Essays, or discourses, vol. 2 (of 4)

by Benito Jerónimo Feijoo

SECT. XIX.

Visits to sick people.

LXXXVI. On the head of visits to sick people, there is much to be said, as in making them, we should attend not only to the rules of good-breeding, but to those of charity also; and it is impossible, if we are wanting in the last of these obligations, for us to comply with those of the first. Sick people, both with respect to their souls and bodies, should be treated and dealt by with as much delicacy and caution, as you would handle an exquisitely thin vessel of glass. A sick body is affected by, and sensible of the slightest touch; and an afflicted soul, may be inquieted by such a sensation as cannot be defined.

LXXXVII. Visiting sick people, is not only an act of urbanity, but an act of tenderness and humanity also; but in order to constitute it such an act, it is essentially and absolutely necessary, that the visit should be so managed, and attended with such circumstances, as will afford relief and comfort to the sick person. But how many of these kind of visits are experienced by the poor sick? one may venture to assert, scarce one in fifty. The prudent part of mankind are but few in number, but the visitors consists of many. What effect must his visits have on a sick man, who tires and disgusts one in health with them? Nor is it sufficient, that he who visits a sick person is discreet, if his discretion does not lead to instruct him, when, how much, and in what manner a sick person should be talked to. To know when he should be talked to, the physician, and those who attend him should be consulted; how much, in what manner, and on what subject, must be determined and regulated, by the prudence of the person who visits him.

LXXXVIII. The how much, is the point which visitors most commonly mistake. Sick people should be but little talked to, even although the subject of the conversation is such as they are fond of; for their attention to what is talked of, is apt to fatigue them, and to wade those spirits, which would be better employed in resisting the disease. Thus it in general is better to leave them in that sort of half slumber, and languid quiet of mind, which by not being disturbed or interrupted, permits all the ideas that occur to them to pass easily through the brain.

LXXXIX. With regard to the manner they should be talked to in, it ought to be such, as by no means should inquiet or disturb them; and to prevent their being surprized or alarmed, it will be necessary to talk to them in a low voice. If loud talking is capable of cracking a head of brass, what effect must it have on a glass one? They should not be asked many questions, nor should they as little as possible, be put under a necessity of replying to what is said of them, for from thence there would result two fatigues, that of reasoning, and that of talking.

XC. The subject of the conversation with a sick Person, should in general turn upon such things, as he was observed to be most fond of when in health; for with respect both to the aliments of the soul, as well as those of the body, I am of opinion, that physicians and those who attend on, or visit sick people, should have regard to their appetites and desires, and I am inclined to think, that with respect to these particulars, there are frequent mistakes made, and especially with relation to the aliments of the soul, for by making them grateful to people, there will seldom any inconvenience result, but having regard to doing this, may be attended with much use and benefit. Whenever an epidemical distemper prevails in a town or country, it may not be improper now and then, to talk to sick people on the subject of that disorder; but in doing this, care should always be taken to mention to them only those who have been visited with, and have recovered from the disease; and regard should likewise be had, never to say a word of such as have died of it; but I have known visitors who were such blunderers, as scarce to tell a sick person any other news, than that such a one, or such a one is dead. This tends to make a sick man very unhappy, for according to the logic of his melancholy, he is apt to conclude, that his death must be an infallible consequence of that of the other persons.

XCI. To these general rules, I shall add a remark on two mistakes that are very commonly fallen into by those who visit sick people. The first of these is, their beginning upon their entrance into the chamber of a sick person, if there are three or four of them, to ask him one by one, how he goes on, and how he finds himself. A man had need have the patience of Job, to answer such a number of identical questions. Even in slight illnesses, the pain and uneasiness it gives a man to answer the same string of questions over and over again, is very evident and palpable. Therefore the method people should pursue in their visits to a man who is seriously ill, should be, to ask in a low voice, how he is of those who attend him. Or the expedient may be had recourse to, that was practised by a friend of mine, who was of the same religious order as myself; who when he was once very ill, to avoid this inconvenience, ordered that every morning, there should be written on a piece of paper, all the questions that are generally asked by visitors, together with the answers to them; such as what sort of a night he had had, whether the pain in his head was abated, whether his thirst continued, or whether he had taken any nourishment, &c. This paper he ordered to be stuck with wafers on the side of his chamber door, that those who came to visit him might read it, in order to prevent their fatiguing him with a number of those questions.

XCII. The second mistake, is that of all the visitors taking upon them to be physicians, and to prescribe for the sick person. This is an affectation practised by many; but when we consider, how abstruse and how arduous a study physic is, and how long practice and experience it requires to obtain a competent knowledge of it, and that the greatest ingenuity is found to be unequal to the acquisition; I say when we consider all this, must it not appear very absurd and presumptuous, for every one to pretend to take upon him the office. Thus, whatever a visitor fancies would be serviceable to the diseased person, either as food, or medicine, he is continually teasing the sick man, and vexing the physician with his recommendation of. How often have I seen very prudent and able physicians, much perplexed to determine what they should prescribe; and at the same time, have observed a thousand vain pretenders flourish away, and very self-sufficiently, and much to their own satisfaction, determine off hand, the medicine the patient should take! How many times also have I seen these conceited wrong-headed people, with their importunities, drive an able learned physician out of his course, who had determined, after well considering all the circumstances of his patient, to stand still for a little while, and leave the disease to nature, in order to see which way she would point; but persecuted and overcome by the pressing instances of the people we have been mentioning, he is brought to break this resolution, and to set pen to paper, and prescribe something that he had better have desisted from ordering! These ignorant folks, are ever exclaiming that nature should always be assisted. This is a grand aphorism; and one that all the world pretend to understand; but what such men as we have just mentioned fancy to be assisting nature, is in reality, and most commonly, cutting off her legs and arms.