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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"


This argument, from what looks like cause and effect, whether it be so or
not, is what you will have to meet wherever you go, and you need not
think you can answer it. In the natural course of things some thousands
of persons must be getting well or better of slight attacks of colds, of
rheumatic pains, every week, in this city alone. Hundreds of them do
something or other in the way of remedy, by medical or other advice, or
of their own motion, and the last thing they do gets the credit of the
recovery. Think what a crop of remedies this must furnish, if it were
all harvested!
Experience has taught, or will teach you, that most of the wonderful
stories patients and others tell of sudden and signal cures are like Owen
Glendower's story of the portents that announced his birth. The earth
shook at your nativity, did it? Very likely, and
"So it would have done,
At the same season, if your mother's cat
Had kittened, though yourself had ne'er been born."
You must listen more meekly than Hotspur did to the babbling Welshman,
for ignorance is a solemn and sacred fact, and, like infancy, which it
resembles, should be respected. Once in a while you will have a patient
of sense, born with the gift of observation, from whom you may learn
something. When you find yourself in the presence of one who is fertile
of medical opinions, and affluent in stories of marvellous cures,--of a
member of Congress whose name figures in certificates to the value of
patent medicines, of a voluble dame who discourses on the miracles she
has wrought or seen wrought with the little jokers of the sugar-of-milk
globule-box, take out your watch and count the pulse; also note the time
of day, and charge the price of a visit for every extra fifteen, or, if
you are not very busy, every twenty minutes.


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