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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

It is not
enough that a practitioner should have had a single case of puerperal
fever not followed by others. It must be known whether he attended
others while this case was in progress, whether he went directly from one
chamber to others, whether he took any, and what precautions. It is
important to know that several women were exposed to infection derived
from the patient, so that allowance may be made for want of
predisposition. Now if of negative facts so sifted there could be
accumulated a hundred for every one plain instance of communication here
recorded, I trust it need not be said that we are bound to guard and
watch over the hundredth tenant of our fold, though the ninety and nine
may be sure of escaping the wolf at its entrance. If any one is
disposed, then, to take a hundred instances of lives endangered or
sacrificed out of those I have mentioned, and make it reasonably clear
that within a similar time and compass ten thousand escaped the same
exposure, I shall thank him for his industry, but I must be permitted to
hold to my own practical conclusions, and beg him to adopt or at least to
examine them also. Children that walk in calico before open fires are not
always burned to death; the instances to the contrary may be worth
recording; but by no means if they are to be used as arguments against
woollen frocks and high fenders.
I am not sure that this paper will escape another remark which it might
be wished were founded in justice.


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