeless corpse; and you infer,
from all these circumstances, that there was a ball discharged from the
gun, which entered his body and caused his death, because such is the
usual and natural cause of such an effect. But you did not see the ball
leave the gun, pass through the air, and enter the body of the slain; and
your testimony to the fact of killing is, therefore, only
inferential,--in other words, circumstantial.


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