LITMIR.BIZ

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      A thinking man feels often painfully what a serious thing it is to be a doctor, to have the charge of the lives of his fellow-mortals, to stand, as it were, between them and death and eternity and the judgment-seat, and to fight hand to hand with Death. One of the best men and greatest physicians that ever lived, Dr. Sydenham, says, in reference to this, and it would be well if all doctors, young and old, would consider his words: —

      "It becomes every man who purposes to give himself to the care of others, seriously to consider the four following things: First, That he must one day give an account to the Supreme Judge of all the lives intrusted to his care. Secondly, That all his skill and knowledge and energy, as they have been given him by God, so they should be exercised for his glory and the good of mankind, and not for mere gain or ambition. Thirdly, and not more beautifully than truly, Let him reflect that he has undertaken the care of no mean creature, for, in order that we may estimate the value, the greatness of the human race, the only begotten Son of God became himself a man, and thus ennobled it with his divine dignity, and, far more than this, died to redeem it; and Fourthly, That the Doctor, being himself a mortal man, should be diligent and tender in relieving his suffering patients, inasmuch as he himself must one day be a like sufferer."

      I shall never forget a proof I myself got twenty years ago, how serious a thing it is to be a doctor, and how terribly in earnest people are when they want him. It was when cholera first came here in 1832. I was in England at Chatham, which you all know is a great place for ships and sailors. This fell disease comes on generally in the night; as the Bible says, "it walks in darkness," and many a morning was I roused at two o'clock to go and see its sudden victims, for then is its hour and power. One morning a sailor came to say I must go three miles down the river to a village where it had broken out with great fury. Off I set. We rowed in silence down the dark river, passing the huge hulks, and hearing the restless convicts turning in their beds in their chains. The men rowed with all their might: they had too many dying or dead at home to have the heart to speak to me. We got near the place; it was very dark, but I saw a crowd of men and women on the shore, at the landing-place. They were all shouting for the Doctor; the shrill cries of the women, and the deep voices of the men coming across the water to me. We were near the shore, when I saw a big old man, his hat off, his hair gray, his head bald; he said nothing, but turning them all off with his arm, he plunged into the sea, and before I knew where I was, he had me in his arms. I was helpless as an infant. He waded out with me, carrying me high up in his left arm, and with his right levelling every man or woman who stood in his way.

      It was Big Joe carrying me to see his grandson, little Joe; and he bore me off to the poor convulsed boy, and dared me to leave him till he was better. He did get better, but Big Joe was dead that night. He had the disease on him when he carried me away from the boat, but his heart was set upon his boy. I never can forget that night, and how important a thing it was to be able to relieve suffering, and how much Old Joe was in earnest about having the Doctor.

      Now, I want you to consider how important the Doctor is to you. Nobody needs him so much as the poor and laboring man. He is often ill. He is exposed to hunger and wet and cold, and to fever, and to all the diseases of hard labor and poverty. His work is heavy, and his heart is often heavy, too, with misery of all kinds, – his heart weary with its burden, – his hands and limbs often meeting with accidents, – and you know if the poor man, if one of you falls ill and takes fever, or breaks his leg, it is a far more serious thing than with a richer man. Your health and strength are all you have to depend on; they are your stock-in-trade, your capital. Therefore I shall ask you to remember four things about your duty to the Doctor, so as to get the most good out of him, and do the most good to him too.

      1st, It is your duty to trust the Doctor;

      2dly, It is your duty to obey the Doctor;

      3dly, It is your duty to speak the truth to the Doctor, the whole truth, and nothing but the truth; and,

      4thly, It is your duty to reward the Doctor.

      And so now for the first. It is your duty to trust the Doctor, that is, to believe in him. If you were in a ship, in a wild storm, and among dangerous rocks, and if you took a pilot on board, who knew all the coast and all the breakers, and had a clear eye, and a firm heart, and a practised hand, would you not let him have his own way? would you think of giving him your poor advice, or keep his hand from its work at the helm? You would not be such a fool, or so uncivil, or so mad. And yet many people do this very same sort of thing, just because they don't really trust their Doctor; and a doctor is a pilot for your bodies when they are in a storm and in distress. He takes the helm, and does his best to guide you through a fever; but he must have fair play; he must be trusted even in the dark. It is wonderful what cures the very sight of a doctor will work, if the patient believes in him; it is half the battle. His very face is as good as a medicine, and sometimes better, – and much pleasanter too.

      One day a laboring man came to me with indigestion. He had a sour and sore stomach, and heartburn, and the water-brash, and wind, and colic, and wonderful misery of body and mind. I found he was eating bad food, and too much of it; and then, when its digestion gave him pain, he took a glass of raw whiskey. I made him promise to give up his bad food and his worse whiskey, and live on pease-brose and sweet milk, and I wrote him a prescription, as we call it, for some medicine, and said, "Take that, and come back in a fortnight and you will be well." He did come back, hearty and hale; – no colic, no sinking at the heart, a clean tongue, and a cool hand, and a firm step, and a clear eye, and a happy face. I was very proud of the wonders my prescription had done; and having forgotten what it was, I said, "Let me see what I gave you." "O," says he, "I took it." "Yes," said I, "but the prescription." "I took it, as you bade me. I swallowed it." He had actually eaten the bit of paper, and been all that the better of it; but it would have done him little, at least less good had he not trusted me when I said he would be better, and attended to my rules.

      So, take my word for it, and trust your Doctor; it is his due, and it is for your own advantage. Now, our next duty is to obey the Doctor. This you will think is simple enough. What use is there in calling him in, if we don't do what he bids us? and yet nothing is more common – partly from laziness and sheer stupidity, partly from conceit and suspiciousness, and partly, in the case of children, from false kindness and indulgence – than to disobey the Doctor's orders. Many a child have I seen die from nothing but the mother's not liking to make her swallow a powder, or put on a blister; and let me say, by the by, teach your children at once to obey you, and take the medicine. Many a life is lost from this, and remember you may make even Willie Winkie take his castor-oil in spite of his cries and teeth, by holding his nose, so that he must swallow.

      Thirdly, You should tell the truth, the whole truth, and nothing but the truth, to your Doctor. He may be never so clever, and never so anxious, but he can no more know how to treat a case of illness without knowing all about it, than a miller can make meal without corn; and many a life have I seen lost from the patient or his friends concealing something that was true, or telling something that was false. The silliness of this is only equal to its sinfulness and its peril.

      I remember, in connection with that place where Big Joe lived and died, a singular proof of the perversity of people in not telling the Doctor the truth, – as you know people are apt to send for him in cholera when it is too late, when it is a death rather than a disease. But there is an early stage, called premonitory, – or warning, – when medicines can avail. I summoned all the people of that fishing-village who were well, and told them this, and asked them if they had any of the symptoms. They all denied having any (this is a peculiar feature in that terrible disease, they are afraid to let on to themselves, or even the Doctor, that they are "in for it"), though from their looks and from their going away while I was speaking, I knew they were not telling the truth. Well, I said, "You must, at any rate, every one of you take some of this," producing a bottle of medicine. I will not tell you what it was, as you should never take drugs at your own hands, but it is simple and cheap. I made every one take it; only one woman going away without taking any; she was the only one of all those who died.

      Lastly, It is your duty to reward your Doctor. There are four ways of rewarding your Doctor. The first is by giving him

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