CHAPTER XXVI.

TRIALS OF A YOUNG PHYSICIAN.

The poet Cowper, in his delineations of a candidate for the pulpit, prescribes, as one needful condition or qualification,

"That he is honest in the sacred cause."

So, when I entered upon the medical profession, which I regarded as next of kin to sacred, I deemed honesty quite a high recommendation; and whatever in the abstract appeared to me to be right, I endeavored to pursue through the routine of every-day life. Alas, that I should ever have had occasion to doubt the policy of common honesty!

I was called to see Mrs. ----. The case was an urgent one. There was no time for deliberation or consultation. I understood her case but very poorly; yet I knew that in order to success I must at least _seem_ to be wise. Besides, what was to be done must be done quickly; so I boldly prescribed. My prescription was entirely successful, and I left the house with flying colors. I left, moreover, with the full consciousness of having acted in the main like an honest man.

A few days afterward I was sent for by Mrs. ----, who immediately filled my ears with the most piteous complaints, the sum total of which was that she was exceedingly _nervous_, and I told her so. Of course I did not complain of culpability or crime. But I told her, very plainly, that she needed no medicine--nothing but plenty of air and exercise, and less high-seasoned food. My great frankness gave offence, and impaired my reputation. She employed, in my stead, Dr. Robinson, who continued to attend her till his bill amounted to a sum sufficient to buy a good carriage and harness, and till his credit for skill was advanced in a degree corresponding.

Mr. B.'s child was sick, and his wife besides. He came for my predecessor; but, not finding him at home,--though he still remained in the place,--he was compelled to Hobson's choice--myself or n.o.body; Dr.

Robinson lived at too great a distance. I was accordingly employed, and was soon on the spot. The child was very sick; and for some little time after my arrival I was so much occupied in the performance of my duties that I paid no attention to any thing else. But having prescribed for both my patients, I sat down quietly to look over the newspaper.

Presently I heard from Mrs. B. a deep groan. I was immediately at her bedside, anxious to know the cause. "Oh, nothing at all," she said, "except a momentary feeling of disappointment because Dr. ---- did not come." I said to her, "You can send for him now, madam, as soon as he returns. Do not think yourselves compelled to adhere to me, simply because you have been obliged to call me once. I will yield most cheerfully to the individual of your preference."

Mrs. B. apologized. She knew I had done as well as I could, she said; and perhaps no one could have done better. "But little Leonora," said she, "is dreadfully sick; and I do very much want to see Dr. B. He has had more experience than you. These young doctors, just from the schools, what can they know, the best of them?"

I saw her difficulties; but, as I have already intimated, I did not look so wise as Dr. B., nor had I so grave a face, nor so large an abdomen. I could neither tell so good a story, nor laugh so heartily; I could not even descend to that petty talk which is so often greatly preferred to silence or newspaper reading, not only by such individuals as Mrs. B.

and her friends, but by most families. A physician must be a man of sympathy. He need not, however, descend to so low a level as that of dishonesty; but he must come down to the level of his people in regard to manners and conversation. He must converse with them in their own language. He must not only _seem_ to be devoted, unreservedly, to their interests, but must actually _be_ so. This confession is most cheerfully and sincerely and honestly made; and may he who reads it understand.

On a certain occasion I was called to prescribe in a family where the disappointment was so great that the patient was actually made worse by my presence, and an unfavorable turn given to the disease. It may be said that people ought not to yield themselves up to the influence of such feelings; and it is certainly true that they ought not. But sick people are not always rational, nor even judicious. Dr. Johnson says: "Every sick man is a rascal;" but we need not go quite so far as that.

Sickness changes us, morally, sometimes for the better, but much oftener for the worse; and in general it makes us much less reasonable.

But it is far enough from being my intention to present a full account of the trials incident to the life of a young medical man; for, in order to do this, I should be obliged to carry you with me, at least mentally, to places which you would not greatly desire to visit. Physicians can seldom choose their patients; they are compelled to take them as they find them. They will sometimes be called to the vilest of the vile and the filthiest of the filthy.

Their office is indeed a n.o.ble one; but is n.o.blest of all when performed honestly, in the fear of G.o.d, with a view to do good, and not merely to please mankind and gratify their own ambition. Above all, they should not practise medicine for the mere love of money. A physician should have a heart overflowing with benevolence, and should feel it inc.u.mbent upon him, at every step in his professional life, not only to do good to his patients, but to all around him. He should be a guide to mankind, physically, for moral ends. He should let his light so shine, that they, seeing his good works, may be led to glorify the Father who is in heaven. His object should be to spread, by the good he performs, the everlasting gospel, just as truly as this should be the object of him who ministers in holy things at the altar. Such a physician, however, at first, I was not. Such, however, I soon aspired to be; such, as I trust, I at length became. Of this, however, the reader will judge for himself, by-and-by. "By their fruits ye shall know them."

CHAPTER XXVII.

A DOSING AND DRUGGING FAMILY.

For several months of the first year of my medical life, I was a boarder in a family, all of whom were sickly. Some of the number were even continually or almost continually under the influence of medicine, if not of physicians. Here my trials were various, and some of them severe.

But I must give you a particular description of this family; for I have many things to say concerning it, some of which may prove instructive.

Mr. L. had been brought up a farmer; but being possessed of a delicate const.i.tution, had been subsequently converted into a country shop-keeper,--a dealer, I mean, in dry goods and groceries. As is usual in such cases, he was in the habit of keeping a small a.s.sortment of drugs and medicines. The circ.u.mstance of having medicine always at hand, and often _in_ hand, had led him, as it has thousands of others, into temptation, till he had formed and confirmed the habit of frequent dosing and drugging his frail system. But as usually happens in such cases, the more medicine he took, the more he seemed to require, and consequently the more he swallowed. One thing prepared the way for another.

With Mrs. L. matters were still worse. In the vain belief that without a course of medication, _she could never have any const.i.tution_, as she was wont to express it, her mother had begun to dose and drug her as early as at the age of twelve or fourteen years. And what had been thus early begun, had been continued till she was twenty-four, when she married Mr. L. But she was feebler, if possible, at twenty-four, than at fourteen, and believed herself under the necessity of taking medicine in order to be able to sit up a part of the day and perform a little light, but needful, family labor, such as sewing, mending, etc.

When I first had a seat at their family table, it was by no means uncommon for Mr. and Mrs. L. to begin their meal, as soon as "grace" was over, with Stoughton's bitters, or some other supposed cordial, or strengthener of the appet.i.te. As I not only refused to join them, but occasionally spoke a kind word against the custom into which they had fallen, the bitters at length fell into disuse; and it was found that their meals could be digested as well without the stimulus, as with its aid.

But I was much less successful in preventing the torrent of medicine from producing its wonted ---- upon this family, at other times and seasons; for which Mr. L.'s business furnished such facilities. But you must not think of Mrs. L. as a mere tyro in this business of compounding medicine, nor in that of administering it, especially to herself. From the apothecary's shop of her husband, as well as from other sources, she selected one thing after another, not merely for the time, but for permanent purposes, till it was almost difficult to say which had the best a.s.sortment, she or her husband. And she not only had it on hand, but she took it, as freely, almost so, as her food and drink.

More than even this should be affirmed. Had she at any time flagged in this work of self-destruction, she would have been brought up again to the line by her mother. For though the latter resided at a considerable distance, she paid Mrs. L. an occasional visit, and sometimes remained in the family several weeks. Whenever she did so, little was heard of in the usual hours of conversation,--especially at the table,--but Sarah's stomach, Sarah's nerves, and what was good for Sarah. It was enough to make one _sick at the stomach_, to witness the conversation even for a single day; and above all to be compelled to join in it.

She was there once, in the early spring, and remained until the ground was fairly settled. No sooner could she get into the woods, and come to the naked surface of the earth, than the whole country around was laid under tribute to furnish roots "good for the blood." These were put into a beer to be prepared for Sarah. It was supposed by many,--and by this wondrous wise old lady, among the rest,--that the efficacy of these medicinal beers in cleansing the blood, must ever be in due proportion to the number of their respective ingredients. Thus, if twenty articles, "good for the blood," could be procured and boiled in the wort, the result would be a compound which would be worth twenty times as much, or at least be _many_ times as useful, in accomplishing its supposed specific purpose, as if only one kind of root had been obtained.

It was a long time before I could break in upon this tissue of error, to any practical purpose. For so deeply imbedded in the human brain is the idea of purifying the blood by some such unnatural means, that one might almost as well think of building a railroad to the moon, as of overcoming it. They never thought--perhaps never knew--that the blood of the human body of to-day, will be little more the blood of the body to-morrow, than the river which flows by our door to-day will be the river of to-morrow; and that the one can no more be purified independently of any and all things else, than the other.

But it is said to be a long road which never turns. Some good impressions had been made on this family, as we shall see hereafter.

Not, indeed, until there had been much unnecessary suffering, and many an unwilling penalty paid for transgression, as well as much money uselessly expended for physicians and medicine. For though I was somewhat a favorite in the family, I was as yet young and inexperienced, and many a wiser head than mine was from time to time invoked, and much time and money lost in other ways, that might have been saved for better and n.o.bler purposes.

Among the items of loss, as well as of penalty, was that of offspring.

These were generally still-born. One, indeed, lived about two weeks and then perished. The parents seemed to be written childless. Or rather, they seemed to have written themselves so. They seemed destined moreover, to follow their premature children, at no great distance, to an untimely grave. For nothing was more obvious--I mean to the medical observer--than at an age when everybody ought to be gaining in bodily no less than in mental and moral vigor, they were both of them growing feeble as well as irresolute.

As a boarder, I left the family some time afterward, though I did not lose sight of it wholly; nor did they entirely forget or disregard the numerous hints I had given them. They made some progress every year. At length, however, I lost sight of them entirely, and only kept up a faint recollection of them by means of an occasional word of intelligence from the place where they resided, showing that they were still alive.

One day, after the lapse of about eight years, as I was pa.s.sing through a charming New England village, the stage-coach stopped to let the pa.s.sengers dine, when, to my great surprise, on stepping out of the coach, whom should I see but my old friend Mr. L.? He was equally surprised, and perhaps equally rejoiced, to see me. The interview was utterly unexpected to us both.

"How do you do?" said he, grasping my hand. I returned the compliment by inquiring after his own health and that of Mrs. L. It turned out that he had failed in his business a few months before, and that, as a consequence, he had been compelled to remove to the place where he now was, and engage in an employment which brought his skin into contact with the air, and his muscles into prolonged and healthful activity. It appeared also that both he and his family had long since banished the use of medicine. "And now," said he, "thank G.o.d I know what it is, once more, to enjoy health; I can not only eat, but work."

It was Monday, the great _washing-day_ of Yankee house-keepers; and while we were talking together with so much earnestness, that, like Milton's first pair in innocence, we "forgot all time," a female approached, with her sleeves rolled up, greeted me with much cordiality and seized me by the hand. "Can this be Mrs. L.?" I asked. How changed!

She was, it is true, like her husband, a little sunburnt; but then she was as she a.s.sured me, and, as I had every reason for believing to be true, comparatively healthy.

While I was still in amazement, hardly knowing whether I was awake or dreaming, a little girl approached us. Though somewhat slender and delicate, she was only slightly diseased; rather, she was only predisposed to disease by inheritance; and mere predispositions no more destroy us, than a train of powder explodes without igniting. The girl was about four or five years old. "Who is this?" I inquired. "Not yours, most certainly," I added, turning to Mr. and Mrs. L. "We call her ours,"

they said, "and yours; for we, no doubt, owe her life and health, in no small degree, to your instructions."--"This," said I, "is what I little expected to see; but you may thank G.o.d for it rather than me, since she lives by virtue of obedience to his laws, and not mine. Then you are not only pretty healthy yourselves," I added, "but you have a healthy child."--"We have two," said they. "The other is in the cradle; we will go and bring her."

At this moment, the loud declaration, "The coach is ready, gentlemen,"

reminded us that our conversation was at an end for the present, and we were obliged to separate. Not, however, till we had enjoyed a most luxurious mental repast in "the feast of reason, and the flow of soul,"

with no abatement but the consciousness, on my part, of a little loss to the landlord, who had provided for the pa.s.sengers a smoking dinner.

This, reader, to speak somewhat paradoxically, was one of the proudest, and yet one of the humblest days of my life. To have been the Heaven-appointed instrument of such a marked change for the better in a human family, was more than could have been foreseen or even expected.

It is more than has often fallen to my lot. True, I do not hesitate to regard it as an extreme case; and yet it is, in magnitude, just what I could show you in miniature, at various points in the same vicinity, and indeed, all over the country.

Mr. and Mrs. L. still pursue the even tenor of their way, and have their reward in it. One of their two daughters,--buds of early promise,--though probably more or less scrofulous, hardly reached maturity, ere she descended to the tomb. The rest enjoy a tolerable degree of health. Of course, I do not speak of their health as greater than that of the average of mankind, notwithstanding their thorough reformation. It is much, all things considered, that it should be equal to that average.

As for the mother of Mrs. L., who still occasionally visits the family, she looks on in silent amazement, hardly knowing whether to recommend any more beer, with all sorts of roots good for the blood in it, or whether to give up the pursuit. I believe, however, that she does not often presume to interfere with their habits. Perhaps she has learned--if not, she may possibly live long enough to acquire the lesson,--to "let well alone," as her children and grandchildren already have. I certainly hope she has. It will conduce greatly to her health and happiness, as well as make her a better citizen and better Christian.

CHAPTER XXVIII.

POISONING WITH LEAD.

Nearly at the beginning of my practice in medicine, I was called to see a fine and hitherto healthy youth, twelve years old, but who had for several weeks before application was made to me, complained of a steady and sometimes severe pain in his bowels, attended with more or fewer febrile symptoms and a loss of appet.i.te.

In endeavoring to trace out carefully the causes of his disease, the first thing that attracted my attention was his employment. His father was a blacksmith, and being in moderate circ.u.mstances and dest.i.tute of any other help besides this son, had for a considerable time required him to perform the work of an adult, or nearly such. It had not been suspected at the time, that the work injured him, though he had sometimes complained of great fatigue, and of a slight weakness and uneasiness in the place where the pain had now become fixed. As the result of my investigations, I came to the conclusion that he had been overworked, and certain ligaments of the bowels had been weakened.

My treatment in the case was at first mild and palliative, in the hope that after a few days of rest the trouble would disappear. Instead of this, however, it grew worse. At my special request, various counselling physicians were called in; but I do not know that they were of any service to me. No new light was thrown on the case, though we could all converse very learnedly on the subject.