Nine Short Essays

by Charles Dudley Warner

Another great change in modern practice is specialization. Perhaps it has not yet reached the delicate particularity of the practice in ancient Egypt, where every minute part of the human economy had its exclusive doctor. This is inevitable in a scientific age, and the result has been on the whole an advance of knowledge, and improved treatment of specific ailments. The danger is apparent. It is that of the moral specialist, who has only one hobby and traces every human ill to strong liquor or tobacco, or the corset, or taxation of personal property, or denial of universal suffrage, or the eating of meat, or the want of the centralization of nearly all initiative and interest and property in the state. The tendency of the accomplished specialist in medicine is to refer all physical trouble to the ill conduct of the organ he presides over. He can often trace every disease to want of width in the nostrils, to a defective eye, to a sensitive throat, to shut-up pores, to an irritated stomach, to auricular defect. I suppose he is generally right, but I have a perhaps natural fear that if I happened to consult an amputationist about catarrh he would want to cut off my leg. I confess to an affection for the old-fashioned, all-round country doctor, who took a general view of his patient, knew his family, his constitution, all the gossip about his mental or business troubles, his affairs of the heart, disappointments in love, incompatibilities of temper, and treated the patient, as the phrase is, for all he was worth, and gave him visible medicine out of good old saddle-bags—how much faith we used to have in those saddle-bags—and not a prescription in a dead language to be put up by a dead-head clerk who occasionally mistakes arsenic for carbonate of soda. I do not mean, however, to say there is no sense in the retention of the hieroglyphics which the doctors use to communicate their ideas to a druggist, for I had a prescription made in Hartford put up in Naples, and that could not have happened if it had been written in English. And I am not sure but the mysterious symbols have some effect on the patient.

The mention of the intimate knowledge of family and constitutional conditions possessed by the old-fashioned country doctor, whose main strength lay in this and in his common-sense, reminds me of another great advance in the modern practice, in the attempt to understand nature better by the scientific study of psychology and the occult relations of mind and body. It is in the study of temper, temperament, hereditary predispositions, that we may expect the most brilliant results in preventive medicine.

As a layman, I cannot but notice another great advance in the medical profession. It is not alone in it. It is rather expected that the lawyers will divide the oyster between them and leave the shell to the contestants. I suppose that doctors, almost without exception, give more of their time and skill in the way of charity than almost any other profession. But somebody must pay, and fees have increased with the general cost of living and dying. If fees continue to increase as they have done in the past ten years in the great cities, like New York, nobody not a millionaire can afford to be sick. The fees will soon be a prohibitive tax. I cannot say that this will be altogether an evil, for the cost of calling medical aid may force people to take better care of themselves. Still, the excessive charges are rather hard on people in moderate circumstances who are compelled to seek surgical aid. And here we touch one of the regrettable symptoms of the times, which is not by any means most conspicuous in the medical profession. I mean the tendency to subordinate the old notion of professional duty to the greed for money. The lawyers are almost universally accused of it; even the clergymen are often suspected of being influenced by it. The young man is apt to choose a profession on calculation of its profit. It will be a bad day for science and for the progress of the usefulness of the medical profession when the love of money in its practice becomes stronger than professional enthusiasm, than the noble ambition of distinction for advancing the science, and the devotion to human welfare.

I do not prophesy it. Rather I expect interest in humanity, love of science for itself, sympathy with suffering, self-sacrifice for others, to increase in the world, and be stronger in the end than sordid love of gain and the low ambition of rivalry in materialistic display. To this higher life the physician is called. I often wonder that there are so many men, brilliant men, able men, with so many talents for success in any calling, willing to devote their lives to a profession which demands so much self-sacrifice, so much hardship, so much contact with suffering, subject to the call of all the world at any hour of the day or night, involving so much personal risk, carrying so much heart-breaking responsibility, responded to by so much constant heroism, a heroism requiring the risk of life in a service the only glory of which is a good name and the approval of one's conscience.

To the members of such a profession, in spite of their human infirmities and limitations and unworthy hangers-on, I bow with admiration and the respect which we feel for that which is best in this world.

"H.H." IN SOUTHERN CALIFORNIA

It seems somehow more nearly an irreparable loss to us than to "H. H." that she did not live to taste her very substantial fame in Southern California. We should have had such delight in her unaffected pleasure in it, and it would have been one of those satisfactions somewhat adequate to our sense of fitness that are so seldom experienced. It was my good fortune to see Mrs. Jackson frequently in the days in New York when she was writing "Ramona," which was begun and perhaps finished in the Berkeley House. The theme had complete possession of her, and chapter after chapter flowed from her pen as easily as one would write a letter to a friend; and she had an ever fresh and vigorous delight in it. I have often thought that no one enjoyed the sensation of living more than Mrs. Jackson, or was more alive to all the influences of nature and the contact of mind with mind, more responsive to all that was exquisite and noble either in nature or in society, or more sensitive to the disagreeable. This is merely saying that she was a poet; but when she became interested in the Indians, and especially in the harsh fate of the Mission Indians in California, all her nature was fused for the time in a lofty enthusiasm of pity and indignation, and all her powers seemed to be consecrated to one purpose. Enthusiasm and sympathy will not make a novel, but all the same they are necessary to the production of a work that has in it real vital quality, and in this case all previous experience and artistic training became the unconscious servants of Mrs. Jackson's heart. I know she had very little conceit about her performance, but she had a simple consciousness that she was doing her best work, and that if the world should care much for anything she had done, after she was gone, it would be for "Ramona." She had put herself into it.

And yet I am certain that she could have had no idea what the novel would be to the people of Southern California, or how it would identify her name with all that region, and make so many scenes in it places of pilgrimage and romantic interest for her sake. I do not mean to say that the people in California knew personally Ramona and Alessandro, or altogether believe in them, but that in their idealizations they recognize a verity and the ultimate truth of human nature, while in the scenery, in the fading sentiment of the old Spanish life, and the romance and faith of the Missions, the author has done for the region very much what Scott did for the Highlands. I hope she knows now, I presume she does, that more than one Indian school in the Territories is called the Ramona School; that at least two villages in California are contending for the priority of using the name Ramona; that all the travelers and tourists (at least in the time they can spare from real-estate speculations) go about under her guidance, are pilgrims to the shrines she has described, and eager searchers for the scenes she has made famous in her novel; that more than one city and more than one town claims the honor of connection with the story; that the tourist has pointed out to him in more than one village the very house where Ramona lived, where she was married—indeed, that a little crop of legends has already grown up about the story itself. I was myself shown the house in Los Angeles where the story was written, and so strong is the local impression that I confess to looking at the rose-embowered cottage with a good deal of interest, though I had seen the romance growing day by day in the Berkeley in New York.

The undoubted scene of the loves of Ramona and Alessandro is the Comulos rancho, on the railway from Newhall to Santa Paula, the route that one takes now (unless he wants to have a lifelong remembrance of the ground swells of the Pacific in an uneasy little steamer) to go from Los Angeles to Santa Barbara. It is almost the only one remaining of the old-fashioned Spanish haciendas, where the old administration prevails. The new railway passes it now, and the hospitable owners have been obliged to yield to the public curiosity and provide entertainment for a continual stream of visitors. The place is so perfectly described in "Ramona" that I do not need to draw it over again, and I violate no confidence and only certify to the extraordinary powers of delineation of the novelist, when I say that she only spent a few hours there,—not a quarter of the time we spent in identifying her picture. We knew the situation before the train stopped by the crosses erected on the conspicuous peaks of the serrated ashy—or shall I say purple—hills that enfold the fertile valley. It is a great domain, watered by a swift river, and sheltered by wonderfully picturesque mountains. The house is strictly in the old Spanish style, of one story about a large court, with flowers and a fountain, in which are the most noisy if not musical frogs in the world, and all the interior rooms opening upon a gallery. The real front is towards the garden, and here at the end of the gallery is the elevated room where Father Salvierderra slept when he passed a night at the hacienda,—a pretty room which has a case of Spanish books, mostly religious and legal, and some quaint and cheap holy pictures. We had a letter to Signora Del Valle, the mistress, and were welcomed with a sort of formal extension of hospitality that put us back into the courtly manners of a hundred years ago. The Signora, who is in no sense the original of the mistress whom "H. H." describes, is a widow now for seven years, and is the vigilant administrator of all her large domain, of the stock, the grazing lands, the vineyard, the sheep ranch, and all the people. Rising very early in the morning, she visits every department, and no detail is too minute to escape her inspection, and no one in the great household but feels her authority.

It was a very lovely day on the 17th of March (indeed, I suppose it had been preceded by 364 days exactly like it) as we sat upon the gallery looking on the garden, a garden of oranges, roses, citrons, lemons, peaches—what fruit and flower was not growing there?—acres and acres of vineyard beyond, with the tall cane and willows by the stream, and the purple mountains against the sapphire sky. Was there ever anything more exquisite than the peach-blossoms against that blue sky! Such a place of peace. A soft south wind was blowing, and all the air was drowsy with the hum of bees. In the garden is a vine-covered arbor, with seats and tables, and at the end of it is the opening into a little chapel, a domestic chapel, carpeted like a parlor, and bearing all the emblems of a loving devotion. By the garden gate hang three small bells, from some old mission, all cracked, but serving (each has its office) to summon the workmen or to call to prayer.