TO THE PHYSICIAN.
Having passed the tedious years of abstruse study and intense application, necessary to your initiation in the mysteries of physic, and replete with a perfect remembrance of all the requisites to this great art, we suppose you recently emerged from the obscurity of dreary walls and dull professors, a phenomænon of universal knowledge and family admiration. The various and elaborate examinations you have passed, with scholastic approbation, having relieved you from the constantly accumulating load of anxiety, you are at length launched into life under a new character, and daily pant to display the dignity of your profession, in the happy appendage of M. D. to the prescriptive initials of your name.
You are no longer to be considered a student labouring in the heavy trammels of unintelligible lectures upon philosophy, anatomy, botany, chemistry, and the materia medica, with all their distinct and consequent advantages; or investigating the actual properties of electrical fire and MAGNETIC ENTHUSIASM, but stamped (by royal authority) with the full force of physical agency, and have derived from your merit unlimited permission to cure, “kill or destroy,” to the best of your knowledge and abilities, “so help you “God.” The professional path you now begin to tread, is so replete with danger, and the probability of success so very uncertain, that the fertile world have not omitted to make it proverbial, “A physician never begins to get bread, till he has no “teeth to eat it.” The truth of this may perhaps have been lamentingly acknowledged by some of the most learned men that ever became dependant upon a capricious world for precarious subsistance.
This palpable fact may concisely serve to convince you, your embarkation (with all its alluring prospects) will not only be encumbered with difficulties, but your ultimate gratification of success exceedingly doubtful. Great depth of learning may afford consolation to the equity of your own feelings (if you fortunately possess them) but it is by no means necessary to the acquisition of public opinion, however it may tend to contribute to the general good.
To avoid entering into a sentimental disquisition upon the honesty, integrity, or strict propriety of the maxims I proceed to lay down for your future conduct to obtain professional splendour, and insure success; I avail myself of the privilege I possess, to wave every consideration of the conscientious kind, and once more observe (without adverting to their consistency) they are adduced only as the unavoidable traits of character, and modes of behaviour, by which alone (in the present age) you can possibly hope for the least proportional share of practice as a physician.
At your first public entré, when the college list and court calendar have announced your qualifications and advancement to the wondering world (that such list should annually increase) let your friends and relatives be doubly assiduous in propagating reports (almost incredible) of your great humanity, extensive abilities, and unbounded benevolence.—This will answer the intended purpose to a certainty; crouds of the afflicted and necessitous will surround your habitation, and render your place of residence constantly remarkable to all classes, who naturally enquiring the character of the proprietor, will eagerly extol your charity in contributing your “advice to the poor GRATIS.”
This method alone will gain you popularity with those that rank in the line of mediocrity; with their superiors, success must be insured more from the efforts of interest, than either personal merit, or sound policy. Your attention to the wants of the poor, must soon be regulated by the preponderation of more weighty considerations; as you affected to alleviate their distresses from the motive of commiseration, prompting you to promote their ease, you have an undoubted right to shake off such superfluous visits, to secure your own. In this deceptive charity, some degree of discrimination must be put in practice, for you will sometimes perceive one among the train, whose apparel or behaviour must necessarily give you reason to suspect he has assumed the cloak of necessity to save his fee, and avail himself of your professional liberality in such case, call to your aid a look of true medical austerity, and let him understand “advice is seldom of any value or “effect unless it is paid for;” this will frequently answer the purpose, and procure what you did not expect.
On the contrary, so soon as you observe your prescriptions have “worked wonders” upon two or three of the most credulous and superstitious, who are extolling your great knowledge and “blessing your honour,” strengthen the force of your judgment by charitably obtruding a pecuniary corroboration into the hand of your afflicted patient, as a confirmation of your unbounded skill in the (miraculous) cure of every disease to which the human frame is incident. By such political practice, you insure the recital of your services with extacy, and your name reverberates from one end of the metropolis to the other.
Your person and place of residence, being by these means universally known, and your name become in a proportional degree popular, let your plan and mode of behaviour be instantly changed; it will be now necessary
“You “assume a” hurry “if you have it not,”