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ot roll out； from more than one of them； a horse…chestnut； carried about as a cure for rheumatism？ Nobody saw fit to empty his or her pockets； and my question brought no response。 But two months ago I was in a company of educated persons； college graduates every one of them； when a gentleman； well known in our community； a man of superior ability and strong common…sense； on the occasion of some talk arising about rheumatism； took a couple of very shiny horse…chestnuts from his breeches…pocket； and laid them on the table； telling us how； having suffered from the complaint in question； he had； by the advice of a friend； procured these two horse…chestnuts on a certain time a year or more ago； and carried them about him ever since； from which very day he had been entirely free from rheumatism。
This argument； from what looks like cause and effect； whether it be so or not； is what you will have to meet wherever you go； and you need not think you can answer it。 In the natural course of things some thousands of persons must be getting well or better of slight attacks of colds； of rheumatic pains； every week； in this city alone。 Hundreds of them do something or other in the way of remedy； by medical or other advice； or of their own motion； and the last thing they do gets the credit of the recovery。 Think what a crop of remedies this must furnish； if it were all harvested！
Experience has taught； or will teach you； that most of the wonderful stories patients and others tell of sudden and signal cures are like Owen Glendower's story of the portents that announced his birth。 The earth shook at your nativity； did it？ Very likely； and
〃So it would have done； At the same season； if your mother's cat Had kittened； though yourself had ne'er been born。〃
You must listen more meekly than Hotspur did to the babbling Welshman； for ignorance is a solemn and sacred fact； and； like infancy； which it resembles； should be respected。 Once in a while you will have a patient of sense； born with the gift of observation； from whom you may learn something。 When you find yourself in the presence of one who is fertile of medical opinions； and affluent in stories of marvellous cures；of a member of Congress whose name figures in certificates to the value of patent medicines； of a voluble dame who discourses on the miracles she has wrought or seen wrought with the little jokers of the sugar…of…milk globule…box； take out your watch and count the pulse； also note the time of day； and charge the price of a visit for every extra fifteen； or； if you are not very busy； every twenty minutes。 In this way you will turn what seems a serious dispensation into a double blessing； for this class of patients loves dearly to talk； and it does them a deal of good； and you feel as if you had earned your money by the dose you have taken； quite as honestly as by any dose you may have ordered。
You must take the community just as it is； and make the best of it。 You wish to obtain its confidence； there is a short rule for doing this which you will find useful；deserve it。 But； to deserve it in full measure； you must unite many excellences； natural and acquired。
As the basis of all the rest； you must have all those traits of character which fit you to enter into the most intimate and confidential relations with the families of which you are the privileged friend and counsellor。 Medical Christianity； if I may use such a term； is of very early date。 By the oath of Hippocrates； the practitioner of ancient times bound himself to enter his patient's house with the sole purpose of doing him good； and so to conduct himself as to avoid the very appearance of evil。 Let the physician of to…day begin by coming up to this standard； and add to it all the more recently discovered virtues and graces。
A certain amount of natural ability is requisite to make you a good physician； but by no means that disproportionate development of some special faculty which goes by the name of genius。 A just balance of the mental powers is a great deal more likely to be useful than any single talent； even were it the power of observation； in excess。 For a mere observer is liable to be too fond of facts for their own sake； so that； if he told the real truth； he would confess that he takes more pleasure in a post…mortem examination which shows him what was the matter with a patient； than in a case which insists on getting well and leaving him in the dark as to its nature。 Far more likely to interfere with the sound practical balance of the mind is that speculative； theoretical tendency which has made so many men noted in their day； whose fame has passed away with their dissolving theories。 Read Dr。 Bartlett's comparison of the famous Benjamin Rush with his modest fellow…townsman Dr。 William Currie； and see the dangers into which a passion for grandiose generalizations betrayed a man of many admirable qualities。
I warn you against all ambitious aspirations outside of your profession。 Medicine is the most difficult of sciences and the most laborious of arts。 It will task all your powers of body and mind if you are faithful to it。 Do not dabble in the muddy sewer of politics； nor linger by the enchanted streams of literature； nor dig in far…off fields for the hidden waters of alien sciences。 The great practitioners are generally those who concentrate all their powers on their business。 If there are here and there brilliant exceptions； it is only in virtue of extraordinary gifts； and industry to which very few are equal。
To get business a man mast really want it； and do you suppose that when you are in the middle of a heated caucus； or half…way through a delicate analysis； or in the spasm of an unfinished ode； your eyes rolling in the fine frenzy of poetical composition； you want to be called to a teething infant； or an ancient person groaning under the griefs of a lumbago？ I think I have known more than one young man whose doctor's sign proclaimed his readiness to serve mankind in that capacity； but who hated the sound of a patient's knock； and as he sat with his book or his microscope； felt exactly as the old party expressed himself in my friend Mr。 Brownell's poem
〃All I axes is； let me alone：'
The community soon finds out whether you are in earnest； and really mean business； or whether you are one of those diplomaed dilettanti who like the amusement of quasi medical studies； but have no idea of wasting their precious time in putting their knowledge in practice for the benefit of their suffering fellow…creatures。
The public is a very incompetent judge of your skill and knowledge； but it gives its confidence most readily to those who stand well with their professional brethren； whom they call upon when they themselves or their families are sick； whom they choose to honorable offices； whose writings and teachings they hold in esteem。 A man may be much valued by the profession and yet have defects which prevent his becoming a favorite practitioner； but no popularity can be depended upon as permanent which is not sanctioned by the judgment of professional experts； and with these you will always stand on your substantial merits。
What shall