DOCTORS.
‘Throw physic to the dogs.’
Macbeth.
‘Friend of my life, which did not you prolong,
The world had wanted many an idle song.’
Pope.
n the moving panoramas of cities are to be seen certain vehicles of all degrees of locomotive beauty and convenience, from the glossy and silver-knobbed carriage with its prancing grays, to the bacheloric-looking sulky with its one gaunt horse, in which are seated gentlemen of a learned and professional aspect, usually wearing spectacles, and always an air of intense respectability, or of contemplation and seriousness. They recognize numerous acquaintances as they pass with a peculiar smile and nod, and are usually accompanied by ‘a little man-boy to hold the horse,’ as the French cook in the play defines a tigre. These mysterious personages rejoice in the title of Doctor—once a very distinctive appellation, but now as common as authorship and travelling. A moralist, watching them gliding by amid fashionable equipages, crowded omnibuses, hasty pedestrians, and all the phenomena of life in a metropolis, would find a striking contrast between the rushing tide around and the hushed rooms they enter. To how many their visit is the one daily event that breaks in upon the monotony of illness and confinement; how many eyes watch them with eager suspense, and listen to their opinion as the fiat of destiny; how many feverishly expect their coming, shrink from their polished steel, rejoice in their cheering ministrations, or dread their long bills! ‘The Doctor!’—a word that stirs the extremest moods, despair and jollity!
There is no profession which depends so much for its efficiency on personal traits as that of medicine; for the utility of technical knowledge here is derived from individual judgment, tact, and sympathy. In other words, the physician has to deal with an unknown element. Between the specific ailment and the remedy there are peculiarities of constitution, the influence of circumstances, and the laws of nature to be considered; so that although the medical adviser may be thoroughly versed in physiology, the materia medica, and the symptoms of disease, if he possess not the discrimination, the observant skill, and the reflective power to apply his learning wisely, it is comparatively unavailing. The aim of the divine and the attorney, however impeded by obstacles, is reached by a more direct course; logic, eloquence, and zeal, united to professional attainment, will insure success in law and divinity; but in physic, certain other qualities in the man are requisite to give scope to the professor. Hence we associate a certain originality with the idea of a doctor; are apt to regard the vocation at the two extremes of superiority and pretension, and justly estimate the individuals of the class according to their capacity of insight and their principles of action, rather than by their mere acquisitions or rank as teachers. The uncertainty of medicine, as a practical art, thus induces a stronger reliance on individual endowments than is the case in any other liberal pursuit.
A philosophical history of the art of healing would be not less curious than suggestive. The absurd theories which checked its progress for centuries, the secrets hoarded by Egyptian priests, the union of medical knowledge with ancient systems of philosophy, the epoch of Galen, the Arabian and Salerno schools, the reformation of Paracelsus, the brilliant discoveries which, at long intervals, illumined the track of the science, and the enlightened principles now realized—if fully discussed—would form an extraordinary chapter in the biography of man. Herein, as with other vocations, modern division of labour has concentrated professional aptitudes. ‘L’ affluence des postulants,’ says Balzac, ‘a forcé la médecine a se diviser en catégories; il y a le médecin qui professe, le médecin politique et le médecin militant et la cinquième divisions, celle des docteurs qui vendent des remèdes.’