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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"


Dr. Graves of Dublin, one of the first clinical teachers of our time,
always insisted on his students' beginning at once to visit the hospital.
At the bedside the student must learn to treat disease, and just as
certainly as we spin out and multiply our academic prelections we shall
work in more and more stuffing, more and more rubbish, more and more
irrelevant, useless detail which the student will get rid of just as soon
as he leaves us. Then the next thing will be a new organization, with an
examining board of first-rate practical men, who will ask the candidate
questions that mean business,--who will make him operate if he is to be a
surgeon, and try him at the bedside if he is to be a physician,--and not
puzzle him with scientific conundrums which not more than one of the
questioners could answer himself or ever heard of since he graduated.
Or these women who are hammering at the gates on which is written "No
admittance for the mothers of mankind," will by and by organize an
institution, which starting from that skilful kind of nursing which
Florence Nightingale taught so well, will work backwards through
anodynes, palliatives, curatives, preventives, until with little show of
science it imparts most of what is most valuable in those branches of the
healing art it professes to teach. When that time comes, the fitness of
women for certain medical duties, which Hecquet advocated in 1708, which
Douglas maintained in 1736, which Dr.


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