Pathology Quotes (11 quotes)
During the half-century that has elapsed since the enunciation of the cell-theory by Schleiden and Schwann, in 1838-39, it has became ever more clearly apparent that the key to all ultimate biological problems must, in the last analysis, be sought in the cell. It was the cell-theory that first brought the structure of plants and animals under one point of view by revealing their common plan of organization. It was through the cell-theory that Kolliker and Remak opened the way to an understanding of the nature of embryological development, and the law of genetic continuity lying at the basis of inheritance. It was the cell-theory again which, in the hands of Virchaw and Max Schultze, inaugurated a new era in the history of physiology and pathology, by showing that all the various functions of the body, in health and in disease, are but the outward expression of cell-activities. And at a still later day it was through the cell-theory that Hertwig, Fol, Van Beneden, and Strasburger solved the long-standing riddle of the fertilization of the egg, and the mechanism of hereditary transmission. No other biological generalization, save only the theory of organic evolution, has brought so many apparently diverse phenomena under a common point of view or has accomplished more far the unification of knowledge. The cell-theory must therefore be placed beside the evolution-theory as one of the foundation stones of modern biology.
Effects vary with the conditions which bring them to pass, but laws do not vary. Physiological and pathological states are ruled by the same forces; they differ only because of the special conditions under which the vital laws manifest themselves.
In a word, I consider hospitals only as the entrance to scientific medicine; they are the first field of observation which a physician enters; but the true sanctuary of medical science is a laboratory; only there can he seek explanations of life in the normal and pathological states by means of experimental analysis.
In the dog two conditions were found to produce pathological disturbances by functional interference, namely, an unusually acute clashing of the excitatory and inhibitory processes, and the influence of strong and extraordinary stimuli. In man precisely similar conditions constitute the usual causes of nervous and psychic disturbances. Different conditions productive of extreme excitation, such as intense grief or bitter insults, often lead, when the natural reactions are inhibited by the necessary restraint, to profound and prolonged loss of balance in nervous and psychic activity.
Inexact method of observation, as I believe, is one flaw in clinical pathology to-day. Prematurity of conclusion is another, and in part follows from the first; but in chief part an unusual craving and veneration for hypothesis, which besets the minds of most medical men, is responsible. Except in those sciences which deal with the intangible or with events of long past ages, no treatises are to be found in which hypothesis figures as it does in medical writings. The purity of a science is to be judged by the paucity of its recorded hypotheses. Hypothesis has its right place, it forms a working basis; but it is an acknowledged makeshift, and, at the best, of purpose unaccomplished. Hypothesis is the heart which no man with right purpose wears willingly upon his sleeve. He who vaunts his lady love, ere yet she is won, is apt to display himself as frivolous or his lady a wanton.
No matter how we twist and turn we shall always come back to the cell. The eternal merit of Schwann does not lie in his cell theory that has occupied the foreground for so long, and perhaps will soon be given up, but in his description of the development of the various tissues, and in his demonstration that this development (hence all physiological activity) is in the end traceable back to the cell. Now if pathology is nothing but physiology with obstacles, and diseased life nothing but healthy life interfered with by all manner of external and internal influences then pathology too must be referred back to the cell.
Pathology, probably more than any other branch of science, suffers from heroes and hero-worship. Rudolf Virchow has been its archangel and William Welch its John the Baptist, while Paracelsus and Cohnheim have been relegated to the roles of Lucifer and Beelzebub. Actually, there are no heroes in Pathologyall of the great thoughts permitting advance have been borrowed from other fields, and the renaissance of pathology stems not from pathology itself but from the philosophers Kant and Goethe.
The ordinary patient goes to his doctor because he is in pain or some other discomfort and wants to be comfortable again; he is not in pursuit of the ideal of health in any direct sense. The doctor on the other hand wants to discover the pathological condition and control it if he can. The two are thus to some degree at cross purposes from the first, and unless the affair is brought to an early and happy conclusion this diversion of aims is likely to become more and more serious as the case goes on.
The road to a clinic goes through the pathologic museum and not through the apothecary's shop.
The universality of parasitism as an offshoot of the predatory habit negatives the position taken by man that it is a pathological phenomenon or a deviation from the normal processes of nature. The pathological manifestations are only incidents in a developing parasitism. As human beings intent on maintaining man's domination over nature we may regard parasitism as pathological insofar as it becomes a drain upon human resources. In our efforts to protect ourselves we may make every kind of sacrifice to limit, reduce, and even eliminate parasitism as a factor in human life. Science attempts to define the terms on which this policy of elimination may or may not succeed. We must first of all thoroughly understand the problem, put ourselves in possession of all the facts in order to estimate the cost. Too often it has been assumed that parasitism was abnormal and that it needed only a slight force to reestablish what was believed to be a normal equilibrium without parasitism. On the contrary, biology teaches us that parasitism is a normal phenomenon and if we accept this view we shall be more ready to pay the price of freedom as a permanent and ever recurring levy of nature for immunity from a condition to which all life is subject. The greatest victory of man over nature in the physical realm would undoubtedly be his own delivery from the heavy encumbrance of parasitism with which all life is burdened.
The value the world sets upon motives is often grossly unjust and inaccurate. Consider, for example, two of them: mere insatiable curiosity and the desire to do good. The latter is put high above the former, and yet it is the former that moves some of the greatest men the human race has yet produced: the scientific investigators. What animates a great pathologist? Is it the desire to cure disease, to save life? Surely not, save perhaps as an afterthought. He is too intelligent, deep down in his soul, to see anything praiseworthy in such a desire. He knows by life-long observation that his discoveries will do quite as much harm as good, that a thousand scoundrels will profit to every honest man, that the folks who most deserve to be saved will probably be the last to be saved. No man of self-respect could devote himself to pathology on such terms. What actually moves him is his unquenchable curiosityhis boundless, almost pathological thirst to penetrate the unknown, to uncover the secret, to find out what has not been found out before. His prototype is not the liberator releasing slaves, the good Samaritan lifting up the fallen, but the dog sniffing tremendously at an infinite series of rat-holes.