CHAPTER III
Further Studies. 1830-1835
Applies for a village appointment—Disappointment—Brother’s help to further studies—Dispensary assistant—Obtains University M.D., 1832—Thesis—Assistant to the Professor of Pathology—Turns to obstetrics—Attends Professor Hamilton’s lectures again—Royal Medical and Royal Physical Societies—Edward Forbes—The Oineromathic Society—Foreign tour—Visits Liverpool and meets Miss Jessie Grindlay—His characteristics, principles, and methods, with extracts from addresses.
There now came the first crisis in Simpson’s medical career. After his father’s death he felt that having obtained his qualification to practise it was his duty to relieve his family of the burden of supporting him through more extended studies. After due deliberation he applied for a small appointment which would have served as a nucleus for private practice, that of parish surgeon to a small village on the banks of the Clyde. Those in whose hands the appointment lay were not impressed with his fitness for the post, and he was not elected, “I felt,” he afterwards said, “a deeper amount of chagrin and disappointment 37 than I have ever experienced since that date. If chosen, I would probably have been working there as a village doctor still.” Although such a commencement might have delayed his ultimate rise to eminence, it cannot be agreed that it could possibly have prevented it. It was at this crisis that what he tenderly referred to as “the ceaseless love and kindness of a dear elder brother” came to his rescue, and by Alexander’s or, as he affectionately called him, “Sandy’s” help, he returned to Edinburgh to resume his studies in the winter session, 1830-31. His other brother, David, had started in business as a baker at Stockbridge, close to Edinburgh, and James boarded with him there for a time. His qualification enabled him to become assistant to a Dr. Gairdner in dispensary practice, a class of work he had had some experience of in the previous year while staying with Dr. Girdwood at Falkirk during the summer. Dr. Gairdner was much struck with Simpson’s abilities, which he stated, “promised the most flattering expectations.” In the course of his first experiences of actual practice he became impressed with the necessity for a knowledge of obstetrics, and therefore attended lectures on the subject by Dr. Thatcher, an extra-mural teacher of repute, who subsequently applied for the University chair of midwifery when Simpson was the successful candidate.
His chief object, however, was to qualify for the degree of Doctor of Medicine of the University, and 38 this he succeeded in doing in 1832. The regulations for this coveted degree were, for the times, wonderfully complete; it was held in such high estimation and such large numbers qualified annually—in 1827 there were one hundred and sixty graduates—that the authorities felt justified in being stringent. The length of the course of study necessary for graduation had been fixed at four years, and required the candidate to have attended classes in Anatomy, Surgery, Materia Medica, and Pharmacy, the Theory and Practice of Medicine, Clinical Medicine, Midwifery, Chemistry, and Botany, as well as a three months’ course in any two of the following:—Practical Anatomy, Natural History, Medical Jurisprudence, Clinical Surgery, and Military Surgery. The first step in examination took place at the house of one of the professors where the candidate was questioned in literary subjects, chiefly Latin, and in the different branches of Medicine and Surgery. If he passed this satisfactorily he was examined more minutely by two professors in the presence of the others, and was subsequently given two Aphorisms of Hippocrates to explain and illustrate in writing and to defend before the faculty, as well as two cases with questions attached. The last step was the presenting of a thesis which was read by one of the faculty and was publicly defended by the candidate on the day of graduation. All this examination was conducted in Latin. Simpson’s thesis was entitled: “De causa 39 mortis in quibusdam inflammationibus proxima.” He was amongst the last graduates who were examined through the medium of Latin, for after 1833 the language was optional, and English soon became the only one used; at the same time the examinations were differently arranged, and made to consist of more thorough and prolonged written and oral stages. Being on a pathological subject, Simpson’s thesis was allotted to Thomson, the professor of Pathology, to examine, who not only recommended the author for the degree, but was so impressed by the ability displayed in the dissertation that he sought him out and promptly offered him the post of assistant, which Simpson as promptly accepted. This appointment was most welcome. Not only did it give him a much desired opportunity for pathological work, but the salary of £50 a year enabled him to free his family from the immediate necessity of supporting him.
If to MacArthur and John Reid was due the credit of first directing Simpson’s thoughts to the study of medicine, to Professor John Thomson belongs the credit of having made him an obstetrician. “At Dr. Thomson’s earnest suggestion and advice,” says Simpson, “I first turned more especially to the study of midwifery with the view of becoming a teacher of this department of medical science.” He lost no time in throwing himself heartily into the work that was nearest to him, and became almost indispensable to his chief. Most of his time was spent in the 40 Pathological Museum, busily engaged in arranging, classifying, and describing the preparations, but he also assisted in preparing the professor’s lectures. He took up more readily than Thomson the then new mode of study by the microscope, and it is related that once he composed a lecture for his chief on this subject which Thomson delivered without previous perusal. Several times as Thompson read the lecture to the class he looked up to glare at his assistant, and when they returned to the side room he shook his fist in his face, saying, “I don’t believe one d—d word of it.”
Although Simpson was now earning enough by his salary as assistant to meet his expenses at the time, his family maintained their loving interest in his welfare. His sister told him he was working too hard and hurting his health. “Well,” he replied, “I am sure it is just to please you all.”
Sandy, who had married in 1832, watched his career carefully, and when the cholera made its appearance in Scotland he made a will with a provision for “my dear James” in the event of his death. “I daresay,” he addressed his family therein, “every one of you has a pleasure in doing him good by stealth as I have had myself.”
By Thomson’s advice Simpson attended Hamilton’s lectures in the winter session 1833-4, and this time with awakened interest. With the definite object of devoting himself to Midwifery clearly in view Simpson worked with all his phenomenal energy 41 during the years from 1832 to 1835, studying the subject while he was helping Thomson. He entered the front rank of the young graduates of his day, and was elected a member of the Royal Medical and Royal Physical Societies in the same year, 1833. Both these societies were for the encouragement of scientific study and discussion among students and young graduates, and to obtain the Presidential chair of either was a high honour. The Royal Medical Society was the oldest Society in the University, having been established in 1737 by the great Cullen and others; it had always been of great account in the University, and the originality of the utterances on professional matters which emanated from it made it then a power to be reckoned with not only in Edinburgh, but throughout European professional circles. For membership of the Royal Physical Society he was proposed by Edward Forbes, a brilliant youth, who subsequently distinguished himself in Natural History, and held the University Chair in that subject for a brief period until cut down prematurely at the age of thirty-nine. Forbes was the leader of a set of able young students who have left a distinct mark in the history of the University. John Reid was an intimate friend of Forbes, and Simpson was probably as intimate with him. Forbes was the founder and editor of the best of all the shortlived literary ventures of Edinburgh undergraduates—The University Maga, which was issued weekly in 1834; and he was also one of the 42 founders of the Oineromathic Society, “The brotherhood of the friends of Truth.” Forbes thus described the nature of this Society in song:—
“Some love to stray through lands far away,
Some love to roam on the sea,