III. Early determination of the patient's treatment--since
only what has actually been administered
will benefit ; emphatic assertion is of no
use--is beneficial but complicated. For it is through
many turns and changes that all diseases settle into
some sort of permanence.
|Because changes and turns are common in the
stages, to fix the proper treatment early is a complicated
IV. This piece of advice also will need our consideration,
as it contributes somewhat to the whole.
For should you begin by discussing fees, you will
suggest to the patient either that you will go away
and leave him if no agreement be reached, or that
you will neglect him and not prescribe any immediate
treatment. So one must not be anxious about fixing
a fee. For I consider such a worry to be harmful
to a troubled patient, particularly if the disease be
acute. For the quickness of the disease, offering no
opportunity for turning back,
spurs on the good
physician not to seek his profit but rather to lay
hold on reputation. Therefore it is better to reproach
a patient you have saved than to extort money from
I. e. from missed opportunities
that have passed away
while haggling over fees. It is possible that ἀναστροφή has
here the sense of ἀναστρέφειν καρίδαν in Thucydides II. 49,
" to upset." An acute disease is not the time to upset a
patient with financial worries.|
those who are at death's door.
|Or, if Coray's
emendation be adopted, " to tease."|
V. And yet some patients ask for what is out of
the way and doubtful, through prejudice, deserving
indeed to be disregarded, but not to be punished.
Wherefore you must reasonably oppose them, as
they are embarked upon a stormy sea of change.