Medical Essays

第23章

Onewhomwehavelost,verywidelyknownandhonored,wasaleadingpractitionerofthiscity。Hisimagecanhardlybedimmedinyourrecollection,ashestoodbeforeyouonlythreeyearsago,fillingthesameplacewithwhichIamnowhonored。Tospeakofhimatallworthily,wouldbetowritethehistoryofprofessionalsuccess,wonwithoutspecialaidatstarting,bytoil,patience,goodsense,purecharacter,andpleasingmanners;woninastraightuphillascent,withoutonebreathing-spaceuntilhesatdown,nottorest,buttodie。Ifprayerscouldhaveshieldedhimfromthestroke,iflovecouldhavedrawnforththeweapon,andskillcouldhavehealedthewound,thispassingtributemighthavebeenlefttootherlipsandtoanothergeneration。

Letushopethatourdeadhaveatlastfoundthatrestwhichneithersummernorwinter,nordaynornight,hadgrantedtotheirunendingearthlylabors!Andletusrememberthatourdutiestoourbrethrendonotceasewhentheybecomeunabletoshareourtoils,orleavebehindtheminwantandwoethosewhomtheirlaborhadsupported。ItishonorabletotheProfessionthatithasorganizedanAssociationaforthereliefofitssufferingmembersandtheirfamilies;itowesthistributetotheill-rewardedindustryandsacrificesofitslessfortunatebrotherswhowearouthealthandlifeintheserviceofhumanity。Ihavegreatpleasureinreferringtothisexcellentmovement,whichgivesourliberalprofessionachancetoshowitsliberality,andservestouniteusall,thesuccessfulandthosewhomfortunehascastdown,inthebondsofatruebrotherhood。

Amedicalman,ashegoesabouthisdailybusinessaftertwentyyearsofpractice,isapttosupposethathetreatshispatientsaccordingtotheteachingsofhisexperience。Nodoubtthisistruetosomeextent;towhatextentdependingmuchonthequalitiesoftheindividual。Butitiseasytoprovethattheprescriptionsofevenwisephysiciansareverycommonlyfoundedonsomethingquitedifferentfromexperience。Experiencemustbebasedonthepermanentfactsofnature。Butaglanceattheprevalentmodesoftreatmentofanytwosuccessivegenerationswillshowthatthereisachangeableaswellasapermanentelementintheartofhealing;notmerelychangeableasdiseasesvary,orasnewremediesareintroduced,butchangeablebythegoingoutoffashionofspecialremedies,bythedecadenceofapopulartheoryfromwhichtheirfitnesswasdeduced,orothercausenotmoresignificant。Thereisnoreasontosupposethatthepresenttimeisessentiallydifferentinthisrespectfromanyother。Much,therefore,whichisnowverycommonlyconsideredtobetheresultofexperience,willberecognizedinthenext,orinsomesucceedinggeneration,asnosuchresultatall,butasaforegoneconclusion,basedonsomeprevalentbelieforfashionofthetime。

Thereare,ofcourse,ineverycalling,thosewhogoabouttheworkofthedaybeforethem,doingitaccordingtotherulesoftheircraft,andaskingnoquestionsofthepastorofthefuture,oroftheaimandendtowhichtheirspeciallaboriscontributing。Theseoftenconsiderandcallthemselvespracticalmen。Theypulltheoarsofsociety,andhavenoleisuretowatchthecurrentsrunningthisorthatway;lettheoristsandphilosophersattendtothem。Inthemeantime,however,thesecurrentsarecarryingthepracticalmen,too,andalltheirworkmaybethrownaway,andworsethanthrownaway,iftheydonottakeknowledgeofthemandgetoutofthewrongonesandintotherightonesassoonastheymay。SirEdwardParryandhispartyweregoingstraighttowardsthepoleinoneoftheirarcticexpeditions,travellingattherateoftenmilesaday。Buttheiceoverwhichtheytravelledwasdriftingstraighttowardstheequator,attherateoftwelvemilesaday,andyetnomanamongthemwouldhaveknownthathewastravellingtwomilesadaybackwardunlesshehadliftedhiseyesfromthetrackinwhichhewasplodding。Itisnotonlygoingbackwardthattheplainpracticalworkmanisliableto,ifhewillnotlookupandlookaround;hemaygoforwardtoendshelittledreamsof。Itisasimplebusinessforamasontobuildupanicheinawall;butwhatif,ahundredyearsafterwardswhenthewallistorndown,theskeletonofamurderedmandropoutoftheniche?ItwasaplainpracticalpieceofcarpentryforaJewishartisantofittwopiecesoftimbertogetheraccordingtothelegalpatterninthetimeofPontiusPilate;heaskednoquestions,perhaps,butweknowwhatburdenthecrossboreonthemorrow!Andso,withsubtlertoolsthantrowelsoraxes,thestatesmanwhoworksinpolicywithoutprinciple,thetheologianwhoworksinformswithoutasoul,thephysicianwho,callinghimselfapracticalman,refusestorecognizethelargerlawswhichgovernhischangingpractice,mayallfindthattheyhavebeenbuildingtruthintothewall,andhanginghumanityuponthecross。

Thetruthis,thatmedicine,professedlyfoundedonobservation,isassensitivetooutsideinfluences,political,religious,philosophical,imaginative,asisthebarometertothechangesofatmosphericdensity。Theoreticallyitoughttogoonitsownstraightforwardinductivepath,withoutregardt

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