WITH SOME PERSONAL REMINISCENCES.
By Andrew James Symington, f.r.s.n.a.
In the whole range of professional life, or in any section of the
community, there is no set of men so self-denying, sympathetic,
philanthropic, liable to be called at any hour, day or night, and so
hard-worked, as medical practitioners. To begin with, there is first, a
long and expensive course of study, and, often, several years pass, before
a practice becomes even self-sustaining. Those at the head of the
profession attain to large incomes, and make their £20,000 a year. Noted
specialists, in particular, such as the late Dr. Mackenzie, get large
fees; but the majority of the profession conscientiously perform their
laborious and kindly ministrations ungrudgingly and with moderate
remuneration, which, in most cases, is certainly far short of their
deserts.
This state of matters has prevailed for many centuries, and, taking the
different value of money into account, notwithstanding the advance of
medical science, there is but little change in the scale of remuneration,
whether as to large fees paid by Royal or titled personages, fees by the
middle classes, or by the rural or working population.
It has been well said, that “the theory and practice of medicine is the
noblest and most difficult science in the world; and that there is no
other art for the practice of which the most thorough education is so
essential.”
Whittier observes:—“It is the special vocation of the doctor to grow
familiar with suffering—to look upon humanity disrobed of its pride and
glory—robbed of all its fictitious ornaments—weak, hopeless, naked—and
undergoing the last fearful metempsychosis, from its erect and god-like
image, the living temple of an enshrined divinity, to the loathsome clod
and the inanimate dust! Of what ghastly secrets of moral and physical
disease is he the depository!”
Sir Thomas Browne, in his “Religio Medici,” says:—“Men, that look no
further than their outsides, think health an appurtenance unto life, and
quarrel with their constitutions for being sick; but I, that have examined
the parts of man, and know upon what tender filaments that fabrick hangs,
do wonder that we are not always so; and, considering the thousand doors
that lead to death, do thank my God that we can die but once.”
This model physician, who said, “I cannot go to cure the body of my
patient, but I forget my profession and call unto God for his soul,” in
the same work, finely says of charity:—“Divinity hath wisely divided the
act thereof into many branches, and hath taught us, in this narrow way,
many paths unto goodness; as many ways as we may do good, so many ways we
may be charitable. There are infirmities not only of the body, but of soul
and fortunes, which do require the merciful hand of our abilities. I
cannot contemn a man for ignorance, but behold him with as much pity as I
do Lazarus. It is no greater charity to clothe his body than apparel the
nakedness of his soul.”
His distinguished position, as a physician and an author, demands very
special and reverential mention in these pages.
Sir Thomas Browne was born in London on the 19th of October, 1605. He died
at Norwich on the 19th of October, 1682, having reached exactly the age of
seventy-seven. His father was a wealthy merchant, of a good Cheshire
family, but died when his more illustrious son was a boy, and his mother
shortly afterwards married Sir Thomas Dutton. After travelling on the
Continent, he settled as a practising physician at Shipley Hall, near
Halifax, for a time, and then moved to Norwich, where the remaining
forty-two years of his life were spent. His library contained vast stores
of learned works on antiquities, languages, and the curiosities of
erudition. He corresponded with the best men of his day, and was often
able to assist them in their various investigations. His friend Evelyn,
alluding to Browne’s home, at Norwich, tells us “His whole house and
garden being a paradise and cabinet of rarities, and that of the best
collections, especially medals, books, plants, and natural things.” He was
knighted by Charles II. in 1671.
Throughout the troublous times of the Civil War, the Commonwealth, and the
Restoration, he led a quiet studious life, issuing volume after volume
full of profound, penetrating, and far-reaching thought, set forth in
stately, sonorous, and musical language, the perfect form or style of
which, at times, is only equalled but not excelled by the best cadenced
prose of Milton or Jeremy Taylor.
His “Religio Medici,” “Hydrotaphia or Urn Burial,” and “The Garden of
Cyrus,” have been my favourites for more than half a century. Of the
latter work, John Addington Symonds has finely and truly said, that “the
rarer qualities of Sir Thomas Browne’s style (are) here displayed in rich
maturity and heavy-scented blossom. The opening phrase of his dedication
to Sir Thomas Le Gros—‘When the funeral pyre was out, and the last
valediction over, men took a lasting adieu of their interred friends,
little expecting the curiosity of future ages should comment on their
ashes;’—this phrase strikes a key-note to the sombre harmonies which
follow, connecting the ossuaries of the dead, the tears quenched in the
dust of countless generations, with the vivid sympathy and scrutinizing
sagacity of the living writer.... I will only call attention to the unique
feeling for verbal tone, for what may be called the musical colour of
words, for crumbling cadences, and the reverberation of stationary sounds
in cavernous recesses, which is discernable at large throughout the
dissertation. How simple, for example, seems the collocation of vocables
in this phrase—‘Under the drums and tramplings of three conquests!’ And
yet with what impeccable instinct the vowels are arranged; how naturally,
how artfully, the rhythm falls! Take another, and this time a complete
sentence,—‘But the iniquity of oblivion blindly scattereth her poppy, and
deals with the memory of men, without distinction to merit of perpetuity.’
Take yet another—‘The brother of death daily haunts us with dying
mementoes.’”
I take leave of this, the most notable of English Physicians, by
transcribing the following grand, suggestive, and characteristic passage
from his “Fragment on Mummies”:—“Yet in these huge structures and
pyramidial immensities of the builders, whereof so little is known, they
seemed not so much to raise sepulchres or temples to death, as to contemn
and disdain it, astonishing heaven with their audacities, and looking
forward with delight to their interment in those eternal piles. Of their
living habitations they made little account, conceiving of them but as
hospitia, or inns, while they adorned the sepulchres of the dead, and
planting them on lasting basis, defied the crumbling touches of time and
the misty vaporousness of oblivion. Yet all were but Babel vanities. Time
sadly overcometh all things, and is now dominant, and sitteth upon a
sphinx, and looketh unto Memphis and old Thebes, while his sister Oblivion
reclineth semisomnous on a pyramid, gloriously triumphing, making puzzles
of Titanian erections, and turning old glories into dreams. History
sinketh beneath her cloud. The traveller, as he paceth amazedly through
those deserts, asketh of her, who builded them? and she mumbleth
something, but what it is he heareth not.”
The medical profession is a noble and pleasant one, though laborious and
often full of anxiety, straining mind and body. The good physician is the
sympathizing, confidential, and comforting friend of the family. He
values the humble gifts and testimonials of gratitude from the poor, even
more than the costly presents of the rich.
The virtuous poor are always grateful. It can truly be said of the
physician’s kind and often gratuitous services to them, in the language of
scripture:—
“When the ear heard me, then it blessed me; and when the eye saw me it
gave witness to me; because I delivered the poor that cried, and the
fatherless, and him that had none to help him. The blessing of him
that was ready to perish came upon me; and I caused the widow’s heart
to sing for joy.”
Among savages, sorcerers, and magicians, are the medicine men; these are
still represented, in civilisation, by impostors and quacks. Members of
the profession, as a rule, keep themselves posted up in the medical
science of the day, honestly and unselfishly do everything that can be
done for their patients, and rejoice in being the means of their recovery,
far more than in their fee.
Burton, in his “Anatomy of Melancholy,” treating of “Physician, Patient,
and Physick,” when astrology, ignorance, and queer nostrums, were then
more in vogue than practical science, says:—“I would require Honesty in
every Physician, that he be not over careless or covetous, Harpylike to
make a prey of his patient, or, as an hungry Chirurgeon, often produce and
wire-draw his cure, so long as there is any hope of pay. Many of them, to
get a fee, will give physic to every one that comes, when there is no
cause, thus, as it often falleth out, stirring up a silent disease, and
making a strong body weak.” Burton then quotes the following sensible
Aphorism from Arnoldus:—“A wise physician will not give physick, but
upon necessity, and first try medicinal diet, before he proceedeth to
medicinal cure.”
Latimer thus severely censured the mercenary physicians of his day:—“Ye
see by the example of Hezekiah that it is lawful to use physick. But now
in our days physick is a remedy prepared only for rich folks, and not for
the poor, for the poor man is not able to wage the Physician. God indeed
hath made physick for rich and poor, but Physicians in our time seek only
their own profits, how to get money, not how they might do good unto their
poor neighbour. Whereby it appeareth that they be for the most part
without charity, and so consequently not the children of God; and no doubt
but the heavy judgment of God hangeth over their heads, for they are
commonly very wealthy, and ready to purchase lands, but to help their
neighbour, that they cannot do. But God will find them out one day I doubt
not.”
“Empirics and charlatans are the excrescences of the medical profession;
they have obtained in all ages, yet the healing art is not necessarily the
occasion for deception; nor the operations of witchcraft, charms, amulets,
astrology, alchemy, necromancy, or magic; although it has its mysteries
like other branches of occult science.”
Paracelsus, the prince of charlatans, styled himself “King of Physic,”
but, though he professed to have discovered the elixir of life, he
humbly died at the early age of forty-eight years.
We are told of a patient who, instead of the medicine prescribed,
swallowed the prescription! and Punch records an extraordinary case of a
voracious individual who bolted a door, and threw up a window!
Sydney Smith, on being told by his doctor to take a walk on an empty
stomach, asked—“Upon whose!” But a truce to stories suggested by the
queer nostrums of quacks.
Empirics, however, often believed in their nostrums, and were, sometimes,
amiable and unselfish.
In the year 1776, we are told, there lived a German doctor, who styled
himself, or was called, “the Rain-water doctor;” all the diseases to which
flesh is heir he professed to cure by this simple agent. Some wonderful
cures were, it is said, achieved by means of his application of this
fluid, and his reputation spread far and wide; crowds of maimed and
sickly folk flocked to him, seeking relief at his hands. What is yet more
remarkable still, he declined to accept any fee from his patients!
Dr. Haygarth, of Bath, had a pair of wooden tractors made in precisely the
same shape and appearance as Perkin’s metallic ones; and the same results
followed as when the others, which cost five guineas a pair, were used.
The story is well known of the condemned criminal in Paris, who was laid
on a dissecting table, strapped down, with his eyes bandaged, and slightly
pricked, when streamlets of water set a-trickling made him think, as he
had been told, that he was being bled to death. His strength gradually
ebbed away, and he actually died, although he did not lose a drop of
blood.
I knew of a gentleman who, when pills to procure sleep were ordered to be
discontinued, lay awake. The doctor made up a box of bread pills, which
were administered as the others had been, and the patient slept, and
recovered rapidly.
A young medical man fell in love with a young lady patient, and, when he
had no longer any pretext for continuing his visits, he sent her a present
of a pair of spring ducks. Not reciprocating his attentions, she did not
acknowledge the present, upon which he ventured to call, asking if the
birds had reached her. Her reply was—“Quack, quack!”
Dr. Lettsom, a quaker in the time of George III., near the close of the
last century, had such an extensive practice that his receipts in some
years were as much as £12,000; and this although half his services were
entirely gratuitous, and rendered with unusual solicitude and care to
necessitous clergymen and literary men. Generosity was the ruling feature
of his life. On one occasion he attended an old American merchant whose
affairs had gone wrong, and who grieved over leaving the trees he had
planted. The kind hearted doctor purchased the place from the creditors,
and presented it to his patient for life.
Pope, a few days before his decease, bore the following cordial testimony
to the urbanity and courtesy of his medical friends:—“There is no end of
my kind treatment from the Faculty; they are in general the most amiable
companions, and the best friends, as well as the most learned men I know.”
And Dryden, in the postscript to his translation of Virgil, speaks in the
same way of the profession. “That I have recovered,” says he, “in some
measure the health which I had lost by too much application to this work,
is owing, next to God’s mercy, to the skill and care of Dr. Guibbons and
Dr. Hobbs, the two ornaments of their profession, whom I can only pay by
this acknowledgment.”
When Dr. Dimsdale, a Hertford physician and member of Parliament, went
over to Russia to inoculate the Empress Catherine and her son, in the year
1768, he received a fee of £12,000, a pension for life of £500 per annum,
and the rank of Baron of the Empire.
Dr. Henry Atkins was sent for to Scotland by James the Sixth to attend
Charles the First (then an infant), ill of a dangerous fever. The King
gave him a fee of £6000, with which he purchased the manor of Clapham.
Louis XIV. after undergoing an operation, gave his physician and his
surgeon 75,000 crowns each.
Dr. Glynn once attended the only son of a poor peasant woman, ministering
to his wants with port wine, bark, and delicacies. After the lad’s
recovery, his mother waited on the doctor, bringing a large wicker basket
with an enormous magpie, which was her son’s pet, as a fee to show their
gratitude.
A thousand pounds were ordered to be paid to Sir Edmund King for promptly
bleeding Charles the Second, but he never received this fee.
Dr. Mead, in the time of George the First, was generous to a degree, and
like many of his brethren, would not accept fees from curates, half-pay
officers, and men of letters. At home his fee was a guinea. When he
visited patients of means, in consultation or otherwise, he expected two
guineas or more. But to the apothecaries who waited on him at his coffee
houses of call he charged only half a guinea for prescriptions, written
without his having seen the patient. He had an income one year of £7,000,
and for several years received between £5,000 and £6,000, which,
considering the value of money at that time, is as much as that of any
living physician.
The physicians who attended Queen Caroline had five hundred guineas, and
the surgeons three hundred guineas each; Dr. Willis was rewarded for his
attendance on George III. by £1,500 per annum for twenty years, and £650
per annum to his son for life. The other physicians, however, had only
thirty guineas each visit to Windsor, and ten guineas each visit to Kew.
Dr. Abernethy was annoyed by a lady needlessly consulting him about her
tongue. One morning she came, as he was descending the steps from his door
and putting on his gloves. She said:—“Doctor, I’m so glad I have caught
you!” The doctor asked if it were the old trouble. On her saying “Yes,” he
told her to put out her tongue. She did so, and he said, “Stand there till
I come,” and left her so, in the street, setting out on his round of
visits.
Once when prescribing nutritious and expensive diet for a young man in
consumption, he observed the look of despair on the young wife’s face, and
the evidence of straitened circumstances around; when the lady appealed to
him, asking if there was really nothing else he could suggest for her
husband. He replied:—“When I think of it, I’ll send along a box of pills
in the afternoon!” A messenger brought the box. On the lid was written
“One every day,” and, on being opened, it was found to contain twenty
guineas!
He once bluntly told a bon-vivant gentleman to “Live on sixpence a day,
and earn it!”
Long ago, a friend told me of a lady in Devonshire, belonging to a family
she knew, who read medical books, and at length imagined she had every
disease under the sun. Whenever she discovered what she believed to be a
new symptom, she at once went off to consult different medical men
regarding it, spending several hundreds a year in this way, and all quite
needlessly. At length she confided to her friends that since doctors
differed so widely, and she could obtain no satisfaction as to what ailed
her, she had resolved to go to town and consult one of the Queen’s
physicians.
A consultation was held in the family, and her nephew was sent to explain
matters to the physician, in the hope of his being able to cure her
hypochondria. When she reached town, the street in which the physician
lived was blocked with the carriages of patients. After waiting hours, her
turn at last came. The physician examined her, asked a few questions, then
enquired if she had any friends in town, as he would rather call to see
her when under their roof, and there tell her what he had got to say. She
protested that she was quite prepared to hear the worst—that she had for
long years looked death in the face—that the notices of her death were
lying in her desk, all written out and addressed, only requiring the date
to be filled in, etc. The physician said he was busy—more than twenty
patients were still waiting in the street—he was averse to scenes, and
would much prefer to see her at her friend’s house. She still persisted,
and begged of him to tell her all, there and then, on which he
said:—“Madam, it is my melancholy duty to inform you—that there is
nothing whatever the matter with you!”
This interview fortunately effected her cure, to the great delight of her
friends, who paid the physician a handsome fee.
Sir Astley Cooper one year received in fees £21,000. This sum was
exceptional, but for many years his income was over £15,000. His great
success was achieved very gradually. “His earnings for the first nine
years of his professional career progressed thus:—In the first year he
netted five guineas; in the second, twenty-six pounds; in the third,
sixty-four pounds; in the fourth, ninety-six pounds; in the fifth, a
hundred pounds; in the sixth, two hundred pounds; in the seventh, four
hundred pounds; in the eighth, six hundred and ten pounds; and in the
ninth—the year in which he secured his hospital appointment—eleven
hundred pounds.”
On one occasion when he had performed a perilous surgical operation on a
rich West Indian merchant, the two physicians who were present were paid
three hundred guineas each; but the patient, addressing Sir Astley,
said:—“But you, sir, shall have something better. There, sir, take
that,” upon which he flung his nightcap at the skilful operator. “Sir,”
replied Sir Astley, picking up the cap, “I’ll pocket the affront.” On
reaching home, he found in the cap a draft for a thousand guineas from the
grateful but eccentric old man.
A cynical lawyer once advised a young doctor to collect his fees as he
went along, quoting the following verse to back his recommendation:—
“God and the doctor we alike adore,
But only when in danger, not before;
The danger o’er, both are alike requited—
God is forgotten, and the doctor slighted.”
The following story illustrates the too frequent weary waiting, when hope
makes the heart sick, and also shows on what curious casual incidents the
success of a career may sometimes turn. It has been told in different
ways, and attributed to different men, such as to Dr. Freind, and others;
but, quite possibly, the same or a similar incident may have repeatedly
occurred. I simply give it as it was narrated to me. A young doctor having
graduated with honours, took a house at a high rent in Harley Street,
London. The brass plate attracted no patients; months passed idly and
drearily, and the poor fellow took to drink. One night the door-bell
rang—a servant man, from a lady of title round the corner, begged him to
come at once, as his mistress was dangerously ill, lying on the floor; her
own doctor was out, and he was sent to fetch the first doctor he could
find. The young doctor regretfully thought what a fool he was, for here
was his chance, when he could not avail himself of it; but he would go,
and try hard to pull himself together.
When he reached the room, he had enough conscience or sense left to know
that he was not in a fit state to prescribe, and exclaiming, “Drunk, by
George!” took his hat and bolted from the house. Next morning he received
a scented note from the lady, entreating him not to expose her, inviting
him to call, and offering to introduce him professionally to her circle!
Before the season was ended, his practice was yielding him at the rate of
some £1500 a year!
Curiously enough, it is recorded of a British doctor that he once actually
took a fee from a dead patient. Entering the bedroom immediately after
death had taken place, he observed the right hand tightly clenched.
Opening the fingers, he found in them a guinea. “Ah, that was clearly for
me,” said the doctor, putting the gold into his pocket.
It may be remembered here, that the Royal College of Physicians, London,
was founded by Thomas Linacre, physician to Henry VIII., in 1518; and that
the Royal College of Physicians of Edinburgh was incorporated by Charter
of Charles II., November 20th, 1681.
As to the fees paid to physicians, we find that Dr. Edward Browne, the son
of Sir Thomas Browne, who became a distinguished physician in London, in
his Journal, under the date of February 16th, 1664, records: “I went to
visit Mr. Edward Ward, an old man in a feaver, when Mrs. Anne Ward gave me
my first fee, 10 shillings.”
In a work entitled “Levamen Infirmi,” published in the year 1700, we find
that the scale of remuneration to surgeons and physicians was as
follows:—“To a graduate in physic, his due is about ten shillings, though
he commonly expects or demands twenty. Those that are only licenced
physicians, their due is no more than six shillings and eightpence, though
they commonly demand ten shillings. A surgeon’s fee is twelvepence a mile,
be his journey far or near; ten groats to set a bone broke or out of
joint; and for letting blood one shilling; the cutting off or amputation
of any limb is five pounds, but there is no settled price for the cure.”
Till recent times neither barristers nor physicians could recover their
fees by legal proceedings against their clients or patients unless a
special contract had been made. In the case of lawyers this custom can be
traced back to the days of ancient Rome. Their services were regarded as
being gratuitously rendered in the interests of friendship and justice,
and of a value no money could buy. The acknowledgment given them by
clients was regarded as an honorarium, and paid in advance, so that all
pecuniary interest in the issue of the suit was removed, thus preserving
the independence and respectability of the bar.
Equity draftsmen, conveyancers, and such like, however, could recover
reasonable charges for work done.
So in the medical profession, surgeons, dentists, cuppers, and the like
were always entitled to sue for their fees; but the valuable services of a
consulting physician were of a different kind, not rendered for payment
but acknowledged by the gratitude and honour of his patients.
But this code of honour was modified when all medical practitioners were
relieved by the Act of 21 and 22 Vict. 90, which applied to the United
Kingdom, and enabled them to recover in any court of law their reasonable
charges as well as costs of medicines and medical appliances used. This
rule applies to physicians, surgeons, and apothecaries as defined by the
statute.
The following information is taken from “Everybody’s Pocket Cyclopædia”
(Saxon & Co.).
London Medical Fees.
“Patients are charged according to their supposed income, the income being
indicated by the rental of the house in which they reside. The following
are the charges usually made by medical practitioners:—
| |
Rentals. |
| £10 to £25 |
£25 to £50 |
£50 to £100 |
| Ordinary Visit |
2s 6d to 3s 6d |
3s 6d to 5s |
5s to 7s 6d |
| Night Visit |
Double an |
Ordinary |
Visit |
| Mileage beyond two miles from home |
1s 6d |
2s |
2s 6d |
| Detention per hour |
2s 6d to 3s 6d |
3s 6d to 5s |
5s to 7s 6d |
| Letters of Advice |
Same charge |
as for an Or- |
dinary Visit |
| Attendance on Servants |
2s 6d |
2s 6d to 3s 6d |
3s 6d to 5s |
| Midwifery |
21s |
21s to 30s |
42s to 105s |
| |
|
|
| Consultants. |
|
|
| Advice or visit alone |
21s |
21s |
21s |
| Advice or visit with another Practitioner |
21s |
21s to 42s |
21s to 42s |
| Mileage beyond two miles from home |
10s 6d |
10s 6d |
10s 6d |
“Special visits, i.e., of which due notice has not been given before the
practitioner starts on his daily round, are charged at the rate of a visit
and a half. Patients calling on the doctor are charged at the same rate as
if visited by him.
“There are about 23,000 physicians and surgeons in the United Kingdom, or
one to every 1,600 inhabitants.”
It has been my privilege to know several doctors intimately. Our family
doctor when I was a boy in Paisley, was Dr. Kerr, a man far in advance of
his day. He was the means of introducing a pure water supply to the town
of Paisley, always strenuously urging the importance of sanitary matters
and good drainage, when such things were then but little understood, and
greatly neglected. Shortly after the water had been introduced to the
houses, from Stanley, an old man—who had been accustomed to purchase
water from a cart which went through the streets selling it from a
barrel—on being asked how he liked the new water, replied indignantly,
“Wha’s going to pay good siller for water that has neither smell nor
taste?”
On one occasion, an elderly gentleman, who was slightly hypochondriac,
consulted Dr. Kerr about his clothing, saying that he regulated the
thickness of his flannels by the thermometer. Dr. Kerr, losing patience,
said, “Can you not use the thermometer your Maker has put in your inside,
and put on clothes when you are cold?”
Dr. Kerr’s son and assistant, whom we then called “the young doctor,” died
a few years ago in Canada, over eighty years of age. No man could
possibly have been more considerately kind, gentle, and tender-hearted. On
one occasion, in 1841, when, in typhus fever, I was struggling for my
life, he sat up with me for three whole consecutive nights, and brought me
through. He ever kept himself abreast of the science of the day, and
devoted his abilities and energies, con amore, to the benefitting of
men’s souls as well as their bodies.
Another model village and country doctor, also an intimate friend of my
parents, Dr. Campbell of Largs, I knew very well. Good, genial, and
accomplished, he was a perfect gentleman, and equally at home dining with
Sir Thomas Brisbane, or drinking a cup of tea at some old woman’s kitchen
fireside. He read the Lancet, and tried all new medicines, and
repeatedly, when going to London, at his request I procured the most
recent instruments for him. He was intimate with Dr. Chalmers, Lord
Jeffrey, Lord Moncrieff, Lord Cardwell, etc. In telling me of experiments
with Perkin’s metallic tractors, and that the same results were obtained
with wooden ones, showing the power of imagination, he gave me a recent
curious illustration. He had lately had the old fashioned little panes of
glass taken out of the windows of his house, and plate glass inserted.
His mother, who did not know of the change, calling one afternoon, sat on
an easy chair, close by the gable window, knitting. On suddenly looking
round she said, “Oh John, I’ve been sitting all this time by an open
window,” and forthwith she began to sneeze! She actually took cold, and
even afterwards could scarcely be persuaded that it had not been an open
window, for she said she felt the cold! The doctor told me of an old
maiden lady who consulted him, and who, when he prescribed in a general
way, insisted on knowing exactly what ailed her. He said she was only
slightly nervous, and would soon be all right. This did not at all please
her, and she at once loudly protested—“Me nervous! There is not a nerve
in my whole body!”
A West India merchant, one of his patients whom I knew, he also told me,
one day said to him, “Doctor, for forty years I never knew I had a
stomach, and now I can think of nothing else!”
At the cholera time Dr. Campbell was laid down by the disease. The fact
spread like wildfire over the village, and, at once, prayer-meetings for
his recovery were called by the public bellman, meetings of all the
different denominations, including the Roman Catholics (Dr. Campbell was a
Free Church Elder), and there were truly heartfelt rejoicings in the whole
district over his recovery.
I once asked him how he managed to get in his fees, since he never refused
to visit when sent for. He said that one year, from curiosity, he kept an
account of his gratuitous visits, and it ran into three figures; but he
never took the trouble to note them again, as it served no purpose.
Many years ago he went to his rest, and, at his request, during his last
illness, I paid him a farewell visit.
There are few finer descriptions of the country doctor than that contained
in Ian Maclaren’s “Beside the Bonnie Brier Bush,” a book which speaks
directly home to every true Scottish heart.
Dr. Campbell, in his large-hearted and genial Christian charity,
scientific research, and philosophical acquirements, always reminded me of
Sir Thomas Browne, “the beloved physician” of Norwich.
The following pleasing incident, relating to a medical man, came under my
own notice. I often visited a country minister, an intimate friend, a
learned man, and a genius, the quaint originality of whose observations
often reminded me of Fuller, the Church historian, or Charles Lamb.
Although of limited means, the Rev. Robert Winning, of Eaglesham, was ever
hospitable; if he knew of any poor student, he would invite him to the
manse for a month, on the plea that he would help to prepare him for his
examination in Hebrew and Greek. The old manse servant, also an original,
was paid a sum of money as compensation for refusing tips from visitors.
One day, seeing an advertisement of a new book in a magazine I was
reading, Mr. Winning remarked to me, “Andrew, I wish you would buy that
book, cut the leaves, and lend it to me to read!”
One evening a message reached him from the village inn, saying that a
doctor had come to an urgent case, which required him to stay over night,
that there was no room in the inn, and asking if the minister could give
him a bed. His wife, knowing the house was full, asked her husband what
they should do. His reply was, “Be not forgetful to entertain strangers,
for thereby some have entertained angels unawares. Give him a room,
though we have to sleep on the floor.” He was accordingly hospitably
entertained.
Some time after, the minister took ill. The medical guest heard of it,
went to see the local doctor, and, with his consent, visited the minister
twice a week, from a distance of nine miles, and for a period of some four
months, till his death. When the widow afterwards sent for his account, he
said there was none, for it had been more than discharged on the first
evening he had spent at the manse.
Dr. Stark, of Glasgow, who attended my family for years, was a skilful
practitioner, but eccentric. He generally made light of trifling ailments,
but was most energetic when aroused by any appearance of danger. I knew of
his being suddenly called in to see an old lady who was far gone in an
advanced stage of cholera. He at once asked to be shown over the house,
looked at the different fireplaces, but as none of them suited his
purpose, he went to the kitchen, threw off his coat, took out the range,
made a fire in the recess that would have roasted an ox, had the old lady
carried down in blankets and placed before it, worked energetically with
her the whole night, and brought her through. In a similar way he once
stayed over night and saved the life of one of my boys. One day I called
at his house, and, finding him with a bad cold, eyes red and watery,
throat husky, said, “Doctor, if you found me so, you would prescribe
placing the feet in hot water and mustard, warm gruel, medicine, and going
to bed! Physician, heal thyself!” The doctor’s Shakespearian reply was,
“Do you think I am such a fool as to take physic?”
Once when accompanying me to the coast to visit one of my children, there
was a heavy sea on, and the steamer, on approaching the pier, rolled
alarmingly, and was close on a lee shore. A strange lady on board, in
terror, laid hold of the doctor, a tall, stalwart man, saying, “Oh! sir,
are we going to the bottom?” On which he said, dryly, “Behave yourself, if
you are going there, you are going in good company!” which odd answer
reassured and caused her to laugh.
In speaking of a Greek gem representing Cupid and Pysche, one day, when
driving in Wigtonshire with the late Dr. David Easton, a medical friend,
he said I had not given the correct pronunciation of the names. Always
willing to learn, I asked to be put right; whereupon, the doctor gravely
informed me that I ought to have said—Cupped and Physic!
I have spoken of the kindness of medical men, such as Dr. Garth Wilkinson,
to clergymen, artists, and literary men. I add one more expression of
gratitude, which is a good modern instance:—
When at St. Helens, in Jersey, during his last illness, my friend Samuel
Lover, the genial poet and artist, wrote the following lines to Dr. Dixon,
his friend and physician. I first copied them some years ago from Lover’s
MS. note-book, kindly lent me by his widow when I was engaged in the
preparation of his life. Such cordial tributes are a good physician’s most
highly-valued fees:—
“Whene’er your vitality
Is feeble in quality,
And you fear a fatality
May end the strife,
Then Dr. Joe Dickson
Is the man I would fix on
For putting new wicks on
The lamp of life.”
From the many varied facts and incidents adduced in these pages, it will
be seen that, in anxiety or sorrow, the good family doctor is a true and
sympathetic friend, whose services can never be paid by gold.
Next to religion, nothing is more precious or comforting than the sympathy
of those who know and fully understand our sufferings, for, as my old
favourite, Sir Thomas Browne, to whom I ever revert with renewed pleasure,
truly and beautifully says:—“It is not the tears of our own eyes only,
but of our friends also, that do exhaust the current of our sorrows,
which, falling into many streams, runs more peaceably, and is contented
with a narrower channel.”
Index.
Abernethy, John, 206-208, 266
Advertisements, Curious, 155-159
Ague, Charms for, 240-241
Akenside, Mark, 109-111
Andrews, William, Barber-Surgeons, 1-7;
Touching for King’s Evil, 8-23;
Assaying Meat and Drink, 24-31
Anne, Queen, 18-19
Assay Cups, 30-31
Assaying Meat and Drink, 24-31
Atkins, Dr. H., 264
Axon, W. E. A., The Doctor in the time of Pestilence, 125-139
Banks, Mrs. G. Linnæus, Some Old Doctors, 192-208
Barber-Surgeons, 1-7
Barber’s Pole, 6, 35
Bicycle, 23
Birmingham town’s book, 15
Bisley, 15
Bishop, hanged, 167
Bishop and Williams, body-snatchers, 171-177
Blackmore, R. D., 118
Blackmore, Dr., 111-113
Black Art, 45
Bleeding, 7, 216
Blood, Circulation of the, 195
Blood in windows, 2
Boke of Jhon Caius, 127
Booker, Rev. Dr., on small-pox, 163-164
Bossy, a quack, 149
Brown, Dr. John, 115
Brown, Sir Thomas, 123, 124, 253-258, 278, 283
Bruce, King Robert the, 209
Buddhism, 67-68
Bulleyn, Dr., quoted, 219
Burke and Hare, 168
Burkers and Body-Snatchers, 167-180
Burning for disease, 46
Burton’s “Anatomy of Melancholy,” 259-260
Byron quoted, 187
Campbell, Dr., 276, 278
Cancer, Curious treatment for, 222
Carriages, 22-23
Celestials and medicine, 58-61
Chalmers, John, M.D., 115
Charms, 43-44, 52
Chaucer’s Doctor of Physic, 70-75
Chester in plague time, 133-135;
Touching at, 17
Cholera, Reminiscences of, 181-191
Circulation of the blood, 195
Colic, Charm for, 248
Cooper, Sir Astley, 170, 179, 268
Coryat, 141
Cramp, Charm, 52;
Strange cure for, 249
Croydon, Cholera at, 185-186, 190
Crusade, 209
Cumming, Dr. W. F., 114-115
Cupping, 217
Curious prescriptions, 226
Dickens, Charles, Satires by, 65-66
Dickens’ Doctors, 90-101
Dimsdale, Dr., 264
Disinfectants in sticks, 33
Disputes between surgeons and barbers, 5
Doctor in the time of Pestilence, 125-139
Doctors Shakespeare Knew, 76-89
Dog bites, 242
Douglas, Sir James, 209
Doyle, Dr. Conan, 118
“Drunk by George,” 270
Ecclesfield, 16
Edward the Confessor, 8-9
Egyptians and Magic, 57-58
Elizabeth, Queen, at dinner, 28-29
Erysipelas, 243
Eskimo Medicine Men, 61-63
Faith Cures, 42
Famous Literary Doctors, 102-124
Fees, London, 273-274
Food taken in fear, 24
Freind, John, 196
Frost, Thomas, Dickens’ Doctors, 90-101.
Mountebanks and Medicine, 140-152.
The Strange Fight with the Small-pox, 153-166.
Burkers and Body-Snatchers, 167-180.
Reminiscences of the Cholera, 181-191
Galen, 120
Gallows, superstitions respecting, 249
Gild, Barbers’, 2
Gold-headed Cane, 32-41
Grave-mould, 45
Greatrake, Valentine, 82
Great Plague of London, 136-139
Hall, Dr., 88-89
Harvey, Wm., 194-196
Heart of Bruce, 210
Hentzner in England, 28
Hill, Sir John, 114
Hodges, Dr., 137
Holbein, Picture by, 3
Holmes, Oliver Wendell, 106-108
How our Fathers were Physicked, 216-233
Hunter, John, 198
Hunter, William, 199
Hunterian Museum, 205
Jaundice, 251
Jenner, 159-162
Johnston, Arthur, 122-123
Johnson, Dr., touched for the evil, 18-19
Kerr, Dr., 275
Langford, J. A., LL.D., How our Fathers were Physicked, 216
Latimer on Mercenary Physicians, 260
Lee Penny, 209-215
Lettsom, J. C., 35, 263
Liver, eating human, 51
Lockhart, Sir Simon, 211-213
Lotteries, 151
Lover, Samuel, 282
Macbeth, quoted, 9
Mashonaland, Credulity in, 63-65
Magic and Medicine, 42-69
Manchester in plague time, 135-136
Mead, Dr., 265
Medical Folk Lore, 234-251
Medical Students, 97-98
Merry Andrew, 141-151
Mercenary Physicians, 260
Metals and precious stones used, 218
Mountebanks and Medicine, 140-152
Mouse, roasted, prescribed, 221
Moir, D. M., 116-118
Montagu, Lady May, 153-154, 162
Monks as surgeons, 1;
forbidden to bleed, 2
Newcastle-on-Tyne, Siege of, 213
Nicholson, John, Medical Folk-Lore, 234-251
North American Indian medicine men, 52-56
O’Brien, Giant, 202
Of Physicians and their Fees, 252-283
Parliament, Folly of, 223
Phillips, John, 111
Pilgrim’s Staff, 32
Planetary Influence, 250
Plantagenent kings touching for the evil, 10
Pontefract Castle, 27
Pole, Barber’s, 6
Preston records, 17
Radcliffe’s cane, 33
Rain-water doctor, 261
Reminiscences of the Cholera, 181-191
Revolting prescriptions, 225
Richardson, Sir B. W., 202, 204
Rings from hinges of coffins, 249
Robinson, Tom, M.D., The Gold-headed Cane, 32-41
Rochester, Earl of, 144
Rheumatism, 238
Sacrificing for disease, 47-49
Skull, Human, Medical uses, 227
Small-pox, Old receipt for, 72
Smith, Sydney, Witty remark, 261
Some Old Doctors, 192-208
St. Agnes’ Eve, 241
Stark, Dr., 280-281
Statute of Labourers, 124-125
Strange Stories, 262
Strange Story of the Fight with the Small Pox, 153-166
Stuart kings touching for the evil, 12-14
Suicide’s skull, Drinking from, 50
Symington, A. J., Of Physicians and their Fees, 252-283
Tooth-drawing, 5
Thompson, W. H., Chaucer’s Doctor of Physic, 70-75
Thurlow, Lord, on Barbers and Surgeons, 6
Thompson, Sir Henry, 115
Tobacco, Poet’s Praise of, 111
Tournament, 186
Toothache, Folk-lore of, 235-237, 249
Toad, 227
Touching for the King’s Evil, 8-23
Touch-pieces, 11, 20-21
Terling, Essex, 15
Tudor Kings touching for the Evil, 11
Verney Family, 229-233
Visiting Patients, 22-23
Wall, A. H., Doctors Shakespeare Knew, 76-89
Walters, Cuming, Magic and Medicine, 42-69;
Famous Literary Doctors, 102-124
Warren, Samuel, 116
Warts, Charms for, 247
Whooping cough, 244-246
Wig, 35
William III. refuses to touch, 18
Winchester, Mountebank at, 147-148
Witchcraft, 49-50, 242
York records, 16-17
Zulu doctors, 65
Footnotes:
[1] “Chester in the Plantagenet and Tudor Periods,” by Rupert H. Morris,
1894, pp. 78-79.
[2] The Asclepiad, Vol. viii.
[3] Act ii., sc. 2.
[4] Dyer’s English Folk Lore, p. 156.
[5] Dyer’s English Folk Lore, p. 158.
[6] Records of York Castle, p. 230.
[7] Folk Lore Journal, v. 5.
[8] Vol. i., p. 761.
[9] P. 353.
[10] P. 273.