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I dare not guess; but you remember the old story of the siege; in
which each artisan proposed means of defence which be himself was
ready to furnish。 Then a shoemaker said; 'Hang your walls with new
boots。'
〃Human nature is the same with medical specialists as it was with
ancient cordwainers; and it is too possible that a hungry
practitioner may be warped by his interest in fastening on a patient
who; as he persuades himself; comes under his medical jurisdiction。
The specialist has but one fang with which to seize and bold his
prey; but that fang is a fearfully long and sharp canine。 Being
confined to a narrow field of observation and practice; he is apt to
give much of his time to curious study; which may be magnifique; but
is not exactly la guerre against the patient's malady。 He divides
and subdivides; and gets many varieties of diseases; in most respects
similar。 These he equips with new names; and thus we have those
terrific nomenclatures which are enough to frighten the medical
student; to say nothing of the sufferers staggering under this long
catalogue of local infirmities。 The 'old…fogy' doctor; who knows the
family tendencies of his patient; who 'understands his constitution;'
will often treat him better than the famous specialist; who sees him
for the first time; and has to guess at many things 'the old doctor'
knows from his previous experience with the same patient and the
family to which he belongs。
〃It is a great luxury to practise as a specialist in almost any class
of diseases。 The special practitioner has his own hours; hardly
needs a night…bell; can have his residence out of the town in which
he exercises his calling; in short; lives like a gentleman; while the
hard…worked general practitioner submits to a servitude more exacting
than that of the man who is employed in his stable or in his kitchen。
That is the kind of life I have made up my mind to。〃
The teaspoons tinkled all round the table。 This was the usual sign
of approbation; instead of the clapping of hands。
The young Doctor paused; and looked round among The Teacups。 〃I beg
your pardon;〃 he said; 〃for taking up so much of your time with
medicine。 It is a subject that a good many persons; especially
ladies; take an interest in and have a curiosity about; but I have no
right to turn this tea…table into a lecture platform。〃
〃We should like to hear you talk longer about it;〃 said the English
Annex。 〃One of us has thought of devoting herself to the practice of
medicine。 Would you lecture to us; if you were a professor in one of
the great medical schools?〃
〃Lecture to students of your sex? Why not; I should like to know? I
don't think it is the calling for which the average woman is
especially adapted; but my teacher got a part of his medical
education from a lady; Madame Lachapelle; and I don't see why; if one
can learn from a woman; he may not teach a woman; if he knows
enough。〃
〃We all like a little medical talk now and then;〃 said Number Five;
〃and we are much obliged to you for your discourse。 You are
specialist enough to take care of a sprained ankle; I suppose; are
you not?〃
〃I hope I should be equal to that emergency;〃 answered the young
Doctor; 〃but I trust you are not suffering from any such accident?〃
〃No;〃 said Number Five; 〃but there is no telling what may happen。 I
might slip; and get a sprain or break a sinew; or something; and I
should like to know that there is a practitioner at hand to take care
of my injury。 I think I would risk myself in your bands; although
you are not a specialist。 Would you venture to take charge of the
case?〃
〃Ah; my dear lady;〃 he answered gallantly; 〃the risk would be in the
other direction。 I am afraid it would be safer for your doctor if he
were an older man than I am。〃
This is the first clearly; indisputably sentimental outbreak which
has happened in conversation at our table。 I tremble to think what
will come of it; for we have several inflammable elements in our
circle; and a spark like this is liable to light on any one or two of
them。
I was not sorry that this medical episode came in to vary the usual
course of talk at our table。 I like to have oneof an intelligent
company; who knows anything thoroughly; hold the floor for a time;
and discourse upon the subject which chiefly engages his daily
thoughts and furnishes his habitual occupation。 It is a privilege to
meet such a person now and then; and let him have his full swing。
But because there are 〃professionals〃 to whom we are willing to
listen as oracles; I do not want to see everybody who is not a
〃professional〃 silenced or snubbed; if he ventures into any field of
knowledge which he has not made especially his own。 I like to read
Montaigne's remarks about doctors; though he never took a medical
degree。 I can even enjoy the truth in the sharp satire of Voltaire
on the medical profession。 I frequently prefer the remarks I hear
from the pew after the sermon to those I have just been hearing from
the pulpit。 There are a great many things which I never expect to
comprehend; but which I desire very much to apprehend。 Suppose that
our circle of Teacups were made up of specialists;experts in
various departments。 I should be very willing that each one should
have his innings at the proper time; when the company were ready for
him。 But the time is coming when everybody will know something about
every thing。 How can one have the illustrated magazines; the
〃Popular Science Monthly;〃 the Psychological journals; the
theological periodicals; books on all subjects; forced on his
attention; in their own persons; so to speak; or in the reviews which
analyze and pass judgment upon them; without getting some ideas which
belong to many provinces of human intelligence? The air we breathe
is made up of four elements; at least: oxygen; nitrogen; carbonic
acid gas; and knowledge。 There is something quite delightful to
witness in the absorption and devotion of a genuine specialist。
There is a certain sublimity in that picture of the dying scholar in
Browning's 〃A Grammarian's Funeral:〃
〃So with the throttling hands of death at strife;
Ground he at grammar;
Still; through the rattle; parts of speech were rife;
While he could stammer
He settled Hoti's businesslet it be
Properly based Oun
Gave us the doctrine of the enclitic De;
Dead from the waist down。〃
A genuine enthusiasm; which will never be satisfied until it has
pumped the well dry at the bottom of which truth is lying; always
excites our interest; if not our admiration。
One of the pleasantest of our American writers; whom we all remember
as Ik Marvel; and greet in his more recent appearance as Donald Grant
Mitchell; speaks of the awkwardness which he feels in offering to the
public a 〃panoramic view of British writers in these days of
specialists