The Spectator

The cult of the prima doctor

It’s not just today’s surgeons who can be arrogant, high-handed and disdainful of any other doctor (let alone patient)

issue 06 May 2017

Ian Paterson, a ‘charming’ breast surgeon with a ‘God complex’, has been found guilty of intentionally wounding patients by carrying out ‘extensive, life-changing operations for no medically justifiable reason’, probably to enrich himself. It raises a long-standing question.

The brilliant Greek doctor Galen (129-216 ad) was the most famous doctor in the Roman Empire. In all, he may have written c. 500 medical treatises, of which more than 120 (c. three million words) survive. His influence on medical practice was to last into the 17th century. He wrote on ‘medical theory and practice, ranging from anatomy, physiology, pathology, diagnosis and prognosis, dietetics, therapeutics, pharmacology and surgery, gynaecology, embryology and the theory of reproduction to psychology and ethics, terminology, philosophy of nature and theory of causation’.

And he was a pain in the backside, staggeringly arrogant and high-handed, disdainful of any doctor (let alone patient) who did not believe every word he said.

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