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A64416 Some papers writ in the year 1664 In answer to a letter, concerning the practice of physick in England. By Dr. C. T. Published at the request of a friend and several fellows of the College of Physicians. Terne, Christopher, 1620-1673. 1670 (1670) Wing T760; ESTC R220666 33,486 59

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secure that that they of all men shall not on any termes be suffered to practise for that destroies the very reason of their constitution and this indeed is the great secret and stirrs up their industrious opposition to us for whilest they can vend medicines by their own practice without the survey or prescript of the Phystian the putting off the worst and refuse things brings in the greatest gain Besides that not knowing or considering more than that gain they never want any thing that which comes next to hand makes up any Physitians prescript and powder of a rotten post may with some wonderful commendations of its excellency and virtue serve there own practice better than the best garbelled spices And that this is too much truth I think is evident by their no opposition when lately the pretended Chymists so industriously laboured the making themselves a Corporation for in that the knife was at their Throats Apothecaries vvhen that is done will certainly in a little time signifie nothing All the hurt it can do Physitians is to force them to what I would have them now do the making their one Medicines and truly I think a very little consideration may serve a man to forsee that the next age will scarce know what an Apothecarie is for vvhat vvith these pretenders to secrets and the affronts the Apothecaries put upon us with their confident invading our profession we shall be driven at last to what I have been thus long speaking for Our old practitioners are unvvilling yet to come to it but the younger provide for it a pace and I doubt not but vvill finde encouragement enough to persue it but the design of your fifth reason for the better breeding up of yound Students in our faculty will hardly ever be vvell acquired as to the curing of diseases but by some such constitution for the Physitians of our Hospitals as I have formerly intimated for although every Doctor in Ph●sick should be able to teach the Anatomical Botanical and Pharmacutical knowledge of our profession yet there are not many that have so much practice in great Citties as to need help besides that those that are able to send for Physitians will not alwayes be contented that a younger Physitian should be trusted vvith the knowledge of their infirmities I could urge a great many inconveniences against this vvay but there can be none against constituting our Hospitalls so that the sick in them might be much better attended and our younger Physitians In a few Years acquire great knowledge in the practicall part of their profession for thus a three or four Years attendance on persons of all ages and sexes and sick of all perhaps of more than all the now known diseases and under a vvell experienced practitioner must give men of any capacity especially if before but reasonably vvell grounded in the true principles of their profession that judgment if you vvill give me leave to use one hard vvord that Sto●asme in judging the nature and causes of diseases and application of fit remedies to the cures of them which only indeed makes an able and a fortunate Physitian and vvithout vvhich all the secrets and vvonderful receipts the promising Quacks of this age boast off signifie not so well as herb ●ohn in Porredge since they are so far from doing no hurt that they many times do fatall and irreparable misc●iess by an unseasonable and ignorant application of them But certainly part of your sixth reason is grounded upon mistake if you reckon that the Fees of Physitians makes any very considerable advance in the charge of taking Physick For as no ingenuous Physitian can or will grate on the necessitous condition of his Patient and make a Cure more irksome to him than a disease so t●e constitutions of our Society and Custom as prevalent as a Law forbid and restrain the most covetous amongst us to contract for Cures or to make any bargains for our rewards I speak now for the Fellows and Candidates of our Society And what ever VVestminster-Hall may shew done by others I am very confident it can produce very few Suites commenced by any of that number against those that have recovered from sickness The truth of it is we are generally too much at the mercy of our Patients as to that An honest and conscientious Physitian I am sure if we are not all such we ought to be such cannot neglect the life of a man committed to his care but many of us can affirm by experience enough that there are too many that very much undervalue not only their Physitians who by Gods blessing on his skill and industry hath restored them health for sickness and case for pain but even that health and ease they are now possessed of whilst though well able to do otherwise they give mean and dirty rewards to their Physitians or perhaps reproaches instead of any It is a common excuse for their closeness of hand that the Doctor gets his Fees easily enough which he only makes a visit and writes a few words for but not to wish them that sollicitude of mind and anguish of soul that the doubtful condition of a Patient hath given me I wish they would consider for others what I am sure they would for themselves that is the real loss and gain in all they deal for they would then easily compute that besides the labour of studie and the expence of as much time as would make up two Apprentiships before a man can acquire a lawful title to Physick the charge of his Education the taking Degrees most commonly too his Travel the making of Experiments and his Library may amount to a greater stock than is necessary to make a man a Master in any other profession whatsoever and yet there are farr greater encouragments for other professions than for ours the two other learned ones of Law and Divinity mount men to the highest Honors and Authorities next the King and Royal Family wealthy Revenues are provided for Churchmen and places of great profit for men of the Law but a Doctor of Physick never gets farther some few of them acquire the honour of being more immediately in the service of the King but I have not heard of any of them amonst us very rich except Sir Theodore Mayerne all which I have said to insinuate what I doubt not but you will easily acknowledg that as Physitians may very well deserve the Fees that use and custome hath allowed them so it is not by those Fees that the charge of Physick is increased beyond what people are willing to make it since every Patient is in this case his own Chancellor To confirm this truth to you before I come to discover the little arts by which the charge of Physick is really encreased Let me tell you a Story which to me seems not very unpleasant One of our number and a friend of yours and mine one day in his study was addressed to by a man