Medical Essays

第47章

WhatshallIsayofthepersonalhabitsyoumustformifyouwishforsuccess?Temperanceisfirstuponthelist。Intemperanceinaphysicianpartakesoftheguiltofhomicide,forthemuddledbrainmayeasilymakeafatalblunderinaprescriptionandtheunsteadyhandtransfixanarteryinanoperation。Tipplingdoctorshavebeentoocommoninthehistoryofmedicine。Paracelsuswasasot,Radcliffewasmuchtoofondofhisglass,andDr。JamesHurlbutofWethersfield,Connecticut,afamousmaninhistime,usedtodrinkasquarebottleofrumaday,withacorrespondingallowanceofopiumtohelpsteadyhisnerves。Wecommonlyspeakofamanasbeingtheworseforliquor,butIwasaskinganIrishlaboreronedayabouthisdoctor,who,ashesaid,wassomewhatgiventodrink。“Ilikehimbestwhenhe’salittlethatway,“hesaid;“thenIcanspaketohim。“Ipitiedthepoorpatientwhocouldnotventuretoalludetohiscolicorhispleurisyuntilhisphysicianwastipsy。

TherearepersonalhabitsoflessgravitythantheoneIhavementionedwhichitiswelltoguardagainst,or,iftheyareformed,torelinquish。Amanwhomaybecalledatamoment’swarningintothefragrantboudoirofsufferinglovelinessshouldnotunsweetenitsatmospherewithreminiscencesofextinguishedmeerschaums。Heshouldrememberthatthesickaresensitiveandfastidious,thattheylovethesweetodorsandthepuretintsofflowers,andifhispresenceisnotlikethebreathoftherose,ifhishandsarenotliketheleafofthelily,hisvisitmaybeunwelcome,andifhelooksbehindhimhemayseeawindowthrownopenafterhehasleftthesick-chamber。

Iremembertoowelltheolddoctorwhosometimescametohelpmethroughthoseinwardgriefstowhichchildhoodisliable。“Faroffhiscoming“——shallIsay“shone,“andfinishtheMiltonicphrase,orleavetheverbtothehappyconjecturesofmyaudience?Beforehimcameasoul-subduingwhiffofipecacuanha,andafterhimlingeredashudderingconsciousnessofrhubarb。Hehadlivedsomuchamonghismedicamentsthathehadatlastbecomehimselfadrug,andtohavehimpassthroughasick-chamberwasastrongerdosethanaconscientiousdiscipleofHahnemannwouldthinkitsafetoadminister。

NeedIremindyonoftheimportanceofpunctualityinyourengagements,andoftheworryanddistresstopatientsandtheirfriendswhichthewantofitoccasions?Oneofmyoldteachersalwayscarriedtwowatches,tomakequitesureofbeingexact,andnotonlykepthisappointmentswiththeregularityofachronometer,buttookgreatpainstobeathispatient’shouseatthetimewhenhehadreasontobelievehewasexpected,evenifnoexpressappointmentwasmade。Itisagoodrule;ifyoucalltooearly,mylady’shairmaynotbesosmoothascouldbewished,and,ifyoukeepherwaitingtoolong,herhairmaybesmooth,buthertemperotherwise。

Youwillremember,ofcourse,alwaystogettheweather-gageofyourpatient。Imean,toplacehimsothatthelightfallsonhisfaceandnotonyours。Itisakindof,ocularduelthatisabouttotakeplacebetweenyou;youaregoingtolookthroughhisfeaturesintohispulmonaryandhepaticandotherinternalmachinery,andheisgoingtolookintoyoursquiteassharplytoseewhatyouthinkabouthisprobabilitiesfortimeoreternity。

Nomatterhowhardhestaresatyourcountenance,heshouldneverbeabletoreadhisfateinit。Itshouldbecheerfulaslongasthereishope,andsereneinitsgravitywhennothingisleftbutresignation。Thefaceofaphysician,likethatofadiplomatist,shouldbeimpenetrable。Natureisabenevolentoldhypocrite;shecheatsthesickandthedyingwithillusionsbetterthananyanodynes。Iftherearecogentreasonswhyapatientshouldbeundeceived,doitdeliberatelyandadvisedly,butdonotbetrayyourapprehensionsthroughyourtell-talefeatures。

Wehadaphysicianinourcitywhosesmilewascommonlyreckonedasbeingworthfivethousanddollarsayeartohim,inthedays,too,ofmoderateincomes。Youcannotputonsuchasmileasthatanymorethanyoucangetsunshinewithoutsun;therewasatranquilandkindlynatureunderitthatirradiatedthepleasantfaceitmadeonehappiertomeetonhisdailyrounds。Butyoucancultivatethedisposition,anditwillworkitswaythroughtothesurface,nay,more,——youcantrytowearaquietandencouraginglook,anditwillreactonyourdispositionandmakeyoulikewhatyouseemtobe,oratleastbringyounearertoitsownlikeness。

Yourpatienthasnomorerighttoallthetruthyouknowthanhehastoallthemedicineinyoursaddlebags,ifyoucarrythatkindofcartridge-boxfortheammunitionthatslaysdisease。Heshouldgetonlyjustsomuchasisgoodforhim。Ihaveseenaphysicianexaminingapatient’scheststopalla

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