Excerpt from The Ophthalmology of General Practice
During the earlier part of my professional life I was engaged for several years in a busy general practice. Always interested in Ophthalmology, and with a certain amount of special training, I endeavoured to turn this knowledge to account, but was soon forced to realize my limitations in this respect. Unfortunately, the patient too often does not recognize such limitations, but expects his medical man to be an expert in all branches of medicine and surgery.
In my difficulties I consulted various well-known textbooks on Ophthalmology, but in vain. They gave me excellent advice as to treatment in cases I was unable to diagnose; they appeared to me, in fact, to proceed on the assumption that I knew more than I really did, and, in order thoroughly to understand many parts of these works, a good deal of preliminary study was necessary, the time for which I could ill afford. I therefore reluctantly gave up treating diseases of the eye altogether.
I do not defend that attitude. I am convinced, indeed, that the general practitioner can and ought to undertake treatment and give advice in many ophthalmic cases; and even when he does not profess to do so, he may occasionally find himself in a position in which he will be forced to express an opinion and initiate some line of treatment.
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