A Book about Doctors - Part 12
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Part 12

The largest fee Sir Astley Cooper ever received was paid him by a West Indian millionaire named Hyatt. This gentleman having occasion to undergo a painful and perilous operation, was attended by Drs. Lettsom and Nelson as physicians, and Sir Astley as chirurgeon. The wealthy patient, his treatment having resulted most successfully, was so delighted that he fee'd his physicians with 300 guineas each. "But you, sir," cried the grateful old man, sitting up in his bed, and speaking to his surgeon, "shall have something better. There, sir--take _that_." The _that_ was the convalescent's night-cap, which he flung at the dexterous operator. "Sir," replied Sir Astley, picking up the cap, "I'll pocket the affront." It was well he did so, for on reaching home he found in the cap a draft for 1000 guineas. This story has been told in various ways, but all its tellers agree as to the amount of the prize.

Catherine, the Empress of Russia, was even more munificent than the West Indian planter. When Dr. Dimsdale, for many years a Hertford physician, and subsequently the parliamentary representative of that borough, went over to Russia and inoculated the Empress and her son, in the year 1768, he was rewarded with a fee of ?12,000, a pension for life of ?500 per annum, and the rank of Baron of the Empire. But if Catherine paid thus handsomely for increased security of life, a modern emperor of Austria put down a yet more royal fee for his death-warrant. When on his death-bed the Emperor Joseph asked Quarin his opinion of his case, the physician told the monarch that he could not possibly live forty-eight hours. In acknowledgment of this frank declaration of the truth, the Emperor created Quarin a Baron, and gave him a pension of more than ?2000 per annum to support the rank with.

A goodly collection might be made of eccentric fees given to the pract.i.tioners of the healing art. William Butler, who, in his moroseness of manner, was the prototype of Abernethy, found (_vide_ Fuller's "English Worthies") more pleasure in "presents than money; loved what was pretty rather than what was costly; and preferred rarities to riches." The number of physicians is large who have won the hands of heiresses in the discharge of their professional avocations. But of them we purpose to speak at length hereafter.

Joshua Ward, the Thames Street drysalter, who made a fortune by his "Drop and Pill,"

"Of late, without the least pretence to skill, Ward's grown a famed physician by a pill,"

was so successfully puffed by Lord Chief Baron Reynolds and General Churchill, that he was called in to prescribe for the king. The royal malady disappeared in consequence, or in spite, of the treatment; and Ward was rewarded with a solemn vote of the House of Commons, protecting him from the interdictions of the College of Physicians; and, as an additional fee, he asked for, and obtained, the privilege of driving his carriage through St. James's Park.

The pertinacity with which the members of the medical profession cling to the shilling of "the guinea" is amusing. When Erskine used to order "The Devil's Own" to _charge_, he would cry out "Six-and-eightpence!"

instead of the ordinary word of command. Had his Lordship been colonel of a volunteer corps of physicians, he would have roused them to an onward march by "A guinea!" Sometimes patients object to pay the extra shilling over the sovereign, not less than their medical advisers insist on having it. "We surgeons do things by guineas," we recollect a veteran hospital surgeon saying to a visitor who had put down the largest current gold piece of our present coinage. The patient (an irritable old gentleman) made it a question of principle; he hated humbug--he regarded "that shilling" as sheer humbug, and he would not pay it. A contest ensued, which terminated in the eccentric patient paying, not the shilling, but an additional sovereign. And to this day he is a frequent visitor of our surgical ally, and is well content to pay his two sovereigns, though he would die rather than countenance "a sham" by putting down "a guinea."

But of all the stories told of surgeons who have grown fat at the expense of the public, the best is the following one, for which Mr.

Alexander Kellet, who died at his lodgings in Bath, in the year 1788 is our authority. A certain French surgeon residing in Georgia was taken prisoner by some Indians, who having acquired from the French the art of larding their provisions, determined to lard this particular Frenchman, and then roast him alive. During the culinary process, when the man was half larded, the operators were surprised by the enemy, and their victim, making his escape, lived many days in the woods on the bacon he had in his skin.

If full reliance may be placed on the following humorous verses, it is not unknown for a physician to be paid in commodities, without the intervention of the circulating medium, or the receipt of such creature comforts as Johnson's friendly apothecary was wont to accept in lieu of cash:--

"An adept in the sister arts, Painter, poet, and musician, Employ'd a doctor of all parts, Druggist, surgeon, and physician.

"The artist with M.D. agrees, If he'd attend him when he grew sick, Fully to liquidate his fees With painting, poetry, and music.

"The druggist, surgeon, and physician, So often physick'd, bled, prescribed, That painter, poet, and musician (Alas! poor artist!) sunk--and died.

"But ere death's stroke, 'Doctor,' cried he, 'In honour of your skill and charge, Accept from my professions three-- A _hatchment_, _epitaph_, and _dirge_.'"

A double fee for good news has long been a rule in the profession. A father just presented with an heir, or a lucky fellow just made one, is expected to bleed freely for the benefit of the Faculty.

"Madam scolded one day so long, She sudden lost all use of tongue!

The doctor came--with hum and haw, p.r.o.nounc'd th' affection a lock'd jaw!

'What hopes, good sir?'--'Small, small, I see!'

The husband slips a _double fee_; 'What, no hopes, doctor?'--'None, I fear;'

Another fee for issue clear.

"Madam deceased--'Pray, sir, don't grieve!'

'My friends, one comfort I receive-- A _lock'd jaw_ was the only case From which my wife could die--in peace.'"

CHAPTER X.

PEDAGOGUES TURNED DOCTORS.

In the church of St. Mary Magdalen, Taunton, is a monumental stone engraved with the following inscription:--

"Qui medicus doctus, prudentis nomine clarus, Eloquii splendor, Pieridumque decus, Virtutis cultor, pietatis vixit amicus; Hoc jacet in tumulo, spiritus alta tenet."

It is in memory of John Bond, M.A., the learned commentator on Horace and Persius. Educated at Winchester school, and then at New College, Oxford, he was elected master of the Taunton Grammar-school in the year 1579. For many years he presided over that seminary with great efficiency, and sent out into the world several eminent scholars. On arriving, however, at the middle age of life, he relinquished the mastership of the school, and turned his attention to the practice of medicine. His reputation and success as a physician were great--the worthy people of Taunton honouring him as "a wise man." He died August 3, 1612.

More than a century later than John Bond, schoolmaster and physician, appeared a greater celebrity in the person of James Jurin, who, from the position of a provincial pedagogue, raised himself to be regarded as first of the London physicians, and conspicuous amongst the philosophers of Europe. Jurin was born in 1684, and received his early education at Christ's Hospital--better known to the public as the Bluecoat school. After graduating in arts at Cambridge, he obtained the mastership of the grammar-school of Newcastle-upon-Tyne, January, 1710. In the following year he acquired the high academic distinction of a fellowship on the foundation of Trinity College; and the year after (1712) he published through the University press, his edition of Varenius's Geography, dedicated to Bentley. In 1718 and 1719 he contributed to the Philosophical Transactions the essays which involved him in controversies with Keill and Senac, and were, in the year 1732, reprinted in a collected form, under the t.i.tle of "Physico-Mathematical Dissertations." Another of his important contributions to science was "An Essay on Distinct and Indistinct Vision," added to Smith's "System of Optics." Voltaire was not without good reason for styling him, in the _Journal de Savans_, "the famous Jurin."

Besides working zealously in his school, Jurin delivered lectures at Newcastle, on Experimental Philosophy. He worked very hard, his immediate object being to get and save money. As soon as he had laid by a clear thousand pounds, he left Newcastle, and returning to his University devoted himself to the study of medicine. From that time his course was a prosperous one. Having taken his M.D. degree, he settled in London, became a Fellow of the College of Physicians, a Fellow of the Royal Society (to which distinguished body he became secretary on the resignation of Dr. Halley in 1721), and a Physician of Guy's Hospital, as well as Governor of St. Thomas's. The friend of Sir Isaac Newton and Bentley did not lack patients. The consulting-rooms and ante-chambers of his house in Lincoln's Inn Fields received many visitors; so that he acquired considerable wealth, and had an estate and an imposing establishment at Clapton.

Nichols speaks of him in one of his volumes as "James Jurin, M.D., sometime of Clapton in Hackney." It was, however, at his town residence that he died, March 22, 1750, of what the _Gentleman's Magazine_ calls "a dead palsy," leaving by his will a considerable legacy to Christ's Hospital.

One might make a long list of Doctors Pedagogic, including poor Oliver Goldsmith, who used to wince and redden with shame and anger when the cant phrase, "It's all a holiday at Peckham," saluted his ears.

Between Bond and Jurin, however, there were two tutors turned physicians, who may not be pa.s.sed over without especial attention.

Only a little prior to Jurin they knew many of his friends, and doubtless met him often in consultation. They were both authors--one of rare wit, and the other (as he himself boasted) of no wit; and they hated each other, as literary men know how to hate. In every respect, even down to the quarters of town which they inhabited, they were opposed to each other. One was a brilliant talker and frequented St.

James's; the other was a pompous drone, and haunted the Mansion-house: a Jacobite the one, a Whig the other. The reader sees that these two worthies can be none other than Arbuthnot and Blackmore.

A wily, courtly, mirth-loving Scotchman, Arbuthnot had all the best qualities that are to be ordinarily found in a child of North Britain.

Everybody knew him--nearly every one liked him. His satire, that was only rarely tinctured with bitterness--his tongue, powerful to mimic, flatter, or persuade--his polished manners and cordial bearing, would alone have made him a favourite with the ladies, had he not been what he was--one of the handsomest men about town. (Of course, in appearance he did not approach that magnificent gentleman, Beau Fielding). In conversation he was frank without being noisy; and there hung about him--tavern-haunting wit though he was--an air of simplicity, tempering his reckless fun, that was very pleasant and very winning. Pope, Parnell, Garth, Gay, were society much more to his taste than the stately big-wigs of Warwick Hall. And next to drinking wine with such men, the good-humoured doctor enjoyed flirting with the maids of honour, and taking part in a political intrigue. No wonder that Swift valued him as a priceless treasure--"loved him," as he wrote to Stella, "ten times as much" as jolly, tippling Dr. Freind.

It was arm in arm with him that the Dean used to peer about St.

James's, jesting, snarling, laughing, causing dowagers to smile at "that dear Mr. Dean," and young girls, up for their first year at Court--green and unsophisticated--to blush with annoyance at his coa.r.s.e, shameless badinage; bowing to this great man (from whom he hoped for countenance), staring insolently at that one (from whom he was sure of nothing but enmity), quoting Martial to a mitred courtier (because the prelate couldn't understand Latin), whispering French to a youthful diplomatist (because the boy knew no tongue but English), preparing impromptu compliments for "royal Anna" (as our dear worthy ancestors used to call Mrs. Masham's intimate friend), or with his glorious blue eyes sending a glance, eloquent of admiration and homage, at a fair and influential supporter; cringing, fawning, flattering--in fact, angling for the bishopric he was never to get.

With Arbuthnot it was that Swift tried the dinners and wine of every hotel round Covent Garden, or in the city. From Arbuthnot it was that the Dean, during his periods of official exile, received his best and surest information of the battles of the cliques, the scandals of the Court, the contentions of parties, the prospects of ministers, and (most important subject by far) the health of the Queen.

Some of the most pleasant pictures in the "Journal to Stella" are those in which the kindly presence of the Doctor softens the asperity of the Dean. Most readers of these pages have accompanied the two "brothers" in their excursion to the course the day before the horse-races, when they overtook Miss Forrester, the pretty maid of honour, and made her accompany them. The lady was taking the air on her palfrey, habited in the piquant riding-dress of the period--the natty three-cornered c.o.c.ked hat, ornamented with gold lace, and perched on the top of a long flowing periwig, powdered to the whiteness of snow, the long coat cut like a coachman's, the waistcoat flapped and faced, and lastly the habit-skirt. One sees the belle at this time smiling archly, with all the power of beauty, and shaking the handle of her whip at the divine and the physician. So they took her with them (and they weren't wrong in doing so). Then the old Queen came by, gouty and hypochondriac. Off went the hats of the two courtiers in the presence of her Majesty. The beauty, too, raised her little three-cornered c.o.c.k-boat (rising on her stirrup as she did so), and returned it to the summit of the flowing wig, with a knowing side-glance, as much as to say, "See, sirs, we women can do that sort of thing quite as gracefully as the lords of the creation." (Oh, Mr.

Spectator, how could you find it in you to quarrel with that costume?) Swift was charmed, and described enough of the scene to make that foolish Stella frantically jealous; and then, prudent, canny love-tyrant that he was, added with a sneer--"I did not like her, though she be a toast, and was dressed like a man." And you may be sure that poor little Stella was both fool enough and wise enough both to believe and disbelieve this a.s.surance at the same time.

Arbuthnot owed his success in no degree whatever to the influence of his family, and only in a very slight degree to his professional knowledge. His father was only a poor episcopalian clergyman, and his M.D. degree was only an Aberdeen one. He rose by his wit, rare conversational powers, and fascinating address, achieving eminence at Court because he was the greatest master of fence with the weapon that is most used in courts--the tongue. He failed to get a living amongst rustic boors, who appreciated no effort of the human voice but a fox-hunter's whoop. Dorchester, where as a young man he endeavoured to establish himself in practice, refused to give him an income, but it doubtless maintained more than one dull empiric in opulence. In London he met with a different reception. For a time he was very poor, and resorted to the most hateful of all occupations--the personal instruction of the ignorant. How long he was so engaged is uncertain.

Something of Goldsmith's "Peckham" sensibility made him not care in after-life to talk of the days when he was a teacher of mathematics--starving on pupils until he should be permitted to grow fat on patients.

The patients were not long in coming. The literary reputation he obtained by his "Examination of Dr Woodward's Account of the Deluge,"

elicited by Woodward's "Essay towards a Natural History of the Earth,"

instead of frightening the sick from him, brought them to him.

Accidentally called in to Prince George of Denmark, when his Royal Highness was suddenly taken ill at Epsom, he made himself so agreeable that the casual introduction became a permanent connection. In 1709, on the illness of Hannes (a physician who also understood the art of rising in spite of obstacles) he was appointed physician-in-ordinary to Queen Anne.

To secure the good graces of his royal patient, and rise yet higher in them, he adopted a tone of affection for her as a person, as well as loyal devotion to her as a queen. The fall of Radcliffe warned him that he had need of caution in dealing with the weak-minded, querulous, crotchety, self-indulgent invalid.

"What's the time?" asked the Queen of him one day.

"Whatever it may please your Majesty," answered the court-physician, with a graceful bow.

After all, the best testimony of a man's merit is the opinion held of him by those of his acquaintance who know him intimately--at home as well as abroad. By all who came within the circle of Arbuthnot's privacy he was respected as much as loved. And his a.s.sociates were no common men. Pope, addressing him as "the friend of his life," says:--

"Why did I write? what sin, to me unknown, Dipp'd me in ink?--my parents' or my own?

As yet a child, nor yet a fool to fame, I lisp'd in numbers, for the numbers came.

I left no calling for this idle trade, No duty broke, no father disobey'd.

The muse but served to ease some friend, not wife, To help me through this long disease, my life, To second, Arbuthnot! thy art and care, And teach the being you preserved to bear."

Pope's concluding wish--

"Oh, friend! may each domestic bliss be thine."

was ineffectual. Arbuthnot's health failed under his habits of intemperance, and during his latter years he was a terrible sufferer from asthma and melancholy. After the Queen's death he went for the benefit of his health on the continent, and visited his brother, a Paris banker. Returning to London he took a house in Dover Street, from which he moved to the residence in Cork Street, Burlington Gardens, where he died Feb. 27, 1734-5. He died in straitened circ.u.mstances; for unlike his fellow-countryman, Colonel Chartres, he had not the faculty of saving. But with failing energies, an excruciated frame, and the heart-burden of a family unprovided for, he maintained a philosophic equanimity, and displayed his old unvarying consideration for all who surrounded him.