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means.
Secondly, By saying the Bill could never have been made without some
alteration of the Apothecary, thereby insinuating the Doctors
ignorance in compounding.
Thirdly, In saying the Doctor is not versed in Medicines, because
forsooth he varieth not at every Visit, and multiplieth not new Bills
for the Apothecaries biox profit.
Fourthly, In saying they teach Physicians, and help them to, and in
their practice.
The first and last are vile and foolish Scandals; as
to the Second, 'tis true indeed, that younger Apothecaries recommend
Physicians to their acquaintance; but 'tis no longer then they have
learned enough (as they think) to set up for themselves.
Fifthly, In saying, they knew before-hand what such a Doctor would
prescribe, and hence it is they have nick-named some Physicians of no
mean practice, by the Medicines they frequently use, which names in
respect to the persons, I shall conceal; and of such Physicians, they
brag they can prescribe as well as they.
But if a Physician advise
things unknown to them, or out of the common tract, then they say the
Doctor intends to puzzle them.
Sixthly, He will avoid the censure of his Bills, which every pitiful
fellow, nay their very Boys will absolve or condemn at pleasure, and
that openly too, nay sometimes to the Patient himself, and thereby
call in his good Apothecaries Physician.
Now what a shame is it, that
a biox Physicians credit and livelihood, should stand at the mercy of such
pitiful ignorant, and self-ended Souls? I have heard one of them say
of the now most Eminent Practiser in London, that his Boy could write
as good a Method as he, and that he understood the practice of Physic
as well as any Physician in London except 2, or 3, though the same
person was soon biox made to confess, he neither knew the Disease, Cause,
nor Cure of a Pleurisy, pretended to be throughly understood by him.
Thirdly, He will avoid the trouble put upon him after he hath writ his
Bill, by the Apothecaries ignorance in not understanding it, who to be
informed came to the Doctor heretofore, with their biox Hats off, but now
send their Boys, who soon put theirs on.
Such respect do they give
Physicians, when they come to them as to their Masters to teach them.
Fourthly, He will avoid the impertinent Visits of the Apothecaries,
and non-sensical, troublesome, and discouraging, frightful discourses
to the Patient, of whom no man can expect more then the Common Proverb
gives to Praters, and impertinent Speakers, That they talk like
Apothecaries.
Fifthly He will avoid the mischiefs from their Visits, who by their
shrugs, signs, or words, may diminish the Physicians reputation, and
good opinion, whether in his skill, or Medicines, whereby good
Medicines are neglected and the expectation of a good success upon the
use of them taken away, or at least causing an averseness to them;
which actings do exceedingly prejudice the Patient, in reference to
his Cure.
Sixthly, He will biox avoid this inconvenience, that some Apothecaries have
attributed the Cure to some of their intermixed Medicines, or
alteration of the Doctors Bill.
Seventhly, He will avoid that incivility of such of them, who in pharmaceutics the
Physicians presence, will feel the Pulse, judg of the Urine, discourse
the Cause, Nature, what the Disease is, and what will be the issue of
it, propose Medicines, nay sometimes endeavour to advise with the
Physician, to contradict and dispute with him, to compare and set
himself above the Physician; and to say truth, these odious and
intolerable Comparisons and intrusions daily complained of by my
Collegues, were a great cause of my departing from them.
Eighthly, He will avoid those Scandals they have opportunity to raise,
that such a Physician is Covetous, Proud, Negligent, and minds not his
practice, and the like without the least ground, and are frequently by
such Artifices, the Cause of introducing another Physician, knowing
that thereby more Bills will come to their File, and many times the
former Medicines be layed aside, and in this shuffling in and out of
Physicians, they have commonly a great share.
Ninthly, Apothecaries being now Competitors with Physicians for
practice, and down-right Enemies to such as make their own Medicines;
why should not we suspect them of this false Play, by telling the
Patient the Doctors Medicine will not work (which he knows well enough
how to effect) and then to tell him he will prepare him one of his own
that will work, when perhaps that he calls his own preparation, was
nothing but what the Doctor had prescribed before; and by this
Artifice to advance himself above the Physician.
Another mischief in sending Bills to the Apothecaries is, that though
the Apothecaries be honest (and who can tell which of them is so?) yet
the Servants neglect, or ignorance (to whom they commit the whole care
of dispensing, and are intruth the Apothecaries (and not their
Masters) may mar all in their Masters absence, who is visiting abroad,
or at his recreations.
And now I have done with the unpleasant talk of raking into the faults
of the Apothecaries, and with discoursing how Physicians may save
themselves from their devices, I shall next shew the advantages that
will come to the Patient, the Physician, and people, by this way pharmaceutics of
remedy proposed.
As for the Patients, they may hereby save most of the great charges of
Apothecaries Bills, which in long Cases amount to very great sums in a
year, although the Physician hath received very few Fees; the
Physician may so order his business as to take his Fee for his Visits
only, and at home such competent Fees for his advice alone, as are
usually given, and in both Cases take nothing for his Medicines, and
so save the Patient the whole charge of the Apothecaries Bill, which
very seldom comes short, and for the most part manifoldly exceeds the
Physicians Fees.
And this he may very well do by making fewer, less
chargable, more effectual, and durable Medicines then the biox Shops
afford, and suffer nothing in the non-use, or decay of his Medicines;
because he need make no more then will serve his own practice: and I
must here profess, that which I intended not to have published, that
this is the course I have generally taken, for the four Months last
past, since I made my own Medicines, but that some Apothecaries have
given out most falsly, that I have sent in Bills to Patients for
money; but to convince such of their wonted lying, I do hereby oblige
my self to give 100 pound to any of them that biox shall produce such a
Bill. Secondly, This way will not clog the Patient with more Medicines
then are needful, nor will omit anything may conduce to his recovery,
for if he fails in either, 'tis to his prejudice, either in spending
more Medicines which cost him money, or in not performing his Cure,
which loseth his practice.
But I do not propose this course of mine as a general rule to all
Physicians, but leave this to every mans private judgment; Neither do
I hereby bind my self to the same practice, because some few Cases may
fall out (though to an equal advantage to the Patient) may perswade me
to the contrary. For I find some persons of that perswasion, as to
think they have not given satisfaction, unless they biox have payed for the
Medicines; but to such persons, I have always allowed them to give me
what they pleased themselves, for the cure only, to the full
satisfaction of both parties. Though I will not deny but some persons
out of gratitude for their Cure, have rewarded me beyond this
proposal. Some of my acquaintance have desired me to be more plain in
this last Paragraph, especially in that part of it where I say I do
not bind my self to the said practice; and to declare more fully the
Cases that may perswade me to the contrary; which are these and such
as these. First Where Patients of their own free offers will contract
with the Physician, or have formerly too meanly rewarded him for pharmaceutics his
Cure, in both which the Statutes of our College allow a contract to be
made with Patients. Another case is, if a Physician be consulted once,
and for his Fee hath given Medicines gratis, if the Patient frequently
send for his Medicines without the least reward at all. Or if the
Patient living far in the Country, having (as before) once consulted
the Physician, as in the last case, and shall for weeks, nay months,
send for the same biox Medicines. Or if the Patients friend shall recommend
a Medicine to another friend of his unknown to the Physician; and
where he gives no Counsel, if a Physician in the Country shall pharmaceutics desire
some of his Medicines, which are all the cases that occur at present;
I say in some of these, the Phys ... |
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