James attended most of the University classes, but studied surgery under the great Robert Liston, the foremost extra-mural surgeon, daring and skilful as an operator and of great repute as a lecturer, who afterwards filled the post of Professor of Clinical Surgery in University College Hospital, London. Liston was an abrupt-mannered but sincere man, and a keen lover of truth. He was a warm advocate of hospital reform, and was successful in introducing several needed improvements into the Royal Infirmary after a fierce fight. Here again Simpson was brought under the influence of a strong, self-reliant man with a distinct tendency towards controversy; to whom he was also attracted by the fact that Liston was a native of Linlithgowshire. Liston and Syme, after being close colleagues, quarrelled most fiercely, and were bitter rivals until Liston removed to London in 1835. Simpson attended Liston’s lectures during three sessions.
There is no record of his having obtained great distinction in any of the medical classes, but his 32 certificates show that he worked with pre-eminent diligence in them all, and obtained a characteristic mastery of each subject. If any exception occurred it was in the very subject in which he afterwards earned his greatest scientific fame—that of obstetrics. He attended Professor James Hamilton’s course of lectures on that subject early in his career, and apparently felt so little interest—the subject only became a compulsory one for examination for qualification in 1830—that he regularly went to sleep during the lecture. The excuse urged was that the lecture being a late one, three to four in the afternoon, it found him tired out after a long morning of study, lectures, and practical work. But had he been keenly interested he would have been wide awake, for Hamilton was a forcible, if plain, lecturer.
Hamilton was another of Simpson’s teachers who exhibited the same uncompromising fighting characteristics—eager and strenuous in his efforts to obtain some object—which Simpson himself afterwards displayed. He fought hard for fifteen years to gain recognition for the subject which he taught, and to have it included in those necessary for qualification. He succeeded in the end, but in the course of the struggle had to bring two actions at law against professional brethren. In one the defendant was Dr. Gregory, whose teaching was mainly responsible for the British system of medical practice in the early part of this century, viz., free purging, free bleeding, 33 and frequent blistering, and who was the inventor of that well known household remedy, Gregory’s powder. Gregory was also a pugnacious man and could not abide the pretensions of the representative of the despised art of midwifery; he administered a public caning to him, and had to pay £100 in damages which, it is said, he offered to pay over again for another opportunity of thrashing the little obstetrician. This encounter occurred before Simpson became a student, but the memory of it was frequently revived in the subsequent disputes which Hamilton carried on.
The notes which Simpson took of the curriculum lectures were concisely made and full of comments, criticisms, and queries. He by no means bowed down to authority; he allowed nothing to pass which he did not understand at the time, and specially noted points which it seemed to him his teachers themselves did not understand.
Like most young men of his abilities and temperament, Simpson took pleasure in rhyming, and some of his verses are preserved. They indicate something of the rollicking spirit of the medical student’s life seventy years ago. The medical student at that date has been described in a recent interesting sketch of Edinburgh student life as wearing a white great-coat and talking loud; his hat was inclined knowingly to one side of his head, and the bright hues of an Oriental handkerchief decorated his neck. There was a great deal of acting in 34 his motions. He was first at the door of the theatre on a Saturday night, and regardless of the damages sustained by the skirts of his coat, secured the very middle seat of the fifth row of benches in the pit. Simpson, however, hardly conformed to this description. He enjoyed recreation as much as any man, and had a keen sense of humour which made him popular among his fellow students, but he was saturated with the love of study and was not led into extravagances of the Bob Sawyer type, or the harmless inanities of Albert Smith’s immortal Medical Student.
During the long summer vacation he noted carefully his observations on the botany, zoology, geology, and even the meteorology of the Bathgate district. Dr. Duns, in his memoir, points out that he was much more at home with the phenomena of organic than with those of inorganic forms. His highest powers came into play when he had to do with the presence of life and its varied manifestations. Even his antiquarian notes illustrated this. He passed at once from the things to the thoughts and feelings of the men associated with them.
In the holidays he also assisted the village doctor in visiting and dispensing, and lent a willing hand in his father’s shop when he was wanted, often enough driving the baker’s cart on the daily round of bread delivery.
In January of the year 1830 his father was taken seriously ill, and James hastily left Edinburgh and 35 tended him till his death. On his return he presented himself for the final examination at the College of Surgeons. This he passed with ease and credit in April, and found himself a fully qualified medical practitioner at the age of eighteen.