,,l>ge ,,fees ,,& ,,h[ ,,to ,,get ,,!m --- ,a ,,book ,,= ,,! ,,private ,,use ,,( ,,physicians --- ,,by ,,alb]t ,v4 ,,h>mon1 ,m4,d4 ,,) ,,introductory ,,*apt] ,,by ,g4 ,,frank ,,lyd/on1 ,m4,d4 ,w4 ,j4 ,,jackman1 ,,publi%] #aba-abg ,,plym\? ,,c\rt ,,*icago ---------------------------------------- -------------------------------- ,copyright1 #aiaa ,by ,w4 ,j4 ,,jackman ---------------------------------------- -------------------------------- ,,l>ge ,,fees ,,& ,,h[ ,,to ,,get ,,!m ---------------------------------------- -------------------------------- ,,cont5ts ------- ,,*apt] ,i4 ,,m$ic9e ,,z ,a ,,bus9ess4 ,:y ,m$ic9e z #aa ,ord9>ily ,foll[$ ,is a ,failure ,f ! ,bus9ess ,/&po9t--,physicians ,!mselves ,ma9ly ,responsible--,que] ,ideas ,ab\t ,philan?ropy--,poor ,bus9ess ,me?ods--,tactics t ,paup]ize ,"o-half ! ,pati5ts--,doctors ,easy ,prey = ,%>p]s--,evils ( ,m$ical ,colleges--8,*>itable0 ,hospitals ,injure ,regul> ,practition]s--,free ,cl9ics & ,disp5s>ies--,! ,m$ical 8,t9 ,god0--,absurdities ( ,e?ics--,h[ ,"s ,physicians ,get ,notoriety--,freaks ( ! ,pr(ession--,?+s ! ,"y ,practition] ,%\ld ,avoid ,,*apt] ,,ii4 ,,! ,,physician ,,:o ,,succe$s4 ,qualifications #ca = a ,big ,fee-,gett+ ,practition]--,! ,k9d ( ,m5 ,:o ,make ,money 9 ! ,practice ( ,m$ic9e--,bus9ess ,mi/akes 9 ! ,pr(ession--,:y ,_m ,doctors ,fail--,old-,fa%ion$ ,ideas z to ,set ,fees--,no ,reason ,:y ,physicians ,%\ld ,n ,use ,judgm5t 9 ,plac+ a ,monet>y ,value on ,_! ,s]vices--,prompt ,collection ( ,bills an ,important ,item--,attorneys1 ,ar*itects1 & ,o!r ,pr(essional ,m5 ,af=d ,good ,examples ( ,bus9ess ,s5se--,! ,be>d & ,its ,dang]s--,necessity = ,scrupul\s ,cleanl9ess--,an ,exp]i5ce 9 ,i[a--,reasons ,:y ,_m ,physicians ,fail--,psy*ological ,factor an ,important ,"o ,,*apt] ,,iii4 ,,! ,,bugbe> ,,( ,,e?ics4 ,intimidation ( ,"y #dc ,physicians--,ov]do+ ! ,e?ical ,proposition--,spy+ on ! ,beg9n]s ,illogical ,advice--,h[ ,"s ,m5 ,become ,weal?y & ,fam\s by ,do+ ! ,v ,?+s ,!y ,d5\nce 9 ,o!rs--,clev] ,evasions ( ! ,code--,s*emes by ,:i* ,valuable ,publicity ,is ,obta9$--,actual ,incid5ts ,illu/rat+ ,me?ods ,preval5t ,among ,physicians ,:o ,keep ,!mselves ,con/antly ,be=e ! ,public--,work+ ! ,newspap]s--,employm5t ( ,press ,ag5ts--,h[ ,!y ,get ,free ,write-ups = ,_! ,pr9cipals--,f9e ,"w by a ,*icago ,man 9 ,popul>iz+ a ,new ,treatm5t--,! ,mak+ ( a ,s5sation--,newspap] ,/ory t ,made ,c]ta9 ,e?ical ,g5tlem5 ,weal?y--,adm9i/ration ( ,unkn[n ,prep>ations by ,high ,apo/les ( ,e?ics ,,*apt] ,,iv4 ,,lawful ,,to ,,adv]tise4 ,publicity ,)9 ,c]ta9 #fa ,l9es ,necess>y & ,legitimate--,progressive ,physicians ,ignore ,old ,rule--,c\rts ,uphold ,"r ( ,doctors to ,make ,_! ,qualifications ,kn[n 9 ! ,public ,press--,"t ,br+s ,radical ,*anges--,num]\s ,reasons ,:y a ,compet5t ,practition] ,%\ld ,adv]tise--,futility ( 8,e?ical0 ,opposition--,sev]e ,judicial ,rebuke = ,m$ical ,society ,lead]s ,:o ,attempt to ,deb> & ,discr$it ,m5 ,:o ,adv]tise--,f9d+ 9 ! ,celebrat$ ,dr4 ,mc,coy ,case--,indec5t & ,obnoxi\s ,adv]tis+--,! ,prop] ,k9d--,h[ to ,obta9 ,valuable ,publicity 9 a ,dignifi$ ,mann] ,,*apt] ,v4 ,,gett+ ,,c\ntry ,,pati5ts4 ,mak+ ,connection #gc ,) ,prospective ,pati5ts--,aga91 ! ,intellig5t ,use ( ,newspap]s--,fir/ ,/eps to ,be ,tak5 9 ! ,location ( ,good ,cases--,correspond5ce an ,important ,feature--,! ,k9d ( ,lett]s t ,inspire ,confid5ce & ,br+ ,pati5ts to ! ,doctor's ,(fice--,:at a ,physician ,%\ld & ,%\ld ,n ,say 9 ,8 ,correspond5ce--,specim5 ,lett]s--,! ,dang] ,l9e 9 ,correspond5ce--,effect ( ! ,"r ,k9d ( ,lett]s--,humor+ ! ,family ,physician--,gett+ 9 ,t\* ,) ! ,latt]--,h[ to ,make ,him a ,fri5dly ,co-op]ator--,arrang+ = ,c\ntry ,trips--,prop] ,me?od ( ,proc$ure--,work+ on a ,bus9ess ,basis--,s*$ule = ,receiv+ ,call]s--,reception ( ,/rang] ,doctors--,division ( ,fees to ,secure ,_! ,support--,treatm5t ( ,c\ntry ,pati5ts--,h[ ,big ,fees ,are ,obta9$ ,,*apt] ,,vi4 ,,reception ,,( ,,(fice ,,pati5ts4 ,attractive #ic ,qu>t]s ! ,fir/ ,ess5tial--,h[ to ,select & ,furni% ,rooms--,reception ( ,/rang]s on ,arrival--,sep>ation ( ,call]s--,reception ,room ,att5dant an ,important ,factor--,! ,k9d t ,w9s--,h9ts on ,treatm5t ( ,call]s--,rec\rse to ,correspond5ce ,file ,vitally ,ess5tial--,h[ ,lett]s ,%\ld ,be ,kept 9 ,ord] to ,get ! ,necess>y ,in=mation ,spe$ily--,lett]s ,frequ5tly ,give ,clues z to ! ,writ]'s ,bus9ess ,call+ & ,f9ancial ,responsibility--,object 9 ,mak+ ,call]s ,wait ,be=e ,physician ,receives ,!m--,h[ ! ,reception ,room ,att5dant ,may ,become a ,valuable ,ally--,/5ograph]s ,%\ld ,be ,kept ,out ( ,sight ,,*apt] ,,vii4 ,,! ,,correspond5ce ,,file4 ,prop] ,h&l+ ( #ajc ,correspond5ce ,"o ( ! ,vital ,ess5tials to ,success--,life ,blood ( ! ,speciali/'s ,practice--,"r ,k9d ( ,correspond5ce ,cl]k an ,indisp5sable ,ally--,me?od ( ,keep+ ,lett]s on ,file ,s z to ,secure ,be/ ,results--,sample ,lett]s t ,br+ ,l>ge ,f9ancial ,returns--,me?ods ( a ,compet5t ,correspond5ce ,cl]k--,h[ ,he ,makes ,money = ,8 ,employ]--,trac+ ! ,f9ancial ,rat+ ( ,/rang]s--,secur+ ,names & ,addresses ( ,prospective ,pati5ts--,utilization ( ,newspap] ,clipp+s--8,foll[-up0 ,sy/ems--,advantage ( ,us+ ,pla9 ,envelopes 9 ,writ+ to ,/rang]s--,obta9+ ,te/imonial ,lett]s f ,pati5ts--,use ( ,^! ,lett]s 9 ,attract+ ,new ,com]s--,conduct+ ,correspond5ce ,) ,p 9 ,small ,t[ns--,purpose 9 ,avoid+ ,duplication ( ,te/imonials ,,*apt] ,,viii4 ,,gett+ ,,at ,,f9ancial ,,/atus4 ,h[ to ,asc]ta9 #aai ! ,monet>y ,res\rces ( ,call]s ,:o ,appe> ,unann\nc$--,l9e ( ,conv]sation ,t ,w ,lead ,any ,man to ,unwitt+ly ,reveal ,8 ,f9ancial ,/&+--,free ,exam9ations & ,h[ ,sm>t ,speciali/s ,make ( ,!m a ,big ,draw+ ,c>d--,br++ a ,call] to ! ,po9t ( ,submitt+ to an ,exam9ation--,means by ,:i* an ,impression is ,made--,b5efit 9 ,keep+ an 8,assi/ant0 ,)9 ,h&y ,rea*--,cl9*+ ! ,call] z a ,pati5t--,avoid+ ! ,nam+ ( a ,def9ite ,"t = ,treatm5t--,reasons ,:y ,"s ,speciali/s ,fail to ,obta9 ,good ,fees--,lack ( ,tact 9 ,gett+ at a ,call]'s ,ability to ,pay a ,reasonable ,fee--,crude ,tactics t ,defeat ! ,purpose ( ! ,physician--,dang] 9 ,too ,mu* ,ha/e & ,ra% ,promises--,mode/y ,prop]ly ,appli$ ! ,great ,w9n] ,,*apt] ,,ix4 ,,decid+ ,,^u ,,! ,,fee4 ,value ( ,psy*ological #aca ,influ5ce 9 ,act+ at ! ,"r ,mom5t--,j z ,easy to ,get ,big ,fees z ,small ,ones--,exp]i5ce ( a ,"y ,physician--,great ,diff]5ce 9 ,pati5ts--,an ,exhibition ( 8,gall0--,incubus ( ! ,old ,doll>-,fee ,sy/em--,:5 to ,"n ! ,fee & ,h[ to ,fix ,^u ! ,am\nt--,:at ! ,practition] ,%\ld ,say & ,d 9 ,ord] to ,secure ,l>ge ,paym5ts--,h[ ,r$uction ,may ,be ,gracefully ,made ,:5 a ,pati5t ,prote/s ,aga9/ ! ,am\nt--,deal+ ,) 8,tight ,wads0--,h[ to ,skilfully ,dangle ! ,bait ( ,heal? ,)\t ,actually ,promis+ ,results--,taboo on ! ,^w 8,cure0--,br++ ! ,call] ,:o ,hesitates ,d[n to ! ,po9t ( ,positive ,action--,sy/em to ,be ,foll[$ 9 ,decid+ ,^u ,am\nt ( ,fee a ,pati5t ,w ,pay ,,*apt] ,x4 ,,gett+ ,,fees ,,9 ,,advance4 ,h[ ! ,money ,may ,be #ada ,secur$ ,be=e ,treatm5t ,is ,/>t$--,undue ,ha/e1 or ,evid5t ,desire to ,get ! ,ca%1 ,bad ,policy--,putt+ ! ,pati5t's ,m9d 9 ,condition to ,make ,advance ,paym5t--,a ,successful ,fee ,gett]'s ,l9e ( ,talk--,creation ( ,confid5ce 9 ! ,physician's ,ability & ,hone/y ! ,ma9 ,factor--,mak+ ,sure ( ,paym5t ,:5 ,p>tial ,cr$it ,is ,ext5d$--,me?od ( ,draw+ ,notes ,t ,are ,readily ,negotiable & ,non-,conte/able--,induc+ ,pati5ts to ,sign ,iron-,clad ,notes--,:5 & ,h[ to ,act--,turn+ ,*ecks & ,notes ,into ,ca%--,we$+ ,out ! ,pay]s & ,non-,pay]s--,:at to ,say ,:5 a ,pati5t ,objects to ,sign+ a ,note--,sm>t ,man ,easie/ to ,deal ,)--,in/ance 9 ,:i* a ,bank] ,paid a #b1ejj ,fee ,twice--,h[ a #aj1jjj ,fee1 ,def9itely ,settl$ ,^u1 ,0 ,lo/ ,,*apt] ,,xi4 ,,gett+ ,,additional ,,fees4 ,pati5ts ,:o ,h #aec ,paid ,big ,fees = ,treatm5t ,almo/ ,inv>iably ,good = a ,second ,paym5t--,l9es ,^u ,:i* ,m ,money ,may ,be ,_h--,m5 ( #ej ,ye>s & ,ov] ,gold ,m9es ,:5 ,!y ,h ! ,means--,h[ to ,h&le ,!m--,dangl+ ! 8,sexual ,vigor0 ,bait 9 a ,delicate & ,effective ,mann]--,sugge/ions ( ,supplem5t>y ,treatm5ts ,t ,br+ ,additional ,fees--,arrangem5ts ,) ,occuli/s1 ,ph>maci/s1 ,surgeons & ,in/rum5t ,deal]s ,t ,add ,mat]ially to ! ,physician's ,income--,h[ ,pati5ts ,are ,induc$ to ,patronize ! ,speciali/'s ,allies--,secret ,ciph]s ,t ,result 9 ,extravagant ,*>ges--,division ( ! ,proce$s--,adv5ture ,) an ,und]tak]--,doctors ,:o 8,sponge0 ,^u ,_! ,pr(essional ,bre?r5 ,,*apt] ,,xii4 ,,prop] ,,h&l+ ,,( ,,notes4 ,k9d ( ,note ,t #aga is ,negotiable & ,easily ,disc\nt$--,mann] 9 ,:i* ,su* a ,note ,%\ld be ,drawn--,defects 9 ,ord9>y ,=m ( ,promissory ,note--,ease ,) ,:i* ,paym5t ,may ,be ,evad$ or ,delay$--,difficulties 9 ! ,way ( ,en=c+ ,collection--,an ,iron-clad ,promise to ,pay ,t ,b9ds ! ,mak]--,avoidance ( ,litigation & ,att5dant ,exp5se--,:at to ,d ,) ,notes ,:5 ,tak5 = ,m$ical ,s]vices--,h[ to ,dispose ( 8,pap]0 to ,bank]s ,:o ,"k ! ,f9ancial ,responsibility ( ! ,sign]s--,successful ,me?od ( a ,*icago ,physician ,:o ,h&les ,consid]able 8,pap]0--,! ,collection ,ag5t ,evil ,,*apt] ,,xiii4 ,,prescrib+ ,,( ,,rem$ies4 ,:y ,physicians #agi ,%\ld ,disp5se ,_! ,own ,prescriptions--,tr\ble ,) ,pres5t ,sy/em ( ,drug-/ore ,disp5s+--,numb] ( ,drugs ,actually ,requir$ 9 ,practice ,limit$--,duplication ( ,prescriptions by ,ph>maci/s an ,inju/ice to ,doctors--,propriet>y ,m$ic9e ,fakirs--,prescrib+ ,secret ,=mula ,prep>ations--,h[ ,_m ,practition]s ,are ,hoodw9k$--,positive ,injury 9 ,prescrib+ ,rem$ies by ,trade ,names--,violation ( ,code 9 ,us+ ,prep>ations ,) ,unkn[n ,+r$i5ts--,value ( ,my/]y 9 ! ,adm9i/ration ( ,drugs--,unwise to ,let ,pati5ts ,"k ,too ,mu* ,ab\t ,_! ,prescriptions--,:y ,all ,rem$ies ,%\ld ,be ,designat$ 9 ,lat9--,views ( ,dr4 ,osl] on ,drug ,prescrib+ ,,*apt] ,,xiv4 ,,m$ical 8,,/e]]s0 ,,& ,,_! ,,"w4 ,me?od by #ahg ,:i* ,_m ,physicians ,obta9 ,pati5ts--,m5 ,:o ,make a ,bus9ess ( ,direct+ ,invalids ,:]e to ,g = ,treatm5t--,comm]cial ,diplomats--,_! ,/yle ( ,"w--,l>ge ,incomes--,h[ ,suff]]s ,are ,approa*$--,! ,k9d ( ,talk ,t ,w9s ! ,confid5ce ( ! ,suff]]--,direct+ ! ,victim to a ,physician--,l&+ ! ,pati5t 9 ! ,doctor's ,(fice--,! ,/e]]'s ,commission--,h[ ,he ,protects ,himself & ,insures ,squ>e ,treatm5t by ! ,doctor--,opportunities = ,obta9+ ,pati5ts--,lead+ ,hotels ,favorite ,places ( ,op]ation--,old ,brace ,f>o ,game ,work$ 9 ,new ,=m--,wom5 ,/e]]s & ,_! ,me?ods ,,*apt] ,,xv4 ,,:at ,,%\ld ,,! ,,physician ,,d8 ,v>i\s #aie ,rem$ies ,propos$ = ,exi/+ ,conditions--,too ,_m ,doctors 9 ! ,l&--,n ,en\gh ,pati5ts to ,g ,ar\nd--,:at ! ,m$ical ,colleges ,are ,do+--,ov] #e1jjj ,doctors ,made ,e ,ye> 9 ! ,/rictly ,e?ical ,s*ools ,alone--,temptations ( ,"y ,physicians--,:at ,m5 ,l ,dr4 ,evans & ,dr4 ,k+ ,h to ,say--,prom95t ,practition]s ,endorse ,division ( ,fees z an ,act ( ,ju/ice--,pr(4 ,george ,burman ,fo/] on ! ,pr(ession z ,alli$ to ,bus9ess--,no ,reason ,:y ,!re ,%\ld ,be ,any ,di/9ction ,betwe5 ! ,two ,,*apt] ,,xvi4 ,,corporation ,,doctors4 ,evils ( ! ,contract #bjg ,plan--,h[ ,x ,injures ! ,regul> ,practition] & ! ,contract ,doctor ,himself--,mis]ly ,economy by ,corporations--,disa/r\s ,competition ,among ,physicians--,life ,insurance ,exam9]s & ,_! ,lack ( ,bus9ess ,s5se--,moral z ,well z ,m$ical ,hone/y ,dw>f$ by ! ,corporation ,sy/em--,contract ,doctors ,expect$ to ,hide ! ,tru? to ,reta9 ,_! ,jobs--,begg>ly ,sal>ies ,paid by ,corporations--,practice ,wrongfully ,div]t$ f ,doctors ,entitl$ to ,x--,collusion ,betwe5 ,corporation ,doctors & ,claim ,ag5ts--,sick & ,injur$ ,employees ,(t5 ,induc$ to ,sign ,away ,_! ,rights by ,misrepres5tation or ,intimidation--,! ,drawbacks ( ,promiscu\s ,frat]niz+ ---------------------------------------- -------------------------------- ,,preface ,!re are "s me?ods expla9$ 9 ?is book :i* ! au?or does n endorse4 ,!y are pr9t$ because !y are necess>y to a ?or\gh und]/&+ ( ! subject4 ,newspap]s publi% reports ( murd]s1 b ?is does n imply endorsem5t ( ! crimes4 ,aside f ^! features !re are _m ?+s :i* ! practic+ physician may read & foll[ to 8 advantage4 ,! introductory *apt] by ,dr4 ,lyd/on w be f\nd to be ( special int]e/4 ,,! ,,au?or4 ---------------------------------------- -------------------------------- ,,*apt] ,i ,,m$ic9e ,,z ,a ,,bus9ess ,by ,g4 ,frank ,lyd/on1 ,m4,d4 ,z a g5]al proposition x is safe to ass]t t ! practice ( m$ic9e f a bus9ess /&po9t is a failure4 ,! successful exceptions m]ely prove ! rule4 ,x is also safe to assume t ! elem5ts ( f9ancial non-success are cumulative 9 _! action--a fact t is easily prov$ by hospital & disp5s>y /ati/ics4 ,! practition] ( m$ic9e1 l e man :o relies on 8 own h& & bra9 = a livelihood1 is entitl$ to a bit ( e>? t he & 8 may call _! own1 at lea/ a mode/ compet5ce1 & a well-e>n$ re/ :5 8 sun beg9s to set & ! twilight ( 8 life approa*es4 ,h[ _m doctors are 9 a position to enjoy or ev5 r5d] less awesome _! twilight days8 ,z city doctors are all suppos$ to be ri*--at lea/ by ! public1 t does all x c to prev5t _! becom+ s--x w\ld be int]e/+ to "k :at proportion ( !m1 ev5 9 metropolitan m$ical c5t]s1 own _! own homes or h prop]ty inve/m5ts4 ,a f> small] proportion ?an is j1 ,i fancy4 ,! ass]tion has be5 made t ! g5]al pov]ty ( ! m$ical pr(ession is due to a lack ( appreciation & a contempt = ! rights ( ! m$ical man on ! "p ( ! public at l>ge4 ,?is1 h[ev]1 is a second>y matt] :i*1 be+ self-evid5t1 ov]%ad[s ! prim>y cause--! as99e /upidity ( ! pr(ession itself4 ,z a broad1 g5]al proposition ! reputable pr(ession z a :ole has ab\t z mu* s5se z ! dodo1 &1 unless signs fail1 w1 soon] or lat]1 meet ! fate ( t rem>kable bird4 ,h[ ! pr(ession c expect ! respect & appreciation ( ! public :5 x has no respect or appreciation = itself is difficult to conjecture4 ,! public _c be expect$ to keep clean ! ne/ ( ! m$ical dodo4 ,fur!rmore1 ! public q rationally values ! /upid ?+ accord+ to its self-appraisem5t4 ,prim>ily1 ! practice ( m$ic9e is suppos$ to be f\nd$ on a mawki%1 blanket-l s5tim5t ( philan?ropy1 :i* is expect$ to cov] bo? ,god's & ! devil's pati5ts--! paup] & ! dead-beat--! hone/ man & ! rascal--! ri* & poor alike4 ,! doctor is expect$ to wall[ eye-deep 9 ! milk ( human k9dness1 scatt]+ x broadca/ = ! b5efit ( humanity1 b he is 9 no wise expect$ to ev5 absorb a little ( x1 mu* less to swall[ a gulp or two occasionally = 8 own b5efit4 ,by way ( pil+ ,pelion ^u ,ossa1 ! public1 hav+ discov]$ t ! doctor sets little value on 8 own s]vices1 proce$s to eye him ) suspicion2 ! tradesman is v c>eful h[ he tru/s doctors4 ,( c\rse ! tradesman has 8 own family physician 8hung up0 = a goodly sum1 b--kn[+ doctors to be poor bus9ess m5--! tradesman (t5 *eats !m 9 bo? ! quality & price ( goods4 ,x is a great & goodly game t plays f bo? ends & cat*es ! victim 9 ! middle4 ,! tradesman has "o r$eem+ feature1 h[ev]2 he does 8 be/ to tea* 8 doctor patrons a lesson4 ,he ei!r s5ds 8 goods ,c4,o4,d41 or1 if ! doctor be "o ( ! favor$ ones1 he f9ds ! bill 9 8 mail bright & e>ly on ! fir/ ( ! mon?4 ,i (t5 ?9k my tradesm5 mu/ sit up all night 9 ord] to get _! bills 9 bright & e>ly on ! fir/4 ,if n paid by ! #ae?1 a collector is usually at ! doctor's (fice to see ab\t x4 ,yet ! pr(essional dodo--my apologies to ! %ade ( ! 8sure en\gh0 dodo--w n le>n4 ,he goes on & on1 neglect+ 8 acc\nts1 ma9ly because he is afraid ( (f5d+ 8 patrons & driv+ !m (f to "s o!r doctor :o isn't s p>ticul>2 & ! wor/ ( x is1 !re are pl5ty ( contemptible fell[s :o draw _! own sal>ies promptly :5 due1 or pres5t _! bills = goods ) frantic ha/e1 :o consid] a doctor's bill a flagrant insult4 ,w no?+ ev] inspire ! doctor ) c\rage en\gh to despise & ignore su* contemptible tra%8 ,does he pref] ! role ( a lickspittle to t ( an indep5d5t & self-reliant man8 ,z illu/rations ( ! value ! pr(ession sets on its skill & le>n+1 ! am\nt ( gratuit\s "w done is /rik+4 ,our paup]--or paup]iz$--patrons are divid$ into sev]al classes1 viz43 #a4 ,! free hospital1 cl9ic & disp5s>y class4 ,?is is on ! increase4 ,accord+ to ,dr4 ,fr$]ick ,holme ,wigg91 #ea p] c5t ( all cases ( sickness 9 ,new ,york ,city are n[ class$ m$ically z paup]s1 z aga9/ #a4e p] c5t tw5ty ye>s ago6 ,?is is appall+4 ,( ^! alleg$ paup]s x is safe to say t #ge p] c5t are able to pay full or at lea/ fairly good fees4 ,:y %\ld paup]ism be %[n s prom95tly 9 ! matt] ( m$ical bills1 z comp>$ ) o!r necessities ( life8 ,& :y %\ld ! pr(ession c>ry a burd5 t belongs to ! public8 #b4 ,free pati5ts ( ! private class3 7a7 ^? :o c pay b w n1 i4e41 dead beats1 & sw9dl]s2 7b7 p]sons ^: circum/ances are su* t ! doctor feels 9 duty b\nd to r5d] no bills2 7c7 p]sons :o presume ^u social acqua9tance ) ! doctor to 8hold him up0 = fri5dly1 p]haps in=mal1 consultations4 ,x requires no great m5tal ef=t to see ! t]rible load ! pr(ession is c>ry+--self-inflict$1 & (t5 = fallaci\sly selfi% motives1 x is true1 b none ! less heavy4 ,! college & free hospital may be ! pr(essional 8old man ( ! sea10 b s mu* ! worse = ! m$ical ,s9bad4 ,:atev] ! explanation1 private practice is on a p> ) disp5s>y practice ) reg>d to ! impositions practic$ on ! doctor4 ,x is safe to say t1 ( ! sum total ( surgical & m$ical pati5ts ( all k9ds & social conditions "u treatm5t 9 ,*icago at ! pres5t "t1 ov] "o-half are paup]s--hone/ or di%one/4 ,pay ! doctor = ! "w involv$ 9 ?is wa/$ & misappli$ *>ity1 & ! m$ical pr(ession w\ld plunge into a sea ( prosp]ity t might swamp x4 ,& x is n only ! rank & file ( ! pr(ession t suff]s4 ,ye celebrat$ pr(essor1 rea*+ out = glory1 yea1 into inf9ite space1 clut*+ frantically at ev]y?+ 9 sight1 no matt] h[ pr(itless--provid+ ! o!r fell[ doesn't get ! case--(t5 defeats 8 own ends4 ,& ! great man dies1 & is buri$1 & we take up a collection = 8 wid[1 to meet 8 fun]al exp5ses1 & sell 8 libr>y--six feet ( e>? make all m5 ( a size4 ,sic transit gloria mundi4 ,& :51 l dog1 he's _h 8 day1 ,& 8 poor s\l ha? pass$ away1 ,"s fri5dly scribe 9 te>ful mood ,w tell ! _w h[ v good ,! de> dep>t$ doctor 0-- ,& ?us w9 = himself applause4 ,"o ( ! mo/ pot5t causes ( pr(essional pov]ty is ! mania ( ! doctor = a pret5se ( well-do+4 ,he exhibits ?is 9 _m ways4 ,"o ( ! mo/ p]nici\s is an affectation ( contempt = money4 ,?is x is t (t5 impels him to delay ! r5d]+ ( 8 acc\nts4 ,(t5times 8 pati5t (f]s to pay all or "p ( 8 bill4 ,) a lordly & opul5t wave ( 8 m>asmic h& ! doctor says1 8,oh1 t's all "r2 any "t'll d40 ,& ! triple-plat$ m$ical imbecile goes on 8 way ) a dignifi$ /rut t ill befits ! a*+ void 9 8 epiga/ric region1 & is decid$ly out ( h>mony ) ! befr+$ extremities ( 8 tr\s]s4 ,& !n ! doctor apologizes to himself on ! gr\nd ( a philan?ropy t is b ! ranke/ & mo/ as99e egotism en masque4 ,:5 w ! doctor und]/& t paym5t def]r$ make? ! pati5t di%one/8 ,:5 w he consid] ! necessities ( 8 wife & *ildr5 z outweigh+ ! feel+s ( ! pati5t :o owes him money8 ,:5 w he be a man1 & n a "t-s]v] & truckl] to appe>ances8 ,he w\ld take ! money did he n fe> ! pati5t might suspect t 8 doctor 0 n prosp]\s4 ,he wi%es ! pati5t to ?9k t ! doctor & 8 family d9e ) ! *ameleons1 or are f$ by rav5s4 ,yet ! m$ical ,elijah waite? 9 va9 = ! manna-be>+ birds--!y "k him = :at he is1 a c\nt]feit prophet :o va9ly ye>ns = ! fle%-pots ( ,egypt--:o has a pond]\s & all-consum+ desire = pabulum1 & a microcephalic capacity = f9ance4 ,doctors are suppos$ to be ke5 judges ( human nature4 ,i (t5 ?9k ?is is absolutely )\t f\ndation4 ,defective k 9 ?is direction is a v exp5sive luxury to ! m$ical pr(ession4 ,! confid5ce man & %>p] _c fool ! av]age doctor into buy+ a gold brick1 p]haps1 b !y c come v ne> x4 ,! oily-tongu$ & plausible man ) a s*eme f9ds ! doctor 8 easie/ prey4 ,! doctor has (t5 h>d en\gh "w to wr+ a few doll>s out ( 8 field ( labor1 & x might be suppos$ t x w\ld be difficult to get ^? doll>s away f him1 b no1 x's only too easy4 ,he bites at ev]y?+ t comes along--he (t5 rises to a b>e hook4 ,m9+ /ocks1 irrigation & colonization s*emes1 exp5sive books t he doesn't want1 w nev] ne$ & c\ldn't f9d "t to read if he w\ld1 hi/ories ( 8 t[n or /ate 9 :i* 8 biography & picture w appe> = #ajj--propriet>y m$ic9e s*emes1 /ock 9 publications ( v>i\s k9ds2 he bites at ev]y?+ go+--he has embonpo9t c]ebrale4 ,oh1 b ! doctor is easy6 ,i h v pa9ful memories4 ,! be/ inve/m5t ,i ev] made 0 :5 ,i paid a fell[ = pa9t+ a sign = ! door ( my consultation room1 read+3 8,notice--,p]sons ) s*emes w please keep out4 ,i h "s ( my own to promote40 ,x is r a delicate matt]1 p]haps1 = a college pr(essor to t\* on ! evils ( m$ical colleges 9 _! relation to ! bus9ess aspect ( m$ic9e1 b ,i %all nev]!less speak pla9ly & to ! po9t4 ,:ile !oretically ! bett] class ( m$ical colleges 7 f\nd$ solely = ! advancem5t ( sci5ce1 x is none ! less true t self-aggr&izem5t has be5 ! p$e/al on :i* mo/ ( our dis9t]e/$ giants 9 ! tea*+ ar5a h /ood & are /&+4 ,remove ! p]sonal selfi% int]e/ ( college tea*]s & mo/ ( our s*ools w\ld be compell$ to close = lack ( in/ructors4 ,let u be hone/ ) ourselves1 please4 ,n t self-int]e/ is repreh5sible--,i hold ! contr>y4 ,"o may tea* = sal>y1 reputation1 ! love ( tea*+1 or a desire = self-improvem5t1 x matt]s n1 = if he be ( ! prop] timb] he is ! "r man 9 ! "r place4 ,self-int]e/ makes bett] tea*]s on ! av]age ?an philan?ropy1 provid+ ! primal mat]ial is good4 ,grant+ t self-int]e/ is ! ma9spr+ ( ! college pr(essor1 is he v 8long-head$0 f a bus9ess /&po9t8 ,i submit ! foll[+ propositions z prov+ t ! av]age college pr(essor defeats 8 own ends4 #a4 ,he devotes to tea*+1 "t & labor ov] & above ! exig5cies ( ord9>y practice1 :i*1 if devot$ to cultivat+ ! good-w ( ! laity1 w\ld be mu* m pr(itable4 #b4 ,:ile cultivat+ ! acqua9tance & fri5d%ip ( ! alumni ( 8 own s*ool--a few ea* ye>--he ali5ates f himself ! fri5d%ip ( e alumnus ( e rival s*ool1 ! in/ant he beg9s tea*+4 #c4 ,he assi/s 9 educat+ & />t+ 9 life "y1 active competitors to himself4 #d4 ,he is unreasonably expect$ to devote a l>ge p]c5tage ( 8 "t to ! gratuit\s relief ( m$ical /ud5ts & physicians4 ,he may give 8 "t *e]fully1 b he yields up 8 n]ve =ce j ! same4 #e4 ,mo/ college pr(essors are less successful 9 ! long run ?an ! m =tunate ones ( ! rank & file :o h nev] aspir$ to tea*+ honors4 #f4 ,great] dem&s are made on a pr(essor's purse ?an if he 7 9 ! non-tea*+ ranks ( m$ic9e4 ,he1 m ?an all o!rs1 is expect$ to put up a prosp]\s appe>ance4 ,! college cl9ic--especially ( ! surgical sort--is f>-rea*+ 9 its detrim5tal effects on pr(essional prosp]ity4 ,few or no que/ions are ask$1 & ! millionaire is be+ op]at$ on daily1 side by side ) ! paup]1 free4 ,& ! blame does n always lie ) ! pr(essor :o runs ! cl9ic4 ,g5]al practition]s br+ pati5ts to ! free cl9ics e day1 ) full cognizance ( _! ability to pay well4 ,:y doctors w p]si/ 9 ?us *eap5+ surgical art is difficult to conjecture--b !y d x j ! same4 ,( c\rse1 ! college cl9ic is suppos$ to be a !at] ( in/ruction4 ,(t51 h[ev]1 x is b a /age on :i* com$y-dramas are enact$4 ,a brilliant op]ation t nobody six feet away c see1 & an op]ator bell[+ at 8 audi5ce l ! traditional bull ( ,ba%am--9 m$ical t]ms t confuse b d n enlight51 t]ms t are ,greek to mo/ ( ! li/5]s--?is is ! little com$y-drama t is enact$ = /ud5ts :o h eyes b see n2 :o h e>s b he> n4 ,in/ruction8 ,bah6 ,take ! !atric elem5ts & ! plays to ! gall]y out ( "s college cl9ics & !re w\ldn't be a corporal's gu>d 9 att5dance4 ,worse ?an ! free cl9ics are ! s-call$ *>itable hospitals4 ,mu* has be5 said ( disp5s>y abuses1 b few h _h ! c\rage to say any?+ 9 adv]se criticism ( ^! in/itutions4 ,:ile nom9ally f\nd$ to fill 8a long-felt want0--& ! numb] ( long-felt wants1 f ! hospital /&po9t1 is legion--^! hospitals are f\nd$ on /rictly bus9ess pr9ciples1 save 9 ?is respect--! p :o f\nd !m fe$ on _! innate capacity to get some?+ = no?+4 ,! fir/ ?+ ! f\nd]s d is to get a /aff ( doctors to pull ! hospital *e/nuts out ( ! fire4 ,! memb]s ( ! /aff ?9k t ! hospital is p]=m+ ! same duty = !m1 & ev]y?+ is s]5e4 ,& s ! surgeon goes on op]at+ on tw5ty pati5ts--fifte5 ( :om are able to pay him a fee--9 ! hope t "o among !m all is will+ to pay him a fee4 ,exagg]ation8 ,well1 ,i _c swe> to ! accuracy ( ! =ego+1 b an ea/]n surgeon ( _w-wide fame once told me t = e pati5t :o paid him a fee he op]at$ on n9ete5 = no?+2 & ?is man has no public cl9ic1 ei!r4 ,is x conceivable t ! n9ete5 free pati5ts are all paup]s8 ,_m ( !m g to my fri5d = op]ation f v long di/ances4 ,ought ! railroads & hospitals to h all ! pr(its8 ,h we n all _h simil> exp]i5ces 9 a less] degree8 ,) ! developm5t ( *>itable hospitals f> 9 excess ( any legitimate dem&1 x has come to pass t surg]y is almo/ a ?+ unkn[n 9 g5]al city practice4 ,ev5 ! m9or op]ations h left ! g5]al practition]--to return no m s long z !re are free hospitals & disp5s>ies4 ,:]e is ! em]g5cy surg]y1 ( :i*1 9 =m] days1 e practition] _h 8 %>e8 ,railroad$ (f to ! 8*>ity0 hospitals to be c>$ = gratis4 ,9 a rec5t conv]sation ) a practition] ( ?irty ye>s' exp]i5ce1 ,i said1 8,doctor1 y us$ to d a great deal ( g5]al surg]y ?r\gh\t ?is section ( ! city4 ,h ! hospitals affect$ y\r practice 9 t direction to any ext5t80 ,he repli$1 8,surg]y ) me is a ?+ ( ! pa/4 ,ev5 em]g5cy cases are c>t$ (f to ! ne>e/ hospital4 ,if by *ance "o does fall into my h&s1 x is tak5 away f me z soon z ,i h done ! #8fir/-aid' "w40 ,p]sonally1 ,i see v little use 9 tea*+ surg]y to ! majority ( /ud5ts :o int5d to practice 9 our l>ge cities--!y w h little use = surgical k4 ,"h are ?ree cases 9 illu/ration ( ! way our 8*>itable0 hospitals antagonize ! bus9ess int]e/s ( ! pr(ession3 #a4--;,a v weal?y f>m] engag$ me to p]=m an exce$+ly important op]ation4 ,x 0 und]/ood t #a1jjj 0 to be ! honor>ium4 ,he 0 aft]w>ds advis$ to g to a c]ta9 8religi\s0 hospital1 :]e he 0 op]at$ on by an em95t surgeon1 :o receiv$ no?+ = 8 s]vices4 ,! pati5t paid #ae a week = hospital accommodation1 & #be a day to 8 family physician1 :o rema9$ ) him 8= company40 ,:at a h>moni\s und]/&+ betwe5 ! pati5t & 8 family doctor--& :at a 8s(t m>k0 t surgeon 04 ,i _h ! pleasure ( tell+ ! latt] ( ! gold m9e he didn't f9d1 "s "t lat]1 & ! %ock to 8 sy/em amply rev5g$ ! body surgical4 #b4--;,a pati5t :o 0 "u my c>e = "s weeks & paid me an excell5t fee f9ally divulg$ ! fact t he _h mean:ile be5 liv+ at a c]ta9 hospital z an 8out pati5t10 at an exp5se ( #h a week4 ,he _h become dissatisfi$ ) ! hospital att5tion1 he said1 &1 pret5d+ great improvem5t1 0 p]mitt$ to get ab\t out-(-doors4 #c4--;,a man on :om ,i op]at$ & :o paid me my full fee )\t argum5t or "q1 came to me directly f "o ( our l>ge hospitals1 :]e he _h be5 soj\rn+ = sev]al mon?s4 ,t m$ical m5 9 hospitals are impos$ on is a trite obs]vation4 ,s long1 h[ev]1 z x appe>s to be ! doctor's advantage to be on a hospital /aff1 pl5ty ( m5 w be f\nd :o w be glad ( ! *ance4 ,z = ! injury :i* ! sy/em inflicts on ! pr(ession at l>ge1 t is no argum5t ) ! individual4 ,human nature op]ates "h z else:]e4 ,kn[+ t ! sy/em is bad1 we are all anxi\s to become victims4 ,9 recomm5d+ ! paym5t ( sal>ies to hospital m51 ! ,clevel& ,m$ical ,j\rnal claim$ t su* a plan w rem$y all ! evils incid5t to ! pr(essional side ( hospital managem5t4 ,i d n agree 9 ! op9ion t ! paym5t ( sal>ies to ! /affs ( in/itutions = ! c>e ( ! sick w alone correct ! evils ( su* in/itutions4 ,! writ] ( ! a=esaid editorial is incorrect1 also1 :5 he says t an awak5+ is at h&4 ,no1 n at h&2 x is com+1 ?\gh2 ! h&writ+ is on ! wall4 ,:5 ! revolution does come1 ?is is :at w happ53 #a4--;,hospital physicians & surgeons w be paid sal>ies4 #b4--;,hospitals w take z free pati5ts or pati5ts :o pay ! hospital alone only su* p]sons z rigid inve/igation has %[n to be indig5t4 ,all o!rs w be compell$ to pay _! m$ical att5dants1 j z 9 private practice4 #c4--;,c]tificates ( indig5cy w be requir$ ( e free pati5t1 su* c]tificate be+ sign$ by ! pati5t's att5d+ physician--outside ( ! hospital--& at lea/ two o!r p]sons 9 ! community :]e he or %e resides4 #d4--;,g5]al1 & especially c\ntry1 practition]s w cease to deceive hospital doctors z to ! circum/ances ( _! pati5ts4 ,"o m$ical man %\ld n impose on ano!r4 ,too mu* tr\ble1 eh8 ,well1 my fri5ds ( ! hospital & disp5s>y--= ! same *>ges %\ld apply to ! latt]--y mu/ ei!r take y\r m$ic9e or ! revolution w g f>!r & ?is is :at w happ53 ,! pr(ession at l>ge w boycott e man :o runs a college cl9ic1 & e hospital & disp5s>y man4 ,x w fight colleges & hospitals to ! bitt] end4 ,! day is p]haps n f> di/ant :5 doctors outside ( colleges & hospitals w run _! private practices on ! co-op]ative plan1 ?us deal+ a dea? bl[ to ! free cl9ic & disp5s>y4 ,e man ( prom95ce w h 8 own private cl9ic & adv]tise x among 8 pati5ts4 ,:at is fair = tw5ty or ?irty m5 is fair & e?ical = "o4 ,ea* man c h 8 own h\rs = ! poor2 he c elim9ate ! unwor?y ones1 &1 be/ ( all1 he c ref] all 8 dead-beat pati5ts to 8 cl9ic4 ,pride may br+ fees f pati5ts to :om hone/y is a ?+ unkn[n4 ,! private hospital w run mo/ ( ! public hospitals (f ! e>?4 ,!re w be no room = any?+ b municipal hospitals run squ>ely & fairly = *>ity1 & reputable private hospitals run frankly = pecuni>y pr(it1 9 :i* ! op]ation & ! att5dance fees are ! *ief factors4 ,su* hospitals w b5efit1 n hurt1 ! pr(ession4 ,"o ( ! mo/ vital flaws 9 ! bus9ess s5se ( ! g5]al practition] is 8 p5*ant = h]o wor%ip4 ,he he>s ( ! m$ical t9 god f af>1 & burns inc5se on ! alt> ( 8 greatness4 ,! great man pats ! humble doctor on ! back1 calls him a good boy1 & tells him j :]e to take all 8 cases4 ,sometimes he (f]s to divide fees ) him4 ,! m$ical t9 god is truly a 8self-made man 9 love ) 8 mak]40 ,he has 8g5ius /amp$ ^u 8 br[--writ !re by himself40 ,8 evolution is int]e/+4 ,x is hi/ory repeat+ itself3 ,apse?us ! ,libyan wi%$ to become a god4 ,despair+ ( do+ s1 he did ! next be/ ?+--he made p believe he 0 a god4 ,he captur$ a l>ge numb] ( p>rots 9 ! ,libyan =e/s & conf9$ !m 9 cages4 ,day aft] day he taught !m to repeat1 8,apse?us ! ,libyan is a god10 ov] & ov] aga94 ,! p>rots' lesson le>n$1 ,apse?us set !m free4 ,!y flew f> away1 ev5 into ,greece4 ,& p com+ to view ! /range birds1 he>d !m say1 8,apse?us ! ,libyan is a god2 ,apse?us ! ,libyan is a god40 ,& ! p cri$1 8,apse?us ! ,libyan is a god2 let u wor%ip ,apse?us ! ,libyan40 ,?us 0 f\nd$ ! fir/ po/-graduate s*ool4 ,! m$ical ,apse?us & ! delud$ p>rots ( ! m$ical rank & file are "h1 & "h to /ay1 until bo? are />v$ out4 ,& ! mode/ g5]al practition] looks up to ! m$ical t9 god & wond]s 8^u :at meat does ?is our ,cs> fe$ t he ha? gr[n s great80 ,! meat ( indu/ry8 ,p]haps4 ,! meat ( prodigi\s c]ebral developm5t8 ,seldom4 ,! meat ( opportunity8 ,yea1 yea1 my /ruggl+ bro!r1 8& ! devil take ! h9dmo/40 ,b1 m ?an all1 he ha? f$ on ! meat t ! p>rots h br\ght him--,elijah's rav5s 7 n a circum/ance to ^? p>rots4 8,9 ! k+dom ( ! bl9d ! "o-ey$ man is k+40 ,h[ long w ! g5]al practition] cont9ue to play p>rot to ! m$ical t9 god ( ! *>itable hospital ! v exi/5ce ( :i* is a m5ace to ! be/ int]e/s ( ! pr(ession--! pr(ession = :i* ! in/itution has no *>ity8 ,9 t happy "t to be !re w be no t9 gods4 ,!re w be a m equable division ( "w & e prosp]\s community w h its up-to-date private hospitals ) up-to-date m5 at ! head ( !m4 ,z = ! po/-graduate tea*]--good or bad--he is already defeat+ 8 own ends--he is excit+ ambitions 9 ! brea/s ( 8 pupils4 ,"h & !re among !m is an embryo ,mc,dowell1 a ,sims1 or a ,battey4 ,! backwoods c\ntry produces good1 ri* blood & virile bra9s4 ,& ! ,sims1 & ,mc,dowells1 & ,batteys ( ! future w be f\nd 9 relatively small places1 do+ good "w1 & !n--good-bye to ! t9 god & 8 horn1 8= :osoev] bl[e? n 8 own horn1 ! same %all n be bl[n40 ,& 9 t day ! p>rot %all evolve into an eagle1 & ! hawk _h bett] h an eye to w9dw>d4 ,mean:ile1 hurrah = ! po/-graduate s*ool & its pupils1 & m p[] to ! t9 gods4 ,?is bus9ess h&icap is s self-evid5t t x is h>dly necess>y to t\* on x4 ,we raise ! /&>d ( m$ical education ye> by ye>1 yet ! mu%room colleges d n g--!y are "h to /ay4 ,if "o-half ! colleges 7 wip$ out ( exi/5ce !re w\ld /ill be m ?an en\gh to supply ! dem& = physicians4 ,we h done ! be/ we c\ld to bre$ competition by manufactur+ doctors1 & we are do+ all we c to make t competition fir/ class--a que] bus9ess proposition 9 =ce ( ! ov]supply ( doctors4 ,we are unju/1 too1 to ! m5 we educate1 by (f]+ !m inducem5ts to ent] an already ov]cr[d$ pr(ession--b s long z human nature is z x is ,i see no way out ( ! dilemma4 ,!re 0 once a "t :5 x appe>$ a goodly ?+ = ! *os5 few to get toge!r l ! 8?ree tailors ( ,tooley /reet10 &1 aft] e/abli%+ to _! own satisfaction ! fact t !y 7 inde$ 8! p10 =mulat$ rules = ! guidance ( ! _m4 ,^! rules 7 call$ 8e?ics40 ,& ! pr(ession has be5 wre/l+ ) its e?ics ev] s9ce1 try+ to det]m9e :at x 0 all ab\t anyh[4 ,! e?ical g>m5t ( half a c5tury ago no long] fits--x is fray$ & fr+$1 & baggy at ! knees2 full _m a pat* has be5 sew$ on x1 9 individual attempts to make x fit f ye> to ye>1 until x is n[1 l ! ,iri%man's hat1 respectable by age & s5tim5tal association only4 ,& ! public1 ! ev] practical & he>tless public1 has also wond]$ :at 'twas all ab\t1 & exhibits little sympa?y = a pr(ession :i*1 :ile drivel+ ( e?ics1 has 8/ra9$ at gnats & swall[$ camels40 ,:o does n rememb] :5 all ! wiseacres ) numb] eighte5 coll>s & numb] five hats s]i\sly discuss$ ! relative propriety ( 8,specialty0 vs4 8,practice ,limit$10 on pr(essional c>ds8 ,h[ times h *ang$4 ,& !n came ! discussion by a le>n$ society1 ( ! e?ical relations ( 8,oculi/ & ,auri/0 to 8,practice ,limit$ to ,diseases ( ! ,eye & ,e>40 ,& x 0 decid$ t m5 :o _h ! =m] on _! c>ds 7 n e?ical & c\ld n ent] t society4 ,ye ,gods6 ,is ! fool-kill] always on a vacation8 ,mu/ we always see ^? long e>s wav+ ov] ! top ( ! e?ical f5ce1 built by ! fat hogs to keep all ! little pigs out ( ! clov] pat*8 ,:at is ! public to ?9k ( a pr(ession t w9ks its o!r eye at ! man :o pr9ts on 8 c>ds1 8,diseases ( ,wom5 ,only10 b rolls up x eyes l a dy+ rabbit at ! sight ( a c>d read+1 8,diseases ( ,m5 ,only80 ,:at has rais$ ! woman ) leucorrhea to a m exalt$ plane ?an t occupi$ by a man ) pro/atorrhea1 does n appe>4 ,:y s _m inconsi/5cies1 & :y su* hypocrisy6 ,sir ,a/ley ,coop] _h 8 own private 8h\rs = ! poor40 ,our ,european bre?r5 pr9t _! college & hospital positions & all _! titles on _! c>ds4 ,are !y less e?ical ?an we8 ,homeopa?y is a dead duck ov] !re1 & quack]y has a h>d r[ to hoe 9 ,europe--que]1 isn't x8 ,our sy/em ( e?ics has n only be5 hypocritic1 b some:at confus+4 ,! "y man on ! ?re%old ( m$ic9e doesn't "k 8:]e he is at40 ,he is confront$ by ! unwritt5 law t only celebrat$ m5 & quacks may adv]tise4 ,small fry1 :o hav5't ! e> ( ! newspap]s nor a *ance = a college position1 are tacitly ord]$ to keep _! h&s (f4 ,& ! "y fell[ wat*es ! c>e] ( ! big man1 :o hides e o!r man's light "u 8 own bu%el1 & m>vels mu*4 ,especially does he m>vel at ! accurate photographs1 life hi/ories & cl9ical reports ( 8 m =tunate confrres t appe> 9 ! newspap]s )\t _! k4 ,exp]i5ces diff]4 ,i hav5't yet got ar\nd to newspap] cl9ical reports1 b x has be5 my =tune to be 8writt5 up0 on sev]al occasions4 ,i d n recall t ! newspap]s drew on _! imag9ations = my photograph4 ,i wi% ,i might ?9k s1 & t _! imag9ations 7 di/ort$--! result 0 s uncomplim5t>y4 ,s f> z ,i c le>n1 nobody prote/s aga9/ be+ legitimately repres5t$ 9 ! newspap]s4 ,:y n be hone/ ab\t x8 ,! hypocrisy ( "s m5 is sick5+4 ,pay+ cl&e/9ely = newspap] write-ups is despicable1 yet "s ( ! v m5 :o prote/ t !y 8really don't see h[ t c\ld h gott5 into ! pap]s10 h paid = ! adv]tis+ 9 good 8co9 ( ! realm40 ,x is que] t ! newspap]s %\ld write up ! mo/ m9ute details ( ! wond]ful exploits ( "s poor fell[s1 toge!r ) _! family hi/ories1 & publi% _! photographs1 )\t _! k or cons5t--especially que] :5 we read 9 conclusion t 8,pr(essor ,john ,doe is ! greate/ surgeon t ev] liv$40 ,:y n come out & ackn[l$ge t ^! are paid =8 ,?is w\ld give an equal *ance to all1 & especially to "y fell[s :o h money en\gh to pay = simil> ?+s4 ,he :o has n ! price %\ld n f9d fault ) ! fell[ :o has1 =1 8bus9ess is bus9ess40 ,mean:ile1 my "y fri5ds1 rememb] t 8big m\nta9s may d :at little m\nta9s may n d40 ,:5 ,ko*'s tub]cul9 0 yet new1 soon aft] x escap$1 half-fl$g$ f ! laboratory1 only to be captur$ & made to p]=m l a trick monkey = ! b5efit ( ! laity1 !re came a r+ at ! phone ( a prom95t daily pap]3 8,hello1 is ?is ! ,daily ,bazoo80 8,huh1 huh1 x are40 8,well1 ,i'm ,dr4 ,squirtem ,galls4 ,i wi% y w\ld s5d a report] ov] "h at once4 ,i want to be int]view$ on ,ko*'s tub]cul940 ,x is said t #be *ang$ h&s1 b ,i don't believe x4 ,! g5tleman w\ld nev] adv]tise--at t rate--8no sir-ree40 ,my in=mant 0 once ! sport+ editor ( ! ,w> ,cry1 & h5ce unwor?y ( cr$5ce4 ,& :at wond]ful contributions ! newspap]-great-m5 are mak+ to sci5ce6 ,! daily pap] is ! place to /udy app5dicitis & ?+s4 ,x is n long s9ce ,i le>n$ f a di/+ui%$ surgeon fri5d ( m9e1 via a daily pap]1 t evid5ce ( a bl[ hav+ be5 receiv$ on ! head is an imp]ative indication = craniectomy1 :e!r symptoms are pres5t or n4 ,9 pref]5ce to ! cl&e/9e me?ods n[ 9 vogue1 w\ld x n be bett] = m5 9 au?ority to write sign$ articles = ! newspap]s & intellig5tly pres5t m$ical matt] to ! public8 ,b t w\ldn't be e?ical1 w\ld x8 ,su* topics z 8,advice to ,"y ,m510 8,lett]s to ,"y ,wives0 & 8,h[ to ,keep ,heal?y10 mu/ be left to ! quacks4 ,we w conf9e ourselves to ! surreptiti\s bl[+ ( surgical horns & nev] m9d ! false notes4 ,mean:ile1 let u /& back & wat* ! procession ( mode/ m5 :o nev] adv]tise--oh1 no6 ,at ! head1 ) haughty mi51 comes ,pr(essor ,ke5e ,c>v]1 prec$$ by a h]ald 9 blood-r$ g>b1 bl[+ a l>ge brass horn4 ,!n comes ! 8be>d$ lady10 ^: blonde & breezy :isk]s s delight ! he>t ( 8 swell society cli5tele4 ,& "h comes ,rip ,van ,w9kle--a middle-(-!-road 8eclectic10 ga!r+ up 8 long & we$y be>d to keep x f gett+ tangl$ up 9 ! sci5tific b>b$ wire f5ce along ! r\te4 ,& "h comes ano!r sure-en\gh 8regul>10 evid5tly a m$ic9e man--s r>e n[adays4 ,he is rid+ 9 a swell turn\t & is on 8 way to 8 cl9ic4 ,h[ d ,i "k t ,pr(essor ,w9dy ,b[els is a regul>8 ,because ! g5tleman :o is rid+ beside him to 8 cl9ic is a report] on ! ,*icago ,daily ,jib-boom4 ,i presume t ! sugge/ion t ,i h made ( ! advisability ( tak+ ! public frankly into our confid5ce & giv+ x accurate in=mation s f> z its compreh5sion goes1 by sign$ articles1 9 pref]5ce to cl&e/9e adv]tis+ & ! promulgation ( fallaci\s ideas ( m$ic9e & surg]y1 w meet ) bitt] opposition4 ,i nev]!less believe t a bett] education ( ! public is ! only way to d[n quack]y4 ,! opposition w come *iefly f ! surreptiti\s adv]tis]1 :o sees a prospect ( o!r m5 gett+ ! adv]tisem5t t he believes to be 8 propriet>y "r4 ,!n !re is ! tribe ( ! ,microcephali4 ,! h[l ( prote/ w be long & l\d f ! pews occupi$ by ^! f>-fam$ *ampions ( m$ical or?odoxy4 8,we won't put our discov]ies or contributions 9 ! newspap]s--n ev]40 ,& gaz+ at _! lemur-l front elevations1 we c well believe t !y w\ld h no tr\ble 9 e/abli%+ a 8halibi40 ,apropos ( 8discov]ies10 x may z well be und]/ood t ! public is b\nd to get ! details ( !m soon] or lat]1 &1 :5 ! "t is ripe1 ! matt] %\ld be pres5t$ to x 9 a cle> & intelligible =m--compreh5sible to ! layman4 ---------------------------------------- -------------------------------- ,,*apt] ,,ii ,,! ,,physician ,,:o ,,succe$s ,to a great ext5t ,nature has a comm&+ influ5ce 9 ! equipm5t ( ! successful practic+ physician1--! man :o actually secures ! desir$ results 9 8 treatm5t ( pati5ts1 builds up & reta9s a good practice1 & obta9s a f9ancial income ( respectable proportions4 ,any man ( ability1 ) ! necess>y education & tra9+1 may obta9 a c]ta9 am\nt ( success z a physician & make a mode/ income--or drag out a mis]able exi/5ce2 ?is latt] is ! mo/ probable4 ,x is a well-e/abli%$ fact t ! great majority ( physicians are n :at ! _w w\ld call prosp]\s4 ,?is is n because !y d n e>n en\gh to secure a compet5ce1 b because !y d n get x4 ,! doctor's bill is almo/ inv>iably ! la/ "o paid4 ,8 practice is g5]ally among ! middle classes1 p ^: int5tions are good1 b ^: incomes are limit$4 ,if !re is any?+ left aft] ! r5t1 & groc]y & but*] & o!r bills are paid ! doctor w1 p]haps1 get some?+ on acc\nt1 b z a rule he doesn't4 ,?is is ma9ly ow+ to ! fact t ! av]age physician is a poor bus9ess man2 he does n place an adequate value on 8 s]vices1 & is slack 9 look+ aft] collections4 ,if press$ by 8 wife1 or "s fri5d1 to be m p>ticul> 9 ?is respect1 8 almo/ inv>iable reply w be3 8,x w\ld n look well = me to put myself on ! same plane ) m]*ants4 ,m9e is a pr(ession1 n a trade4 ,besides1 ,i'm 9 duty b\nd to d a c]ta9 am\nt ( *>ity "w40 ,n[ *>ity "w is all "r 9 its place4 ,an hone/1 upright practition] w nev] refuse to respond to a call = 8 s]vices 9 des]v+ cases because ! paym5t ( 8 fee is unc]ta91 b ?is does n obta9 to ! ext5t ( virtually mak+ paup]s ( p :o are actually able to pay4 ,& yet ?is is really :at happ5s :5 a physician conducts 8 bus9ess affairs 9 a slip%od mann]1 & ?is is :at mo/ ( !m d4 ,!re is no excuse or reason = x4 ,b we />t$ 9 to tell ( ,nature's "p 9 ! equipm5t ( ! successful physician4 ,:at is ! equipm5t8 ,! possession ( a robu/1 heal?y physique1 a sunny1 *e]ful disposition1 & a fair k ( m$ic9e1 & ord9>y bus9ess ability4 ,all are ess5tial if real success is to be atta9$1 ei!r 9 a m$ical s5se1 or 9 ! accumulation ( a respectable income4 ,let u take two in/ances = ! purpose ( comp>ison4 ,9 "o case we h a practition] ) j a fair k ( m$ic9e1 b 9 ! possession ( all ! *>act]i/ics m5tion$4 ,8 v pres5ce 9 ! sick *amb] acts z a tonic to ! pati5t4 ,!n we h a ?91 und]siz$1 n]v\s1 dyspeptic physician2 dissatisfi$ ) himself & ! _w g5]ally4 ,he is a ?or\gh ma/] 9 m$ic9e1 & 8 treatm5t is m sci5tific ?an t ( 8 less le>n$ bro!r4 ,8 pres5ce 9 ! sick *amb]1 h[ev]1 has any?+ b a soo?+ effect on ! pati5t4 ,on ! contr>y x irritates him1 & ! effect ( ! sci5tific treatm5t is nullifi$4 ,?is is n an exagg]at$ case4 ,!re are ?\s&s ( j su* m5 9 practice4 ,:i* practition] is go+ to h ! greate/ me$ ( success8 ,! answ] is easy--! "o :o *e]s & enc\rages 8 pati5t by ! magnetism ( 8 pres5ce4 ,talk z we may1 sugge/ion is a p[]ful factor 9 ! practice ( m$ic9e4 ,i d n mean by ?is t sugge/ion alone w cure illness 7?is /atem5t is made )\t int5tion ( affront+ ^? :o believe 9 ,*ri/ian ,sci5ce74 ,b !re is ample evid5ce to ! effect t sugge/ion goes a long ways 9 mak+ m$ical treatm5t effective4 ,x is only ! physician :om ,nature has equipp$ 9 ! mann] indicat$ :o c (f] ! "r k9d ( sugge/ion & he does x unconsci\sly4 ,a physician ( ?is k9d is b\nd to become popul>1 & popul>ity begets a l>ge practice & comm5surate fees1 provid$ ! practition] is 9 ! "r location1 & has ! bus9ess acum5 to place ! prop] value on 8 s]vices4 ,f "t immemorial physicians h be5 imbu$ ) ! idea t !y mu/ adh]e to a set scale ( fees4 ,i am speak+ n[ ( ! av]age doctor1 ! man ) a g5]al practice4 ,all pati5ts1 ! labor] & ! bank]1 ! wage e>n] & ! millionaire1 are *>g$ ! same4 ,9 ! c\ntry di/ricts1 ! small t[ns & cities1 ?is *>ge is usually "o doll> a visit4 ,9 ! l>g] places x is g5]ally two doll>s4 ,:y %\ld ?is be s8 ,! ar*itect1 ! attorney1 ! civil eng9e] are all pr(essional m5 9 ! same way t ! physician is4 ,:oev] he>d ( any ( !m adh]+ to a set scale ( fees 9 ! same way t doctors d8 ,inv>iably !y regulate ! *>ge = _! s]vices accord+ to ! money value involv$1 & ! nature ( ! s]vices requir$4 ,! man :o employs an attorney 9 litigation :]e a l>ge money value is at /ake naturally expects to pay a mu* l>g] fee ?an ! man :o employs ! same attorney 9 a m9or case4 ,! man :o wants plans = a million doll> build+ pays ! ar*itect greatly 9 excess ( ! "o :o builds a "o ?\s& doll> h\se4 ,! pr9ciple is s\nd & all p>ties conc]n$ are satisfi$4 ,9 ! eyes ( ! ,almighty all human lives are ( ! same value1 & x w\ld be cruelly unju/ to attempt to appraise !m on a comm]cial basis4 ,b ?is %\ld n prev5t a physician f grad+ 8 fees 9 proportion to ! ability ( 8 pati5ts to pay !m4 ,:at might seem l a l>ge am\nt to a wage e>n]1 w\ld be a m]e trifle to "o 9 m afflu5t circum/ances4 ,! lives ( bo? are equally de> to !m1 & bo? are will+ to pay ! doctor accord+ to _! respective ability4 ,cu/om1 ! "m ( mu* folly1 is ! only excuse = adh]+ to ! old1 antiquat$ sy/em4 ,a physician :o is call$ out ( b$ on a /ormy night to answ] an em]g5cy call f ! home ( a coal heav] w\ld n be ju/ifi$ 9 ask+ m ?an ! m9imum fee4 ,b :y %\ld he p]=m exactly ! same s]vice at exactly ! same *>ge = "o :o is able & will+ to pay t5 times z mu*1 or ev5 m8 ,x is n s5sible1 x is n fair4 8,b x w\ld be a violation ( ! code ( e?ics10 "s "o may say4 ,bah6 ,! code ( e?ics be ---- b t's ano!r /ory :i* w be told lat] on 9 ?is volume4 ,! plan sugge/$1 h[ev]1 is n a violation ( ! code ( e?ics4 ,!re is no?+ une?ical 9 a physician regulat+ 8 fees to please himself1 provid$ no inju/ice is done1 & none ( 8 pati5ts is oppress$ 9 ?is respect4 ,!re are c]ta9 physicians 9 ! l>ge cities :o w n respond to a call = less ?an #be4 ,!re are o!rs :o p]=m ! same s]vices = #b4 ,yet bo? k9ds are /rictly e?ical & are recogniz$ by ! m$ical au?orities z su*4 ,! reason = ?is wide diff]5ce is t ! #be m5 h us$ bus9ess tact 9 ! practice ( _! pr(ession1 & elevat$ !mselves to a position :]e1 by reason ( _! prom95ce1 !y are ju/ifi$ 9 nam+ :atev] fees !y ?9k !y c get4 ,& ^! fees are almo/ inv>iably ca%4 ,on ! o!r h& ! #b m5 are timid 9 a bus9ess way2 !y hide _! light "u a bu%el z x 71 & consequ5tly lack widespread reputation4 ,_! fees rema9 at #b because !y don't ask any m1 & _! l$g]s are lad5 ) unpaid acc\nts4 ,!re is no reason :y a physician %\ld n collect 8 bills ) j z mu* promptness z a m]*ant4 ,x is usually 8 own fault t !y g unpaid4 ,/atem5ts %\ld be s5t out regul>ly on ! fir/ ( ea* mon?1 & if !re is no remittance by ! #ae?1 x c be f\nd inconv5i5t to make any fur!r calls4 ,?is1 ( c\rse1 is all[+ t ! pati5ts are able to pay4 ,:]e real inability to meet ! bill exi/s x becomes a matt] = ! physician to settle ) 8 own consci5ce4 ,our m$ical s*ools are full ( "y m5 :o are wa/+ _! "t & do+ ! _w at l>ge an absolute inju/ice by /udy+ m$ic9e4 ,!y are doom$ to failure be=e !y are well />t$ because ,nature has n end[$ !m ) necess>y qualifications = successful practition]s4 ,_! in/ructors realize x1 b ! tuition fees are ne$$ = ! support ( ! s*ools1 & ye> aft] ye> big crops ( alleg$ 8doctors0 are turn$ out4 ,x might be unfair to ref] to !m z incompet5t1 & yet ?is is :at _m ( !m really are4 ,mo/ ( !m "k m$ic9e !oretically & "k x well1 b lack ! vital ess5tials ( success4 ,x w\ld be a simple matt] ( ju/ice to ^! "y m5 if "s plan c\ld be devis$ = we$+ out ^? :o are manife/ly unfitt$ = ! practice ( m$ic9e be=e !y h wa/$ _! "t & money on m$ical in/ruction4 ,s long z su* a plan is lack+ x becomes ! duty ( ! individual to assume ?is responsibility himself4 ,! m]e desire to become a physician %\ld n satisfy ! aspirant = m$ical lore4 ,he %\ld "q himself closely z to 8 fitness4 ,8 "* may be ! be/1 8 ability to acquire ! necess>y k unlimit$1 b unless ,nature has equipp$ him z previ\sly outl9$1 ! mo/ he c hope to atta9 9 ! m$ical pr(ession is m$iocrity s f> z actually help+ ! sick1 & obta9+ pre/ige & weal? are conc]n$4 ,!re are m51 x is true1 ( high /&+ 9 ! pr(ession1 :o d n possess ^! qualifications1 b !y are few 9 numb] &1 z a rule1 are consult+1 r ?an practic+ physicians4 ,o!r doctors call ^u !m = advice because ( _! recogniz$ skill & le>n+4 ,!y give ?is advice wisely & well1 b 9 ! sick room w\ld fall f> %ort ( obta9+ ! same results :i* o!r m51 m favor$ by ,nature1 obta9 by act+ ^u ! advice !y give4 ,"t 0 :5 ! ^w 8physician10 convey$ ! idea ( a man ) a be>d4 ,! two 7 intimately connect$ 9 ! public m9d4 ,9 _m p>ts ( ! c\ntry1 especially 9 remote di/ricts :]e mod]n ideas & k ( ! g]m !ory h n p5etrat$1 ?is relation%ip /ill exi/s4 ,9 su* places a full be>d is an effici5t badge ( ! doctor's call+1 & is ess5tial 9 e/abli%+ 8 pr(essional id5tity among ! p4 ,despite ! widespread k ( ! fact t be>ds are no?+ m nor less ?an ne/s & hat*+ b$s 9 :i* millions ( disease g]ms f9d %elt]1 !re are to-day num]\s localities 9 :i* doctors z well z ! laym5 cl+ /ubbornly to ! belief t a physician )\t a be>d is 8no good40 8,g on1 neighbor1 don't try to fool me4 ,t man's no doctor4 ,h[ d ,i "k8 ,:y1 he a9't got no be>d40 ,?is is no uncommon /atem5t to enc\nt] 9 rural regions1 & ev5 9 "s fair-siz$ t[ns4 ,ev5 ! doctors !mselves d n appe> to recognize ! fact t x is possible to sep>ate _! be>ds f _! pr(ession1 & t x w\ld be to ! b5efit ( _! pati5ts & ! advancem5t ( _! own reputations 9 ! end to d s4 ,mod]n1 well-educat$ physicians "k t _m1 9 fact ne>ly all ! ord9>y ailm5ts1 are ( g]m orig94 ,!y also "k1 = in/ance1 t a pati5t suff]+ f typhoid1 or typhus1 or "s l disease1 is cont9ually reproduc+ ^! g]ms 9 imm5se numb]s4 ,= a physician ) a full be>d to lean ov] ! b$side ( su* a pati5t is to invite millions ( ^! g]ms to invade 8 be>d1 & :]ev] he goes he c>ries ^! g]ms ) him & spreads ! disease4 ,x is bad en\gh :5 dec5t precaution is tak5 z ! hair ( ! head1 ! mu/a*e1 & ev5 ! clo?+ itself w h>bor too _m ( ! bacilli4 ,b to we> a be>d is to greatly increase ! accommodations = ^! undesirable lodg]s4 ,9 ?is way ! heal? & lives ( ?\s&s ( p are daily jeop>diz$4 ,?is is :y be>ds %\ld h no place on ! faces ( physicians1 & ! m highly educat$ & m progressive ! physicians are ! few] w be ! be>ds f\nd among !m4 ,ano!r ?+ is a prime requisite 9 successful practice & ?is is ! mo/ scrupul\s cleanl9ess4 ,?is ref]s n only to ! p]son & app>el ( ! physician1 b to ! in/rum5ts :i* he h&les4 ,"s ye>s ago an ,i[a cattleman suff]+ f a *ronic tr\ble1 came to ,*icago = treatm5t :i* 0 adm9i/]$ hypod]matically4 ,he made fair progress t[>d recov]y1 & f9ally 0 9 condition to return home :]e ! treatm5t 0 cont9u$ by 8 family physician4 ,= a "t ! reports made by ! ,i[a doctor 7 ( a gl[+ nature4 ,mr4 ---- 0 gett+ along nicely1 & ! improvem5t 9 8 condition 0 no?+ %ort ( miracul\s4 ,sudd5ly ^w came t !re 0 a *ange = ! worse1 & ! ,*icago speciali/ 0 reque/$ to g to ,i[a & make an inve/igation4 ,he did s4 ,on arriv+ 9 ! t[n ne>e/ ! pati5t's home he fir/ call$ ^u ! local physician & toge!r !y drove out to see ,mr4 ----4 ,! latt] 0 evid5tly fa/ approa*+ a collapse & ! speciali/ 0 at a loss to acc\nt = ! rem>kable *ange4 ,he 0 assur$ t 8 in/ructions _h be5 closely adh]$ to1 bo? ! pati5t & ! local doctor agree+ ^u ?is po9t4 ,f9ally ! speciali/ said3 8,doctor1 let me see y adm9i/] ! hypod]matic "p ( ! treatm5t40 ,! local physician took f 8 ov]coat pocket a hypod]mic syr+e )\t case or o!r protection4 ,?is he /uck into ! bottle ( fluid :i* con/itut$ ! treatm5t1 & 0 ab\t to make ! injection :5 ! speciali/ %\t$3 8,great heav5s1 doctor1 don't d t6 ,let me see t syr+e a mom5t40 ,hold+ ! syr+e up to ! light ! speciali/ f\nd x extremely dirty on ! inside ( ! glass b>rel1 & ! ne$le po9t cov]$ ) l9t4 ,call+ ! local physician into an adjo9+ room he said3 8,my ,god1 ,doctor1 x's a wond] y\r pati5t is n dead4 ,y are poison+ him to dea?4 ,h[ long is x s9ce y /]iliz$ ?is syr+e80 8,:y1 x 0 /]iliz$ :5 ,i got x1 wasn't x80 repli$ ! local ,m4,d4 innoc5tly4 8,yes10 answ]$ ! speciali/1 8& my in/ructions 7 t x %\ld be cleans$ ) alcohol be=e & aft] e injection1 & /]iliz$ 9 boil+ wat] at lea/ once a week4 ,?is has n be5 done40 ,!n & !re ! visit+ physician op5$ ! eyes ( 8 c\ntry bro!r z to ! grave importance ( utt] & absolute cleanl9ess 9 all bran*es ( practice1 & especially 9 ! adm9i/ration ( hypod]matic treatm5ts4 ,= ne>ly t5 weeks ?is doctor _h n cleans$ ! syr+e4 ,dur+ all ?is "t he _h unconsci\sly be5 inject+ into ! sy/em ( 8 pati5t ! mo/ virul5t ( poison 9 ! =m ( ! decompos$ lymph :i* rema9$ 9 ! syr+e b>rel1 z well z su* =eign sub/ances z accumulat$ on ! unprotect$ ne$le ( ! syr+e4 ,& yet ?is 8doctor0 0 popul> & successful 9 a way1 79 mild cases71 despite 8 failure to keep up ) ! progress ( mod]n ?\ght4 ,he 0 "o ( ! old-fa%ion$ full-be>d$ type1 ignorant ( g]ms & g]m-!ory1 & too self-op9ionat$ & set 9 8 way to keep himself po/$ z to :at is go+ on 9 ! _w ( m$ic9e4 ,i wi% ,i 7 able to /ate hone/ly t1 9 ! in/ance "h ref]r$ to1 ! pati5t recov]$1 b he did n4 ,! damage _h be5 done1 & x 0 too late1 :5 ! speciali/ 0 call$ 91 to ov]come x4 ,?is is a tru?ful n>rative4 ,x is be+ duplicat$ 9 _m in/ances ow+ to ! ignorance & incapacity ( m5 :o1 :ile possess+ diplomas1 are really unfitt$ = ! practice ( m$ic9e4 ,x illu/rates 9 a sad1 b =ceful way1 ! necessity ( be+ 8up to date10 & mix+ common s5se ) ! m$ical lore acquir$ 9 ! s*ools4 8,co/ly ?y habit z ?y purse c buy10 %\ld be ! rule4 ,a physician %\ld nev] dress fla%ily1 b he %\ld be g>b$ well4 ,x creates a good impression4 ,! "t & money exp5d$ on improv+ ! p]sonal appe>ance is well inve/$4 ,patronize a compet5t tailor4 ,a portly1 well-condition$ man1 well clo!d1 & ( sunny1 *e]ful ways1 w "w wond]s 9 ! practice ( m$ic9e4 ,impressions are creat$ l>gely by appe>ances4 ,! man :o looks afflu5t1 :o conducts himself 9 a good-natur$1 dignifi$ mann]1 w succe$ ev5 ?\gh he be lack+ 9 a ?or\gh k ( 8 pr(ession4 ,! man :o is sl\*y & ill-kempt1 & :o takes no pa9s to be pleasant & oblig+1 w fail1 no matt] h[ well gr\nd$ he may be 9 ! sci5ce ( m$ic9e4 ,:y8 ,because he w repel p in/ead ( attract+ !m4 ,?is same rule holds good 9 all l9es ( bus9ess1 b x is specially applicable to ! practice ( m$ic9e4 ---------------------------------------- -------------------------------- ,,*apt] ,,iii ,,! ,,bugbe> ,,( ,,e?ics ,"o ( ! fir/ spooks ) :i* ! "y practition] w be confront$ is ! bugbe> ( ,e?ics--don't ov]look ! big ,e4 ,x w be 9 front ( him on graduation day1 8 preceptor w dangle x be=e 8 eyes z he h&s him 8 pap]s1 & x w be cont9ually bobb+ up aft] he has hung out 8 %+le4 ,n[ e?ics 9 its place is a good ?+4 ,x is especially ess5tial 9 ! m$ical pr(ession 9 :i*1 )\t a due reg>d = ! proprieties1 _m m5 w\ld be tempt$ to g a/ray4 ,& ?is temptation is by no means slight at times4 ,b !re is su* a ?+ z ov]do+ ! e?ical proposition4 ,x becomes monoton\sly annoy+ = a man to h 8 e movem5t wat*$ & judg$ f ! e?ical /&po9t by a lot ( self-con/itut$ c5sors4 ,! av]age physician1 9 8 be>+ t[>d 8 y\ng] bro!r does n ask himself ! old "q1 8,am ,i my bro!r's keep]80 ,n at all4 ,on ! contr>y ! wor/ ( x is he assumes an opposite attitude & by 8 actions ass]ts 8,i am my bro!r's keep]40 ,9 a way ^! m5 assume ! "r to dog & spy ^u ! movem5ts ( o!r physicians on ! plea t !y are do+ x = ! b5efit ( ! pr(ession--to see t ! great ,code ( ,e?ics is n violat$4 ,:at !y are really aft]1 n9e times out ( t51 is to make sure t ! "y1 progressive practition] :o has ! tact & ability to build up a good-pay+ practice does n encroa* ^u _! pres]ves4 ,?is is bad en\gh1 b !re is a worse side4 ,9 ne>ly e in/ance ^? :o h[l ! l\de/ ab\t violations ( ! code1 are gross (f5d]s !mselves4 ,?is is a bold ass]tion1 b ! pro( w be furni%$ lat] on4 ,"o ( ! ?+s specially cit$ z an unp>donable violation ( e?ics is ! c\rt+ ( newspap] & simil> publicity4 8,my de> boy10 "o ( ^! old-"t (f5d]s w say1 8y mu/ n all[ y\r "n to appe> s frequ5tly 9 pr9t4 ,x is undignifi$ & une?ical4 ,our pr(ession is "o ( mighty dignity & responsibility1 & y owe x to y\rself & y\r bro!r physicians to avoid any?+ :i* t5ds to l[] or debase x4 ,i "k x is only human to seek notoriety ( ?is k9d1 & t x is valuable s f> z ! m]e gett+ ( money goes1 b we mu/ be actuat$ by high]1 nobl] motives40 ,x is practically a c]ta9ty--) r>e exception--t ! man :o gives ?is advice1 is b5d+ e en]gy1 & us+ e possible means to secure ! same k9d ( publicity4 ,he kn[s t fame & weal? come f keep+ "o's "n con/antly be=e ! public4 ,9 e l>ge city we w f9d physicians ( weal? & fame1 ( ^: e movem5t ! newspap]s seem to h in=mation 9 advance4 ,h[ d !y get x8 ,let u analyze ! conditions4 ,"u 8 pr(essional obligation ,dr4 ,soakum is b\nd to obs]ve & live up to ! code ( e?ics4 ,he prates l\d & (t5 ab\t ! beauties ( an e?ical life1 & ! un9itiat$ might well suppose t 8 0 a model exi/5ce 9 ?is respect4 ,b1 is x n a trifle /range t :5ev] ,dr4 ,soakum1 ow+ to 8 great skill & fame1 is call$ out ( t[n to att5d "s prom95t p]sonage 9 ano!r city ! newspap]m5 "k he has be5 summon$4 ,m ?an ?is1 !y "k :]e he is go+1 :om he is go+ to see1 & :at tra9 he is go+ on4 ,/range1 is x n8 ,x is no uncommon occurr5ce to read items l ! foll[+ 9 ! daily press3 ,dr4 ,soakum1 ! di/+ui%$ speciali/ 9 *ronic disord]s1 left = ,san ,francisco ye/]day1 hav+ be5 summon$ by wire to att5d ! ,hon4 ,million ,moneybags1 :o is s]i\sly ill ) *ronic nephritis4 ,! pati5t1 ^: disability at ?is "t is ( grave import to a numb] ( l>ge bus9ess transactions1 has be5 "u ! c>e ( a numb] ( fam\s physicians1 b 8 great confid5ce 9 ! skill ( ,dr4 ,soakum l$ to ! ha/y summon+ ( ! latt]4 ,dr4 ,soakum1 :o 0 se5 by our report] j z he 0 bo>d+ ! ,ov]l& limit$ confirm$ ! report4 ,he add$ t ! "t ( 8 /ay 0 unc]ta91 z ! case is a mo/ important "o1 & may dem& 8 undivid$ att5tion = "s weeks4 ,dur+ 8 abs5ce ,dr4 ,soakum's va/ practice w be look$ aft] by 8 associate1 ,dr4 ,ble$um4 ,he add$ t he 0 bo? surpris$ & annoy$ to ?9k ! news _h leak$ out4 ,surpris$6 ,annoy$6 ,n on y\r life4 ,?is 0 only a bit ( /age play1 ( dramatic action1 on ! "p ( ,dr4 ,soakum4 ,real surprise1 real annoyance & real ang] w\ld h result$ only f ! failure ( ! report] to appe> aft] ! c>eful arrangem5ts :i* _h be5 made to ensure 8 att5dance4 ,h[ (t5 h _m ( u read items l ! foll[+ 9 ! daily press3 ,at la/ !re is hope = ! consumptive4 ,dr4 ,killem1 ! em95t speciali/1 ^: success 9 ! treatm5t ( tub]culosis has ar\s$ wide int]e/ 9 ! m$ical pr(ession1 has made public ! details ( 8 treatm5t by means ( :i* su* wond]ful results h be5 obta9$4 8,i w\ld h done ?is long ago10 said ,dr4 ,killem to a report] = ! ,morn+ ,h[l1 ye/]day1 87 x n t ,i desir$ to be absolutely c]ta9 z to ! p]man5t efficacy ( ! treatm5t4 ,n[ t !re is no long] room = d\bt on ?is po9t ,i feel at lib]ty to act4 8,! ess5tial feature 9 my me?od is10---- ,& ,dr4 ,killem goes on to give :at he calls a pr(essional /atem5t1 s involv$ & becl\d$ ) high-s\nd+ t]ms t ! poor report] makes a sorry mess ( ?is "p ( 8 /ory4 ,/range z x may seem ?is is j :at ,dr4 ,killem wants4 ,he kn[s 8 treatm5t w n /& a sci5tific analysis by compet5t m51 & he avoids ?is by int5tionally lead+ ! report] to misquote4 ,& !n x gives him an opportunity to write a lett] ( prote/ to ! newspap] & ?us obta9 m publicity4 8,i'm *agr9$10 ,dr4 ,killem w say to 8 pr(essional bre?r54 8,t report] = ! ,morn+ ,h[l has made an ass ( me1 b ,i suppose !re is no r$ress4 ,i gave him a few1 a v few facts1 out ( k9dness1 & he has di/ort$ !m & made me ridicul\s40 ,& all ! "t ,dr4 ,killem is swell+ ) pride4 ,he has 8put ano!r "o ov]0 on ! press1 & obta9$ a lot ( valuable publicity t he c\ld n h b\ght outright4 ,besides he w\ld n ?9k ( do+ su* a ?+ z to pay = adv]tis+--x w\ld be une?ical4 ,h[ d y suppose ! newspap]s get hold ( su* items8 ,report]s are a pretty sm>t lot ( m5 ) noses ke5ly tra9$ on ! sc5t ( news4 ,b none ( !m1 s f> z kn[n1 possesses ! gift ( be+ able to tell 9 advance :at is go+ to occur at a giv5 "t4 ,sm>t z !y are x w\ld be out ( ! "q = !m to "k t ,dr4 ,soakum _h be5 call$ out ( t[n1 or t ,dr4 ,killem _h int]e/+ in=mation to imp>t to ! public1 unless !y got tips to ?is effect1 & ^! tips are j exactly :at !y get4 ,none ( ^! physicians h press ag5ts4 ,p]i% ! ?\ght4 ,t w\ld be decid$ly une?ical1 & too clumsily convictive4 ,no siree4 ,!y are too sm>t = t4 ,mo/ ( !m1 h[ev]1 especially ^? :o "w ! press cont9ually1 h private secret>ies4 ,! private secret>y "w is light1 & is att5d$ to by /5ograph]s & book-keep]s1 b ! title af=ds a h&y cloak = disguis+ ! press ag5t4 ,o/5sibly engag$ z private secret>ies ! m5 :o fill ^! positions "k full well t _! "o & only duty is to 8boo/0 ! pr(essional pr[ess ( _! employ]s2 to keep !m con/antly be=e ! public4 ,frequ5tly ?is "w is done by m5 :o h no op51 direct connection ) ! physicians :o employ !m2 are n ev5 se5 ar\nd _! (fices4 ,?is is ! late/ dodge1 & is becom+ m & m g5]al4 ,x has "o decid$ advantage 9 ! fact t x is impossible to trace any collusion betwe5 ! p>ty :o gives out ! news1 & ! p>ty :o is b5efit$ by ! publication4 ,x also has a fur!r advantage4 ,x enables ! physician to put on an air ( surprise1 %\ld he be que/ion$ by a bro!r doctor1 & say3 8,smi?4 ,:o is he8 ,he is n on my (fice /aff1 & is c]ta9ly assum+ a lot :5 he pret5ds to speak = me40 ,all ( ^! press ag5ts "w on ! same l9es4 ,!y "k ! avidity ) :i* city editors grab = news1 p>ticul>ly if x conc]ns prom95t p4 ,:5 ! occasion arises !y get into communication ) "s city editor1 g5]ally by phone1 & a conv]sation some?+ l ! foll[+ ensues3 8,hello1 t y ,br[n8 ,?is is ,jones4 ,yes1 ! same1 old man4 ,?anks4 ,i've j got onto some?+ t looks l a good tip1 & ,i ?\ght y w\ld l to h x4 ,dr4 ,soakum has be5 call$ to ,san ,francisco to att5d old ,moneybags1 ! tru/ magnate4 ,if ! old *ap %\ld die x w\ld raise ,old ,n$ 9 ! /ock m>ket4 ,i und]/& t ,soakum goes ?is aft]noon on ! ,u4 ,p4 limit$4 ,oh1 don't m5tion x4 ,i'm glad to be able to give y ! tip4 ,hope y'll be able to get a /ory out ( x40 ,jones1 ! press ag5t1 does n1 ( c\rse1 tell 8 city editor fri5d t !re's #be 9 = him 7,jones7 if ! /ory is pr9t$4 ,he's too sm>t = t4 ,s f> z ! city editor kn[s ,jones is simply try+ to d him a favor 9 a news way4 ,! press ag5t is also sm>t 9 ano!r direction--he does n call on ! same city editor too (t54 ,x might ar\se suspicion4 ,9 ne>ly e city ( any size !re are a numb] ( newspap]s4 ,jones works !m 9 rotation1 s f> z ,dr4 ,soakum is conc]n$4 ,fir/ x is ! ,morn+ ,h[l1 !n ! ,daily ,scree*1 next ! ,ev5+ ,:irl1 & s on4 ,betwe5 ! ,dr4 ,soakum /ories ,jones works 9 items ab\t o!r p1 = ! mod]n press ag5t is an ent]pris+ *ap :o repres5ts a numb] ( cli5ts all eag] = publicity4 ,a good press ag5t c look aft] ! int]e/s ( a physician1 a lawy]1 an actor1 & a promot] at all ! same "t1 & n ov]work himself4 ,x's m]ely a matt] ( giv+ out ! "r tips 9 ! "r way4 ,if ! tip looks good ! city editor & 8 /aff does ! re/4 ,to pres]ve 8 /&+ ) ! newspap] frat]nity ,jones v frequ5tly1 if he is a real live1 fir/-class press ag5t1 tips (f a bit ( actual news1 some?+ 9 :i* !re is no #be = him1 & :i* makes ! city editors rise up & call him bless$4 ,incid5tally x also makes !m all ! m will+ to act ^u 8 next tip1 & ?is is j :at ,jones wants4 ,he is m]ely s[+ se$ = ! crop he is to reap 9 ! ne> future4 ,& d reputable physicians c\nt5ance ?is sort ( ?+8 y may ask4 ,!y c]ta9ly d2 n all ( !m1 x is true1 b a big work+ majority4 ,! l>ge cities are full ( physicians ( weal? & fame :o h be5 lit]ally boo/$ into prom95ce by ! newspap]s4 ,fancy ! effect ^u ! public :5 x reads ( ,dr4 ,soakum be+ call$ to att5d s di/+ui%$ a citiz5 z ! ,hon4 ,million ,moneybags1 or ref]5ces to ,dr4 ,killem1 8! em95t au?ority on tub]culosis40 ,x means a /ream ( doll>s roll+ into ! pockets ( ! doctors ?us ref]r$ to1 & puts !m 9 position to "n l>g] fees4 ,!re are times :5 z a matt] ( bus9ess precaution ! press ag5t resorts to opposite tactics4 ,x w\ld n look well to be laud+ ,dr4 ,soakum all ! "t4 ,s1 hav+ previ\sly laid out ! program ) ! =m]1 ! press ag5t hunts up ano!r physician :o kn[s h[ o!rs are prosp]+ ?r\gh publicity & is n av]se to hav+ "s ( x = himself4 ,! program is expla9$ to ,dr4 ,squills1 & he writes to ! newspap]s1 br++ to _! att5tion "s suppos$ly important m$ical subject4 ,x may relate to hygi5e1 bad managem5t ( hospitals1 unsanit>y condition ( /reet c>s1 ! prop] means ( /opp+ ! spread ( tub]culosis1 any?+ to attract public att5tion4 ,city editors1 unless ov]cr[d$ ) m important matt]--& ! press ag5t g5]ally selects ! opportune mom5t--w pr9t ?is k9d ( 8/uff0 9 full4 ,hav+ pr9t$ x ab\t ! fir/ ?+ !y w d is to s5d out report]s to ask ! 8em95t ,dr4 ,soakum0 = 8 op9ion on ! subject4 ,?is is j :at ,dr4 ,squills 0 induc$ to break into pr9t =4 ,dr4 ,soakum w endorse ! latt]'s lett]1 praise x w>mly & p]haps br+ out "s new po9ts :i* ,squills has purposely ov]look$4 ,?is gives ,squills a *ance to come back ) a /atem5t z to ! importance ( ! sugge/ions made by ,dr4 ,soakum1 & ! two old hypocrites ?us get a lot m free adv]tis+4 ,all ( :i* means m prom95ce1 m fame1 & m money4 ,"s ye>s ago--ab\t t5 at ?is writ+--a new treatm5t = *ronic n]v\s & m5tal ailm5ts 0 introduc$4 ,its sponsors 7 m5 ( high /&+ 9 ! pr(ession1 in/ructors 9 lead+ m$ical colleges4 ,t ! treatm5t _h great m]it is und5iable2 _m wond]ful results 7 accompli%$ ) x4 ,x also _h great money-mak+ possibilities1 b ! promot]s did n "k h[ to develop ?is feature4 ,f9ally !y engag$ a press ag5t--we'll call him ,mr4 ,johnson1 because t is n 8 "n4 ,8 t]ms 7 #ej a week sal>y1 & a royalty on ! bus9ess4 ,= ?ree or f\r days ,mr4 ,johnson did no?+ except po/ himself z to ! sci5tific features ( ! treatm5t & he 0 soon able to talk m glibly & intellig5tly ab\t x ?an ! physicians 9 *>ge4 ,!n "o day he said3 8,trot out "s ( y\r /> cases4 ,i want to look !m ov]40 ,mr4 ,johnson w5t ov] ! records c>efully & select$ "o :i* seem$ to give promise ( produc+ a big free adv]tisem5t4 ,x 0 t ( a well-kn[n1 well-to-d m]*ant 9 a neighbor+ city :o a ye> be=e _h be5 seiz$ ) prim>y dem5tia4 ,homicidal t5d5cies develop$ & 8 family1 on ! advice ( prom95t ali5i/s1 plac$ him 9 a sanit>ium1 ! physicians at :i*1 z well z ^? call$ 9 by ! family1 pron\nc$ ! case absolutely incurable & hopeless4 ,9 "t ! new treatm5t 0 adm9i/]$4 ,9 n9ety days ! pati5t 0 dis*>g$ z cur$1 return$ to 8 home1 & resum$ *>ge ( 8 bus9ess4 ,to ?is day he is well m5tally & physically1 & no "o1 unacqua9t$ ) 8 hi/ory1 w\ld ev] ?9k he _h be5 insane1 & conf9$ z a dang]\s lunatic4 ,hav+ satisfi$ himself z to ! accuracy ( ! /ory1 ,johnson's next move 0 to plan out a l9e ( action4 ,! /ory to be acceptable 9 a news way1 & c>ry plausibility ) x mu/ come f ! pati5t's home t[n4 ,x w\ld nev] d = ,johnson to (f] x to ! newspap]s himself4 ,8 connection ) x mu/ be c>efully conceal$4 ,! fir/ ?+ he did 9 ?is direction 0 to asc]ta9 :o h&l$ ! correspond5ce t 0 s5t out to ! big dailies f ?is p>ticul> t[n4 ,he f\nd t x 0 virtually 9 ! h&s ( a ,mr4 ,:eel+1 city editor ( a local pap]4 ,arm$ ) ?is k ,johnson took a tra9 & w5t to ! t[n 9 "q--x is only a few miles f ,*icago--tim+ himself s z to arrive !re :5 ,mr4 ,:eel+ _h f9i%$ 8 ru% "w = ! day4 ,arriv+ !re he introduc$ himself to ,:eel+ z foll[s3 8,my "n is ,johnson4 ,p>don me = intrud+ ^u y1 b ,i'm a /rang] 9 t[n1 ) a little sp>e "t on my h&s1 & be+ some:at ( a newspap] man myself x seems sort ( homelike to poke ar\nd an editor's d54 ,x's ! be/ way ,i h ( kill+ "t &1 if x doesn't annoy y1 ,i'd l to pass away an h\r or s *att+ ov] newspap] "w & newspap] m540 ,:eel+1 a cordial1 :ole-s\l$ *ap1 made ,johnson welcome1 & !y 7 soon v fri5dly1 ex*ang+ rem9isc5ces1 & regal+ "o ano!r ) _! exp]i5ces4 ,johnson 0 9 no hurry to spr+ ! trap4 ,he 0 too sm>t = t4 ,he produc$ "s good cig>s &1 aft] !y _h talk$ = an h\r or s1 invit$ ,:eel+ to take d9n] ) him at ! hotel4 ,:eel+ accept$1 & aft] ! meal1 :5 fre% cig>s 7 light$1 ,johnson proce$$ to set 8 trap z foll[s3 8,once a man has ! newspap] fev] he nev] gets x out ( 8 blood1 at lea/ n entirely4 ,i'm bett] (f n[ f9ancially ?an ,i c\ld possibly expect to be work+ z a report] or editor1 & yet frequ5tly ! old desire to cov] an assignm5t1 or write a good /ory1 takes hold ( me1 & takes hold h>d4 ,x's gall+ = a man ( my disposition to run aga9/ a good /ory & n be able to make use ( x1 b ?is is happ5+ ) me "r along4 ,:y ?is v aft]noon1 9 conv]sation ) a bus9ess fri5d j be=e ,i met y1 ,i he>d a /ory t's a cork]1 & w\ld make a big s5sation if x ev] got into pr9t4 ,b p%aw1 :at's ! use ( talk+1 ,i'm simply n 9 position to make use ( x1 & might z well pass x up4 ,x goes aga9/ ! gra9 ?\gh1 ,i c assure y40 8,:y n give me ! tip80 ask$ ,:eel+4 8,i'm correspond5t "h = q a li/ ( pap]s1 & a real live /ory1 "o t ,i c\ld spread on1 w\ld mean consid]able to me40 8,well10 repli$ ,johnson1 8,i don't m9d giv+ y su* facts z ,i h1 b ( c\rse ,i c't v\* = _! accuracy4 ,all ,i c say is t if y\r inve/igation e/abli%es ! tru? ( :at ,i h he>d all ! big pap]s w want ! /ory by ! column1 & !n "s40 ,johnson !n proce$$ to outl9e ! /ory to ,:eel+1 hesitat+ purposely z if n q sure ( ! pati5t's "n1 & giv+ "o t s\nd$ mu* l x1 b 0 n ! real "o4 ,! trap 0 sprung4 ,:eel+ knew ! man1 & at once realiz$ t he 0 9 l9e = a big ,sunday spread4 ,x w\ld n d to wa/e s good a y>n on ! daily issues 9 :i* a /ick or two ( space w\ld be ! limit :5 he c\ld place a column or m 9 ea* ( ! ,sunday pap]s4 ,:eel+ furni%$ 8 correspond5ce at space rates1 s mu* p] column1 & he naturally want$ to make ! /ory z full & complete z possible4 ,t v night 7x 0 ,monday7 he visit$ ! home ( ! miracul\sly cur$ man4 ,! latt] talk$ freely1 corroborat+ all ! important details4 ,:eel+'s next visit 0 to ! home ( ! family physician1 & !re he got m corroboration4 ,! next morn+ he wir$ ! v>i\s ,sunday editors z foll[s3 ,prom95t bus9ess man "h1 aft] be+ pron\nc$ incurably insane by em95t speciali/s1 & conf9$ 9 asylum1 fully re/or$ to reason by new & novel treatm5t4 ,big /ory4 ,h[ mu*8 ,he 0 swamp$ ) replies4 ,e ,sunday editor want$ m or less ( x4 ,mo/ ( !m want$ x 9 full1 ! ord]s read+ some?+ l ?is3 ,if sure ( facts1 & man is really prom95t1 s5d /ory 9 full4 ,no limit4 ,also get pictures ( pati5t1 & o!rs conc]n$4 ,! foll[+ ,sunday morn+ e newspap] 9 ,*icago fairly 8%riek$0 =? ! news ( ! new treatm5t4 ,x 0 giv5 to ! public 9 ! =m ( a fir/-page /ory ) ! emphasis ( lead$ type1 8sc>e0 heads1 & pictures ( ! pati5t4 ,! ,associat$ ,press took x up & wir$ a report to all ,am]ican pap]s1 :ile a cond5s$ /atem5t 0 cabl$ abroad4 ,nor 0 ?is all4 ,manag+ editors f ,new ,york to ,san ,francisco1 f ,toronto to ,new ,orleans1 call$ ^u _! special correspond5ts to ru% m p>ticul>s by wire4 ,! manag+ editors ( ! ,*icago pap]s in/ruct$ _! city editors to obta9 /atem5ts 9 full f ! physicians int]e/$1 z to ! sci5tific nature ( ! treatm5t1 its hi/ory1 etc4 7,! names & addresses ( ^! physicians be+ giv5 9 ! fir/ /ory1 ! locat+ ( !m 0 easy--x 0 "p ( ,mr4 ,johnson's plan47 ,:at 0 ! result8 ,! new treatm5t 0 imm$iately 8boo/$0 into _w-wide prom95ce4 ,half a million doll>s w\ld n h paid = ! publicity x obta9$ 9 "o week4 ,inde$ x w\ld h be5 impossible to buy ?is k9d ( publicity--/raight news--at any price4 ,x made =tunes = ! m5 int]e/$4 ,to-day1 t5 ye>s aft] ?is publicity1 ^! m5 are /ill reap+ its b5efits4 ,n[ ^! m51 x %\ld be rememb]$1 7 & are /rictly e?ical4 ,!y fr[n ^u any?+ t smacks ( violation ( ! code4 ,!y w n sell ! treatm5t to physicians :o adv]tise4 ,_! deal+s are conf9$ to ^? :o c %[ a clean bill ( heal? 9 ?is connection4 ,to ^? :o meet ! dem&s 9 ?is respect !y furni% ! treatm5t at #bg4ej p] #b-ounce vial2 ! co/ ( produc+ x is ab\t #ge c5ts4 ,nice pr(itable bus9ess8 ,well1 r4 ,! lesson ( all ?is is t x pays physicians to adv]tise1 provid$ !y d x 9 ! "r way1 & are clev] en\gh to hoodw9k _! pr(essional bre?r5 z well z ! g5]al public on ! "q ( e?ics4 ,! man :o op5ly engages a real press ag5t & pays 8 money = 8display ads0 9 ! newspap]s is taboo$1 8 "n is ana!ma4 ,! man :o engages a press ag5t quietly to get up s*emes by :i* ! g5tlem5 ( ! press may be work$ = valuable publicity is ?or\ghly e?ical1 & rema9s 9 good /&+ 9 ! pr(ession4 ,:]e9 lies ! di/9ction8 ,i mu/ confess t x is too f9e = me4 ,( ! two ! honor seems to be ) ! doctor :o proce$s to ask = pati5ts 9 a /raight-=w>d bus9ess-l mann]1 & pays ! newspap]s = ! space !y give him4 ,on ! "o h& we h ! man :o pays = :at he gets1 :ile on ! o!r we h him :o1 9 reality1 is obta9+ goods "u false pret5ces4 ,j ano!r po9t ab\t e?ics4 ,x is /rictly une?ical = a physician to prescribe or adm9i/] a rem$y ! =mula ( :i* he does n ?or\ghly und]/&4 ,b ?\s&s ( !m are do+ x daily4 ,:]e is ! physician1 = in/ance1 :o kn[s 9 reality1 aside f ! proprietors1 ! composition ( ,anti-,kamnia1 b does lack ( ?is k /op its widespread use8 ,n at all4 ,x's ! same way ) acetanalid & scores ( o!r prep>ations4 ,occasionally ! proprietors ( "s rem$ies seek to ease ! consci5ce ( "s extra scrupul\s practition] by pr9t+ :at appe>s to be a =mula4 ,b 9 su* cases !re c be no assurance t ! =mula is correctly /at$1 ! prop] quantities giv51 or ! me?od ( prep>ation absolutely /at$4 ,9 all su* cases ! alleg$ facts mu/ be tak5 on fai?4 ,! au?or has 9 m9d "o p>ticul> in/ance1 ! accuracy ( :i* he c v\* = because he 0 int]e/$ 9 ! prep>ation & sale ( ! rem$y4 ,a c]ta9 hypod]matic treatm5t 0 plac$ on ! m$ical m>ket 8= ! use ( physicians only40 ,to satisfy ! e?ical g5tlem5 ! =mula 0 giv51 & x 0 giv5 correctly4 ,no?+1 h[ev]1 0 said ab\t ! me?od ( pres]vation4 ,?is 0 an important item z ! rem$y consi/$ ( a comb9ation ( animal tissues & fluids :i* w\ld decompose quickly1 & if inject$ into ! human sy/em w\ld "w havoc4 ,to keep x 9 condition = use1 ) its curative prop]ties intact1 x 0 necess>y to put x ?r\gh a pres]vative process 9 ! c\rse ( :i* v>i\s *emicals & o!r sub/ances 7 add$4 ,no?+ 0 said 9 ! =mula ab\t ?is feature1 nor did ! /rictly e?ical physicians :o us$ x make any enquiry ab\t x4 ,common s5se1 to say no?+ ab\t m$ical tra9+1 %\ld h told !m t a rem$y prep>$ aft] ! =mula z /at$ mu/ decompose rapidly unless "s pres]vative process 0 employ$1 b a little ?+ l ?is did n seem to bo!r !m4 ,!y j simply glanc$ at ! =mula1 wond]$ !y _h n ?\ght ( x !mselves1 & jabb$ x into _! pati5ts accord+ to directions4 ,:at assurance did !y h t1 if ! rem$y 0 n prop]ly pres]v$ x w\ld n injure1 & p]haps kill ! p ^u :om x 0 us$8 ,:at assurance did !y h t1 if ! rem$y _h be5 put ?r\gh a pres]vative process1 x did n conta9 "s sub/ance :i* w\ld be equally injuri\s8 ,none :atev]4 ,_! actions 7 equival5t to say+ !y didn't c>e4 ,?is1 to ! c>eful1 consci5ti\s physician1 w\ld seem l com+ close to ! dang] m>k1 & s x 04 ,to speak pla9ly x 0 little %ort ( crim9al c>elessness1 & yet ^! practition]s 7 all ?or\ghly e?ical4 ,! only possible excuse = !m is to say !y ?\ght !y knew1 b ?is is actually no excuse at all z1 "u _! obligation x 0 _! duty to "k beyond d\bt :at !y 7 us+4 ,z ,dr4 ,lyd/on asks 9 ! op5+ *apt]1 8,:y n be hone/0 ab\t ?is publicity matt]1 &1 he might well h add$1 all ! o!r features ( mod]n m$ical practice z well4 ,!re is no excuse = hone/ practition]s leav+ ! use ( ! public press to quacks & fakirs--& ! few really good physicians :o are sm>t en\gh to take advantage ( x :ile at ! same "t 8pull+ ! wool ov] ! eyes0 ( _! pr(essional bre?r54 ,su* tactics z n[ prevail1 cloak$ "u ! guise ( e?ics1 are unfair to ! "y m$ic4 ,!y keep him f do+ ! v ?+ :i* ! self-appo9t$ ,"l ,high ,apo/les ( ,e?ics are do+1 & wax+ ri* & fam\s !reby4 ---------------------------------------- -------------------------------- ,,*apt] ,,iv ,,lawful ,,to ,,adv]tise ,j :o put =? ! dictum t x is unlawful1 unpr(essional1 une?ical1 = a physician to adv]tise is unkn[n4 ,x 0 probably "s old codg] ( antiqu>ian ideas4 ,at any rate ! rule--& x is a rule--is s old x reeks ) decay4 ,b1 among progressive physicians1 x is fa/ com+ to be recogniz$ z a rule :i* is 8m honor$ 9 ! brea* ?an 9 ! obs]vance40 ,o!r pr(essional m5 :o 7 once held 9 bonds ( ! same nature are break+ away4 ,we f9d 9 ! public press ! c>ds ( attorneys1 ar*itects & civil eng9e]s1 all call+s :i* are legitimately dignifi$ ) ! "n ( 8pr(essions40 ,no exception is tak5 to ^! m5 mak+ _! tal5ts kn[n1 al?\gh at "o "t--& x is only a few ye>s ago--!y 7 held 9 e?ical bonds j z /rong & b9d+ z ^? ) :i* ! m$ical practition] is n[ en*a9$4 ,b "t *anges all ?+s4 ,x has *ang$ to a degree ! code ( e?ics :i* =m]ly obta9$ 9 ! pr(essions ( law1 ar*itecture1 & civil eng9e]+1 & x is sl[ly1 b surely1 *ang+ t ( m$ic9e4 ,true ! word+ ( ! v>i\s codes rema9 ! same1 b !re is a gr[+ t5d5cy to w9k at1 to ov]look evasions4 ,x has become a matt] ( conv5i5ce to ! public to "k :]e to f9d a compet5t lawy]1 or ar*itect1 or civil eng9e]4 ,h5ce ! appe>ance ( _! bus9ess c>ds 9 newspap]s4 ,on ! same gr\nds publicity by physicians is ju/ifiable4 ,x is m ?an ju/ifiable4 ,mank9d c1 9 a p9*1 get along )\t attorneys or ar*itects or eng9e]s4 ,t is to say x is r>ely imp]ative _! s]vices %\ld be requisition$ 9 a hurry4 ,! trial ( a law case1 ! plans = a build+1 or ! con/ruction ( a bridge c g5]ally be put (f = a few days at lea/ )\t s]i\s injury or inconv5i5ce to any body4 ,:5 a doctor is ne$$ he is g5]ally ne$$ badly4 ,x may n always be an em]g5cy case1 b almo/ inv>iably :5 ! s]vices ( a physician are requir$1 ev5 9 *ronic ailm5ts1 delay only aggravates ! pati5t's condition4 ,if a m$ical man has1 by special /udy1 equipp$ himself to h&le a c]ta9 class ( diseases m intellig5tly & satisfactorily ?an ! g5]al practition] x becomes 8 duty to let ! public "k ab\t x4 ,if we accept ! dictum ( ! c5sors ( m$ical propriety z !y pres5t x--t ! obligation tak5 by ! physician b9ds him to s]ve ! public to ! be/ ( 8 ability--!n surely we c n get away f ! proposition t m5 ( unusual ability are 9 duty b\nd to make ! public acqua9t$ ) t ability4 ,! successful physician does n live up to 8 obligation if he 8hides 8 light "u a bu%el40 ,m$ical societies1 ! wat*dogs ( e?ics1 d n accept ?is doctr9e4 ,n only ?is2 !y try to drive out ( practice1 to br& ) infamy1 to make an outca/ & w&]] ( ! man :o indulges 9 x4 ,! 8x0 9 ?is in/ance ref]s to publicity fairly b\ght & hone/ly paid = ov] ! newspap] c\nt]4 ,b !y d n always succe$4 ,= ye>s ,dr4 ,mc,coy _h be5 a surgeon at ,bellevue hospital1 ,new ,york1 a man ( r>e skill & ( high /&+ 9 8 pr(ession4 ,he 0 a memb] ( v>i\s m$ical societies1 respect$ & honor$4 ,aft] a long1 we>y exp]i5ce he made up 8 m9d t he 0 entitl$ to a bett] f9ancial rew>d ?an x 0 possible = him to obta9 9 hospital or private practice4 ,he came to ,*icago1 obta9$ a c]tificate f ! ,/ate au?orities1 & began adv]tis+ 9 ! daily newspap]s z a speciali/4 ,8 m$ical bre?r5 7 horrifi$4 ,remon/rance be+ ( no avail1 !y promptly ou/$ ,dr4 ,mc,coy f memb]%ip 9 ! pr(essional societies4 ,n cont5t ) ?is !y w5t fur!r & fil$ compla9t ) ! /ate au?orities ) ! purpose ( hav+ 8 c]tificate1 or lic5se to practice1 revok$4 ,t !y w\ld h succe$$ 9 ?is if ,dr4 ,mc,coy _h n tak5 ! matt] into ! c\rts1 is a c]ta9ty1 z ! memb]s ( ! ,/ate ,bo>d ( ,heal? :o w\ld pass ^u ! "q 7 all physicians & prom95t 9 ! societies :i* 7 seek+ to deprive ,mc,coy ( 8 c]tificate4 ,a long1 h>d-f\ght battle 9 ! c\rts 0 won by ,mc,coy4 ,9 h&+ d[n its v]dict ! f9al c\rt said 9 effect3 8,we fail to see :]e9 ?is appellant has committ$ any (f5se aga9/ ! laws ( ! ,/ate4 ,if he 0 compet5t to practice m$ic9e at ! "t he receiv$ 8 lic5se he is compet5t to practice n[4 ,no?+ t has be5 alleg$ aga9/ him has affect$ 9 any way 8 ability1 fitness1 or compet5cy z a m$ical practition]4 ,nei!r has he committ$ any p5al (f5se4 ,true he has adv]tis$1 b adv]tis+ is n a felony2 n ev5 a misdemeanor4 8,! fact t ! m$ical societies to :i* he belong$ h revok$ 8 memb]%ip has no be>+ on ! case4 ,^! societies h no (ficial p[]s s f> z ! ,/ate is conc]n$4 ,!y may v prop]ly say :o may1 or :o may n1 hold memb]%ip ) !m1 b !y h no au?ority to say :o may1 or :o may n practice m$ic9e4 ,societies ( ?is k9d are purely social & pr(essional2 !y are n end[$ ) executive1 adm9i/rative1 or legislative p[] to act = ! ,/ate40 ,?is f9d+ e/abli%$ 9 a =ceful1 indisputable mann] ! legal "r ( a physician to adv]tise 8 skill z a heal] ( mank9d )\t affect+ 8 ability4 ,x 0 n to ! lik+ ( ! /ickl]s = e?ics :o control ! m$ical organizations4 ,!y w\ld h ! "y m$ics believe--& up to ! "t ! ,mc,coy case 0 decid$ !y _h succe$$--t !y 7 all p[]ful2 t _! ^w 0 law1 n only z reg>ds memb]%ip 9 ! societies1 b also z to :o might1 or might n1 practice m$ic9e4 ,!y succe$$ because !y controll$ ! ,/ate ,bo>d ( ,heal?4 ,b ! rul+ ( ! c\rt put an end to ?is impud5t assumption ( au?ority4 ,x laid d[n & made cle> ! important fact t1 9 pass+ ^u ! compet5cy ( applicants = lic5ses1 m$ical ability & good moral "* 7 ! sole & only po9ts to be consid]$4 ,!re is adv]tis+ & adv]tis+1 "o k9d respectable & dignifi$2 ! o!r outrage\sly bad4 ,! au?or w\ld n = a mom5t c\nt5ance ! use ( flamboyant 8ads0 l ^? ) :i* ! 8weak m50 & o!r quacks bomb>d ! public ?r\gh ! daily press4 ,su* adv]tis+ z a g5]al ?+ is positively indec5t & di%one/4 ,! m5 :o place x & ! newspap] publi%]s :o pr9t x %\ld be prosecut$ into ! p5it5ti>y4 ,x is a que] ?+ t s-call$ high-class newspap]s :i* decl9e to accept lott]y & get-ri*-quick 8ads0 on ! gr\nd ( morality 7we'll say no?+ ( _! illegality7 w op5ly solicit & publi% ! disgu/+ bus9ess adv]tisem5ts ( m$ical *>latans & fakirs4 ,no man :o respects himself or 8 pr(ession w 8gu>antee a cure or money refund$10 no matt] h[ app>5tly simple or mild ! ailm5t he und]takes to treat may be4 ,nei!r w he (f] to take cases on ! 8no money until y are cur$0 plan4 ,^! are me?ods :i* belong exclusively 9 ! realm ( quackdom4 ,!y deceive only ! ignorant1 & are us$ ) success only among t class ( p4 ,b baits ( ?is k9d />e "o 9 ! face f ne>ly e ,sunday newspap]1 & f _m f5ces4 ,!n !re is ! fakir :o calls ^u y 9 l\d type to 8,see ,old ,doctor ,squeeze-em4 ,he'll d y good60 ,x's a safe bet he w 8d0 y good if he ev] gets y into 8 clut*es2 8d0 y s good t y w be lucky to h c>f>e left to get home )4 ,^! are n ! me?ods employ$ by sm>t m5 :o1 ?r\gh publicity1 obta9 a good practice1 & put !mselves 9 position to comm& l>ge fees2 m5 to :om pati5ts w pay #ajj = an h\r's consultation & advice )\t hesitation1 :ile !y w\ld begrudge #e to a physician ( equally z mu* or m m$ical skill1 b n s well v]s$ 9 ! art ( self publicity4 ,h[ d ^! m5 get be=e ! public8 ,!y pave ! way accord+ to well-laid plans4 ,_! e move is "p ( a previ\sly laid-out program4 ,we are writ+ n[ ( ^? :o h n progress$ to ! /age ( employ+ regul> press ag5ts1 or h n become well-kn[n en\gh to w>rant regul> adv]tis+4 ,!y jo9 "s fa%ionable *ur* & mix 9 its affairs2 take prom95t "p 9 ! sociables & o!r do+s1 & :5 ! ladies come ar\nd ) a grab bag1 or 8take a *ance on a nice piano10 dig d[n deep into _! jeans4 ,!y may h to get along on %ort rations = a day or two1 b ! money has be5 inve/$ to bett] advantage ?an if x 7 exp5d$ = pork & beans4 ,a %ort c\rse ( ?is k9d gets all ! wom5 talk+ ab\t :at a *>m+ man ,dr4 ,swell is1 & s lib]al4 ,pretty soon !y beg9 to boo/ him into prom95ce by insi/+ ^u 8 tak+ *>ge ( "s ( _! social affairs1 & !n 8 "n gets into ! pap]s4 ,?is is ! beg9n+4 ,! (t5] he is m5tion$ ! m impress$ ! newspap] m5 become ) ! belief t he mu/ be a man ( importance1 & ! fir/ ?+ ,dr4 ,swell kn[s he is gett+ ! mo/ valuable k9d ( publicity by ! column4 ,& ! male "p ( ! community8 ,well1 x's j z easy to 8con0 !m z x is ! wom54 ,dr4 ,swell jo9s lodge aft] lodge1 society aft] society1 j z fa/ z he c raise money = ! dues4 ,he att5ds ! sessions fai?fully1 &1 s f> z outw>d appe>ances g1 takes a deep int]e/ 9 ! proce$+s4 ,he has a good ^w1 & a w>m1 he>ty h& %ake = all ! bro!rs4 ,:ile mode/1 he always manages to h a ^w to say 8"r out 9 meet+0 at ! prop] "t1 ev5 if x is no m ?an to voice approval ( some?+ t has be5 done4 ,!n1 9 "t1 x comes q natural = ! presid+ ,squeejicks1 or :atev] 8 title may be1 to frequ5tly say1 8,we w\ld l to he> f ,dr4 ,swell on ?is matt]40 ,dr4 ,swell is com+ on4 ,if he keeps 8 head d[n to a normal size1 treats ev]ybody c\rte\sly1 & goes along mak+ fri5ds at e opportunity1 ! fir/ ?+ he kn[s is t he is nom9at$ = ! (fice ( ,wor?y ,high ,j9ks4 ,( c\rse he prote/s t !re are o!rs bett] fitt$1 etc41 b he doesn't mean x4 ,he is elect$1 & aga9 !re is legitimate excuse = gett+ m publicity4 ,all ! pap]s ann\nce t3 8,at its annual meet+ la/ night ,cockalorum ,lodge ,no4 #cghdj1 ,o4,b4,o4,a4,b41 elect$ ,dr4 ,:at ,a4 ,swell z ,wor?y ,high ,j9ks4 ,"u 8 regime ,cockalorum ,lodge w make _m advancem5ts dur+ ! com+ ye>4 ,:5 ,dr4 ,swell 0 ask$ to outl9e 8 program la/ night he said30 ,& "h foll[s a l5g?y int]view :i* ,dr4 ,swell1 kn[+ he 0 sure to be elect$1 _h prep>$ 9 advance4 ,f !n on x is easy sail+--if he is a sm>t man4 ,he manages to keep ,cockalorum ,lodge do+ some?+ all ! "t2 n t he is s desp]ately 9 love ) ! lodge1 b because x means m & m publicity to ,dr4 ,swell4 ,z ) ,cockalorum1 s ) ! o!r lodges1 or *ur*es1 or societies to :i* he may belong4 ,f be+ at fir/ a m]e atom ( news1 ,dr4 ,swell f9ally becomes an actual necessity to ! newspap] frat]nity4 ,its memb]s h acquir$ ! habit ( turn+ to him involunt>ily :5ev] a news problem pres5ts itself4 ,if ! cable br+s in=mation t ,emp]or ,william has a sore ?roat report]s besiege ,dr4 ,swell4 ,he talks le>n$ly 7or he %\ld7 ( ! nature ( ! tr\ble1 & outl9es ! prop] c\rse ( treatm5t1 etc4 ,aga9 x is h]ald$ to ! community t3 8,on be+ ask$ conc]n+ ! nature ( ,emp]or ,william's ailm5t1 ,dr4 ,swell1 ! em95t au?ority on diseases ( ! ?roat1 said----0 ,is ,dr4 ,swell com+ on8 ,n at all4 ,he has arriv$--l&$ on bo? feet z x 74 ,he is ,!re & ,x4 ,f !n on x is only a matt] ( tak+ advantage ( 8 opportunities4 ,he may remove to a l>g] city :]e ! s]vices ( a %rewd press ag5t w be necess>y to secure ! desir$ publicity1 or he may /ay 9 ! small] place :]e he has gott5 a good />t1 & keep up ! good "w by a judici\s di/ribution ( co9 among ! newspap] boys4 ,n z a bribe1 de> me no4 ,t w\ld be too raw4 ,x w\ld give ! doctor dead away1 & kill ! game4 ,!re are physicians 9 e l>ge city :o seem to be vital to ! exi/5ce ( ! prom95t newspap]s4 8,see ,dr4 ,blank10 is ! ord] t goes =? f ! city editors on e possible occasion1 important or unimportant4 ,let ! gov]nm5t *emi/ decl>e t ice cream is impure & delet]i\s to heal?1 & a hundr$ ,dr4 ,blanks 9 z _m diff]5t cities w be int]view$ at l5g? & _! views1 (t5 wor?less1 spread be=e ! public adorn$ ) gl>+ headl9es4 ,let ! ,ahkoond ( ,swat sneeze & at once we are regal$ ) ! views ( ! favor$ doctors z to ! evils ( hay fev] & ! be/ means ( c\nt]act+ !m4 ,x is a poor s*em] ( a physician :o c n 9 "s mann]1 ?r\gh lodge1 society1 or o!r connections1 make ! acqua9tance ( at lea/ "o city editor &1 )\t obtrusion1 make himself s valuable to ! scribe t he becomes1 z x 71 an unsal>i$ memb] ( ! /aff1 ready at all times to help 8 de> fri5d ! city editor out :5ev] ! latt] wants any?+ 9 ! l9e ( m$ical in=mation4 ,blame ^! doctors8 ,n at all4 ,on ! o!r h& ,i feel l patt+ !m on ! back & say+3 8,g x1 boys4 ,i admire y\r f9e "w4 ,y've got ,bunko ,bill beat5 to a frazzle40 ,!re is "o doctor n[ fam\s because he is quot$ almo/ daily 9 ! newspap]s1 :o t5 ye>s ago 0 9 h>d luck f9ancially4 ,"o day he 0 introduc$1 or r introduc$ himself1 to a city editor by call+ at ! latt]'s (fice on an app>5tly innocu\s err&4 ,x happ5$ j at ! "t 7accid5tally1 ( c\rse7 :5 public int]e/ 0 ar\s$ ov] ! preval5ce ( infantile p>alysis4 ,aft] ! doctor _h conclud$ ! bus9ess on :i* he call$1 ! editor1 f9d+ him an intellig5t1 well-in=m$ man1 ask$ 8 op9ion on ! m$ical s5sation ( ! day4 ,?is 0 ! doctor's opportunity1 & he took full advantage ( x4 8,t is an important matt]10 he repli$1 8& no pr(essional man %\ld discuss x hurri$ly or c>elessly4 ,i h "s press+ calls to make 7?is 0 a :opp]7 & hav5't ! "t to sp>e j n[1 b ,i'll be delight$ to give y my views )9 a few h\rs40 ,?is 0 acceptable1 s ! doctor w5t to a fri5d's libr>y1 read up on ! subject z ?or\ghly z he c\ld 9 su* a %ort "t1 & a few h\rs lat] 0 back 9 ! editorial sanctum4 ,"h he talk$ s well t ! editor said3 8,by ,jove1 doctor4 ,t's ! k9d ( /uff ,i want4 ,c't y write x out = me8 ,i'm afraid to tru/ a report]1 z !re w\ld be a risk ( gett+ x muddl$4 ,i'll give y a good /5ograph] to dictate to40 ,b>kis1 :i* 9 ?is case 0 ! doctor1 0 will+4 ,he dictat$ ! matt]1 & ! next morn+ 0 p>ad$ on ! fir/ page 9 big type z 8! em95t ,dr4 ----0 ,8 =tune dat$ f t day4 ,pati5ts came 9 by ! score4 ,8 newspap] fri5d _h occasion to call on him frequ5tly = in=mation on curr5t m$ical topics1 & he 0 9 pr9t s mu* t 8 "n 0 on ev]ybody's tongue4 ,t 0 fame1 & a k9d ( fame t br\ght weal?4 ,?is p>ticul> m$ic _h ! gift ( a real bunko arti/4 ,he knew h[ to keep ! good ?+ mov+1 & to 8con0 ! city editor :o ?\ght he 0 above be+ caught4 8,really1 my de> ,mr4 ----10 ! doctor w\ld say :5 ask$ by phone = a /atem5t1 8really ,i'm too busy to d ! subject ju/ice1 b ,i c't refuse y4 ,s5d a /5ograph] ov] & ,i'll dictate some?+4 ,by ! way1 ! ,_w & ! ,express bo? want$ some?+ b ,i _h to turn !m d[n40 ,did ! city editor appreciate ?is favoritism8 ,he c]ta9ly did1 & saw to x t ! doctor got all !re 0 com+ 9 ! way ( d\ble leads1 sc>e heads1 & top ( column positions4 ---------------------------------------- -------------------------------- ,,*apt] ,v ,,gett+ ,,c\ntry ,,pati5ts ,:ile ! k9d ( publicity outl9$ 9 ! prec$+ *apt] is valuable & w make a man fam\s 9 8 own city1 x takes a long "t to rea* ! p 9 outside t]ritory4 ,x is a peculi> fact t 9 m$ic9e1 z well z 9 o!r ?+s1 8di/ance l5ds en*antm5t40 ,! p]son afflict$ ) a *ronic ailm5t :o lives 9 ! same t[n ) a physician :o has become fam\s = 8 successes 9 t l9e1 is m apt to po/pone 8 call = relief ?an "o :o lives at a di/ance4 ,! local pati5t argues to himself3 8,!re's no imm$iate hurry4 ,i've be5 afflict$ 9 ?is way t5 ye>s & ,i'm too busy j n[ to take ! "t to see ! doctor4 ,he's "r "h 9 t[n1 & ,i c rea* him at any "t4 ,i'll drop 9 on him "s day :5 ,i've got m leisure40 ,a c]ta9 proportion ( ! physician's t[n folk respond to ! publicity bait1 b he mu/ h ! fat fi% f outside if he is really go+ to get l>ge fees 9 great numb]4 ,h[ is he go+ to rea* !m8 ,"h is ! plan successfully work$ by "o doctor :o has made himself weal?y4 ,he made arrangem5ts ) an adv]tis+ ag5cy to secure ! ins]tion ( 8pure read+ matt]0 ads 9 a numb] ( c\ntry newspap]s 9 t[ns )9 #ejj miles ( ,*icago4 ,8 press ag5t !n prep>$ an article read+ ab\t z foll[s3 ,,locomotor ,,ataxia ,,cur$6 -------------------------------- ,rem>kable ,results ,obta9$ by a ,*icago ,physician --- ,prom95t ,man ,afflict$ ,) ,?is ,t]rible ,ailm5t ,= ,_m ,ye>s1 ,re/or$ to ,s\nd ,heal? ,aft] a ,%ort ,treatm5t4 ,,new ,,york1 ,june #aj4--;,among ! pass5g]s on ! outgo+ /eam] ,c$ric :i* sail$ to-day = ,liv]pool1 0 ,col4 ,h4 ,b4 ,?omas1 ( ,london1 :o is return+ to 8 home aft] be+ successfully treat$ = locomotor ataxia4 ,he walks freely1 & is app>5tly 9 ! be/ ( heal?4 ,:5 ask$ if x 0 a fact t he _h be5 cur$ ( locomotor ataxia1 an ailm5t :i* mo/ physicians pron\nce incurable1 ,col4 ,?omas said3 8,x c]ta9ly looks l x4 ,?is is ! fir/ "t ,i h be5 able to walk freely1 or h be5 )\t pa9 9 t5 ye>s4 ,i 0 on crut*es & suff]+ ! torm5ts ( ! damn$ :5 ,i came to ?is c\ntry to take ! treatm5t f\r mon?s ago4 ,y c see = y\rself ! condition ,i am 9 n[40 8,:]e did y take treatm5t80 8,) ,dr4 ,g4 ,h4 ,wilk9son 9 ,*icago4 ,:5 ,i fir/ got !re he _h to visit me at my hotel1 b aft] ! fir/ two weeks ( treatm5t ,i 0 able to walk to 8 (fice at ---- ,mi*igan ,ave4 ,improvem5t 0 reasonably rapid1 rem>kably s1 consid]+ ! ob/9ate nature ( ! ailm5t4 ,n[ ,i c walk z well z anybody1 ! pa9s h left me1 & all my bodily functions are normal40 ,newspap]s 9 ! small] t[ns & cities are n s p>ticul> 9 ! def9ition ( ! t]m 8pure news read+ matt]0 z _! l>g] & m prosp]\s contempor>ies4 ,!y ne$ ! money4 ,consequ5tly all ! publi%]s :o receiv$ an ord] f ! ---- ,adv]tis+ ,ag5cy pr9t$ ! article4 ,c\ntry p z a rule are clos] read]s ?an ^? 9 ! l>g] cities1 & )9 a week ev]ybody 9 ! t]ritory ?us rea*$ :o 0 afflict$ ) locomotor ataxia 0 talk+ ab\t ! wond]ful case ( ,col4 ,?omas1 & writ+ to ,dr4 ,wilk9son 7?is is n 8 real "n7 ab\t _! own cases4 ,"h aga9 ! s]vices ( ! doctor's secret>y1 :o 0 correspond5t z well z press ag5t1 7 call$ into play4 ,e lett] 0 answ]$ 9 a k9dly1 sympa!tic mann]1 some:at z foll[s1 ! /ation]y us$ be+ v pla9 & neat1 b ( ! be/ obta9able mat]ial1 & mode/ly engrav$3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,,*icago1 ,augu/ #b1 #aiaj4 ,mr4 ,john ,smi?1 ,godfrey's ,corn]s1 ,ia4 ,,de> ,,sir3 ,reply+ to y\r lett] ( ,july #ca/1 ,i regret be+ compell$ to say t1 9 ! abs5ce ( opportunity = a complete p]sonal exam9ation1 x w\ld be impossible = me to say def9itely :at may or may n be done = y 9 ! way ( obta9+ relief4 ,if y c arrange to come to ,*icago = a few days ,i w give y\r case my e>ne/ p]sonal att5tion & w !n be 9 position to advise ) y m satisfactorily4 ,judg+ f ! description ( y\r symptoms ! case is pla9ly "o ( locomotor ataxia b ! ailm5t1 z y are d\btless aw>e1 is ( su* an insidi\s nature t1 aside f ! m prom95t g5]al & unmi/akable indications1 !re are few cases :i* manife/ !mselves exactly alike4 ,x is z a rule m satisfactory to bo? pati5t & physician1 & m productive ( good results1 :5 ! treatm5t c be arrang$ "u ! physician's p]sonal sup]vision to meet ! requirem5ts ( ! individual4 ,?is may possibly require a week1 at ! end ( :i* "t y may return to y\r home & cont9ue ! treatm5t !re "u ! direction ( y\r family physician4 ,z reg>ds gu>antee+ a cure ,i mu/ say frankly t ?is is some?+ no reputable physician w d4 ,x is a practice resort$ to only by :at are kn[n 9 ! pr(ession z quacks4 ,! mo/ enc\ragem5t ,i c give y1 9 ! abs5ce ( a p]sonal exam9ation1 is t1 judg+ f y\r description ! case is no worse ?an scores ( o!rs 9 :i* entirely satisfactory results h be5 obta9$4 ,%\ld y decide to visit me please advise me by lett] or wire a %ort "t 9 advance s arrangem5ts may be made to give y prompt att5tion on arrival4 ,y\rs respectfully1 -------- ,! effect ( su* a lett] on ! recipi5t is to beget confid5ce 9 ! writ]4 ,x is frank & /raight=w>d2 x s\nds hone/1 especially 9 ^? p>ts :i* ref] to ! necessity ( a p]sonal exam9ation1 & ! decl9ation to gu>antee a cure4 8,t's a real man1 n a bit /uck up10 is ! comm5t frequ5tly made on receipt ( "o ( ^! lett]s by p :o _h hesitat$ to write to su* a fam\s speciali/4 ,few c\ntry p w take up treatm5t ) a /range physician )\t fir/ consult+ _! family doctor4 ,!y are n always gov]n$ by :at he says1 b !y almo/ inv>iably ask 8 advice4 ,if he sugge/s a trial y are pretty sure to get ! pati5t4 ,if he advises negatively ! pati5t is n always lo/1 b x w require m correspond5ce1 & :5 ! subject does arrive he w be suspici\s & h>d to h&le4 ,:5 ! family doctor reads a lett] l ! "o quot$ he feels flatt]$ t an em95t speciali/ %\ld be will+ to entru/ ! adm9i/ration ( 8 treatm5t to 8 c>e4 ,he looks ^u ! proposition diff]5tly f :at he w\ld if ?is s5t5ce _h be5 omitt$4 ,8 vanity has be5 t\*$4 ,incl9$ at fir/ to ?r[ cold wat] on ! proposition1 :5 he comes to ?is "p he g5]ally says3 8,well1 ( c\rse ,i don't "k any?+ ab\t ?is treatm5t1 b ,dr4 ,wilk9son is a man ( great reputation4 ,8 success 9 ! ,?omas case is rem>kable4 ,"o ?+ is c]ta94 ,we h exhau/$ e res\rce "h )\t gett+ results1 & x c't d any h>m to see him & get 8 op9ion40 ,?us enc\rag$ ! suff]]1 if able to travel1 w 9 n9e cases out ( t51 arrange to visit ! speciali/ at ! latt]'s (fice4 ,sometimes ! family doctor1 f hone/ desire to become acqua9t$ ) ! details ( a new & successful treatm5t1 w volunte] to accompany him4 ,b1 suppose ! local physician vetoes ! proposition1 d5\nces x z a fraud1 & decl9es to be associat$ ) x4 ,is ! pati5t's bus9ess lo/8 ,n at all4 ,x m]ely calls = a little m diplomacy4 ,aft] wait+ a reasonable "t1 say a c\ple ( weeks1 )\t he>+ f ,mr4 ,smi?1 ! latt] gets ano!r lett] f ,dr4 ,wilk9son4 ,?is "t ! speciali/ writes z foll[s3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,,*icago1 ,augu/ #ae1 #aiaj4 ,mr4 ,john ,smi?1 ,godfrey's ,corn]s1 ,ia4 ,,de> ,,sir3 ,n hav+ he>d f y 9 response to my lett] ( ,augu/ #b;d1 ,i am reluctantly =c$ to ! conclusion t conditions are su* z to make y\r com+ to ,*icago impossible4 ,?is is a matt] ( s9c]e regret to me z ! case appe>s to be "o ( peculi> int]e/ &1 z a physician1 ,i w\ld l to h opportunity ( advis+ myself m fully z to ! exact conditions4 ,if y w s5d me ! "n & address ( y\r family physician ,i w write him ask+ = ! necess>y in=mation1 & betwe5 u we may be able to d some?+ = y at y\r home4 ,:ile y\r lett] is unusually full & complete1 ) ! facts /at$ 9 an intellig5t mann] n cu/om>y ) laym51 y w readily und]/& t !re are "s complications 9 ne>ly e case :i* are m readily describ$ by a physician1 & especially "o :o has be5 wat*+ x fai?fully = a long "t4 ,hop+ to he> f y promptly1 ,i am1 ,v truly y\rs1 -------- ,:5 ,mr4 ,smi? receives ?is lett] ab\t ! fir/ ?+ he does is to %[ x to 8 family doctor &1 no matt] h[ mu* ! latt] 0 oppos$ to ! 8new-fangl$0 treatm5t at fir/1 8 *e/ swells ) pride at ! flatt]+ ref]5ce to 8 ability4 ,he says3 8,yes1 ,mr4 ,smi?1 y may s5d my "n & address to ,dr4 ,wilk9son & :5 ,i he> f him ,i w write him fully ab\t y\r case4 ,he is "r 9 say+ t only a pr(essional man c give ! requir$ in=mation prop]ly40 ,& (f m>*es ,mr4 ,family ,physician1 head erect1 & ) ! pomp\s air ( a drum major4 ,is he n ab\t to be consult$ by ! fam\s ,dr4 ,wilk9son1 a man kn[n ?r\gh\t ! l& = 8 wond]ful successes8 ,:5 ! speciali/ receives ! local doctor's "n & address f ,mr4 ,smi?1 he writes ! doctor some:at aft] ?is /yle3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,,*icago1 ,augu/ #ba1 #aiaj4 ,?omas ,h4 ,j5n+s1 ,m4,d41 ,godfrey's ,corn]s1 ,ia4 ,,de> ,,doctor3 ,i h lately be5 consult$ by mail by ,mr4 ,john ,smi?1 ( y\r city1 :o is1 ,i und]/&1 a pati5t ( y\rs suff]+ f tabes dorsalis4 ,! case appe>s to be "o ( unusual int]e/ & ,i w be "u obligation to y pr(essionally if y w make me acqua9t$ ) ! details4 ,z y h be5 9 *>ge ( ! case a long "t x w\ld be presumptu\s on my "p to attempt to outl9e ! facts ,i want4 ,y w "k :at to write ab\t a great deal bett] ?an ,i w\ld1 & ,i w leave ! matt] entirely 9 y\r h&s4 ,my only int]e/ 9 ! matt] n[ is a pr(essional "o z ,i und]/& ,mr4 ,smi? is unable to come to ,*icago4 ,tru/+ t y w accommodate me1 & hop+ t ,i may be able to return ! favor 9 k9d1 ,i am1 ,y\rs frat]nally1 -------- ,?is does settle ,mr4 ,family ,physician = sure4 ,= ye>s aft]w>d he takes delight 9 lett+ x be kn[n h[ he 0 8call$ into consultation by ! em95t ,dr4 ,wilk9son1 ( ,*icago1 :o said frankly t ,i knew m ab\t ! case ?an he did40 ,to ! cr$it ( ,mr4 ,family ,physician be x said t ?is latt] /atem5t 0 probably correct1 & x might ) all tru? h be5 ext5d$ to include ! ass]tion t he 0 do+ z mu* or m = ! pati5t z ,dr4 ,wilk9son c\ld4 ,at any rate ,dr4 ,wilk9son receives ! in=mation he asks =1 & beyond return+ a brief note ( ?anks to ! local doctor & say+ t he w give ! matt] ?or\gh att5tion z soon z he gets a little respite f 8 ru% ( duties1 t is ! end ( x = ! "t be+4 ,b ,dr4 ,wilk9son is n idle4 ,he is conduct+1 or r 8 secret>y is1 a simil> correspond5ce ) scores ( o!r physicians & prospective pati5ts4 ,f ! lett]s ?us receiv$ a c>d sy/em is arrang$1 all ! 8prospects0 be+ gr\p$ by localities4 ,"o day ,dr4 ,wilk9son f9ds t he has "s fifty good 8prospects0 9 ! imm$iate vic9ity ( "s good t[n1 & decides to make a r\nd up4 ,he !n writes1 ei!r to ! prospective pati5ts 9 t neighborhood1 or ! physicians1 if 8 correspond5ce ) ! latt] has be5 enc\rag+1 a lett] some:at z foll[s3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,?omas ,h4 ,j5n+s1 ,m4,d41 ,godfrey's ,corn]s1 ,ia4 ,,de> ,,doctor ,,j5n+s3 ,s9ce ! receipt ( y\r lett] relative to ! case ( ,mr4 ,smi? ,i h be5 call$ to ---- = consultation 9 a s]i\s case4 ,i w be at ! ---- hotel on ,?ursday next b w be v busy1 & d n ?9k x safe to make any engagem5ts1 aside f ! consultation1 = t day4 ,if y c arrange to meet me on ,friday 7! foll[+ day7 betwe5 #aj & #aa a4m41 ,i w rema9 ov]4 ,i sugge/ ?is z x w af=d u an opportunity ( discuss+ ,mr4 ,smi?'s case to bett] advantage ?an x is possible to d by mail4 ,!re w1 ( c\rse1 be no fee atta*$ to ?is s]vice on my "p4 ,k9dly let me "k at once :e!r ,i may expect to h ! pleasure ( meet+ y s t ,i may arrange my "t accord+ly4 ,y\rs frat]nally1 -------- ,dr4 ,j5n+s is impress$ by ! complim5t ?us paid him by ! em95t speciali/4 ,s are ! doz5 or m o!r physicians to :om ,dr4 ,wilk9son writes1 mo/ ( !m ha/5+ to make engagem5ts to meet ! speciali/ at v>y+ h\rs4 ,if ! correspond5ce has be5 entirely ) ! prospective pati5t1 & no family physician has be5 enli/$ z an int]m$i>y1 ! 8come on0 lett] is made to read diff]5tly4 ,9 cases ( ?is k9d ! doctor w\ld say3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,mr4 ,?omas ,ratcliffe1 ,eagle ,mills1 ,ia4 ,,de> ,,sir3 ,s9ce writ+ y la/ ,i h be5 call$ to ---- = consultation 9 a s]i\s case & w be at ! ---- hotel on ,?ursday next4 ,z ,i c arrange to h a little leisure ,i w\ld sugge/ t y meet me !re at #aa a4m4 s t ,i may be able to make a satisfactory diagnosis ( y\r case1 & ?us be 9 position to advise y intellig5tly z to ! prospects = obta9+ relief4 ,i feel free to make ?is sugge/ion z !re w be no fee or *>ge ( any k9d = ?is s]vice all my exp5ses be+ gu>ante$ by ! p>ties ) :om ,i am to consult4 ,k9dly let me he> f y at once z ,i h _m dem&s ^u my "t & wi% to arrange my s*$ule to ! be/ advantage4 ,y\rs v truly1 -------- ,! fact t he has n be5 invit$ to visit ----1 or any o!r t[n = consultation purposes does n bo!r ,dr4 ,wilk9son4 ,x is "o ( ^? 8h>mless prev>ications0 tol]at$ & ev5 enc\rag$1 9 all pr(essions4 ,x w\ld n be dignifi$ nor e?ical = a doctor to />t out on ! road on a hunt = pati5ts4 ,x is n improp]1 once hav+ be5 8call$0 to ano!r city1 to take advantage ( ! trip to d a little pr(essional bus9ess on ! side4 ,dr4 ,wilk9son mu/ h an excuse = visit+ ----4 ,! mo/ plausible excuse is t he has be5 invit$ !re 9 consultation by "s bro!r physician ^: "n is )held4 ,be=e ! "t comes = />t+ = ---- ,dr4 ,wilk9son has receiv$ replies to 8 lett]s4 ,mo/ ( ^! are favorable1 & ! doctor is enabl$ to make out a "t c>d t w keep him pr(itably engag$ :ile 9 ----4 ,?is c>d %\ld read3 ,?ursday1 ,sept4 #bb1 #aiaj4 #aj a4m4--,dr4 ,j5n+s ab\t ,john ,smi?4 #aa a4m4--,?omas ,ratcliffe4 #ab m4--,dr4 ,?ompson1 ,cross case4 #a p4m4--,m>y ,br[n4 #b p4m4--,*>les ,h>ris4 #c p4m4--,dr4 ,williams1 ,gre5 case4 #d p4m4--,h>ry ,bronson4 ,be=e leav+ ,*icago ! doctor w h 8 secret>y get out ! correspond5ce ) ea* ( ! 8prospects0 & ?is1 ea* lot enclos$ 9 its own fil+ packet1 w be put 9 8 suit case or h& valise4 ,arriv+ at ---- ,dr4 ,wilk9son w arrange ) ! hotel cl]k to notify him :5 anybody calls4 ,at #aj a4m4 ,dr4 ,j5n+s w be ann\nc$4 8,tell him10 ,dr4 ,wilk9son w say to ! bell boy1 8t ,i am v busy j n[ & mu/ ask him to excuse me = t5 m9utes4 ,i w be able to see him promptly !n40 ,?is gives ! doctor "t to get out ! ,j5n+s correspond5ce & refre% 8 m9d z to ! p>ticul>s ( ! ,smi? case4 ,!n he s5ds ^w to h ,dr4 ,j5n+s %[n up4 8,sorry to h be5 compell$ to keep y wait+1 doctor10 & a w>m cordial h&%ake1 greets ! c\ntry physician :o is at once impress$ ) ! f9e appe>ance & fri5dly mann] ( 8 visit+ bro!r4 ,!re is a little prelim9>y talk ab\t ! trip1 ! c\ntry1 ! wea!r1 etc41 & !n ! ,smi? case is tak5 up & ?or\ghly discuss$4 8,if ,i _h "t10 says ! speciali/1 8,i'd l to see ,smi?1 b t's out ( ! "q4 ,y\r v cle> & able description ( ! case has impress$ me /rongly4 ,"o ( ^! days :5 ,i happ5 to be out "h aga9 ) m "t on my h&s1 & ! pati5t is /ill liv+1 ,i'll ask y to take me out to see him4 ,i und]/& x's only a %ort di/ance f "h40 8,j ?irty m9utes' ride on ! ,l9coln bran*1 doctor10 replies ,j5n+s4 8,:y c't y run out ) me ?is aft]noon8 ,no "t l ! pres5t1 y "k40 8,! tr\ble is t ,i w be busy until #d p4m41 & !n x w be too late40 8,n at all4 ,!re's a tra9 at #d3cj & we c be at ,smi?'s home by #e4 ,bett] g4 ,b>r+ 8 ailm5t y'll f9d ,smi? a good ho/4 ,he's ri* & has a f9e home1 & ! be/ ( ev]y?+4 ,i "k he'll be glad to pay lib]ally = y\r op9ion :e!r x is favorable or unfavorable40 8,well1 doctor1 if y ?9k !re is no d\bt ( my be+ able to get back s z to take ! #aj3cj tra9 = ,*icago ,i guess ,i'll h to g ) y4 ,really ,i %\ld n d x z ,i h a h>d day's "w ahead ( me1 b y h ar\s$ my int]e/ 9 ! case & ,i w\ld l to see ! pati5t4 ,i'll meet y at ! depot at tra9 "t4 ,until !n good bye4 ,i c't beg9 to tell y h[ mu* ,i appreciate y\r call4 ,if conditions 7 diff]5t ,i w\ld insi/ on y\r be+ my gue/ = ! day1 b1 z y well "k we m$ical m5 are n our own ma/]s40 ,)\t appe>+ to hurry he gets rid ( ,dr4 ,j5n+s be=e x is "t to receive ! next call] &1 by ex]cis+ a little tact1 ! v>i\s p ) :om he has made engagem5ts are kept f meet+ "o ano!r4 ,out ( ! f\r appo9tm5ts he has made ) laym5 ! doctor w ord9>ily obta9 fees f at lea/ two1 if n all f\r ( 8 call]s4 ,j h[ he does x w be expla9$ 9 ano!r *apt]4 ,at #d3ae ,dr4 ,wilk9son is at ! depot :]e he f9ds ,dr4 ,j5n+s wait+4 ,on ! tra91 ! speciali/ delicately br+s up ! matt] ( fees4 8,"o great tr\ble ) a treatm5t ( ?is k9d is ! exp5se4 ,! fees mu/ necess>ily be l>ge & x is difficult to get ev5 weal?y m5 to pay !m4 ,x is a relief to be able to discuss ?is "p ( ! subject c&idly ) a bro!r physician l y\rself :o has ! bra9 & common s5se to appreciate x40 ,once aga9 ,dr4 ,j5n+s is pleas$ at ! confid5ce repos$ 9 him1 & ! m s :5 ,dr4 ,wilk9son cont9ues3 8,( c\rse 9 a case l ?is :]e ! local physician int]e/s himself1 takes 8 "t to visit a pati5t ) ! speciali/1 gives ! latt] ! b5efit ( 8 k ( ! case1 & cont9ues ! treatm5t aft] ! speciali/ has gone1 !re %\ld be a division ( ! fee4 ,! local physician _c be expect$ to donate 8 s]vices2 t w\ld be ridicul\sly unfair40 ,! c\ntry doctor is m int]e/$ ?an ev]4 ,%\ld he be sup]-s5sitive ab\t acceptance ( a fee1 & incl9$ to "q ! e?ics ( ! arrangem5t he is quiet$ ) ! assurance t x is 9 common practice all ov] ! c\ntry4 ,9 mo/ cases1 h[ev]1 !re is no t5d5cy ( ?is k9d4 ,! local practition] is ready1 & anxi\s to get 8 %>e ( ! money4 ,8 ma9 conc]n is ab\t ! am\nt4 ,frequ5tly he asks3 8,:at d y ?9k we c get doctor80 8,t dep5ds ^u ! man4 ,y "k him bett] ?an ,i d4 ,y say he is weal?y1 s 8 ability to pay is n to be que/ion$4 ,we'll fix ^u an am\nt t w be equitable "u ! circum/ances4 ,x %\ld n be less ?an #ejj40 ,! prospect ( obta9+ #bej s easily is v allur+ to ,dr4 ,j5n+s4 ,he does n realize t ! speciali/ is us+ him z a bait1 mak+ him /& sponsor z x 71 = ! m]it & effici5cy ( ! treatm5t4 ,arriv$ at ,smi?'s home ,dr4 ,j5n+s is w>m 9 8 endorsem5t ( ev]y?+ ,dr4 ,wilk9son says & does4 ,! latt] exam9es ! pati5t c>efully1 asks him num]\s que/ions1 frequ5tly ref]r+ to ,dr4 ,j5n+s = in=mation ^u te*nical po9ts1 & %[+ def]5ce = ! op9ions ( ! family physician4 ,f9ally ! /age is rea*$ :]e x is necess>y to talk bus9ess4 8,if y %\ld decide to take ?is treatm5t1 ,mr4 ,smi?1 ,i w arrange ) ,dr4 ,j5n+s = its adm9i/ration4 ,x %\ld be giv5 twice a day4 ,i w furni% all ! rem$ies &1 advis$ by frequ5t lett]s f ,dr4 ,j5n+s z to y\r progress1 w outl9e su* *anges f "t to "t z may appe> necess>y40 ,?is naturally leads ,mr4 ,smi? up to ask+1 8,d y ?9k y c cure me1 doctor80 8,well1 ,mr4 ,smi?1 z ,dr4 ,j5n+s w tell y no reputable physician c\nt5ances ! ^w #8cure4' ,i w say1 h[ev]1 t ,i h _h _m cases1 "s ( !m app>5tly ev5 worse ?an y\rs1 9 :i* entirely satisfactory results h be5 obta9$4 ,"h are a c\ple ( lett]s j receiv$ :i* ,i am reque/$ by ! writ]s to %[4 ,!y w probably int]e/ y40 ,say+ ?is ! speciali/ br+s out a c\ple ( lett]s writt5 by pati5ts :o h be5 b5efit$4 ,!y are bona fide lett]s4 ,x w\ld be /range if out ( ! l>ge numb] ( p treat$ "s cases did n yield satisfactory results4 ,! lett]s read ab\t z foll[s3 ,,pittsburgh1 ----1 #aiaj4 ,,de> ,,doctor ,,wilk9son3 ,reply+ to y\r enquiry ( rec5t date reg>d+ my condition ,i am mo/ happy to be able to say t m>k$ improvem5t cont9ues4 ,! pa9s h entirely disappe>$1 all ! functions ( ! body are normal1 & ,i walk long di/ances e day )\t cane or crut*4 ,?is result obta9$ 9 a little less ?an t5 mon?s ( treatm5t is mo/ pleas+ consid]+ t ,i 0 sorely afflict$ = ov] t5 ye>s1 & t my case 0 pron\nc$ incurable by ! be/ speciali/s bo? "h & abroad4 ,dr4 ,k5n$y1 my family physician1 says ! *ange 9 my condition is miracul\s4 ,don't hesitate to %[ ?is lett] to ^? :o may be simil>ly afflict$4 ,x is a duty :i* ,i feel t ,i owe humanity to make kn[n :at has be5 done = me4 ,y w probably also he> f ,dr4 ,k5n$y )9 a few days4 ,) s9c]e ?anks1 ,i am1 ,mo/ gratefully y\rs1 -------- ,dr[n+ m5 clut* at /raws4 ,mr4 ,smi? kn[s t he is afflict$ ) an ailm5t :i* o!r physicians h be5 unable to relieve4 ,"h appe>s to be some?+ effective4 ,hope dawns1 & he enquires3 8,:at w x co/1 doctor80 8,t1 my de> sir1 is a "q ,i 0 9 hopes y w\ld n ask4 ,worry ov] ! exp5se ( treatm5t always t5ds to ret>d or delay complete recov]y4 ,:at is money comp>$ ) heal?4 ,:y %\ld y set "o aga9/ ano!r8 ,c y measure ! monet>y value ( heal? z y w\ld t ( a ton ( coal1 or a ton ( hay80 ,mr4 ,smi? beg9s to feel a%am$ ( himself1 & all ! m s :5 8 family physician *imes 9 & endorses :at ! visit+ speciali/ has said3 8,i guess t's all "r1 doctor10 responds ,smi?4 8,y c't measure heal? aga9/ money1 b ,i mu/ h "s idea z to ! exp5ses4 ,x may be beyond my means40 8,we'll fix t all "r10 says ,dr4 ,wilk9son4 8,! usual fee = complete treatm5t is #aej a mon?40 8,h[ long w x take80 8,t's some?+ no man c tell4 ,i've _h cases 9 :i* ! desir$ results 7 obta9$ 9 s %ort a "t z f\r mon?s1 & o!rs 9 :i* !y 7 def]r$ = fifte5 mon?s4 ,if !re is su* a ?+ z /rik+ an av]age ,i %\ld "n x at t5 mon?s40 8,t w\ld be #a1ejj4 ,t's an awful lot ( money40 8,x's no?+ 9 comp>ison ) good heal?4 ,i h _h _m pati5ts :o pref]r$ to pay a lump fee 9 advance 9 ord] to get ! worry ab\t money details (f _! m9ds4 ,"u ?is arrangem5t ! treatm5t is cont9u$ z long z may be necess>y :e!r x is f\r mon?s or f\rte54 ,9 su* cases ,i accept #a1jjj4 ,?is n only pays = ! entire c\rse ( treatm5t b x saves ! pati5t #ejj %\ld ! c\rse be cont9u$ = t5 mon?s1 :i* is n at all unlikely40 ,! sav+ ( #ejj appeals to ,mr4 ,smi?1 & he accepts ! proposition4 ,:ile he is sign+ ! *eck ,dr4 ,j5n+s has to p9* himself to see if he is really awake4 ,! idea ( gett+ #ejj = 8 %>e ( an h\r's talk is ov]p[]+4 ,! *eck deliv]$1 ,mr4 ,smi? is assur$ t ! rem$ies w be 9 ,dr4 ,j5n+s' possession )9 ! week & t treatm5t w />t at once4 ,once outside ,dr4 ,j5n+s is impell$ to ask3 8,h[ did y come to fix ! fee at #a1jjj1 doctor8 ,i ?\ght y said x w\ld be #ejj80 8,i said n less ?an #ejj4 ,b ,i f\nd ,mr4 ,smi? m responsive 9 ?is connection ?an mo/ m51 & x 0 j z easy to get #a1jjj z x w\ld h be5 #ejj4 ,by ! way1 h[ are we go+ to divide ?is *eck80 ,!re is no?+ to d b = ,dr4 ,wilk9son to rema9 9 t[n ov] night & = ,dr4 ,j5n+s to id5tify him at ! bank ! next day4 ,?is is done1 & ! money drawn & divid$4 ,:o gets ! be/ ( ! b>ga98 ,app>5tly bo? doctors are on ! same foot+1 b are !y8 ,dr4 ,wilk9son has #ejj4 ,= ?is he w s5d once a mon? = a few mon?s a supply ( treatm5t ! actual co/ ( :i* w n exce$ #b4ej a mon?--p]haps #be = t5 mon?s4 ,dr4 ,j5n+s1 on ! o!r h&1 mu/ visit ! pati5t e day1 adm9i/] ! treatm5t1 keep track ( 8 condition1 note su* *anges z may occur1 & report !m to ,dr4 ,wilk9son4 ,dr4 ,j5n+s mu/ p]=m 8 duty 9 p]son1 he _c delegate x to ano!r4 ,dr4 ,wilk9son does mo/ ( 8 "w1 except ! actual case tak+1 ?r\gh hir$ help4 ,he has a doz51 or a hundr$1 ,dr4 ,j5n+s work+ = him all ! "t4 ,_m speciali/s are av]se to work+ 9 connection ) family physicians4 ,9 "s in/ances ?is is because ( %ort-sight$ness on ! "p ( ! speciali/4 ,he doesn't l ! idea ( divid+ 8 fee ) ! c\ntry practition]4 ,9 o!r words he is gre$y & wants x all1 los+ sight ( ! fact t 9 ! great majority ( in/ances ! family physician is ! decid+ arbit] &1 )\t 8 aid1 a lot ( cases w\ld be lo/4 ,!n !re are speciali/s :o h n ! knack ( mak+ fri5ds ) ! c\ntry doctor4 ,! latt] is naturally oppos$ to ! speciali/2 he ?9ks1 :e!r ju/ly or n1 t 8 own me?od is be/ & looks askance on 8new-fangl$0 ideas 9 practice1 especially :5 a good fee is liable to g to ! /rang]4 ,b1 let ?is same c\ntry physician be l$ up 9 ! prop] mann] to ! division ( fee proposition & he takes a diff]5t view ( ! situation4 ,x seems l a lot ( money to give away1 b x is a good inve/m5t4 ,! man :o accepts ! division /&s committ$ to ! treatm5t2 he becomes a boo/] in/ead ( a knock]4 ,if ! case does n turn out well !re is little *ance to f9d fault ) ! speciali/4 ,! local ,dr4 ,j5n+s has be5 9 *>ge & ^u 8 %\ld]s re/s ! responsibility4 ,%\ld ! pati5t compla9 ! local physician c1 & v likely w say3 8,( c\rse x is a disappo9tm5t ,mr4 ,smi?1 b ! practice ( m$ic9e is full ( disappo9tm5ts4 ,!re is "o consolation4 ,y h _h ! b5efit ( ! late/ treatm5t evolv$ by m$ical sci5ce4 ,dr4 ,wilk9son arrang$ ! treatm5t to meet y\r special ne$s aft] ,i _h giv5 him a complete hi/ory ( y\r case1 & y mu/ admit t ,i h be5 fai?ful 9 its adm9i/ration4 ,i'm sorry t ! results 7 n diff]5t1 b t is some?+ e physician has to cont5d )40 ,left )\t ! s]vices ( ! local physician z an ally ! speciali/ w\ld probably be blam$ = ! failure1 & ! pati5t might ev5 ref] to him z a sw9dl]4 ,su* ?+s h occurr$ ) ! result t ! speciali/'s *ance ( gett+ any m pati5ts 9 t neighborhood 0 wip$ out4 ,b1 by reta9+ ! s]vices ( ! family physician ! speciali/ is tak+ out insurance aga9/ ?is v happ5+4 ,dr4 ,j5n+s1 ( c\rse1 does n realize t he is be+ made a buff] (4 ,he has _h1 z he ?9ks1 ! sci5tific features ( ! treatm5t c>efully expla9$ to him1 & ! !ory is reasonable & 9 ?or\gh accord ) t ( accept$ au?orities4 ,z = ! division ( fee--:y he c]ta9ly is entitl$ to pay = 8 s]vices 9 treat+ ,mr4 ,smi?1 & x is mu* bett] = ! latt] to h ,dr4 ,wilk9son /& ?is exp5se ?an = x to fall ^u ,mr4 ,smi?4 ,x's all 9 ! viewpo9t1 & ! viewpo9t c be j :at ! speciali/ makes x4 ,if he is a clev] man x w be favorable2 if he lacks tact & is antagoni/ic 9 nature1 x w be unfavorable4 ,z to ?is latt] cont+5cy x may well be said t a tactless1 antagoni/ic man has no bus9ess op]at+ 9 ?is field4 ,tact & suavity & an impressive appe>ance c\nt f> m ?an a k ( m$ic9e1 & w get m money e "t4 ,x's wor? consid]able to h ! good w ( family physicians 9 ! c\ntry di/ricts1 s t :5 occasion arises !y w say3 8,dr4 ,wilk9son is an able man1 & p]fectly squ>e 9 8 bus9ess me?ods4 ,we 7obs]ve ! 8we07 didn't get ! desir$ results 9 ! ,smi? case1 b x mu/ be rememb]$ t x 0 an unusually s]i\s "o1 & ,dr4 ,wilk9son said s at ! "t4 ,recov]y w\ld h be5 little %ort ( a miracle4 ,_h ! treatm5t be5 tak5 be=e ! disease 0 s f> advanc$ !re is e reason to believe ! results w\ld h be5 diff]5t40 ---------------------------------------- -------------------------------- ,,*apt] ,,vi ,,reception ,,( ,,(fice ,,pati5ts ,to ! physician :o pref]s to d a /rictly (fice practice1 mak+ few or no pr(essional =ays into ! c\ntry1 well locat$1 neatly furni%$1 attractive qu>t]s are a necessity4 ,?ree rooms w be suffici5t = a />t4 ,^! %\ld include a reception room1 wait+ p>lor1 & doctor's private (fice4 ,size is n s important z location & furni%+s4 ,! qu>t]s %\ld be 9 a mod]n build+ ( high-class reputation z to ! "* ( its t5ants4 ,if ! arrangem5t is su* z to give an entrance into ! doctor's room f ! wait+ p>lor1 & an exit into ano!r hall1 x is pref]able4 ,?is w make possible ! sep>ation ( ! call]s ! doctor has se5 f ^? :o are /ill wait+1 & ?is prev5ts a lot ( talk :i* may h a h>mful t5d5cy4 ,p1 especially m51 wait+ to see a physician are apt to get into conv]sation ) "o ano!r4 ,:5 !re is only "o door s]v+ z entrance & exit to ! private (fice1 & a call]1 aft] see+ ! physician1 has to come back into ! wait+ p>lor 9 ord] to get out !re is a temptation to /op = a few mom5ts & *at ) ^? :o are /ill wait+4 ,9 ?is way mu* h>m1 p>ticul>ly 9 ! matt] ( fees1 may be done4 ,x is poor policy to give p a *ance to ex*ange confid5ces4 ,!y w tell ea* o!r _! op9ion ( ! physician1 ! am\nt ( ! fees1 etc4 ,if ^! latt] d n agree 9 am\nt x causes jeal\sies & di/ru/1 & x becomes difficult 9 _m cases = ! physician to expla9 to ! satisfaction ( ,mr4 ,br[n :y he %\ld be *>g$ a l>g] fee ?an ,mr4 ,jones4 ,"u ! be/ ( conditions !re w be too mu* ( ?is sort ( ?+1 b x may be greatly r$uc$ by an arrangem5t ( ! rooms :i* w admit ( call]s be+ tak5 into ! doctor's (fice at "o door & %[n out at ano!r4 ,9 "o in/ance ! wait+ room ( a c]ta9 speciali/ 0 cr[d$ :5 "o ( ! call]s came out f ! (fice aft] an int]view4 8,are y go+ to take ! treatm5t10 0 ! "q put to him by "o ( ^? ) :om he _h be5 talk+ be=e he _h se5 ! doctor4 8,n mu*10 0 ! answ] 9 a l\d tone4 8,t man's a robb]4 ,he want$ #ejj = ! treatm5t40 ,?is fright5$ away a numb] ( m5 ne>ly all ( :om w\ld h be5 good = #ajj apiece :5 int]view$ by ! doctor "u prop] conditions4 ,b !y left )\t see+ him2 actually sc>$ (f by ! talk ( ! dissatisfi$ call]4 ,rooms arrang$ z describ$ & locat$ 9 a good build+ w comm& m r5tal ?an ord9>y qu>t]s1 b ! inve/m5t w be a good "o4 ,!re w be m money 9 pay+ #ajj or #aej a mon? = rooms ( ?is k9d ?an #ej = o!rs n simil>ly arrang$4 ,prop] furni%+s create a favorable impression ^u call]s4 ,neat rugs1 com=table lea!r cov]$ *airs & l\nges1 neat tables = books & magaz9es1 h&some curta9s & bright1 *e]ful pictures on ! wall t5d to make ! extraction ( a good-siz$ fee all ! easi]4 ,no p]son feels l pay+ a big fee to a doctor ( sloppy appe>ance :o is qu>t]$ 9 a %abby1 poorly furni%$ room4 ,%abby surr\nd+s bre$ di/ru/4 ,an appe>ance ( prosp]\s solidity on ! o!r h& creates confid5ce4 ,x is easi] to get #ajj f a pati5t 9 prop]ly furni%$ qu>t]s ?an x is to get #e :5 ! doctor's pov]ty />es out f e side4 ,"o ( ! mo/ successful speciali/s 9 ! pr(ession _h retir$ ) a compet5ce4 ,he got to speculat+ & lo/ heavily4 ,:5 he _h only #a1jjj left he 0 compell$ to resume practice4 ,he r5t$ qu>t]s :i* co/ him #abe a mon?1 & furni%$ !m magnific5tly at a co/ ( #a1bej1 pay+ #ejj d[n4 ,v>i\s o!r outlays cut 8 ca% capital d[n to #ajj by ! "t he 0 ready to op5 8 (fices4 ,did he fl9*8 ,n at all4 ,he 0 game & knew t ) any ord9>y luck x w\ld be a pay+ inve/m5t4 ,he made a second =tune :i* he 0 wise en\gh to keep4 8,x 0 l cat*+ flies ) a bait ( sug>10 he said 9 discuss+ 8 me?od4 8,!y sw>m$ 9 f all sides2 ! surr\nd+s look$ "r1 & ,i _h little tr\ble 9 l&+ a fair p]c5tage ( ! call]s4 ,if ,i _h attempt$ to skimp 9 ! r5t or furni%+s my purpose w\ld h be5 defeat$ f ! />t40 ,9 tak+ m$ical treatm5t1 z 9 ne>ly ev]y?+ else1 p l to deal ) ! successful man1 & !y judge ( a man's success by 8 surr\nd+s4 ,if he looks prosp]\s ! battle is half won be=e ! attack on ! call]'s pocketbook beg9s4 ,next to ! location & furni%+s ( ! (fice1 & ! neat1 well-dress$ appe>ance ( ! physician himself1 comes ! "q ( ! selection ( ! prop] reception room girl4 ,"h almo/ z mu* tact is ne$$ z 9 ! physician's private (fice4 ,! "r k9d ( girls are sc>ce1 & :5 "o is f\nd %e is wor? mu* m money ?an ! av]age doctor1 unacqua9t$ ) ! importance ( ! position1 is will+ to pay4 ,a ?or\ghly compet5t girl is easily wor? f #ah to #be a week1 yet mo/ doctors grumble at pay+ #aj or #ab4 ,x is a peculi> comb9ation ( tal5t1 "o exce$+ly h>d to f9d1 t is requir$4 ,! successful att5dant mu/ be prepossess+ 9 appe>ance1 a neat dress]1 intellig5t1 sympa!tic1 *ummy to a degree )\t be+ 8fre%10 &1 above all1 mu/ h t undef9able quality kn[n z tact4 ,%e mu/ h ! knack ( mak+ p feel at home & com=table on _! fir/ & all subsequ5t visits1 )\t be+ fussy or ov]-prom95t 9 h] att5tions4 ,quiet dignity & *>m ( mann] 9 a reception room girl is a comb9ation ( great value to an employ]4 ,! girl possess$ ( ^! qualities1 9 addition to 8tact10 c be a valuable & p[]ful ally ( ! physician4 ,%e w ex]t a great influ5ce 9 keep+ pati5ts good natur$ & satisfi$1 /e] ! malcont5ts away f opportunity to make tr\ble1 & pres]ve 9 g5]al ! h>mony t %\ld prevail 9 ! pr(essional family4 ,we all "k :at a /rong factor fir/ impression is4 ,! mann] ( our reception by a /rang] inv>iably s[s ! se$ ( our op9ion4 ,if ! reception is c\rte\s & k9dly )\t be+ effusive we are won2 if x is cold & indiff]5t1 or s ov]ly effusive t deceit is app>5t1 we are repell$4 ,"r "h is :]e ! reception room att5dant w9s or loses4 ,x makes all ! diff]5ce 9 ! _w :e!r ! prospective pati5t meets ! doctor = ! fir/ "t pleas$ ) ! mann] 9 :i* he 0 receiv$1 or :e!r he is frett$ or annoy$ at 8 treatm5t 9 ! out] (fice4 ,! door lead+ f ! reception room into ! wait+ p>lor %\ld always be kept clos$4 ,!re is no necessity ( lett+ ! p :o are wait+ to see ! doctor he> :at is go+ on 9 ! out] room4 ,x (t5 works h>m4 ,besides ?is a new com] w ann\nce himself m freely to ! att5dant :5 alone ) h] ?an he w :5 a doz5 or m /rang]s are )9 he>+4 ,"o ( ! furni%+s ( ! reception1 or out] room1 unless ! bus9ess w>rants a sep>ate dep>tm5t1 may be an unobtrusive cab9et 9 :i* ! correspond5ce is fil$4 ,?is %\ld always be clos$ s call]s w n get an idea z to its cont5ts4 ,m5 especially d n l to "k t a woman is conv]sant ) ! cont5ts ( _! lett]s to ! doctor4 ,:5 a /rang] ent]s ! room ! att5dant %\ld always rise f h] desk1 meet him half way1 & enquire pleasantly3 8,:at c ,i d = y80 8,i'd l to see ! doctor40 8,/ep into ! wait+ room1 please1 & ,i'll let him "k y are "h4 ,:om %all ,i ann\nce80 8,?omas ,c>roll1 ( ,provid5ce1 ,i[a4 ,i ?9k he expects me z ,i've _h "s correspond5ce ) him40 8,all "r1 ,mr4 ,c>roll1 ,i w let him "k y are "h40 ,tak+ ! new com] into ! wait+ room ! att5dant %\ld give him a pap] or p]iodical4 ,! man :o is read+ is n s apt to get into conv]sation ) /rang]s z ! "o :o is idle4 ,com+ back into ! out] (fice ! girl closes ! door1 goes at once to ! correspond5ce cab9et & takes out ! packet conta9+ ,mr4 ,c>roll's correspond5ce4 ,?is %e gives to ! doctor via ! outside door1 at ! same "t ann\nc+ ,mr4 ,c>roll's arrival4 ,no doctor :o is wise w receive a call] imm$iately ^u arrival4 ,x creates a good impression to keep ! call] wait+ = a few mom5ts ev5 if !re is nobody ahead ( him4 ,! girl goes back to ! wait+ room & says3 8,! doctor is glad to "k y are "h1 ,mr4 ,c>roll4 ,he is engag$ ) a pati5t j n[1 b he w be ?r\gh v soon1 & w see y 9 a few m9utes40 ,?is helps to kill "t1 & to conv9ce ! call] t ! att5dant is look+ aft] 8 int]e/s4 ,9 ! meantime ! doctor is read+ ,mr4 ,c>roll's lett]s & ! answ]s !reto1 & refre%+ 8 memory ab\t ! case s t :5 ,mr4 ,c>roll is %[n 9 ! latt] w be a/oni%$ by ! doctor's k ( 8 ailm5t & condition4 ,! lett]s 9 ! meantime are put away 9 a draw] out ( sight4 ,f9ally ! bell r+s &1 if ,mr4 ,c>roll is next on ! li/1 ! girl w say3 8,! doctor w see y n[1 ,mr4 ,c>roll10 & %[s him into ! sanctum4 ,:at happ5s :5 doctor & call] come toge!r is told 9 ano!r *apt]4 ,?is "o deals solely ) ! mann] 9 :i* ! call] %\ld be receiv$ by ! girl 9 *>ge ( ! out] (fice4 ,%\ld ! call] become a pati5t ! att5dant :o und]/&s h] duty w beg9 to ev9ce a mild ladylike int]e/ 9 8 case4 ,)\t at any "t becom+ =w>d or fre% %e w h a *e]y ^w ( greet+ = him on 8 daily arrival or dep>ture1 & f9ally beg9 to comm5t 9 a delicate mann] on ! improvem5t 9 8 appe>ance4 8,good morn+1 ,mr4 ,c>roll4 ,y're look+ bett] ?is morn+4 ,by ! way1 if y want to write any lett]s y c dictate !m to our /5ograph]1 & y might z well h y\r mail s5t "h4 ,i'll be glad to look aft] x = y40 ,su* att5tions mean mu* to an invalid /rang] & are m appreciat$ ?an !y w\ld be by a robu/1 heal?y p]son4 ,mr4 ,c>roll may intimate t he ?9ks ( go+ to "s !at] 9 ! ev5+1 b doesn't "k :]e to g4 ,!n ! att5dant %\ld say3 8,well1 t dep5ds ^u :at y l4 ,if x's com$y !re's ! ---- ---- at ! ,cont95tal4 ,gr& op]a at ! ,ri*elieu2 trag$y at ! ,%akespe>e & vaudeville at ! ,bo/on4 ,if y want to see some?+ really funny g to ! ,cont95tal4 ,i'll h our /5ograph] get y\r ticket :5 he goes out to lun*eon1 & t w save y f be+ pu%$ ar\nd 9 ! cr[d at ! box (fice40 ,all ?is1 ( c\rse1 is aft] ! lapse ( a week or s :5 ,c>roll has become a daily call] = treatm5t1 & beg9s to ?9k t ! doctor is all "r himself1 & t ! reception room girl is j ab\t z ne> "r z !y make !m4 ,no matt] h[ _m girl /5ograph]s ! doctor may keep busy 9 a room fur!r d[n ! hall1 !re %\ld always be "o "y man = :at may be call$ 8%[0 purposes4 ,m5 pati5ts don't l ! idea ( hav+ _! physical tr\bles discuss$ 9 lett]s writt5 by girls4 ,:5 ! "y man /5ograph] is br\ght 9 to take dictation f a pati5t ! latt] n only appreciates ! complim5t1 b feels confid5t t 8 tr\bles are kn[n only to "o ( 8 own sex4 ,by all means keep ! girl /5ograph]s out ( sight1 & d n let ! male pati5ts "k t a woman ev] saw _! lett]s1 or ! doctor's replies to ^? lett]s4 ,adopt exactly ! opposite tactics ) wom5 pati5ts--keep ! man /5ograph] "u cov]4 ,despite ! utmo/ c>e !re w be times :5 ! pati5ts w get toge!r 9 ! wait+ room & discuss ! doctor & 8 me?ods1 ! m]its or dem]its ( ! treatm5t1 comp>e fees1 etc4 ,"o dissatisfi$ pati5t--& e physician has !m1 no matt] h[ g5]ally successful he may be--c create m di/urbance & uneas9ess 9 t5 m9utes ?an ! doctor c ov]come 9 a week4 ,x is "r "h t ! reception room girl has a *ance to prove h] wor?4 ,:5 %e f9ds ! conv]sation drift+ into disagreeable *annels %e c adroitly /ep 9 & *ange ! subject )\t seem+ to h a purpose 9 do+ s4 ,! introduction ( a timely topic by a bright1 ent]ta9+ woman w />t ! fl[ ( talk 9 a new direction & 9 ! discussion t foll[s criticism ( ! doctor w be ov]look$4 ,"o day a *ronic kick]1 "o ( ^? fell[s :o is nev] satisfi$ no matt] h[ mu* is be+ done = him1 met ano!r pati5t 9 ! reception room & began to f9d fault ) ! treatm5t4 ,)\t seem+ to li/5 to ! conv]sation1 & ) h] m9d app>5tly engross$ on "s o!r topic1 ! att5dant said3 8,oh my1 h[ ,i wi% ,i _h a bro!r or a fa!r to advise me40 8,:y1 :at's ! tr\ble80 v naturally enquir$ "o ( ! pati5ts--& he happ5$ to be ! 8kick]40 ,! girl w5t to relate an entirely suppositi\s occurr5ce ov] :i* %e pret5d$ to be badly wr\ght up2 a bus9ess entanglem5t ) a conc]n f :i* %e _h b\ght "s goods on ! in/allm5t plan1 & ab\t :i* !re 0 a s]i\s misund]/&+4 ,bo? m5 7 pr(use 9 _! t5d]s ( advice1 & 9 _! desire to be ( assi/ance to ! girl !y =got entirely ! orig9al topic4 ,! girl kept !m engag$ 9 conv]sation until ! 8kick]0 dep>t$1 & ! dang] 0 ov] = t day1 at lea/4 ,%e report$ ! matt] to ! doctor & ! latt] v clev]ly arrang$ ! 8kick]'s0 h\rs = treatm5t s !re w\ld be little *ance ( 8 f9d+ o!r pati5ts 9 ! (fice4 ---------------------------------------- -------------------------------- ,,*apt] ,,vii ,,! ,,correspond5ce ,,file ,no speciali/1 or physician :o conducts a g5]al practice by publicity me?ods1 c hope to make a la/+ success1 except 9 r>e in/ances1 )\t a well-manag$ correspond5ce dep>tm5t4 ,9 ! beg9n+ ! physician may att5d to ?is himself b1 z ! bus9ess gr[s he w ne$ ! s]vices ( a sm>t1 compet5t man4 ,newspap] m5 d ! be/ 9 ?is position4 ,! "r k9d ( m5 comm& f #ej to #ajj a week1 & 9 _m cases get a work+ int]e/ 9 ! bus9ess4 ,!y are wor? e c5t !y get4 ,! physician ) a l>ge (fice or out-(-t[n practice is too busy to give att5tion to ! details ( correspond5ce4 ,he has n ! "t dur+ (fice h\rs1 & aft] 8 "w = ! day is done he is too we>y to dictate ! _m lett]s t %\ld g out e day4 ,n only ?is1 b !re are v few m$ical m5 :o "k j :at to say4 ,lett] writ+ is a gift1 & ! m5 :o h ?is gift make a bus9ess ( x4 ,e lett] t comes into ! (fice %\ld be index$ by ! c>d sy/em & !n fil$ away by numb] ) ! copy ( ! reply atta*$4 ,?is "w1 z well z ! op5+ ( ! mail & ! dictation ( answ]s1 %\ld be done 9 a room conv5i5t to ! doctor's (fice1 b away f x f> en\gh s t ! pati5ts w n suspect ! connection4 ,a lett] arrives f ,hiram ,oxb[1 ( ,valp>aiso1 ,indiana4 ,! man 9 *>ge ( ! correspond5ce op5s x & f9ds t1 accord+ to ! pr9t$ head+ ,mr4 ,oxb[ is conduct+ a coop]age plant4 ,! lett] runs ab\t z foll[s3 ,,hiram ,,oxb[ ,,manufactur] ,,( ,,coop]age ,,valp>aiso1 ,,ind41 ,augu/ #aj1 #aiaj4 ,dr4 ,g4 ,h4 ,wilk9son1 ,*icago1 ,ill4 ,,de> ,,sir3 ,i h read ( y\r success 9 ! treatm5t ( locomotor ataxia1 & w\ld l to "k :e!r y ?9k y c d any?+ = me4 ,i am #de ye>s ( age1 & h be5 afflict$ = ! la/ eight ye>s4 ,h doctor$ ) ne>ly ev]ybody 9 ! c\ntry )\t results4 ,c y cure locomotor ataxia8 ,please let me he> f y soon4 ,y\rs respectfully1 ,,hiram ,,oxb[4 ,sort+ out all ! lett]s ( ?is k9d ! correspond5ce *ief gives !m to "o ( 8 /5ograph]s ) in/ructions to look up ! f9ancial rat+ ( ! v>i\s writ]s z giv5 9 ,dun's or ,brad/reet's4 ,e well-equipp$ correspond5ce room w h a copy ( a comm]cial guide ( ?is k9d4 ,! girl m>ks on ! lett]s su* rat+s z are giv5 9 ! guide4 ,mr4 ,oxb[1 = in/ance1 is quot$ z ,a #d4 ,:5 ! answ]s are writt5 ea* new enquir] is giv5 an individual c>d & numb]1 ! numb]s runn+ consecutively4 ,! la/ numb] 9 ! file we w say is #fcde4 ,mr4 ,oxb['s numb] w be #fcdf4 ,"o ( ! girls !n makes out a c>d :i* reads3 ,no4 #fcdf--;,hiram ,oxb[1 ,valp>aiso1 ,ind4 ,rat+ ,a #d4 #aijg ,aug4 #aa4 ,fir/ enquiry4 ,answ]$ ) ,no4 #c4 ,mr4 ,oxb['s lett] ) a c>bon copy ( ! reply !reto is !n plac$ 9 a manila pap] pocket1 numb]$ #fcdf1 & fil$ 9 ! lett] cab9et4 ,if at any "t x is desir$ to get ! correspond5ce 9 ! ,oxb[ case ! c>d1 :i* is fil$ alphabetically1 w give ! correspond5ce numb] & ! location ( ! lett]s !mselves w !n be easy4 ,an entry 9 brief is made on ! c>d e "t ,mr4 ,oxb[ is he>d f s t ! c>d itself w %[ at all times an outl9e ( ! /atus ( ! case4 ,suppose t a numb] ( lett]s pass1 & ,mr4 ,oxb[ f9ally decides to come to ,*icago to see ! doctor4 ,! c>d w !n %[ entries l ^!3 ,no4 #fcdf--;,hiram ,oxb[1 ,valp>aiso1 ,ind4 ,rat+ ,a #d4 #aijg ,aug4 #aj4 ,fir/ enquiry4 ,answ]$ ) ,no4 #c4 ,aug4 #ae4 ,wants m p>ticul>s4 ,ask$ him to come to ,*icago4 ,aug4 #ba4 ,enquires ab\t fees4 ,told him x 0 impossible to fix am\nt 9 advance ( see+ pati5t4 ,aug4 #bf4 ,w be 9 ,*icago ,aug4 #cj?1 #i a4m4 ,e lett] receiv$ f ,mr4 ,oxb[ & a copy ( e reply is fil$ 9 ! same manila pocket s t :5 want$ !y are all toge!r1 & c be tak5 out 9 a m9ute4 ,suppose ,mr4 ,oxb[ is n rat$ 9 ,dun or ,brad/reet8 ,x is ! correspond5ce *ief's bus9ess to asc]ta9 8 f9ancial /&+ if x is possible to d s4 ,frequ5tly ?is is done ?r\gh ! doctor's bank1 or ! doctor may be a subscrib] to "s comm]cial ag5cy4 ,9 ei!r ev5t a confid5tial enquiry is made z to ! responsibility ( ,mr4 ,oxb[4 ,! answ] may say3 8,good = #aj1jjj20 or 8cr$it good1 pays bills promptly20 or 8cr$it poor40 ,9 ! great majority ( cases in=mation ( "s k9d w be secur$ :i* c be ent]$ on ! c>ds = future ref]5ce4 ,h[ are enquiries f prospective pati5ts secur$8 ,"s ( !m are made volunt>ily1 be+ induc$ by ! enquir] hav+ read 9 "s city pap] ab\t ! doctor's success 9 c]ta9 l9es ( practice--"o ( ^? articles :i* ! clev] press ag5t1 :o is usually ! correspond5ce *ief1 has _h ins]t$ 9 ! guise ( news4 ,g5]ally1 h[ev]1 enquiries are drawn out by a sy/ematic campaign ?r\gh ! mails1 or by resort to publication 9 ! c\ntry pap]s4 ,no wide-awake1 progressive correspond5ce *ief w wait = volunt>y enquiries4 ,he w make an arrangem5t ) a clipp+ bureau by :i* = #e a hundr$ he w be suppli$ ) clipp+s f all ! pap]s1 l>ge & small1 9 8 t]ritory ann\nc+ ! illness ( citiz5s4 ,:5 ! ,beeville ,bugle publi%es ! news t 8,abn] ,skeets1 a prom95t resid5t ( ,beeville1 has become a victim ( *ronic ar?ritis10 ! pap] is n 9 ! (fice ( ! clipp+ bureau ov] a few h\rs be=e ! correspond5ce *ief has receiv$ ! p>agraph4 ,9 ?is mann] he comes into possession ( hundr$s ( simil> news items e week4 ,all ! v>i\s publicity articles :i* ! city pap]s h publi%$ ab\t ,dr4 ,wilk9son & 8 wond]ful success h be5 reproduc$ by ! z9c-et*+ process & ?\s&s ( slips pr9t$ 9 a mann] :i* makes !m be> ! appe>ance ( hav+ be5 torn out ( ! orig9al publications4 ,z fa/ z ! clipp+s come 9 ,mr4 ,press ,ag5t sorts !m by t[ns & has "o ( 8 /5ograph]s make a c>d index1 giv+ ! "n & address ( ea* prospect & ! nature ( 8 disease1 z well z ! date ( mail+ ! fir/ clipp+4 ,!n he has pla9 envelopes address$ to ea* prospect1 & encloses 9 ^! envelopes "o ( ! prep>$ news items applicable to ! ailm5t ) :i* ! p>ty address$ is afflict$4 ,!re is no pr9t$ bus9ess c>d on ^! envelopes &1 z !y are inv>iably address$ by h&1 ! recipi5t is "u ! impression t ! communication has be5 s5t by "s unkn[n fri5d :o desires to let him "k ( ?is doctor's success 9 ! treatm5t ( j su* cases4 ,! recipi5t does n connect ! doctor ) ! s5d+ ( ! clipp+ z he argues t1 if x came f a doctor1 ! envelope w\ld be> 8 bus9ess address1 & !re w\ld be "s note ( explanation4 ,besides1 !re is n "o *ance 9 a million t ,dr4 ,wilk9son ev] he>d ( him1 or kn[s :]e he lives1 or :at ! nature ( 8 tr\ble is4 ,( c\rse x 0 s5t by "s fri5d4 ,?is me?od excites ! curiosity ( ! suff]]1 & he gives c>eful att5tion to ! clipp+ & beg9s to ask himself :e!r x is n wor? :ile to write to ?is wond]ful physician & ask 8 advice ab\t treatm5t4 ,z fa/ z a bat* ( clipp+s is s5t out ! c>ds f :i* ! addresses 7 tak5 are mov$ to ! back ( ! receptacle1 & a date c>d1 a little high] ?an ! o!rs & ( a diff]5t color s z to be readily noticeable1 is plac$ 9 front ( !m4 ,?is date c>d %[s :51 if no reply is receiv$ to ! fir/ communication1 x w be 9 ord] to s5d a second4 ,if ! fir/ communications are mail$ on ! #aj? ( ! mon?1 ! date c>d beh9d :i* ^! c>ds are plac$ w be> date ( ! #cj?1 ?us %[+ t on ! #cj? ( ! mon? ano!r clipp+1 or "s o!r =m ( lit]ature %\ld be s5t4 ,:5ev] "o ( ! p>ties ?us address$ is he>d f ?is c>d is giv5 a file numb] & transf]r$ to ! prospective li/1 ! purport ( ! enquiry & ! nature ( ! reply be+ not$ on x4 ,!re is nev] lack ( mat]ial to "w on4 ,p :o h he>d ( ! doctor are writ+ to him all ! "t1 & ! clipp+ bureau is cont9ually s5d+ 9 items ab\t p 9 v>i\s p>ts ( ! c\ntry :o h become afflict$ ) s]i\s *ronic tr\bles4 ,e physician :o practises 9 ?is mann] %\ld h a neat pamphlet descriptive ( 8 treatm5t & ! results obta9$ 9 v>i\s ailm5ts4 ,x is ! duty ( ! press ag5t or correspond5ce *ief to prep>e ?is4 ,x %\ld be mode/ 9 language & give an outl9e ( ! pa?ology ( c]ta9 diseases z well z ! !rapeutic effects ( ! treatm5t 9 a rational1 plausible mann]4 ,exagg]at$ /atem5t1 or defects 9 te*nical description w defeat its purpose4 ,! typography mu/ be neat & 9 good ta/e1 & ! pap] ( high quality4 ,"r "h x may be /at$ t _m physicians are p5ny wise & p\nd fooli% 9 ! matt] ( lit]ature & /ation]y4 ,! be/ is none too good4 ,neat1 h&some "w attracts att5tion1 :ile ! *eap1 slip-%od v>iety repels4 ,if ! clipp+ fir/ s5t has n br\ght an enquiry by ! t5? day1 mail "o ( ! pamphlets4 ,! recipi5t w read ?is ) int]e/ & note p>ticul>ly :at has be5 accompli%$ 9 cases /rik+ly simil> to 8 own4 ,on mail+ ! pamphlet ! fact %\ld be ent]$ on ! c>d1 ) date ( mail+1 & ! c>d mov$ back ano!r t5 days1 ready to be tak5 up aga9 on ! #cj?4 ,by ?is sy/em !re is a con/ant /ream ( mail matt] go+ out e day1 & ea* c>d conta9s a record ( j :at pr9t$ matt] has be5 s5t to ea* prospect1 & :54 ,all[+ t nei!r ! newspap] item or ! pamphlet br+ enquiries ,mr4 ,press ,ag5t w1 z 8 ?ird ef=t1 address ! suff]] by lett] some:at z foll[s3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,,*icago1 ,sept4 #i1 #aiaj4 ,mr4 ,john ,pet]s1 ,beeville1 ,wiscons94 ,,de> ,,sir3 ,rec5tly1 at ! sugge/ion ( a mutual fri5d1 ,i mail$ to y\r address a copy ( a pamphlet conta9+ an acc\nt ( :at has be5 accompli%$ 9 ! treatm5t ( cases simil> to y\rs by an entirely new me?od4 ,?is ,i hope y h receiv$ & _h "t to read ov] c>efully z ,i am confid5t y w f9d x ( int]e/4 ,! g5tleman ref]r$ to 7:o reque/s t 8 "n be )held7 has told me consid]able ab\t y\r case--j en\gh to ar\se pr(essional curiosity4 ,?is is my only excuse = intrud+ ^u y4 ,if y w k9dly =w>d details1 /at+ l5g? ( illness1 nature ( symptoms1 :at has be5 accompli%$ 9 ! way ( treatm5t1 etc41 ,i may be able to use ! in=mation to ! b5efit ( o!rs simil>ly afflict$4 ,%\ld ,i be able to (f] any sugge/ions or advice :i* may t5d to improve y\r condition1 ,i %all be glad to d s4 ,= ?is !re w be no fee or *>ge ( any k9d--x w be m]ely ex*ang+ "o favor = ano!r4 ,y\rs v truly1 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,no appeal "h to come 9 & be reliev$ ( a big fee2 no intimation t ! doctor w\ld l to h ,mr4 ,pet]s z a pay pati5t4 ,on ! contr>y ! doctor only seeks in=mation t may be ( b5efit to o!r pati5ts4 ,at lea/ ?is is ! way ,mr4 ,pet]s int]prets x4 8,f9e fell[1 t doctor10 says ,mr4 ,pet]s z he reads ! lett]1 & he sits him d[n 8) p5 9 h&0 to describe 8 case1 inv>iably w9d+ up ) an enquiry z to :e!r ! doctor ?9ks !re is any hope = him4 ,! reply f ,mr4 ,pet]s is =?com+ all ! quick] because ! doctor has ?\ghtfully enclos$ a pla9 /amp$ envelope be>+ ! writt5 7n pr9t$ or type-writt57 address1 8,g4 ,h4 ,wilk9son1 ---- ,mi*igan ,ave41 ,*icago40 ,no ,m4,d41 atta*$ to ! title1 no?+ to give ! inquisitive hang]s-on at ! po/ (fice 9 ,beeville a clue to ! true nature ( ! communication4 ,:5 ^! busybodies happ5 to cat* a glimpse ( ,mr4 ,pet]s' lett] !y h no suspicion t x is a doctor _! fell[ t[nsman is writ+ to4 ,no?+ to %[ x on ! envelope4 ,no doctor's return c>d 9 ! corn]1 no pr9t$ or ev5 type-writt5 address4 ,no sir-ree4 ,dr4 ,wilk9son is too sm>t = t4 ,exp]i5ce has taught him t ! av]age man does n l to h 8 fri5ds & neighbors "k t he is correspond+ ) a /range doctor4 ,h5ce ! 8s5t-securely-seal$-9-pla9-package tactics40 ,x's diff]5t 9 a big t[n or city :]e ! facilities = becom+ acqua9t$ ) ! nature ( a man's correspond5ce d n exi/1 & ! ru% ( bus9ess is s great t ev5 po/al c>ds g ?r\gh ! mails unread by any "o except ! s5d] & ! receiv]4 ,b 9 ! rural di/ricts :]e ,absalom ,squa% & ,praise-x-all ,tompk9s assi/ ,hiram ,gaylord 9 8 duties z po/ma/] to ! ext5t ( closely inspect+ e lett] t comes 9 or goes out--:y t's ano!r /ory4 8,wond] :at ,john ,pet]s is writ+ to t fell[ 9 ,*icago erb\t80 says ,absalom ,squa% z he picks up ! lett] address$ to ,g4 ,h4 ,wilk9son & holds x up to ! light 9 a va9 ef=t to get an inkl+ z to ! cont5ts4 ,b ?is ,wilk9son *ap is wise4 ,he has provid$ an extra heavy envelope1 :ite on ! ext]ior1 b blue coat$ inside1 to ?w>t j su* ef=ts4 ,aga9/ ! po/al regulations = anybody outside ( ! po/ma/] or 8 sworn assi/ants to h&le ! mail8 ,( c\rse x is4 ,b ?is regulation is a dead "o 9 ne>ly e small po/ (fice 9 ! c\ntry4 ,:5 ,mr4 ,squa% goes home he reports to ,saman?a t 8,john ,pet]s is writ9' to t ,*icago fell[ aga94 ,john _h a lett] f ,*icago day be=e ye/]day1 & to-day he s5t (f ! answ]1 b he didn't write ! address himself40 8,h['d y "k 'twas f ,pet]s1 !n80 8',cause 8 boy br\ght x to ! (fice10 answ]s ,absalom triumphantly4 ,saman?a is int]e/$ & runs ov] to h] fri5d ,abigail ,simpk9s to discuss ! /range occurr5ce4 ,t !y are unable to d m ?an enjoy a little idle gossip is ow+ to ! lack ( any clew on ! envelope z to ! nature ( ! bus9ess or occupation ( ! p>ty address$4 ,9 ?is feature ,dr4 ,wilk9son's plan is a good "o4 ,9 correspond+ ) pati5ts or prospective pati5ts use pla9 envelopes1 or if "s safegu>d 9 ! matt] ( return is desir$1 use a po/-(fice c>d 9 ! corn] su* z 8,if n deliv]$ 9 five days return to ,box ----1 ,*icago ,po/ ,(fice40 ,no?+ m4 ,%\ld anybody make an ef=t to asc]ta9 :o has r5t$ ?is p>ticul> box 9 ,*icago1 or any o!r city ( dec5t size1 he w be politely told by ! po/al (ficials t x is none ( 8 bus9ess4 ,sometimes ! p>ties address$ die be=e ! lett] rea*es !m4 ,9 cases ( ?is k9d ! return c>d 9 ! corn] ( ! envelope s]ves a good purpose4 ,x is ! duty ( ! po/ma/] to return x to ! address giv5 9 ! c>d m>k$ 8,p>ty dead40 ,:5 ?is happ5s ! correspond5ce *ief takes ! c>d f ! file & de/roys x4 ,!re is no use wa/+ "t1 /ation]y & po/age on dead ones4 ,ab\t five or six =ms ( ^! prelim9>y lett]s are prep>$1 & ea* is giv5 a numb] su* z ,no4 #a1 ,no4 #b1 & s on4 ,:5 !y are to be s5t out x is n necess>y = ! correspond5ce *ief to dictate a lett] to ea* prospect4 ,he m]ely sorts out ! c>ds :i* are due to be att5d$ to t day & turns !m ov] to "o ( ! girls to s5d ,no4 #a1 or ,no4 #b1 or :atev] lett] may be 9 ord]4 ,! /5ograph]s h copies ( all ^! lett]s &1 z !y write !m1 ! =m numb] ( ! lett] & ! date ( its mail+ is ent]$ on ! prospect c>d4 ,aft] ! li/ ( lett]s has be5 exhau/$ ! c>ds are transf]r$ to ano!r file to be us$ lat] 9 connection ) ! 8,i h be5 call$ to y\r t[n0 correspond5ce4 ,?is is a great labor-sav+ sy/em & makes possible ! transaction ( an imm5se am\nt ( correspond5ce at ! m9imum ( exp5se4 ,_m invalids1 especially ^? :o h tri$ v>i\s =ms ( treatm5t )\t obta9+ relief are d\bt]s--!y insi/ ^u 8be+ %[n40 ,!y insi/ ^u "s conv9c+ evid5ce t ?is special treatm5t has m]it4 ,?is is easy 9 mo/ in/ances al?\gh once 9 a :ile ! speciali/ runs across a h>d5$ old cuss :o w\ld n believe ! ,angel ,gabriel "u oa?1 & doesn't hesitate to say s4 ,ne>ly e physician is sure to h "s pati5ts :o h be5 greatly b5efit$ by 8 treatm5t & are truly grateful = ! relief obta9$4 ,! secur+ ( ! "r k9d ( lett]s f ^! pati5ts is only a matt] ( reque/ at ! prop] psy*ological mom5t4 ,aft] a fri5dly talk ) "o ( ^! pati5ts "s day :5 ! latt] is feel+ unusually exub]ant1 & has deftly be5 l$ up to ! /age ( decl>+ t he c nev] repay ! doctor = :at he has done = him1 ! physician w say3 8,oh1 t's all "r1 ,mr4 ,br[n4 ,i am s9c]ely happy to "k t ! improvem5t has be5 s great4 ,no matt] :at we d1 !re is sure to be sc(f]s & d\bt]s4 ,b a physician's h&s are ti$4 ,!re is no way 9 :i* he c ov]come ?is bias except ) ! aid ( j su* m5 z y\rself4 ,n[1 if y c\ld f9d x conv5i5t to write a lett] /at+ j :at has be5 done 9 y\r case ,i w\ld keep x 9 my desk to %[ su* d\bt]s z may drop 9 on me4 ,n z an adv]tisem5t or a puff m9d y1 b m]ely z a means ( ov]com+ unfair /atem5ts4 ,b ,i feel t ?is w\ld be ask+ too mu* ( y40 8,n at all1 doctor4 ,i'll be only to glad to d x4 ,b ! fact is doctor1 ,i'm a poor lett] writ]4 ,if y'll prep>e some?+ ,i'll sign x40 ,?is is j :at ! doctor wants & at ! fir/ opportunity he slips out & passes ! ^w to ! correspond5ce *ief4 ,! latt] prep>es a lett] :i* ! doctor copies 9 8 own h&writ+4 ,:5 x is submitt$ to ,mr4 ,br[n ! doctor says3 8,?is w look & read bett] on "o ( y\r own lett] heads4 ,if y w copy x on y\r /ation]y ,i'll appreciate ! favor40 ,:5 f9ally writt5 & sign$ ! lett] w be ab\t l ?is3 ,,james ,h4 ,,br[n ,,deal] ,,9 ,,hides ,,& ,,tall[ ,union ,/ock ,y>ds ,,*icago1 ,sept4 #i1 #aiaj4 ,,de> ,,doctor ,,wilk9son3 ,i am sure y w be glad to "k t ! improvem5t 9 my case cont9ues & gr[s1 if any?+1 m noticeable daily4 ,consid]+ ! physical wreck ,i 0 ?ree mon?s ago1 ! *ange is little %ort ( miracul\s4 ,?is is n only my op9ion1 b t ( my fri5ds z well4 ,x is p>ticul>ly gratify+ to h ^? :o call$ me a fool :5 !y he>d ,i 0 go+ to ,*icago to be treat$ = locomotor ataxia n[ ackn[l$ge t !y 7 mi/ak51 & congratulate me on my action4 ,if ,i c s]ve y 9 any way don't hesitate to call ^u me4 ,x is my duty to let fell[-be+s simil>ly afflict$ "k :at y h done = me4 ,gratefully y\rs1 ,,james ,h4 ,,br[n4 ,9 ! same mann] ! doctor secures simil> lett]s f o!r pati5ts4 ,^! are reproduc$ by ! z9c-et*+ process1 bus9ess head+s & all1 & :5 prop]ly pr9t$ few p c tell !m f ! orig9als4 ,:5 copies are s5t out to prospective pati5ts accompani$ by ! "r k9d ( a lett] ( explanation ! p]sons receiv+ !m believe1 z a rule1 t ! doctor has =w>d$ = _! inspection ! correspond5ce ( ,mr4 ,br[n1 or "s o!r pati5t1 & ?is impression induces _m p to return !m s ! doctor w n lose su* valuable communications4 ,! au?or1 :o has long exp]i5ce 9 ?is l9e1 has _h _m su* lett]s s5t back ) notes ( ?anks = ! privilege ( read+ !m4 ,"o ( ^! notes1 :i* he /ill reta9s1 reads z foll[s3 ,,o%ko%1 ,,wis41 ,april #ae1 #aiaj4 ,,de> ,,doctor3 ,i h read ! lett]s y s5t me1 ) a great deal ( int]e/1 & w say to y frankly t !y h conv9c$ me t !re mu/ be a lot ( good 9 y\r treatm5t4 ,i am n[ mak+ arrangem5ts to come to ,*icago1 & w d s z soon z ,i c close a deal :i* is n[ p5d+ & get hold ( "s ca%4 ,i return ! lett]s z ,i "k y mu/ prize !m highly1 & w\ld dislike to lose !m4 ,w write y a day or two be=e ,i />t1 z x w be necess>y to h "s "o meet me at ! depot4 ,v truly y\rs1 -------- ,did ,i get ?is man = a pati5t8 ,yes1 & he paid a good fat fee4 ,& ! be/ "p ( x all is ! fact t1 aft] ab\t ?ree mon?s ( treatm5t1 he w5t back home comp>atively a well man4 ,on 8 fir/ visit to ! (fice he 0 9 a :eel *air--he c\ld n walk4 ,:5 he left he 0 able to walk a mile or m )\t undue ef=t4 ,x w\ld defeat ! purpose 9 us+ ^! lett]s f pati5ts to s5d !m broadca/ z circul>s4 ,discretion mu/ be us$ z to ! mann] ( di/ribution4 ,nev] s5d "o until y h _h consid]able correspond5ce ) a prospect1 & !n be c>eful t duplicates d n get into ! small t[ns4 ,! small] ! t[n ! fa/] ! news travels4 ,if ,john ,smi?1 liv+ 9 a hamlet ( #cjj population1 receives communications ( ?is k9d x is only a matt] ( a few days until ev]ybody 9 ! place kn[s ( x4 ,smi? tells 8 wife1 8 wife tells somebody else1 & 9 ?is mann] ! news is circulat$4 ,n[1 if ,aleck ,br[n1 liv+ 9 ! same t[n1 or close by1 %\ld get duplicates ( ^! lett]s ,smi? & ! o!rs w\ld soon he> ( x &1 in/ead ( be+ look$ ^u z priceless treasures submitt$ = ,smi?'s inspection1 !y w\ld naturally be class$ z "s new-fangl$ me?od ( circul> adv]tis+4 ,hav+ pass$ sev]al prelim9>y lett]s ) ,mr4 ,smi? )\t gett+ him to commit himself z to com+ 9 = treatm5t1 pick out a c\ple ( ! lett]s f pati5ts :i* apply ! mo/ directly to 8 case1 ! p>ticul>s ( :i* may be obta9$ f ! prospect index4 ,enclose ^! ) a lett] ( y\r own address$ to ,mr4 ,smi?1 & read+ ab\t l ?is3 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,,speciali/ ,,9 ,,*ronic ,,diseases ---- ,mi*igan ,av5ue ,,*icago1 ----1 #aiaj4 ,mr4 ,john ,smi?1 ,vail's ,gate1 ,mi*4 ,,de> ,,sir3 ,9 a rec5t lett] y express$ d\bt z to ! m]it ( any treatm5t t c\ld be appli$ 9 a case l y\rs4 ,9 view ( ! _m disappo9tm5ts :i* y h _h ,i _c criticise y = hold+ ?is op9ion4 ,x is a natural "o "u ! circum/ances4 ,i am n writ+ ?is lett] ) a view to *ang+1 or attempt+ to alt] 9 any way1 y\r decision on ?is po9t4 ,y h probably made up y\r m9d on ! subject1 & t's ! end ( x4 ,despite ?is ,i am positive t y w be int]e/$ 9 ! enclos$ lett]s f =m] pati5ts 9 :i* !y express _! views z to ! treatm5t1 & ! results obta9$ 9 _! cases4 ,aft] read+ ^! communications ,i %all be "u obligations if y w k9dly return !m to me1 z ,i w\ld n l to lose !m4 ,v truly y\rs1 ,g4 ,h4 ,,wilk9son1 ,m4,d4 ,aga9 a pla91 /amp$1 h& address$ envelope is also enclos$ s t ,mr4 ,smi? may be put to no exp5se or tr\ble 9 s5d+ back ! preci\s lett]s1 ?\s&s ( copies ( :i* are kept 9 /ock 9 ! doctor's (fice4 ,all communications emanat+ f ! (fice be> ! p5-writt5 signature ( ! physician 9 *>ge1 b he sees v few ( !m4 ,he is n ev5 conv]sant ) _! cont5ts1 except z he may happ5 to discuss ! subject ) 8 correspond5ce *ief4 ,x is ! latt] :o directs ! correspond5ce & conducts x 9 ! "n ( ! physician4 ,he is ! bus9ess gett] ( ! conc]n4 ,x is 8 duty to get prospective pati5ts com+ into ! (fice2 x is ! physician's duty to h&le !m aft] !y get !re1 & to obta9 z l>ge a fee z possible 9 ea* in/ance4 ---------------------------------------- -------------------------------- ,,*apt] ,,viii ,,gett+ ,,at ,,f9ancial ,,/atus ,:ile1 ) prop] ef=t & organization1 x is possible to asc]ta9 9 advance ! f9ancial wor? ( ne>ly e prospect 9 ! mann] already outl9$1 !re are _m in/ances 9 :i* ?is _c be done ?r\gh any ( ! ord9>y *annels4 ,"s p conceal _! occupation by writ+ "u an assum$ "n on pla9 pap]1 s t an enquiry ?r\gh a comm]cial ag5cy w reveal no?+1 except1 p]haps1 ! /atem5t 8p>ty unkn[n40 ,o!rs w come 9 on ! physician unh]ald$1 )\t any prelim9>y correspond5ce4 ,b1 if ! physician und]/&s 8 bus9ess1 he w get at ! facts j ! same z if ! call]s _h introduc$ !mselves ) /atem5ts f _! bank]s %[+ _! f9ancial rat+4 99 99 99 99 99 ,let u imag9e ! case ( a man :o drops into ! (fice & enquires = ! doctor4 ,! reception room girl w ask 8 "n s t %e c ann\nce 8 arrival4 8,! "n doesn't matt]10 says ! call]4 8,! doctor doesn't "k me40 8,h y an appo9tm5t = any specific "t80 8,no4 ,j dropp$ 9 to see ! doctor40 8,well1 ! doctor is v busy j n[1 b he'll be dis5gag$ 9 a few mom5ts4 ,take a seat please1 & z soon z he is at lib]ty ,i'll let him "k y are "h40 ,don't ov]look ?is wait+ "p ( ! program4 ,x is important4 ,creates ! impression t ! doctor is a busy man1 & t "t is valuable4 ,always keep a call] wait+ at lea/ t5 m9utes1 ev5 if ! doctor is engag$ 9 no m pr(itable occupation ?an read+ a magaz9e4 ,:5 ! call] is f9ally %[n into ! consultation room ! doctor receives him ) dignifi$ c\rtesy & apologizes = hav+ to keep him wait+4 ,?is consultation room %\ld be s arrang$ t1 :5 doctor & call] are seat$ fac+ "o ano!r1 ! light %\ld fall on ! latt]'s face1 ! doctor be+ 9 ! %ade z x 74 ,?is all[s ( close wat* be+ kept on ! emotions :i* may play across ! call]'s face1 :ile ^? :i* ! doctor may n be able to conceal 7^! w be few7 w pass unnotic$4 ,aft] ! conv5tional greet+s ! call] w und\bt$ly outl9e 8 case1 & ask ! doctor = 8 op9ion4 8,i mu/ "k m ab\t ! conditions1 ,mr4 ---- by ! way1 ,i didn't get y\r "n8 ,rob9son4 ,well1 z ,i 0 say+1 ,i mu/ "k m ab\t ! conditions1 ,mr4 ,rob9son1 be=e v5tur+ to give an op9ion4 ,i h _m cases /rik+ly simil> 9 :i* ! results 7 all t c\ld be reasonably expect$4 ,at ! same "t1 z a matt] ( frankness1 ,i mu/ admit t !re are o!rs 9 :i* ,i h be5 disappo9t$40 ,?is app>5t c&or on ! doctor's "p w9s ! confid5ce ( ! call] & he talks freely1 describ+ 8 case 9 detail4 ,! doctor li/5s att5tively1 butt+ 9 ) a "q only :5 ! call] seems to lag 9 8 talk4 ,:5 ! ailm5t & its symptoms h be5 fully describ$ ! doctor says3 8,y\rs appe>s to be a some:at peculi> in/ance1 ,mr4 ,rob9son4 ,!re seems to be indications ( sev]e m5tal /ra9 or worry4 ,( c\rse1 ,i may be mi/ak51 b t's ! way x looks to me4 ,h y _h any great dome/ic or bus9ess worries80 8,no1 sir4 ,ev]y?+ is mov+ along smoo?ly1 bo? at home1 & 9 my bus9ess40 8,frequ5tly a man's bus9ess1 ,mr4 ,rob9son1 involves a /ra9 :i* he does n realize4 ,he becomes s accu/om$ to its r\t9e t he /agg]s along ) worries t w\ld cru% a man n accu/om$ to !m4 ,!re are "s occupations :i* are a great deal m try+ 9 ?is respect ?an o!rs4 ,"o ( my pati5ts--( c\rse x w\ld n be prop] to m5tion 8 "n--is a bank] :o 0 on ! v]ge ( insanity :5 he came "h1 ?r\gh worry ov] 8 f9ancial affairs40 8,oh1 !re's no?+ ( t k9d1 no worries ,i mean1 9 my case4 ,my bus9ess--,i'm a /ock deal]--is fl\ri%+4 ,i'm mak+ money4 ,cle>$ #be1jjj la/ ye>1 h a f9e home1 a good wife & family1 & w\ld enjoy life if x 7 n = ?is annoy+ tr\ble4 ,if x 7 n = ! hope t relief may be f\nd ,i w\ld be sorely tempt$ to kill myself40 ,! secret is out4 ,unwitt+ly ,mr4 ,rob9son has disclos$ ! fact t he is well (f f9ancially & able to pay a good fee1 :i* in=mation is ( m importance to ! doctor ?an ! description ( ! call]'s physical ills4 ,! conv]sation drifts back to ! ailm5t1 ! call] tell+ ( ! v>i\s treatm5ts he has tak51 & ! results4 ,among o!r ?+s1 he says3 8,i h consult$ a numb] ( em95t physicians1 among !m ,drs4 ---- & ----1 & !y all told me t !re 0 no real cure = ! tr\ble4 ,:at d y ?9k1 doctor80 8,naturally ,i dislike to set my op9ion aga9/ t ( ! fam\s m5 y h m5tion$4 ,!y are among ! able/ 9 ! pr(ession4 ,_! ability is unque/ion$4 ,/ill1 we may all be mi/ak54 ,9 ! abs5ce ( a ?or\gh physical exam9ation ,i w\ld n l to say positively :at ! outcome ( ?is treatm5t w\ld be4 ,x does seem1 h[ev]1 9 view ( ! success obta9$ 9 simil> cases1 fully z s]i\s1 if n m s1 t !re is good reason to feel sangu9e40 ,no promise "h4 ,no r\gh1 8,sure ?+1 ,i c cure y10 su* z ! *eap #e fakirs indulge 94 ,no?+ ( ! k9d4 ,! doctor is ! v p]sonification ( social & pr(essional dignity4 ,8 appe>ance & mann] is impressive1 & ! k9dly way 9 :i* he takes a hidd5 cl\t at ^? 8fam\s & able speciali/s0 w9s ! call] to him4 8,:at w\ld be ! fee = an exam9ation1 ,doctor80 ! call] enquires4 8,i make no *>ge = t s]vice10 replies ! doctor4 8,x is an ess5tial prelim9>y to det]m9+ :e!r ! case is "o 9 :i* ! treatm5t may be adm9i/]$ ) reasonable *ance ( success4 ,my plan is to give e applicant a close exam9ation & reject su* cases z appe> hopeless4 ,failures don't help a physician's pr(essional reputation any1 s :at's ! use ( wa/+ a man's "t & money :5 x is a =egone conclusion t he is beyond help80 ,?is is ! cl9*]4 ,if ! call] _h any d\bt z to ! doctor's hone/y & s9c]ity ?is little spiel removes x4 ,he is go+ to h t exam9ation made !n & !re1 f]v5tly pray+ all ! "t t ! doctor may f9d 8 case "o :i* he w\ld be ju/ifi$ 9 tak+ 9 *>ge4 ,b suppose ! call] does n broa* ! subject ( an exam9ation fee1 & ?us give ! doctor an opportunity to make 8 /ump spee*4 ,x matt]s n4 ,!re are a doz5 ways ( lead+ up to ! subject )\t excit+ ! suspicions ( ! call]4 8,:5 w\ld x be conv5i5t = y to make ?is exam9ation1 ,doctor80 is a "q t naturally foll[s f e n9e out ( t5 call]s4 8,!re's no "t l ! pres5t1 ,mr4 ,rob9son4 ,x w take ab\t half an h\r1 &0--7"h ! doctor consults 8 wat*1 & op5+ 8 engagem5t book runs a f+] ov] ! record7 8,yes1 ,i h j ab\t half an h\r be=e ! next regul> pati5t is due4 ,i suppose !re are "s /rang]s wait+ to see me n[1 b y are ahead ( !m4 ,i w\ld make an engagem5t = to-morr[ 7 x n t ,i %all be v busy & w n h "t to give y ! prop] att5tion40 ,mr4 ,rob9son /eps beh9d ! scre5 :i* /&s 9 "o corn] ( ! reception room1 & :5 he is disrob$ ! doctor gives him a v ?or\gh physical exam9ation1 /opp+ n[ & !n to make notes ( ! case4 ,he asks _m que/ions relative to ! ailm5t1 & makes a special feature ( te/+ ! s5sitive1 sup]-s5sitive & non-s5sitive areas ) a pair ( callip]s4 ,z e m$ical man kn[s !re are ext]ior portions ( ! human body on :i* ! lea/ bit ( pressure w produce a 8fl9*+0 on ! "p ( ! pati5t2 !re are o!rs on :i* consid]able pressure may be appli$ )\t noticeable effect4 8,:y1 did t hurt y1 ,mr4 ,rob9son80 enquires ! doctor z ! call] %r9ks :5 ! callip]s t\* a sup]-s5sitive spot4 8,well1 yes1 a little1 ,doctor10 is ! reply4 8,any?+ wrong !re80 8,i hope n10 is ! doctor's answ]1 b he %akes 8 head gravely1 impress+ ,mr4 ,rob9son ) ! belief t !re is m s]i\s tr\ble ?an ! doctor c>es to admit4 ,aft] "s fifte5 m9utes ( ?is k9d ( "w ! doctor says3 8,?is is a mo/ peculi> case1 ,mr4 ,rob9son1 b !re's no?+1 s f> z ,i c asc]ta91 b :at may be ov]come by prop] treatm5t4 ,at ! same "t ! conditions are s unusual t ,i w\ld l to consult my associate1 ,dr4 ,?ompson4 ,two heads are bett] ?an "o1 y "k4 ,may ,i call him 98 ,y w !n h ! b5efit ( 8 op9ion z well z m9e40 8,:y c]ta9ly1 ,doctor40 ,dr4 ,?ompson1 :o is kept = j ?is purpose1 & to treat outside pati5ts :o are unable to come to ! (fice1 is summon$ by electric call1 & comes 94 ,he is a dignifi$1 v pr(essional-look+ old *ap1 neatly clad 9 d>k ,pr9ce ,alb]t suit1 & we>+ glasses--! beau ideal ( a m$ical au?ority4 8,mr4 ,rob9son1 all[ me to introduce ,dr4 ,?ompson40 ,!n to ,dr4 ,?ompson3 8,doctor ,i h be5 exam9+ ,mr4 ,rob9son & ! conditions are s unusual t ,i w\ld l to h y\r op9ion & see h[ x co9cides )1 or diff]s f1 m9e4 ,i ?9k !re c be no "q b :at x is a pron\nc$ in/ance ( tabes dorsalis1 & yet ! conditions are f> out ( ! ord9>y40 ,dur+ 8 prelim9>y talk ) ,mr4 ,rob9son ! doctor has worm$ out ( him ! fact t 8 ailm5t is locomotor ataxia1 s he is tak+ no *ances 9 committ+ himself to ! /atem5t t he believes ! case to be a 8pron\nc$ in/ance ( tabes40 ,besides1 ?is is a conv5i5t mann] ( convey+ to ,dr4 ,?ompson a 8tip0 z to :at 8 v]dict %\ld be4 ,toge!r ! two doctors g all ov] ,mr4 ,rob9son aga91 mak+ comm5t 9 pr(essional language z ! exam9ation proce$s4 ,at ! end1 :ile ,mr4 ,rob9son is dress+1 !y sit d[n toge!r & discuss ! conditions 9 a subdu$ tone1 b l\d en\gh s z to make sure t ,mr4 ,rob9son w cat* ! import ( ! consultation4 ,:5 ! call] rejo9s !m ,dr4 ,wilk9son says3 8,i am happy to be able to say1 ,mr4 ,rob9son1 t ,dr4 ,?ompson agrees ) me fully z to ! nature ( y\r ailm5t1 & also t1 :ile ! conditions are s]i\s1 !re is e reason to expect satisfactory results1 provid$ prop] treatm5t is adm9i/]$ )\t fur!r delay40 ,dr4 ,?ompson endorses ?is 9 a few well-*os5 words1 & !n excuses himself on ! plea ( be+ v busy4 ,he w probably retire to ! correspond5ce room & read a magaz9e until summon$ to play ! same role aga9 ) ! next call]1 b !re's no use 9 tell+ ,mr4 ,rob9son s4 8,v busy0 is always a trump c>d 9 ! h&s ( 8em95t0 physicians4 ,aft] ,dr4 ,?ompson has left ! room ,dr4 ,wilk9son beg9s to /raight5 out ! furniture 9 8 (fice1 app>5tly z a h9t to ,mr4 ,rob9son t he is gett+ ready to receive ano!r call]4 ,b he is do+ no?+ ( ! k9d4 ,he is m]ely us+ tactics to br+ ,mr4 ,rob9son to ! crucial po9t ( decl>+ t he is go+ to take ! treatm5t4 ,/&+ up1 z if to bid 8 call] good bye1 ! doctor says3 8,!re is "o ?+ ,i w\ld impress ^u y1 ,mr4 ,rob9son4 ,su* tr\bles z y\rs are n b5efit$ by delay4 ,! long] y put (f treatm5t ! m aggravat$ y\r condition w become1 & ! m difficult x w be to accompli% any?+ 9 ! way ( relief4 ,y %\ld take treatm5t f "s compet5t physician "r away40 ,!re is no plea "h = ,dr4 ,wilk9son's special treatm5t2 no solicitation to become a pati5t ( ?is p>ticul> e/abli%m5t4 ,mr4 ,rob9son is /ill fur!r impress$ ) ! doctor's fairness1 & also 8 pr(essional ability z ! diagnosis 0 ! same z t made by o!r physicians4 ,he does n "k t he has told ! doctor ( ! op9ions & f9d+s ( ! o!rs1 & is !re=e all ! m /rongly incl9$ to look ^u ,dr4 ,wilk9son z a mo/ rem>kable man1 a v]itable pa/ ma/] 9 ! pr(ession4 8,well1 ,i'd l to take ?is treatm5t ,doctor1 if x doesn't co/ too mu*1 b ,i am unable to get away f my bus9ess j n[4 ,i mu/ run back home = a c\ple ( weeks & put my affairs 9 %ape s ,i c /ay "h = a :ile4 ,h[ long d y ?9k x w take80 8,t's some?+ ,i am unable to /ate def9itely4 ,9 "s in/ances1 app>5tly fully z bad1 if n worse1 ?an y\rs1 ! desir$ results h be5 obta9$ 9 ?ree mon?s2 9 o!rs ^! results h be5 delay$ = six & n9e mon?s1 & 9 a few cases ev5 long]40 8,:at w x co/ me1 ,doctor80 7,?is subject--fix+ ! fee--is treat$ at l5g? 9 ano!r *apt]--,,ix47 ,!re are "s speciali/s :o lack tact is asc]ta9+ a call]'s f9ancial responsibility1 or 9 ga9+ 8 confid5ce4 ,_! "w is s co>se t x repels in/ead ( attracts4 ,^! m5 r>ely1 if ev]1 obta9 any consid]able numb] ( pati5ts among well-to-d or intellig5t p4 ,_! practice is inv>iably *eap1 & #ej fees are few & f> betwe54 ,"o speciali/ ( ?is description op5$ an (fice 9 ,*icago4 ,he 0 a good physician & 8 ability _h be5 recogniz$ by 8 appo9tm5t to important pr(essor%ips 9 v>i\s m$ical colleges & hospitals4 ,he fail$ z a speciali/ because he lack$ tact4 ,if ,mr4 ,rob9son _h call$ ^u him he w\ld h be5 brusquely receiv$ 9 a *eaply furni%$ "o-room (fice1 & ! money feature w\ld h be5 upp]mo/ 9 ! doctor's talk4 ,in/ead ( gett+ ! call] int]e/$ 9 ! treatm5t1 by means ( a c\rte\s reception1 & /rict att5tion to an exam9ation = :i* no *>ge 0 made1 ! it* = money w\ld h be5 s app>5t t ,mr4 ,rob9son c\ld n help b notice x4 ,foll[+ is an almo/ v]batim report ( ! mann] 9 :i* a call] 0 receiv$ 9 ! (fice ( ?is physician4 ,aft] a %ort discussion ( ! case & be=e an exam9ation 0 made1 or ev5 sugge/$1 ! call] ask$3 8,d y ?9k y c cure me1 ,doctor80 8,i don't ?9k1 ,i "k10 0 ! surpris+ answ]4 8,!re's no "q ab\t x4 ,9 ?ree mon?s y'll be z s\nd & well z y ev] 740 ,! call] 0 an intellig5t man1 & ! boldness ( ! /atem5t1 tak5 9 connection ) ! circum/ances "u :i* x 0 made--! physician hav+ _h no opportunity to asc]ta9 ! exact conditions--0 f> f reassur+4 ,x 0 a bad break on ! doctor's "p1 b !re 0 worse to come4 ,! call] _h made up 8 m9d n to tru/ himself 9 ! h&s ( ?is physician &1 z an easy means ( escape1 ask$3 8,:at w ! treatm5t co/1 ,doctor80 8,h[ mu* money are y e>n+8 ,are y work+ = somebody1 or are y 9 bus9ess = y\rself80 8,:at has t got to d ) x8 ,:at diff]5ce does x make to y h[ mu* my income is1 or :]e x comes f80 8,we're n treat+ p = no?+ "h4 ,we mu/ "k t y are able to pay ! fee40 8,b y h n told me :at ! fee is40 8,no1 & ,i don't int5d to until ,i "k :at y\r income is4 ,my rule is to get ab\t "o-qu>t] ( a pati5t's income = ! "t he is "u treatm5t40 8,!n y h a sort ( slid+ scale z to fees80 8,c]ta9ly4 ,if y are e>n+ #ej a week ! treatm5t w co/ y #ab4ej a week4 ,if y are e>n+ #ajj a week x w co/ y #be a week40 ,x is any wond] ! call] w5t away disgu/$8 ,& yet ?is doctor is unable to und]/& :y he _c succe$ 9 special practice4 ,he c see no?+ wrong 9 8 me?od ( h&l+ call]s4 ---------------------------------------- -------------------------------- ,,*apt] ,,ix ,,decid+ ,,^u ,,! ,,fee ,hav+ asc]ta9$ ! f9ancial /atus ( ! call]1 & develop$ ! fact t he wants to take ! treatm5t1 ! next move is to fix ^u an acceptable fee4 ,"h1 aga91 tact mu/ be us$4 ,ability to pay is n ev]y?+4 ,y mu/ "k y\r man4 ,take two m5 ( equal f9ancial rat+4 ,to "o a fee ( #a1jjj w\ld be an extortion2 ! nam+ ( t am\nt w\ld give him a viol5t attack ( he>t disease1 & yet he c\ld well af=d to pay :at 0 ask$4 ,! second man1 ) no great] f9ancial res\rces1 w\ld write out 8 *eck = #a1jjj )\t a murmur1 & ?9k himself lucky to get (f s *eaply4 ,x's all a matt] ( psy*ological impression4 ,if y "k y\r man ?or\ghly1 & approa* him at ! "r mom5t1 y c get any fee t is )9 8 ability to pay4 ,& ?is 8kn[+ y\r man10 re/s l>gely ^u ! mann] 9 :i* y receive him1 & ! impression y make ^u him4 ,x is a reciprocal affair4 ,if y get 8 confid5ce to ! ext5t t he unbosoms himself to y freely1 y 8"k0 him2 if y don't y are go+ to h h>d sl$d9'4 ,if ! pr(ession is to be judg$ accord+ to its own /&>ds ! l[ e/imate ( ! value ( m$ical s]vices held by ! public at l>ge is n to be wond]$ at4 ,if ! physician does n place ! value ( 8 skill & ability at a high figure1 h[ c he blame ! public = tak+ advantage ( ! l[ rates he names4 ,surely ! p are n go+ to volunte] to pay m = an article ?an ! own] asks = x4 ,a "y ,we/]n physician1 ) ! "r k9d ( get-!re _s1 settl$ 9 ,new ,york1 :]e he 0 call$ ^u to c>e = a "y woman1 ! daught] ( a multi-millionaire1 :o 0 suff]+ f typhoid fev]4 ,he sav$ h] life1 aft] a /ruggle ( six mon?s1 & s5t 9 a bill = #e1jjj1 hop+ t he might get half ( x4 ,back came a *eck = #e1jjj1 ) a lett] ( ?anks1 & a 8bonus0 *eck = #ej1jjj m4 ,?is may seem improbable1 b x is a fact4 ,?is in/ance is cit$ = a two-fold purpose3 ,fir/1 to %[ t x does n pay to und]value y\r s]vices2 &1 second1 t ,ea/]n p are1 z a rule1 f9ancial res\rces be+ equal1 m accu/om$1 & m incl9$1 to pay lib]ally ?an ^? ( ! ,we/4 ,9 discuss+ ?is incid5t a ,*icago physician1 a well-kn[n man1 said3 8,a ,*icago millionaire w\ld h #8kick$' on ! #e1jjj bill1 insi/$ on its be+ cut to #b1ejj1 or less1 &1 ?is be+ done1 w\ld h /ood suit r ?an settle at 8 own figure40 ,9 ?is connection ,dr4 ,lyd/on quotes ! foll[+ case3 ,"o ( our greate/ 8m]*ant pr9ces0 0 "u ! c>e ( a speciali/ &1 z 8 "t 0 v valuable1 insi/$ t ! doctor let him 9 at 8 private door ahead ( all o!r pati5ts1 reg>dless ( ! ord] ( arrival4 ,8 bill at #aj a visit am\nt$ to some?+ ov] #cjj4 ,! 8kick0 regi/]$ by our 8pr9ce0 might h be5 he>d 9 ,alaska4 ,result1 ! bill 0 cut 9 two & ! doctor has ano!r enemy on 8 li/4 ,ano!r m]*ant pr9ce1 :o is well kn[n on ,/ate /reet--we w call him ,mr4 ,bird1 because t's almo/ 8 "n1 & he is "o--came to see me "o day 9 ?is wise3 ,he _h he>d t ,i _h rec5tly op]at$ on a fri5d ( 8 & remov$ a r5al calculus4 ,w\ld ,i %[ him ! specim58 ,he !n gradually develop$ ! int]e/+ fact t he _h gall /ones & _h be5 advis$ to submit to an op]ation4 ,:at did ,i ?9k ( 8 case1 & :at ab\t 8 op]ative prospects8 ,?ree-qu>t]s ( an h\r slipp$ away1 & my op9ion 9 g5]al _h be5 obta9$1 :5 ,i sugge/$ a physical exam9ation4 8,oh1 well10 he said1 8y see1 x has gr[n s late t ,i w n h "t to-day4 ,i'll see y day aft] to-morr[10 etc4 ,t same ev5+1 :ile rid+ to a case 9 consultation ) "o ( my surgeon fri5ds1 t g5tleman said1 8,oh1 by ! way1 ----1 ,i'm go+ to op]ate on ,bird to-morr[ = gall /ones40 ,& s x prov$4 ,i s5t ,mr4 ,bird a bill = consultation & he repli$ t he ow$ me 8no?+10 _h 8j made a fri5dly call10 etc4 ,i f9ally ?reat5$ suit & he paid ! bill grudg+ly1 & z insol5tly z he d>$ at long range4 ,let me assure ! read] t t #be 0 a sweet] morsel ?an t5 times ! am\nt f any o!r s\rce4 ,oh1 h[ x mu/ h hurt my fri5d ,bird6 ,i tru/ he w be a m9e ( weal? to my surgical confrre--he has 8gall0 en\gh to run a /one qu>ry 9 8 hepatic app>atus = a hundr$ ye>s to come4 ,m$ical fees h n yet %ak5 (f ! incubus put on !m by ! doll> fee ( ! m$ical 8daddies40 ,:5 ! c\ntry 0 yet new1 ! fee "q 0 practically settl$ by "s ( our m$ical pione]s1 ^: influ5ce has nev] be5 dispell$4 ,! "o-doll> consultants 7 ov]-mode/4 ,we h always be5 ready to conc$e t su* fees are an und]valuation ( ! consultant's skill4 ,! pr(ession has ev] refus$ to take "s m5 at _! own valuation--b x has suff]$ f ! incubus j ! same4 ,philan?ropy has be5 advanc$ z an explanation ( *eap fees4 ,quo? ! exp]i5c$ & di/+ui%$ l[-pric$ man1 8,:at w\ld ! poor p d if ,i made myself less accessible80 ,!y w\ld g ar\nd ! corn] to t "y doctor ^: %+le y see sw++ to ! breeze1 & pay m money = bett] s]vice ?an y or any liv+ man c give = ! fees y *>ge4 ,9 g5]al1 ! public gets j ab\t :at x pays =1 save :]e ! matt] is "o ( absolute *>ity or dead-beatism4 ,:at does a man /udy law =8 ,9 ord] t he may be able to practice successfully & make money4 ,:at does he /udy ar*itecture or civil eng9e]+1 or any ( ! o!r pr(essions =8 ,always ) ! "o purpose ( mak+ money out ( !m4 ,no1 n always4 ,m$ic9e is an exception4 ,judg+ by ! ord9>y /&>d ( fees m5 /udy m$ic9e 9 ord] t !y may make an unappreciative public a pres5t ( _! "t & skill--at lea/ mo/ ( !m d4 ,no fee )9 ! range ( ! pati5t's ability to pay is ev] too great = m$ical s]vices4 ,! doctor is nev] 9 dang] ( be+ ov]paid4 ,he %\ld 8temp] ! w9d to ! %orn lamb10 b appe>ances are deceitful1 & ! doctor _h be/ be 9 at ! %e>+1 else !re w be no wool = him4 8,virtue is its own rew>d0 may s\nd v pretty1 b x is n consol+ 9 view ( ! fact t x gets no o!r 9 ?is life & its rew>d 9 ! _w to come is r problematic4 ,:ile always seek+ to get ! l>ge/ fee t is )9 ! pati5t's ability & will+ness to pay ! clev] doctor w nev] let ! pati5t "k b :at ! matt] ( a fee is a second>y consid]ation4 ,8 e>ne/ talk w be on ! prospect ( obta9+ ! desir$ results4 ,s f> z ! pati5t c judge f ! doctor's attitude & conv]sation ! pr(essional features ( ! case h a mu* /rong] hold ^u 8 m9d ?an ! f9ancial4 ,x is always be/1 ( c\rse1 9 ! matt] ( fix+ ! fee to 8/rike :ile ! iron is hot40 ,d x at ! fir/ consultation1 if possible1 & h x out ( ! way4 ,b ! iron is n always hot at ?is fir/ meet+4 ,unless assur$ t y h won ! entire confid5ce ( ! pati5t1 & t y c safely g ! limit ) him1 don't attempt to "n ! fee "r away4 ,if y d x is a c]ta9ty t y w get f> less ?an c\ld readily be _h "u m favorable circum/ances4 ,9 a case ( ?is k9d1 %\ld ! pati5t press to h a fee nam$1 say3 8,! fee is a second>y consid]ation ) me1 ,mr4 ----4 ,:at ,i am mo/ int]e/$ 9 is kn[+ :e!r ,i c b5efit y4 ,if ,i c x w be an easy matt] to agree ^u ! fee4 ,if ,i _c1 x w\ld be a wa/e ( "t to take ! treatm5t1 & ,i don't want y\r money40 ,?is is pure 8bunk40 ,! doctor doesn't mean a ^w ( x4 ,he is m]ely sp>r+ = "t until he c get ! pati5t 9 a m receptive condition1 b x makes a t5 /rike4 ,:atev] ( d\bt or hesitancy may h rema9$ 9 ! pati5t's m9d is remov$4 ,) ! p[]ful rem$ies n[ at a doctor's comm& x is a mo/ unusual case 9 :i* a decid$ *ange = ! bett] does n foll[ ! fir/ two or ?ree days ( a new treatm5t4 ,:5 ?is /age is rea*$ ! "t is ripe = nam+ ! fee4 ,a g5tleman suff]+ f locomotor ataxia came into ! (fice ( a c]ta9 physician4 ,he 0 frank 9 8 /atem5ts4 ,he admitt$ t he 0 fairly well fix$ f9ancially & _h travell$ all ov] ,europe 9 a va9 ef=t to f9d relief4 ,he 0 will+ to take ! treatm5t z a sort ( =lorn hope & want$ ! fee fix$1 b ! doctor c\ld see t he 0 /ill a little skeptical1 & put him (f 9 ! mann] outl9$4 ,on ! ?ird day ( treatm5t ! pati5t said3 8,doctor1 ,i want to get ?is fee matt] out ( ! way4 ,i "k ,i'm go+ to get well4 ,= ! la/ two nights ,i've slept l a baby1 some?+ ,i hav5't done be=e 9 ye>s1 & ,i feel bett] 9 e way40 ,?is 0 ! doctor's opportunity & he took advantage ( x1 say+3 8,well1 ,mr4 ----1 s9ce y insi/ ^u kn[+ ! co/ ( treatm5t ,i'll "n a fee ( #a1jjj 9 y\r case40 ,! man's *eck book 0 out & a *eck writt5 & sign$ 9 less ?an five m9utes4 ,x 0 ! prop] psy*ological mom5t4 ,z ! pati5t said lat]3 8,i 0 surpris$1 ,doctor1 at ! mod]ate fee4 ,if y _h said #e1jjj ,i w\ld h paid x j z quickly z ,i did ! #a1jjj40 ,?is man got well4 ,! /ate ( 8 m9d _h a great deal to d ) 8 recov]y4 ,! treatm5t 0 b5eficial1 b he _h made up 8 m9d t he 0 go+ to recov]1 & t 0 a great factor4 ,all[+ t ! psy*ological mom5t is rea*$ at ! fir/ meet+1 ! call] be+ 9 a receptive mood & ask+ = ! t]ms ( treatm5t1 :i* is (t5 ! case4 ,don't be mode/4 ,x is easi] to l[] ! t]ms ?an to raise !m4 ,if ! figure y "n is object$ to z be+ beyond ! means ( ! call] !re is always a way out4 ,!n is ! "t to say3 8,! figure ,i h nam$1 #a1jjj1 is ! regul> fee1 ,mr4 ----1 b ,i c readily und]/& t to pay ?is am\nt might "w a h>d%ip 9 y\r case4 ,we are n do+ a *>ity practice4 ,we c't af=d to4 ,& if we 7 ,i am positive y are n ! k9d ( a man :o w\ld take advantage ( x4 ,y want to pay = :at y get1 provid$ x is )9 y\r means4 8,9 _m respects y\r case is a mo/ peculi> "o1 & ,i w\ld l to und]take x z !re is e reason to look = wond]ful results4 ,n[ ,i am go+ to make y a proposition 9 /rict confid5ce1 & ) ! di/9ct und]/&+ t x rema9s a secret betwe5 ! two ( u4 ,i w make ! fee #ejj1 &1 :5 y are re/or$ to heal?1 y are to write me a lett] :i* ,i may %[ privately to o!r p :o are suff]+ 9 ! same way4 ,b1 "u no conditions are y to tell anybody :at fee ,i *>g$40 ,jump at ! proposition8 ,does a hungry fi% take ! bait8 ,he ?9ks t he is gett+ some?+ = no?+2 t a special exception has be5 made 9 ! matt] ( a fee because ! doctor is confid5t ( re/or+ him to heal? & wants ! cr$it & reputation t w\ld atta* to su* a cure4 ,dur+ all ?is conv]sation ! doctor has clev]ly refra9$ f allud+ to su* a ?+ z a cure 9 direct words4 ,9 no mann] has he committ$ himself 9 ?is respect1 & yet ! bait has be5 s skilfully dangl$ t ! call] c get no o!r impression ?an t a cure is sure to be obta9$4 ,!n !re is ano!r class ( m5 :o w object to any fee t may be nam$ 9 ! hope ( gett+ a r$uction4 ,9 mo/ in/ances m5 ( ?is class are abundantly able to pay1 b are 8close40 ,if gold doll>s 7 (f]$ to !m at #ij c5ts apiece !y w\ld want ! price l[]$ s z to save some?+4 ,:5 a man ( ?is k9d is enc\nt]$1 & ! doctor is b5t on gett+ ! fee he has nam$1 ! be/ ?+ to d is to make him a%am$4 ,?is may be done )\t (f5d+ !m4 ,"o notably successful case tak]1 fam\s ! _w ov] = 8 ability to get l>ge fees1 made x a practice to say3 8,i agree ) y1 ,mr4 ----1 t #a1jjj seems l a l>ge fee if we leave ! matt] ( p]fect heal? out ( ! "q4 ,y surely don't expect to buy heal? on ! same basis t y w\ld coal or gra91 or "s o!r m]*antable commodity4 ,y are too s5sible a man = t4 ,:5 y /op to consid] t ?is ailm5t is *ronic--let's see1 ,i ?9k y said y _h be5 afflict$ ab\t eight ye>s--& t x is go+ to take e>ne/ att5tion on my "p = a long "t to re/ore y to a normal condition1 ,i ?9k y w agree ) me t1 ev5 if we adopt a cold comm]cial basis ( valuation1 ! fee is n an extravagant "o40 8,p]haps y're "r1 ,doctor1 & if ,i c\ld h any assurance t--0 8,assurance4 ,:at c y h beyond :at ,i h giv5 y8 ,my pr(essional reputation is at /ake1 & y h be5 advis$ z to :at has be5 accompli%$ 9 o!r cases4 ,surely y c\ld h no /rong] assurance1 especially t conta9$ 9 ! lett]s f pati5ts :i* ,i h %[n y40 ,all ?is is said 9 a l[1 well-modulat$ tone1 )\t %[ ( special desire to close ! case1 & x g5]ally w9s4 ,if x does n !re is always ! alt]native ( mak+ a special r$uction 9 ?is p>ticul> case on ! und]/&+ t ! t]ms are confid5tial1 etc4 ,b x is seldom t ?is has to be resort$ to4 ,:5 pati5ts g = treatm5t to a physician ( fame1 "o :om ! newspap]s are =ev] ref]r+ to z 8! em95t10 or 8! fam\s ,dr4 ,mc,swat10 !y expect to pay l>ge fees4 ,if !y c\ld get treatm5t on ord9>y t]ms x w\ld n be s highly e/eem$4 ,fame is ! op5 sesame to big fee gett+4 ,if1 aft] ! talk outl9$1 a call] rema9s obdurate a /> play may (t5 be made by ! physician aris+1 pu%+ 8 *air back a little1 & say+3 8,i don't wi% to be disc\rte\s1 ,mr4 ----1 b ,i am compell$ to ask y to excuse me4 ,i am a v busy man1 & ,i am afraid t "s ( ! p :o are wait+ to see me w be gett+ impati5t4 ,i am glad y call$1 & h really enjoy$ my talk ) y4 ,drop 9 any "t at y\r conv5i5ce4 ,i %all always be glad to see y40 ,if ! call] has any real int5tion ( tak+ treatm5t ?is w g5]ally br+ him to "t4 ,9 ! fir/ place x is equival5t to ! doctor say+ 8,i am too busy to wa/e my "t on trifl]s10 & ?is t\*es 8 pride4 ,9 ! second place he is afraid t if he does n take advantage ( ! pres5t opportunity some?+ may arise to *ange conditions be=e he c see ! doctor aga94 ---------------------------------------- -------------------------------- ,,*apt] ,x ,,gett+ ,,fees ,,9 ,,advance ,x is "o ?+ = pati5t & physician to agree ^u a fee4 ,x is ano!r ?+ = ! physician to get ! fee 9 advance4 ,/ill1 x c be done 9 mo/ in/ances1 b x requires diplomacy ( a high ord]4 ,x is frequ5tly1 "o might say almo/ inv>iably1 ! case t1 aft] ! fee has be5 tacitly agre$ ^u1 ! pati5t w enquire3 8,h[ is ?is fee to be paid1 ,doctor80 8,9 advance10 ! doctor w reply 9 a mild1 x-doesn't-matt] mann]4 8,isn't t r h>d on ! pati5t1 ,doctor80 8,x is ! only way 9 :i* we c protect ourselves4 ,if we ext5d$ cr$it indiscrim9ately _m pati5ts1 :5 assur$ t !y 7 well />t$ on ! road to recov]y1 w\ld disappe>1 & x w\ld require long1 exp5sive litigation to collect f !m1 ev5 if we c\ld get s]vice on !m "h1 :i* is d\btful4 ,! av]age man1 ,mr4 ----1 has a que] idea ab\t ! obligation ( a doctor's bill4 ,x is ! la/ ?+ he w pay volunt>ily1 ev5 :5 almo/ miracul\s b5efits h be5 obta9$40 8,don't y ev] ext5d cr$it80 8,oh1 yes4 ,:5 assur$ ( a man's f9ancial responsibility & hone/ int5tion1 we are glad to accommodate him 9 a reasonable way if x is inconv5i5t = him to pay ca%40 ,9 ?is1 z 9 nam+ ! fee1 ! physician mu/ create ! impression 9 ! m9d ( ! subject t paym5t ( ! fee is ab\t ! la/ ?+ he is ?9k+ (4 ,!re mu/ be no anxiety1 no undue ha/e to get ! money--at lea/ n s t ! pati5t c notice x4 ,swit*+ ! conv]sation = a few mom5ts back to ! case itself1 9 ord] to get ! pati5t's m9d div]t$1 ! doctor w f9ally say3 8,n[1 9 y\r case1 ,mr4 ----1 if x is any object to y1 ,i c arrange = y to pay ! fee mon?ly4 ,if ?is is satisfactory y c pay #aej a mon? :ile y are "u treatm5t40 8,h[ long w t be1 ,doctor80 8,i don't "k4 ,c]ta9ly six mon?s1 p]haps twelve1 & possibly long]4 ,nobody c tell 9 advance h[ a *ronic ailm5t l y\rs w respond to treatm5t4 ,x is v seldom t we h two cases exactly alike 9 ?is respect4 ,if !re is su* a ?+ z /rik+ an av]age ,i w\ld place x at ab\t t5 mon?s40 8,w\ld ,i h to rema9 "h all t "t80 8,oh1 no4 ,a mon? or s1 %\ld be suffici5t4 ,may be less4 ,j long en\gh to all[ me to get ! treatm5t graduat$ to meet ! requirem5ts ( y\r case4 ,!n y may return home & cont9ue x !re4 ,x w\ld be bett]1 ( c\rse1 if y c\ld /ay "h ! entire "t1 b !re is no real necessity = x40 8,on ! basis ( t5 mon?s x w\ld co/ me #a1ejj80 8,ab\t t4 ,p]haps a little less2 p]haps a little m4 ,by tak+ advantage ( ! #a1jjj proposition y w save ab\t #ejj4 ,x is really immat]ial to me :i* (f] y accept save = "o ?+4 ,no matt] h[ well a pati5t is progress+ !re is sure to be m or less reaction at times4 ,x w\ld be m>vell\s if !re 7 n4 ,^! spells ( reaction are only tempor>y1 b ! pati5t1 n und]/&+ ?is1 is incl9$ to become disc\rag$ &1 if he is pay+ 8 fee by ! mon?1 may quit j at ! "t :51 if he _h cont9u$ treatm5t a little long]1 he w\ld h become a well man4 ,9 su* a case he n only loses ! money he has paid1 b also ! c]ta9ty ( recov]+ 8 heal?4 ,on ! o!r h&1 if 8 fee is paid1 he w argue t he might z well /ick x out z x isn't go+ to co/ him any m4 8,naturally ,i want to obta9 z great an am\nt ( success pr(essionally z possible4 ,= ?is reason :5 a pati5t asks my advice on ! subject ,i tell him to pay ! fee & get x (f 8 m9d4 ,?is n only saves him money1 b relieves him ( f9ancial worry s t he responds m readily to treatm5t &1 above all1 x makes sure ( 8 cont9u+ ! treatm5t until 8 heal? is re/or$40 ,:ile endeavor+ to conv9ce ! pati5t t ! fee occupies a m9or place 9 y\r m9d1 d s by actions & mann]1 n by words4 ,nev] say outright t y don't c>e :5 ! fee is paid1 or t y are n ?9k+ ab\t ! fee1 or any?+ ( t k9d4 ,if ! pati5t sees fit to =m ?is impression1 let him d s2 x /r5g!ns ! probability ( y\r gett+ ! money4 ,! av]age man1 especially ! "o :o has money1 is n a fool4 ,he is quick to =m conclusions4 ,if he c see :]e he c save #ejj on a bill ( #a1ejj he is go+ to grasp ! opportunity )\t mu* urg+1 provid$ he is reasonably well assur$ ( gett+ value receiv$4 ,?is assurance is entirely a matt] ( confid5ce4 ,if ! doctor has obta9$ ! pati5t's confid5ce by dignifi$1 yet c\rte\s 7n s]vile7 mann]1 & mode/ talk1 he is go+ to get ! fee !n & !re4 ,if he has fall5 %ort ( secur+ ?is confid5ce all ! argum5ts he c advance w n induce ! pati5t to unbelt4 ,9 fact1 ! m argum5t he makes ! weak] 8 case becomes4 ,a disc\nt ( "o-?ird is a proposition :i* appeals to any man ( bus9ess s5se4 ,he does n "k1 ( c\rse1 t ! physician has nam$ a figure mu* high] ?an he is will+ to accept1 ) ?is v purpose 9 view4 ,"o ?\s& doll>s w\ld be a lucrative fee if paid by ! mon?1 & ! doctor c well af=d to accept x 9 advance on ! t]ms he names4 ,few p w take treatm5t long] ?an ?ree1 or at ! mo/ f\r1 mon?s4 ,!y ei!r become well 9 t "t1 or gr[ disc\rag$ & quit4 ,ano!r ?+4 ,!re is a great deal ( conv9c+ =ce 9 ! /atem5t t paym5t ( ! fee 9 advance holds ! pati5t to ! treatm5t4 ,at lea/ x looks t way to ! layman4 ,9 mo/ in/ances :]e a man has ! funds 9 bank he w write a *eck )\t fur!r comm5t4 ,occasionally a pati5t w be unable to d ?is1 ow+ to a %ortage ( funds1 & w say3 8,well1 ,i h decid$ to take ! treatm5t1 ,doctor1 if y c give me a little "t on "p ( ! fee4 ,i c pay y #ejj n[1 b w\ld l ab\t sixty days' "t on ! re/40 8,c]ta9ly1 ,mr4 ----4 ,if x w be an accommodation to y ,i w be glad to d x4 ,x is contr>y to our usual practice1 b ,i feel t ,i am safe 9 mak+ an exception 9 y\r case40 ,! *eck is writt5 & h&$ to ! doctor :o1 )\t app>5tly exam9+ x1 puts x c>elessly 9 8 pocket1 & !n makes an entry 9 8 desk di>y1 not+ ! pati5t's "n & address1 nature ( 8 ailm5t1 date1 am\nt ( fee1 & size ( paym5t4 ,:5 all ?is is done ! fir/ treatm5t is giv51 & engagem5t made = succe$+ treatm5ts at a c]ta9 h\r ea* day4 ,tak+ advantage ( ! "t :5 ! pati5t is re>rang+ 8 clo!s aft] treatm5t ! doctor hurri$ly fills out a sixty day note = #ejj1 mak+ x payable to ! ord] ( ! pati5t himself4 ,j z ! latt] is ready to leave ! doctor w say3 8,!re's j "o ?+ m1 ,mr4 ----4 ,9 ord] to gu>d aga9/ any possible misund]/&+ 9 ! future ,i h drawn up a little memor&um ( our agreem5t z a sort ( protection to y4 ,n[1 if y w k9dly place y\r signature !re----0 ,z he says ?is ! doctor rises f 8 *air & motions ! pati5t into x1 at ! same "t dipp+ a p5 9 ! ink well & h&+ x to him4 8,yes1 on t l9e2 yes1 t's ! place4 ,n[ 7turn+ ! note ov] s ! back is upp]mo/71 once m across ! end1 s4 ,!re1 n[ we h ! agreem5t 9 =m s no "o c take advantage ( y4 ,be sure to come promptly at #aj3cj to-morr[40 ,aft] ! fir/ treatm5t mo/ m5 are excit$ & easy to h&le 9 ?is way4 ,!y d :at ! doctor bids 9 a sort ( unconsci\s way4 ,!y don't realize t !y are sign+ a note4 ,! doctor has ref]r$ to x z a memor&um ( agreem5t1 & x seems only prop] t !re %\ld be a writ+ ( ?is nature4 ,%>p practice8 ,yes4 ,di%one/8 ,no4 ,! pati5t has agre$ to pay a fee ( #a1jjj4 ,he has paid #ejj d[n & promis$ to pay ! re/ 9 sixty days4 ,! doctor has m]ely induc$ him to put ?is promise on pap]4 ,if ! mak] ( ! note is responsible 7& ! doctor has assur$ himself ( ?is 9 advance7 ! full #a1jjj is secur$ !n & !re1 less an ord9>y disc\nt fee on #ejj1 z a note ( ?is k9d is easily negotiable4 ,! doctor has tak5 ! precaution to protect himself in/ead ( dep5d+ entirely ^u ! hone/y & good int5tion ( 8 pati5t4 ,! latt] has b>ely left ! (fice be=e bo? *eck & note1 prop]ly endors$1 are on ! way to ! bank :]e ! note is disc\nt$ & ! proce$s1 ) ! *eck1 deposit$ to ! cr$it ( ! physician4 ,x may be said t ?is s\nds too easy & simple to be true4 ,p]haps x does to ^? :o are n acqua9t$ ) ! me?ods ( ! up-to-date 8case tak]40 ,b fees1 & big fees1 are be+ obta9$ 9 exactly ?is mann] e day 9 e l>ge city 9 ! c\ntry4 ,! physician :o has a well-e/abli%$ (fice practice does n1 z a rule1 resort to ?is me?od ) 8 regul> patrons at fir/4 ,he *>ges :at seems to be a l>ge fee1 #e to #aj ea* "t a pati5t calls1 ext5ds cr$it indiscrim9ately1 & loses fully "o-half ( ! money repres5t$ by 8 book *>ges4 ,if he is wise he le>ns by exp]i5ce1 & cat]s to ! patronage ( /rang]s f :om he c get 8 fees 9 advance4 ,he gradually gets too busy to receive ^? :o want _! fees *>g$4 ,he has le>n$ 8 lesson & is will+ to pr(it by ! example set by o!r doctors :o1 :ile n recogniz$ z models 9 ! l9e ( e?ics1 "k h[ to make ! practice ( m$ic9e pay4 8,h['s bus9ess1 ,doc80 ask$ a fri5d ( a physician :o has a*iev$ consid]able fame z an (fice speciali/4 8,bully10 0 ! reply4 8,did ov] #cjj to-day40 8,get x80 8,no1 b x's good40 ,& ! poor fool actually ?\ght s until he fail$ to get any adequate returns f ! _m bills he s5t out1 or ! num]\s calls made by 8 hir$ collector4 ,n[ he is mak+ money4 ,:y8 ,because e call]1 :e!r regul> pati5t or /rang]1 :o wants to consult t doctor pr(essionally1 mu/ 8ante0 8 #aj ) ! polite secret>y 9 ! reception room be=e he c get into ! doctor's (fice4 ,result1 exodus ( dead beats1 & o!rs :om !re 0 no pr(it 9 see+4 ,prom95t attorneys adopt ?is sy/em4 ,:y is x n j z e?ical & fair = physicians to employ x8 ,if a pati5t agrees to pay ! fee ask$ by ! physician !re is no reason1 moral or legal1 :y he %\ld n d s4 ,& yet1 unless ?is fee is paid 9 advance1 or well secur$1 ! *ances are ab\t t5 to "o t ! doctor w nev] get x4 ,sometimes ! pati5t w discov] t ! 8memor&um0 he is sign+ is a note1 & may say3 8,:y ?is is a note1 ,doctor80 8,well1 x is 9 note =m1 b y w see t x is payable to y\r own ord]1 ,mr4 ----10 ! doctor w say4 8,i don't ?9k x w be ( mu* use to anybody else4 ,x is put 9 ?is =m = y\r own protection40 ,?is is usually suffici5t1 unless ! pati5t is a city bank]1 or an unusually sm>t man ( bus9ess4 ,%\ld ?is latt] be ! case1 :i* is n likely z m5 ( ?is class inv>iably pay ca% 9 advance1 an explanation is readily =?com+ to ! effect t x is m]ely an evid5ce ( good fai? on ! mak]'s "p1 etc4 ,occasions ( ?is k9d are v r>e1 h[ev]1 z mo/ m5 are s ?or\ghly hypnotiz$ at ! mom5t t !y readily d :atev] ! doctor sugge/s4 ,! sm>t man is z a rule ! easie/ to get a good fee f4 ,8 bus9ess education has be5 su* t he is n look+ = some?+ = no?+4 ,if a ?+ is really good he kn[s x mu/ be paid =1 & t ! price mu/ be 9 accordance ) its m]its--or suppos$ m]its4 ,/rong belief 9 actual m]it is a matt] ( education1 ! doctor act+ z in/ructor & demon/rator4 ,"o holiday :5 ! (fice 0 clos$ ! writ] & ! physician ) :om he 0 associat$ 9 bus9ess 7 sitt+ 9 ! doctor's private room discuss+ ways & means = gett+ 9 m pati5ts4 ,! ma9 entrance door 0 lock$4 ,sudd5ly ! knob 0 he>d to turn & x 0 evid5t somebody 0 try+ to get 94 ,go+ to ! door ! writ] op5$ x & /ood face to face ) "o ( ! be/ kn[n & weal?ie/ m5 9 ,*icago1 a man not$ = be+ extremely close 9 8 f9ancial deals4 ,affect+ n to "k him ! writ] said3 8,:at c ,i d = y1 sir80 8,i'd l to see ,dr4 ----40 8,! (fice is n op5 = ! reception ( pati5ts to-day1 b ! doctor happ5s to be "h = a mom5t4 ,if y w /ep 9 & take a seat ,i w asc]ta9 if he c see y40 ,:5 ! call] 0 seat$ ! doctor 0 hurri$ly notifi$ z to 8 id5tity & f9ancial means1 & ^w 0 s5t out to %[ ! g5tleman 94 ,aft] a consultation ( tw5ty m9utes ! call] left1 & ! doctor _h 8 *eck = #b1ejj4 ,z he h&$ x to ! writ] ! doctor said3 8,mr4 ---- did n h "o ( 8 own *ecks ) him1 & _h to write ?is on "o ( our blank =ms4 ,he doesn't want x to g ?r\gh 8 bank 9 ?is %ape & has ask$ me to hold x until he comes 9 ,saturday :5 he w ex*ange x = "o ( 8 own40 ,! *eck 0 put away & on ,saturday :5 ,mr4 ---- call$ ! writ]1 :o 0 ! treasur] ( ! conc]n1 0 out at lun*eon4 ,z ! new pati5t h&$ ! second *eck to ! doctor ! latt] 0 compell$ to say3 8,i'm sorry1 ,mr4 ----1 b ,i'm unable to give y back y\r fir/ *eck "r away1 ,mr4 ----1 our treasur]1 has x lock$ up 9 ! safe1 & ,i _c get x until he returns f lun*eon40 8,oh1 t's all "r10 repli$ ,mr4 ----4 8,any "t w d40 ,& away he w5t1 leav+ bo? *ecks1 repres5t+ #e1jjj1 & z good z gold1 9 our possession4 ,! doctor _h won 8 confid5ce f ! />t4 ,9 ?is p>ticul> in/ance !re _h be5 no advance correspond5ce1 & ! call] 0 unkn[n to ! doctor ei!r p]sonally or by "n4 ,! writ] happ5$ to "k him by sight & ?us 0 able to 8tip0 him (f to ! doctor4 ,if x _h n be5 = ?is x is probable t ! fee w\ld n h be5 m ?an #ejj1 & ! doctor w\ld h congratulat$ himself on hav+ done a good day's "w at t4 ,:at makes ! case ev5 m rem>kable is ! fact1 z previ\sly /at$1 t ! man _h ! reputation ( be+ v close 9 money matt]s4 ,yet "h 0 an in/ance 9 :i* he n only paid ! fee ( #b1ejj 9 advance )\t a murmur1 b actually entru/$ a /rang] ) #e1jjj ( 8 funds4 ,aft] two weeks ( p]sonal treatm5t ?is same man1 act+ on ! advice ( ! doctor 7:o 0 to %>e 9 ! fee7 _h p>tially arrang$ to pay ano!r speciali/ #aj1jjj = ! treatm5t ( 8 wife1 & 0 on ! po9t ( clos+ ! contract :5 ! blund]+ tactics ( ! second physician upset ! :ole ?+4 ,negotiations 7 progress+ favorably1 !re 0 no dispute z to ! am\nt ( ! fee1 or any?+ ( t k9d1 :5 a s+le mis-/ep ar\s$ 8 suspicions1 & ! deal fell ?r\gh4 ,9 talk+ ! matt] ov] lat] ,mr4 ---- said3 8,i may be sorry1 ,doctor1 t ,i did n accept ,doctor ----'s proposition1 b to tell ! tru? he didn't impress me favorably4 ,n[ if x 7 y :o 7 to conduct ! treatm5t ,i w\ldn't hesitate a mom5t40 ,! joke ( ! ?+--& x 0 a joke--lay 9 ! fact t ( ! two m5 ! doctor he _h no confid5ce 9 0 by f> ! m able & compet5t ( ! two4 ,b he lack$ tact2 he didn't "k h[ to inspire confid5ce 9 8 pati5ts2 didn't "k h[ to conceal ! disagreeable tru? & enl>ge on ! non-ess5tials mak+ !m appe> z ! m important ( ! two4 ,he 0 too brutally frank4 ,! doctor :o got ! #b1ejj fee & reta9$ ! entire confid5ce ( 8 pati5t to ! la/1 0 a pa/ ma/] 9 ! g5tle art ( :at is kn[n 9 slang p>lance z 8bull con40 ,all ( :i* t5ds to %[ t ! gett+ ( a big ca% fee re/s entirely on ! impression creat$ by ! physician4 ,if ?is impression is favorable ! fee w be =?com+2 if x is n a yoke ( ox5 c\ldn't yank x away f ! pati5t4 ---------------------------------------- -------------------------------- ,,*apt] ,,xi ,,gett+ ,,additional ,,fees ,x is a well-und]/ood fact among physicians t ! av]age man ( #ej or ov] takes m int]e/ & pride 9 8 sexual virility ?an 9 any o!r phase ( 8 physical sy/em4 ,x is equally well kn[n t 9 almo/ e in/ance :]e a man has rea*$ ! age ( #ej !re is a v p]ceptible flagg+ or fall+ (f 9 sexual p[]4 ,9 _m in/ances x is entirely lo/ :5 ! half-c5tury m>k is rea*$1 or soon aft]w>d4 ,!re are few m5 :o c>e to admit ?is ev5 to _! family physicians1 &1 9 consequ5ce ( ?is %yness1 !y fall ready victims to quacks ( ! 8,be ,a ,man0 /ripe4 ,:5 a man well pa/ middle age comes into y\r (fice nev] broa* ! subject ( sexual tr\ble to him at fir/1 no matt] h[ /rongly y suspect x4 ,if y d he w take treatm5t = t fir/1 & t is ! end ( x4 ,secure him on "s o!r l9e ( treatm5t fir/4 ,humor 8 ideas 9 ?is respect--he has :atev] ailm5t he may fancy he has4 ,if y are satisfi$ t he is 9 position to pay well1 b is h>d to deal ) 9 a f9ancial way1 x w pay y to "n a mode/ fee = ! initial treatm5t1 b don't let him get away4 ,he w af=d fat1 lib]al pick+ lat] on4 ,:]e m5 ( ord9>y means w haggle ov] a #bej fee = be+ successfully treat$ = "s annoy+1 really dang]\s ailm5t1 !y w pay #a1jjj or m *e]fully on any?+ t seems l a reasonable assurance ( hav+ _! sexual p[] re/or$ to its pri/9e vigor4 ,!re is n a physician 9 ! l& ) any consid]able practice :o doesn't "k ?is4 ,hav+ secur$ y\r fee f a pati5t ( ?is k9d = ! regul> treatm5t ( ! tr\ble conc]n+ :i* he came to consult y1 & at ! "t :5 ! treatm5t is beg9n+ to %[ favorable results1 spr+ ! trap4 ,z be=e /at$ !re is g5]ally a "t :5 ne>ly e pati5t responds to great] or less ext5t to a new treatm5t4 ,?is response may be only tempor>y2 x g5]ally is4 ,:5 ! indications ( ?is response are se5 !n is ! "t to act4 ,x is ! prop] psy*ological mom5t4 ,direct ! conv]sation to ! m>k$ improvem5t 9 8 condition1 tell h[ mu* y are enc\rag$ by ! v noticeable *ange1 & sugge/ ano!r ?or\gh physical exam9ation s t y may make ! prop] record ( 8 case4 ,:5 ! pati5t has disrob$ give him ! same ?or\gh1 se>*+ exam9ation y did :5 he fir/ came to ! (fice4 ,pay no att5tion to ! sexual organs at fir/1 b1 :5 ne>+ ! end ( ! exam9ation say casually3 8,h[ long h y be5 9 t condition1 ,mr4 ----80 ,?is is a r&om %ot1 b x w /rike home n9ety-n9e times out ( a hundr$4 ,!re is v little *ance ( its go+ a/ray4 ,almo/ inv>iably ! pati5t w ask3 8,:at condition d y ref] to1 ,doctor80 8,:y y\r sexual organs are n exactly normal1 are !y80 8,well1 to tell ! tru?1 ,doctor1 ,i am n z /rong z ,i 0 a few ye>s ago1 b suppose x's ! natural result ( advanc+ ye>s40 8,y're n an old man yet1 ,mr4 ----4 ,y are only #ee1 ,i ?9k y told me4 ,y ought to be good = at lea/ t5 ye>s yet1 & p]haps long]40 8,d y really ?9k s1 ,doctor4 ,is !re any hope 9 t direction80 8,mo/ c]ta9ly4 ,!re is little "q ab\t ! result4 ,mod]n sci5ce has giv5 u an entirely new me?od ( treatm5t 9 cases ( ?is k9d ! effects ( :i* are little %ort ( miracul\s4 ,! "o tr\ble1 h[ev]1 is t x is exp5sive1 s mu* s t ,i hesitate to speak ( x z a rule40 ,no p[] on e>? c prev5t t man f hav+ t treatm5t reg>dless ( ! exp5se4 ,he has by ?is "t an enl>g$ idea z to ! doctor's ability4 ,he is pleas$ ) ! results ( ! treatm5t adm9i/]$ = ! orig9al ailm5t4 ,he is impress$ by ! evid5t pr(essional skill ( ! doctor 9 8discov]+0 a sexual condition :i* he fanci$ 0 kn[n only to himself4 ,he does n "k t ! physician has simply made a %rewd guess2 "o t he is 9 ! habit ( mak+ sev]al times a week1 & g5]ally ) ! same result4 ,he is 9 ! sev5? heav5 ( delight4 ,! doctor has adroitly dangl$ be=e 8 eyes a c]ta9ty :i* he _h be5 va9ly pray+ =4 ,8 next "q is3 8,:at w x co/80 ,direct answ] to ?is dep5ds ^u :at ! doctor has le>n$ ab\t ! pati5t's f9ancial rat+ & will+ness to pay4 ,few cases ( ?is k9d are tak5 "u #a1jjj4 ,all[+ t ! physician has decid$ ^u ?is am\nt z ! extreme limit1 he w reply3 8,x is h>d to say exactly1 ,mr4 ----4 ,some:]e betwe5 #a1jjj & #a1ejj4 ,x dep5ds ^u :at ,i h to exp5d = ! rem$ies & p]mission to use !m4 ,!y come f abroad & c only be obta9$ ) ! cons5t ( ! sci5ti/ :o introduc$ !m4 ,t k9d ( m51 z y d\btless "k1 are n always easy to deal )40 8,well1 ! price is pretty /eep1 b if y are satisfi$ ! treatm5t w d ! "w ,i want x40 8,!re's no d\bt ab\t ! m]its ( ! treatm5t1 ,mr4 ----4 ,! only ?+1 z ,i said be=e1 t holds me back f recomm5d+ x g5]ally1 is its high co/4 ,besides ,i don't1 z a usual ?+1 c>e to h&le cases ( t nature40 ,sm>t doctor6 ,he has got 8 human fly /uck on a gumm$ trap f :i* he c\ldn't extricate himself if he w\ld1 & he doesn't want to4 ,if ?is wond]ful treatm5t w re/ore 8 lo/ sexual p[]1 & ! doctor1 9 :om he has /rong confid5ce1 has told him x w\ld1 he's go+ to h x4 ,!re is a little m conv]sation ( an innocu\s sort1 & !n ! doctor says3 8,i'll tell y :at ,i w d1 ,mr4 ----4 ,:ile ,i am n c]ta9 t ! co/ ( ! treatm5t may n run z high z #a1ejj1 y may pay me #a1jjj & ,i w endeavor to get ! case clos$ = t am\nt4 ,%\ld x be necess>y to pay ! o!r #ejj ,i'll leave x to y\r honor1 b ,i am reasonably confid5t t ,i c make ! necess>y arrangem5ts = #a1jjj40 ,?is looks good to ! man :o has rosy visions ( a re/oration to ! fire & vigor ( y\?1 & he g5]ally draws a *eck on ! spot4 ,if 8 bank acc\nt w n admit ( ?is he gives a 8memor&um10 at lea/ t is :at ! doctor calls x1 & ! deal is clos$4 ,!re are simil> ways ( gett+ additional fees f pati5ts :o h already paid well = ! orig9al treatm5t4 ,"o man 7or woman7 ne$s ! eyes look$ aft] & fitt$ ) prop] glasses1 ano!r %\ld h ! tee? fix$ up1 ano!r requires a special surgical appliance1 :ile /ill ano!r %\ld h a special prescription comp\nd$4 ,! doctor always has a li/ ( exp]ts to :om he directs pati5ts on ! fee-%>+ plan1 & ^! fees are nev] ov]-mode/4 ,to ! doctor's cr$it be x said t he inv>iably w>ns su* pati5ts t if !y want ! be/ !y mu/ expect to pay well = x4 ,x w und\bt$ly co/ consid]able money1 b ! results w ju/ify ! exp5diture4 8,y\r eyes c]ta9ly ne$ att5tion1 ,mrs4 ----1 & x w\ld be a good plan to h x done :ile y are "h 9 ,*icago4 ,! long] y put x (f1 ! m s]i\s ! complication w become4 ,b1 :atev] y d1 don't g to "o ( ^! *eap occuli/ fakirs4 ,!y are liable to ru9 y\r eyesight40 8,:o is a good man1 ,doctor80 is ! natural inquiry4 8,!re are a numb] ( able1 compet5t oculi/s "h4 ,dr4 ,see/raight /&s at ! head ( 8 pr(ession1 & is probably ! mo/ satisfactory ( ! lot4 ,i'll give y a c>d to him1 if y wi%4 ,he has always att5d$ to my eyes1 & has giv5 satisfaction40 ,?is pr(f] is gladly accept$ & :5 ! pati5t leaves ! doctor's (fice %e c>ries a note ( introduction to ,dr4 ,see/raight4 ,x is an innoc5t look+ note1 b x conta9s a hidd5 ciph] :i* gives ! oculi/ a tip z to ! fee :i* he may safely "n4 ,?is ciph] is g5]ally made 9 fl\ri%es1 "u ! doctor's signature1 un9telligible to ! pati5t1 m]e fl\ri%es z x 71 b p]fectly pla9 to ,dr4 ,see/raight4 ,:5 ! latt] collects 8 fee he s5ds half ( x to ! physician :o recomm5d$ ! pati5t1 & ! incid5t is clos$4 ,! same arrangem5ts are made ) c]ta9 ph>maci/s1 d5ti/s1 & surgical in/rum5t mak]s4 ,!re 0 "o physician 9 ,*icago :o made x a practice to say to c]ta9 ( 8 pati5ts3 8,y are gett+ along v nicely1 b recov]y w\ld be mu* m rapid if y c\ld take a little extra special treatm5t4 ,b ,i hesitate to sugge/ x on acc\nt ( ! exp5se & ! difficulty ( procur+ ! prop] +r$i5ts40 8,d>n ! exp5se1 ,doctor1 if ! /uff w d me good4 ,:at is x1 & :]e c ,i get x40 8,!re are sev]al +r$i5ts1 & ! only place 9 ,*icago :]e !re is any prospect ( f9d+ !m is at ,doem ,doem's4 ,b !y don't always h a supply4 ,!y are =eign prep>ations1 v exp5sive1 & !re is su* little dem& = !m t ph>maci/s dislike to c>ry !m 9 /ock4 ,i'll write ! prescription1 b ,i c't v\* = y\r gett+ x comp\nd$4 ,at any rate if y c't get x fill$ at ,doem ,doem's1 !re's no use try+ any o!r drug /ore40 8,y dwell s on ! exp5se1 ,doctor1 t ,i'm curi\s4 ,:at w x co/80 8,! exp5se v>ies some:at4 ,! la/ pati5t ,i suppli$ ) ! prescription _h to pay #bc4be40 8,t's no?+40 ,! prescription is writt5 & ,doem ,doem f9d on x a ciph] tell+ !m t ! pati5t w /& = #be4 ,z a memb] ( ! firm glances x ov] he says to ! cu/om]3 8,?is is a v r>e & exp5sive prep>ation4 ,x happ5s t we h j ab\t en\gh mat]ial on h& to fill x1 b ,i feel t ,i %\ld w>n y fir/ t x w be v exp5sive40 8,i expect$ t4 ,dr4 ---- told me t x w\ld probably co/ #bc or #bd40 8,t w\ld h be5 a fair price a few weeks ago1 b s9ce !n !re has be5 an advance 9 ! co/ ( ! mat]ials & ,i %all h to *>ge y #be40 8,all "r4 ,g ahead & fill x4 ,a doll> or s won't /op me40 ,! cu/om] gets an ord9>y prep>ation :i* any druggi/ w\ld be glad to sell at #ej or #fj c5ts1 :ile ,messrs4 ,doem ,doem pocket #ab4ej1 & s5d a l am\nt to ! ent]pris+ doctor4 ,nor is ?is practice conf9$ to :at might be call$ ! tradesm5 9 m$ic9e1 ! druggi/s1 ! surgical in/rum5t deal]s1 & s on4 ,x is foll[$ by :at are kn[n z high-class surgeons1 m5 ( em95ce 9 ! pr(ession1 & ev5 f9ds favor among ! physicians !mselves4 ,x is no uncommon ?+ = ! doctors to ex*ange pati5ts & divide ! fees4 8,really1 ,mr4 ----1 y ought to consult ,dr4 ,flubdub ab\t t feature ( y\r case10 a doctor w say to a pati5t :5 he has ab\t exhau/$ him on ! fee proposition4 8,t p>ticul> feature is a little out ( my l9e4 ,x ne$s ! att5tion ( an exp]t speciali/ 9 t l9e1 & ,dr4 ,flubdub has made a close /udy ( j su* cases40 ,s ! pati5t goes to see ,dr4 ,flubdub & ! latt] is ready = him4 ,he has be5 advis$ by phone z to :at is com+ ab\t z foll[s3 8,hello1 is ?is ,dr4 ,flubdub8 ,yes4 ,?is is ,dr4 ,grab4 ,i h j advis$ a pati5t--,mr4 ----1 to see y4 ,he seems to h a little e> tr\ble t ne$s att5tion4 ,he'll /& = ab\t #bej40 ,?anks to ! tip giv5 by ,dr4 ,grab ! e> speciali/ is able to spe$ily locate & describe ! tr\ble ) :i* ,mr4 ---- is afflict$4 ,dr4 ,flubdub names 8 fee at #bej1 collects x1 & s5ds #abe to 8 wor?y bro!r1 ,dr4 ,grab4 ,x's a case ( two pluck "o4 ,:5 opportunity (f]s ,dr4 ,flubdub returns ! favor by s5d+ pati5ts to ,dr4 ,grab :o1 9 turn divides ! fee1 & ?us ! m$ical mill is kept busy4 ,"s physicians are v bold 9 dem&+ a division ( fees z if x 7 "r1 r ?an a honor>ium4 ,!re is a lett] 9 a c]ta9 (fice 9 ,*icago1 pres]v$ z an evid5ce ( gall1 9 :i* ! writ] says1 :5 sugge/+ t he c s5d ! recipi5t a pati5t3 8,! woman w d j ab\t :at ,i tell h]4 ,%e is bus9ess-l1 & s am ,i4 ,i ?9k %e w /& = #bjj4 ,n[1 if y c see any money 9 t aft] giv+ me #ajj1 ,i'll s5d h] to y2 if n1 :y ,i "k pl5ty ( o!rs :o w take ! case on ^? t]ms4 ,%e is my meat1 & w g :]e ,i say4 ,i am n *>g+ #ajj = my "t1 b = /e]+ ! case to y4 ,?is is my game & ,i c /e] ! case :]e ,i please10 etc4 ,no?+ mode/ or backw>d1 no hesitancy ab\t ?is4 ,! writ] comes bluntly to ! po9t1 )\t false delicacy or res]ve4 ,well1 to give ! devil 8 due1 ! fell[ 0 hone/ 9 8 /raight=w>dness4 ,he knew :at he want$1 & didn't hesitate to ask = x4 ,& ! doctor :o receiv$ ! lett]8 ,well1 to tell ! tru?1 he _h consci5ti\s scruples aga9/ t sort ( ?+1 s he lo/ ! case4 ,ano!r physician ( equal prom95ce got ! pati5t1 presumably on ! t]ms nam$ by ! writ] ( ! lett]4 ,speak+ ( deals betwe5 physicians & und]tak]s1 ,dr4 ,g4 ,frank ,lyd/on says3 8,ov] on ! great ,we/ ,side lives an und]tak] fri5d ( m9e1 :o1 9 def]5ce to 8 anci5t & honorable vocation1 we w call ,mr4 ,wat]y ,weeps4 ,my fri5d ,weeps has an eye to bus9ess2 9 fai?1 he has two eyes to bus9ess--bo? ( #8em r$2 "s say f #8r$ eye' homeopa?ically appli$4 ,i d n believe ?is !ory reg>d+ ,mr4 ,weeps' headlights4 ,_! peculi> bicycle lamp gl[1 l _! excessive humidity1 is due to 8 fai?ful1 sorr[ful #8proxify+4' ,9 ! c\rse ( my practice x did befall t a c]ta9 pulmonopa?ic vassal ( m9e--we w designate him z ,mr4 ,"o-,lung1 insomu* z he _h no o!r lung--did feloni\sly1 ) malice prep5se & a=e?\ght & int5t to deceive1 up & die4 ,hav+ a corpse on my h&s1 ,i naturally be?\ght me ( my po/-m$ical fri5d1 ,weeps1 :o und]take? mu* 9 t vic9ity4 ,weeps 0 prompt1 & my late fri5d ( ! pulmon>y solitaire 0 soon duly box$ & crat$1 ready = %ipm5t to 8 ance/ral home 9 #8,injianny1' :]eupon quo? ,weeps1 la*rymos+ 8 prettie/ ! :ile3 8#8,ahem1 ,doctor1 ,i am v mu* oblig$ to y = ! favor y h %[n me4 ,i hope to d a l>ge %>e ( y\r bus9ess 9 ! future4 ,i expect a *eck = ?is job to-morr[1 & w !n ext5d to y ! usual c\rtesies to ! m$ical pr(ession4' 8#8,ah1' ,i repli$1 #8& :at might t be8' 8#8,:y1 #be p] c5t4 ,i call t pretty good1 too1 consid]+ ! h>d times1 don't y ,doctor8' 8,& my fri5d ,weeps /ill ?9ks ,i 0 bluff+ :5 ,i decl9$ ! #8usual c\rtesies4' ,tru? is /range1 pass+ /range--/rang] ?an fiction40 ,!n !re is ano!r class ( physicians :o w n hesitate to take advantage ( a bro!r practition] if !y c d s to _! own b5efit4 ,?is is done 9 sev]al ways3 ,"o me?od is to misrepres5t ! f9ancial /atus ( ! pati5t :om he takes to an exp]t = consultation4 ,x is n long s9ce a physician call$ up ano!r by telephone & arrang$ = him to see a 8poor pati5t0 :o c\ld only pay a small fee = consultation4 ,! doctor ?us call$ ^u discov]$ t ! pati5t1 :o 0 a weal?y /ock rais] f ! ,we/1 _h paid 8 doctor fri5d a good fee already1 & _h arrang$ to pay him #bjj m = ! prospective op]ation--:i* ! second doctor 0 expect$ to tell 8 fri5d h[ to d4 ,x is frequ5tly ! case t g5]al practition]s call a consultant )\t mak+ arrangem5ts = ! fee be=eh&4 ,x is unpleasant to sp5d half a day or night 9 consultation & !n h ! doctor say3 8,n[1 doctor1 ^! p hav5't got mu* money1 s don't *>ge !m a l>ge fee40 ,! consultant !reupon cuts 8 fee 9 two4 8,well1 doctor1 ,i'll see t y get x 9 a day or two10 is ! reply4 ,b ! consultant nev] gets x4 ,%\ld he prote/1 ! family physician says1 8,don't be 9 su* a hurry1 doctor1 ,i hav5't got any?+ out ( ! case myself1 yet40 ,h[ easy x w\ld be = ! physician :o calls ! consultation to see t ! fee is ready :5 ! consultant comes4 ,unless !re is an und]/&+ t ! case is "o ( pure *>ity1 ! physician call+ ! consultation %\ld be held responsible = ! fee4 ,! consultant himself _c always d s1 b :]e possible he %\ld /ipulate be=eh& t a c]ta9 fee be 9 read9ess4 ,! family physician :o does n "k t su* a plan is be/ = 8 own int]e/s is /upid4 ,an intol]able nuisance to ! consultant is ! doctor :o writes a fri5dly lett] ask+ = 8! diagnosis1 prognosis & treatm5t0 ( "s case "u 8 c>e4 ,r>ely does he inclose a /amp1 nev] a fee4 ,! consultant :o answ]s su* lett]s1 save to in=m ! writ] t (fice r5t _c be paid by su* consultations1 is frequ5tly laugh$ at = 8 pa9s1 b ?is %\ld be ! rule4 ,a m 8pe/if]\s pr(essional p>asite10 if possible1 ?an ! =ego+1 is ! doctor :o ref]s a pati5t f a di/ance1 ) a reque/ to s5d ! bill to him4 ,"h aga9 ,dr4 ,lyd/on says3 8,i h s5t _m su* bills fir/ & la/--acc5t on ! #8la/'--b h nev] receiv$ a remittance1 nor d ,i expect my rew>d 9 ,heav54 ,9 ! fir/ place1 ,i am n s sure ab\t gett+ !re1 & if ,i 71 & knew t ^? doctor debtors 7 go+ to be !re too1 ,i--well1 ,i'd ask = a *ange ( v5ue4 ,z = ! pati5ts :o are accessories to su* pr(essional #8hold-ups1' a fell[ w\ldn't want to *ase ar\nd all ov] hades to collect 8 fees f !m40 ,no less an au?ority ?an ,dr4 ,john ,p4 ,"l1 presid5t ( ! ,we/]n ,surgical ,association1 9 an address deliv]$ be=e ! association1 said3 8,! practition]10 he said1 8w call a man ( suffici5t /&+ to enable him to "n a fancy price z ! consultant's fee1 :i* he collects1 & !n remits ! consultant ! m9imum fee4 ,! graft elem5t is also go+ into m$ical politics & "s c\nty societies are controll$ by x40 ,x w be notic$ t ,dr4 ,"l does n f9d fault s mu* ) ! division ( fees1 z ) ! unfair mann] ( division4 ,8 pla9t appe>s to be1 n t division 9 itself is wrong1 b t ! man :o h&les ! money does n treat 8 pr(essional bro!r fairly4 ,!re's a lot ( tru? 9 ?is1 b ! objectionable practice is mo/ly conf9$ to a class ( %ort-sight$ practition]s :o don't take ! future into consid]ation4 ,ano!r doctor1 speak+ on ! same subject1 said3 8,?is is an age ( comm]cialism 9 m$ic9e & surg]y4 ,graft rules ! majority4 ,!re are a few old fogies1 l myself1 :o don't graft--b d y "k :y8 ,j because we're too old to le>n h[4 ,oh1 yes1 we'd all d x if we _h a *ance1 ,i presume4 ,we'd be =c$ to4 ,^? :o d x claim t !y h to4 ,x may be ! public's fault1 b x's c]ta9ly h>d on ! public :i* has to d ! pay+ & :i* doesn't "k :e!r x has /oma* a*e or app5dicitis4 8,9 anci5t ,rome ! doctors us$ to graft successfully4 ,!y'd place a f+] on ! sev]$ end ( an art]y & say to ! pati5t3 #8,n[1 old fell[1 j come across ) ! fee1 "r away1 or ! f+] w be remov$ & y'll ble$ to dea?4' 8,we are com+ to t4 ,we may n "w x 9 ! same way1 b ! idea w be ! same4 ,ev5 n[ !y--or we--want money be=e op]ations1 & w endeavor to le>n some?+ ( a pati5t's /&+ 9 ! community be=e 8 *eck w be accept$4 ,w\ldn't a bus9ess man d ! same ?+8 ,& if surg]y is becom+ a bus9ess1 :y isn't x prop]8 ,x is prop]--f t /&po9t4 ,b1 oh1 ! pity ( ! pass+ ( old ideals6 8,! :ole matt] seems to me a "q ( economics4 ,! m$ical pr(ession is a belat$ pr(ession4 ,we _c collect a fee by /atute "u c]ta9 conditions--z :5 ! call comes f a ?ird p>ty4 ,we mu/ h money4 ,:at is !re left to d8 ,graft6 ,or #8comm]cialize4' ,t's a nic] "n = x4 ,let's see n[ j :at ! public br+s on its own head4 8,!re's a man :o ?9ks x is necess>y t 8 leg comes (f4 ,he has n]v$ himself = ! op]ation & has ann\nc$ 8 will+ness to pay1 say #bej4 ,a consci5ti\s surgeon exam9es ! leg & saves x )\t ! use ( a knife & ! man recov]s ! use ( x4 ,9 a few days he is able to sit up & dispute ! bill = #ajj1 claim+ x is exorbitant4 ,:at d y ?9k 8 argum5t is8 ,?is3 8#8,y didn't h to op]ate4 ,:y %\ld x co/ s mu*8'0 8,t may n be logic1 b x's :at happ5s "r along4 ,t is ! grateful reply we get f _m pati5ts = sav+ !m f mutilation4 ,& x is ?+s l t :i* h l>gely influ5c$ surgeons1 ,i believe1 to op]ate :5 x is unnecess>y4 ,x is n "r1 ( c\rse4 ,a surgeon %\ld be z a fa!r & "m to a helpless1 sick s\l4 ,/ill he is human & he mu/ live4 ,l ,rob9 ,hood1 !re is a bett] class ( surgical robb] :o takes only f ! ri*4 8,y "k1 ! ri* are always 9 a prec>i\s condition4 ,x's a mighty consci5ti\s doctor :o w tell a ri* man t 8 tr\ble is only imag9>y4 ,! av]age physician or surgeon w fly ar\nd briskly1 #8dope' ! man up & !n probably remove a p]fectly good app5dix--bill #b1jjj4 8,i att5d$ ! son ( a ri* man :o really _h app5dicitis at "o "t4 ,! op]ation 0 successful & ! boy pull$ ?r\gh1 al?\gh ,i nev] saw a m s]i\s case4 ,i s5t 9 a bill = #b1jjj & receiv$ no reply4 ,i tri$ aga9 & receiv$ no reply4 ,%ortly aft]w>d ,i met ?is man on ! /reet--y'd "k 8 "n if ,i 7 to m5tion x--& he said1 #8,i h no int5tion ( pay+ y\r exorbitant bill4' 8,i w\ldn't sue4 ,nev] d4 ,bad practice4 ,s ,i compromis$ = #ejj1 al?\gh he c\ld h paid #aj1jjj )\t miss+ x--& ! op]ation 0 wor? x4 8,!re are rogues 9 e pr(ession4 ,!re are brutes 9 ! m$ical pr(ession :o w dem& money f a woman be=e %e is out ( ! an/hetic--:o w haggle ) a dy+ man z to t]ms4 ,& !re are _m ( !m4 ,i c\ld m5tion names ( m5 9 ,*icago t w\ld make y op5 y\r eyes4 ,! really fir/-class doctor ( ! old s*ool :o reta9s ! old ideas ( ! pr(ession %\ld h a halo4 ,he des]ves x4 ,( c\rse he c't live by pursu+ su* antiquat$ me?ods z ^? ( a g5tleman1 b !n--says ! re/ ( ! _w--:o ne$s to live1 anyway80 ,! surgeon 0 ask$ ab\t ! numb] ( cases :]e lives _h be5 lo/ ?r\gh c>elessness or /upidity on ! "p ( surgeons4 8,caveat emptor60 0 8 reply4 8,y "k ! old gag8 ,let ! pur*as] bew>e4 ,he doesn't h to g to a poor doctor4 ,ev5 "s ( ! bigge/ graft]s are em95t surgeons & at ! top ( _! pr(ession4 ,i d n und]e/imate _! ability4 ,b heav5 only kn[s !re are ev] s _m cases ( recklessness or c>elessness or fooli%ness :i* h tak5 lives4 ,pati5ts keep "r on dy+1 y "k1 9 spite ( doctors or because ( !m4 8,a good example ( graft :i* came to my notice is ?is3 ,a "y ,sw$i% f>m] call$ 9 a doctor 9 a small t[n4 ,he _h pa9s & o!r ?+s & look$ g5]ally %ot to pieces4 ,! "y doctor spe$ily discov]$ t ! real tr\ble 0 lack ( air--unsanit>y conditions 9 ! home4 8#8,y hav5't typhoid fev]1 y goat1' he told ! fell[4 #8,i'll fix y 9 a few days4' 8,he op5$ ! b$room w9d[ fir/4 ,"s "o _h told ! f>m] he ought n to raise 8 w9d[ nights1 & !re he 0 sleep+ 9 t f\l atmosph]e4 ,no wond] he felt badly4 ,well1 anyway1 9 ! c\rse ( a few days my fri5d _h him feel+ bett]4 ,"o day he call$ up & said he #8w\ldn't be ar\nd t day4 ,x w\ldn't be necess>y--pati5t bett]1' & s =?4 8,!n ! quack hove 9 sight4 ,"s "o _h he>d ( him & he 0 s5t =4 ,he gave ! convalesc5t ,sw$e "o look & said3 #8,my ,god1 man6 ,y've got typhoid6 ,back into b$ ) y imm$iately or y'll die4' ,! t]rifi$ f>m] crawl$ back into b$ & began to feel worse imm$iately4 ,!n ! quack #8dop$' him religi\sly = a few days & #8completely cur$ him4' ,my fri5d _h be5 let g 9 ! meantime4 8,! idea ( ! y\ng] g5]ation ( doctors1 ,i f9d1 is j oppos$ to ! old ideal4 ,! "y man wants money & z a rule he isn't p>ticul> h[ he gets x4 ,he hu/les ?r\gh s*ool1 gorges 8 m9d = ! #8quiz'--a ridicul\s ?+--& gets 8 diploma4 ,no really good man c\ld pass a #8quiz4' 8,"s s*ools1 ( c\rse1 are good1 & ,i w say t ! mat]ial we h 9 ?is c\ntry ( :i* to make doctors _c be improv$ on2 b1 on ! o!r h&1 "s ( ! s*ools--_m ( !m--are s bad t no s*ool at all w\ld be bett]4 8,i mu/ say t ,i d n entirely agree ) ev]y?+ y h said 9 y\r book1 b ,i mu/ confess !re is mu* tru? 9 y\r /atem5ts4 ,z = ,dr4 ,"l's cont5tions--an5t graft+1 fee splitt+ & t sort ( ?+--well1 almo/ ev]ybody's do+ x4 ,i "k t4 ,! numb] ( physicians & surgeons 9 ,*icago :o w\ld n d x is s small t x w\ld be l look+ = a ne$le 9 a hay/ack to f9d !m40 ---------------------------------------- -------------------------------- ,,*apt] ,,xii ,,prop] ,,h&l+ ,,( ,,notes ,!re are times :5 z expla9$ 9 ,*apt] ,x1 ! full fee _c be obta9$ 9 ca% on ! spot4 ,:5 ?is occurs ! only way out ( ! difficulty is to get ! pati5t to sign a note4 ,b nev]1 :5 x c be avoid$1 all[ ! note to be made payable to y\rself4 ,draw x to ! ord] ( ! pati5t & h him endorse x4 ,also make x payable at a bank1 ! "n ( :i* is specifi$4 ,?is makes x negotiable &1 if ! f9ancial /&+ ( ! mak] is satisfactory1 x w be readily disc\nt$ :]ev] he is kn[n4 ,x is comp>atively easy = ! mak] ( a note payable to ! ord] ( a second p>ty to evade paym5t1 or at lea/ greatly delay x1 on ! plea ( 8no value receiv$40 ,x becomes d\bly s 9 cases :]e ! note is drawn 9 favor ( a physician1 or ! mak] lives 9 ano!r /ate4 ,:5 ?is occurs1 & x _c be %[n t ! pap] has pass$ into ! possession ( an innoc5t hold] = a bona fide consid]ation 9 ! ord9>y c\rse ( bus9ess1 !re w be tr\ble 9 collect+ on x %\ld ! mak] repudiate ! obligation4 ,9 su* ev5t collection1 if made at all1 mu/ be en=c$ ?r\gh ! m$ium ( a law suit4 ,?is necessitates s]vice on ! mak]4 ,if he c be f\nd )9 ! limits ( ! /ate 9 :i* ! note 0 sign$ he c be su$ !re1 b1 z a g5]al ?+1 ?is is a =lorn hope4 ,z a g5]al ?+ x necessitates a c\rt action 9 ! /ate :]e ! mak] resides1 & ?is means a he>+ be=e a jury ( 8 own neighbors4 ,9 su* cases a non-resid5t claimant has small *ance ( w9n+1 no matt] h[ j 8 claim may be4 ,& ?is *ance is /ill fur!r r$uc$ if he is a physician4 ,resid5ts ( o!r /ates d n look ) favor ^u non-resid5t doctors4 ,n only ?is1 b z a g5]al ?+ !y ?9k x _! duty to assi/ a neighbor 9 evad+ paym5t ( an obligation to a doctor :o is n "o ( !m4 ,notes drawn 9 ! mann] describ$--made payable to ! ord] ( ! sign] & endors$ by him--are n s easily repudiat$4 ,9 %ort ! burd5 ( pro(1 %\ld a conte/ be made1 is n on ! hold] b on ! mak]4 ,:5 su* a note passes into ! possession ( a ?ird p>ty ! only "q ab\t collection is z to ! f9ancial wor? ( ! sign]4 ,"u ?is latt] condition notes ( ?is k9d are iron-clad4 ,:5 suit is br\ght on a note made to ! ord] ( a physician1 & ! plea rais$ ( 8no value receiv$10 ! hold] mu/ prove t full value 0 giv5 & ?is is n always easy to d 9 cases ( m$ical treatm5t4 ,! pati5t may h be5 absolutely cur$ b1 if he *ooses to p]jure himself & d5y x :o is go+ to prove ! contr>y8 ,x w be inv>iably held t no "o is s compet5t to judge ( improvem5t1 or lack ( improvem5t1 z ! pati5t himself4 ,law suits are unc]ta91 exp5sive & (t5 long drawn out4 ,frequ5tly ev5 ! w9n] is a los]4 ,an easy way to avoid ?is annoyance & outlay is to h all notes made 9 ! mann] describ$4 ,nev] hold y\r notes4 ,always disc\nt !m at ! fir/ opportunity4 ,if !y are made by m5 ( means liv+ 9 ! t[n or c\nty :]e y practice ! local bank]s w be glad to h&le !m at a fair rate ( disc\nt4 ,!re is a speciali/ liv+ 9 ,*icago :o occasionally makes pr(essional trips into o!r /ates4 ,on ^! trips he frequ5tly has occasion to take a numb] ( notes4 ,8 pati5ts are mo/ly f>m]s1 & ^! r>ely c>ry ca%4 ,j be=e leav+ a t[n he w g to ! local bank] & introduce himself1 say+3 8,i've be5 do+ a little bus9ess 9 ! neighborhood &1 contr>y to my usual cu/om1 h tak5 "p ( my fees 9 ! =m ( notes4 ,if y h a few mom5ts to sp>e ,i w\ld be ?ankful = y\r op9ion z to _! wor?40 ,he does n ask to h !m disc\nt$2 does n try to dispose ( !m4 ,! bank] looks !m ov] & comm5ts on ea* some:at z foll[s3 8,h'm1 t's ,john ,smi?4 ,he's all "r2 good z gold4 ,owns #bej acres ( f9e l& cle>1 & is prompt pay4 8,?omas ,jones4 ,well1 ,i'm n s sure ab\t ,jones4 ,he's good1 b he's sl[1 & w /& y (f if he c40 ,?us he goes ?r\gh ! lot1 comm5t+ on ! f9ancial means & will+ness to pay ( ea* sign]4 ,:5 he has conclud$ ! doctor ga!rs up ! notes1 replaces !m 9 8 wallet1 *ats = a mom5t ab\t ! wea!r & crop conditions1 gives ! bank] a f9e cig>1 ?anks him he>tily = 8 c\rtesy1 & turns to leave4 ,c\ntry bank]s make ! mo/1 if n all ( _! money by disc\nt+ ! notes ( _! neighborhood f>m]s4 ,!y "k ! f9ancial record ( ev]ybody )9 rea*+ di/ance4 ,m5 :o are notori\sly h>d to collect f :5 ! cr$itor is a /rang] w pay ! local bank] )\t a murmur4 ,!y don't want to 8get 9 bad0 ) him because !y want a good cr$it :5 !y h occasion to borr[ money4 ,! result is t ! local bank] c collect 9 full on notes :i* 9 ! h&s ( o!r hold]s w\ld be wor?less4 ,!y dislike to see notes made by _! neighbors leave _! bank4 ,almo/ inv>iably ! bank] w say3 8,:at are y go+ to d ) t pap]1 ,doctor80 8,take x back to ,*icago1 & hold x until x is due1 ,i suppose10 replies ! doctor4 8,i don't "k :at else to d ) x40 8,i'll disc\nt "s ( x = y1 if y wi%40 8,well1 ,i w\ldn't m9d sell+ x if ,i don't h to pay too mu* ( a %>e40 7,?is 9 an indiff]5t mann]1 z if he didn't c>e :e!r he sold ! notes or kept !m47 8,let me see !m aga910 ! bank] w say1 n9ety-n9e times out ( a hundr$4 ,! doctor h&s !m ov]1 & ! bank] sorts out "s ( ! be/1 rem>k+1 8,i'll take ?is lot at #h p] c5t40 8,oh1 no4 ,i don't c>e to dispose ( !m 9 t way4 ,x's a case ( all or none4 ,i might bett] take a *ance on !m all ?an to h ! be/ cull$ out40 ,x usually ends 9 ! bank] tak+ ! entire lot at #aj p] c5t4 ,he w collect e doll> on !m1 & ! doctor has got rid ( a lot ( pap] on :i* he w\ld h h>d "w 9 gett+ half ( its face value4 ,?is plan seldom fails :5 c>ri$ out 9 ! "r way4 ,!re is "o class ( notes on :i* ! sign]s r>ely make a conte/4 ,^! are ! ones giv5 9 paym5t = sexual treatm5t4 ,a physician is1 z a rule1 safe 9 tak+ a note "u ^! conditions z he c usually collect ! full am\nt4 ,m5 are delicate ab\t ?is tr\ble & don't want _! fri5ds & neighbors to "k :at !y h be5 treat$ =4 ,to resi/ paym5t means a law suit 9 :i* ! physician w g on ! /& &1 "u ! que/ion+ ( 8 attorney1 br+ out ! fact t ,john ,jones1 ! mak] ( ! note1 gave x 9 paym5t ( treatm5t = pro/ratitis1 or "s o!r sexual ailm5t4 ,press$ = details he lays b>e ! :ole facts ( ! case to ! int5se mortification ( ,jones4 ,! doctor1 ( c\rse1 c\ld decl9e to answ] su* que/ions on ! gr\nd t x w\ld be a violation ( ! confid5ce exi/+ betwe5 a physician & 8 pati5t1 b he doesn't want to d s4 ,he's !re to collect t note1 & 9 fur!rance ( ?is purpose he has po/$ 8 attorney 9 advance z to ! que/ions to be ask$4 ,mo/ m5 ( s5se "k ?is & w pay _! notes1 reg>dless ( :e!r !y h be5 help$ or n1 r ?an submit to ! humiliation :i* !y "k w be heap$ on !m :5 ! doctor takes ! /&4 ,! h>de/ notes to collect are ^? giv5 9 paym5t = ! treatm5t ( ailm5ts o!r ?an sexual disord]s4 ,b ev5 ^!1 if made out 9 ! mann] outl9$ 9 ! op5+ "p ( ?is *apt]1 c be realiz$ on 9 full4 ,suppose a man liv+ 9 ,i[a gives a note ( ?is k9d to a ,*icago physician4 ,! latt] disc\nts x imm$iately at 8 local bank :i* takes x1 n because ! mak] is kn[n1 b on acc\nt ( ! doctor's endorsem5t4 ,j be=e maturity ! note is =w>d$ to ! mak]'s local bank = collection4 ,! local bank] notifies ! mak] t x holds ! note1 :i* w be due on su* a day4 ,:at does ! mak] d8 ,:y1 he antes1 ( c\rse4 ,! note is 9 ! h&s ( 8 local bank]1 a p]son ) :om he is anxi\s to pres]ve 8 cr$it4 ,9 su* a case1 ) ! note drawn to ! ord] ( ! sign] & endors$ by him1 !re c be no plea ( 8no value receiv$40 ,besides1 ! obligation is 9 ! h&s ( an innoc5t hold] be=e maturity4 ,bew>e ( collection ag5ts :o want to take y\r claims on a p]c5tage commission4 ,mo/ ( !m w deal ) y hone/ly at fir/ on small acc\nts1 & !n get away ) ! entire proce$s ( a big claim4 ,a few ye>s ago a ,*icago physician gave a numb] ( ord9>y bills to a local collection ag5cy = :i* he 0 to receive ! am\nt ( ! collections less #be p] c5t41 ! ag5cy to /& all co/s4 ,! ag5cy did good "w1 made satisfactory settlem5ts1 & f9ally ! doctor gave !m a note = #gjj :i* he held aga9/ a man 9 ano!r /ate4 ,x 0 to be collect$ on ! same basis--#be p] c5t4 ,aft] sev]al mon?s ( delay ! ag5cy advis$ ! doctor t a compromise c\ld be made at #djj4 ,! doctor au?oriz$ its acceptance4 ,m mon?s roll$ by1 &1 be+ unable to get ^w ( any k9d f ! ag5cy1 ! doctor wrote direct to ! local bank] 9 ! t[n :]e ! mak] ( ! note liv$4 ,! bank] repli$1 say+ t ! note _h be5 paid 9 full 7#gjj & int]e/7 sev]al mon?s be=e1 & x 0 !n 9 8 possession cancell$4 ,s9ce !n ?is physician has _h 8 own collector1 "u bond f a gu>antee company1 & gets :atev] money may be tak5 9 by him4 ,x is possible t ! physician might h prosecut$ ! ag5cy1 b "h aga9 he w\ld h be5 9 a dilemma4 ,if he br\ght a crim9al action x w\ld n get him any money1 & if he proce$$ civilly ! memb]s ( ! ag5cy 7 execution pro(--!y _h no?+ :i* c\ld be levi$ ^u4 ,9 ei!r ev5t1 9 ord] to prove paym5t1 he w\ld h to br+ ! bank] "h at 8 own exp5se--provid$ he 0 will+ to come--s he conclud$ to drop ! matt] & accept x z a co/ly lesson4 ---------------------------------------- -------------------------------- ,,*apt] ,,xiii ,,prescrib+ ,,( ,,rem$ies ,! "t w come :5 ! physician :o has n made an arrangem5t ) "s ph>maci/ = a division ( ! prescription fees1 w be oblig$ to resort to old-"t me?ods & disp5se 8 own rem$ies4 ,he w h to d ?is1 or g out ( bus9ess--excuse me1 ,i meant give up practice4 ,x's high treason1 une?ical1 to speak ( a doctor z be+ 9 bus9ess1 b !re's no good reason = x4 ,any?+ t a man makes a liv+ at is a bus9ess1 & if ! doctor _c make a liv+1 & some?+ m1 :y he's 9 ! wrong rut4 ,b>r+ ! division arrangem5t ref]r$ to !re are ?ree ?+s oppos$ to ! physician's int]e/ :i* ! druggi/ mu/ d1 or give up 8 /ore4 ,^! are3 #a4--,sell pat5t m$ic9es4 #b4--,prescribe ov] ! c\nt]4 #c4--;,*>ge exorbitantly = ! m$ic9es prescrib$4 ,!re is no?+ 9 all ?is t is illegal1 b x is oppos$ to ! be/ int]e/s ( ! pr(ession4 ,at fir/ sight x appe>s an evid5ce ( imbecility to s5d prescriptions to be comp\nd$ by a competitor4 ,yet y s5d !m to ! druggi/1 :o is y\r mo/ active competitor4 ,n only is he "o directly1 b he is (t5 ! ag5t ( "s o!r doctor or doctors ^: m]its he glibly contracts ) y\r dem]its1 = ! edification ( ! pati5t4 ,y tell him1 "t & aga91 n to repeat y\r prescriptions1 b to no purpose4 ,9 "s cases y "k t he is giv+ commissions to "o set ( doctors1 :ile 8 cl]ks are gett+ commissions f practice s5t to o!rs1 yet y /ick to him4 ,n[1 !re's b "o solution ( ! problem4 ,e doctor :o c %\ld disp5se 8 own m$ic9es4 ,! p l x1 & ! pr(ession w soon le>n to l x4 ,! doctor c furni% m$ic9es *eaply & /ill make a pr(it4 ,! pati5t pays a bill = s]vices & m$ic9es mu* m *e]fully ?an "o = s]vices alone4 ,n ! lea/ ( ! good ?+s t w\ld result f ! doctor do+ 8 own disp5s+ w\ld be ! famili>ity ) 8 work+ tools ?us acquir$4 ,mo/ m5 ent] practice )\t ! lea/ k ( ! physical qualities ( ! drugs !y expect to use4 ,_m a man has prescrib$1 ov] & ov] aga91 rem$ies he nev] saw1 smelt or ta/$4 ,! be/ doctor is he :o is mo/ famili> ) 8 curative ag5ts4 ,ano!r desirable result w\ld be ! doctor's r5unciation ( polyph>macy4 ,he w\ld soon le>n t ! numb] ( s]viceable drugs is by no means legion4 ,:]e a numb] ( doctors occupy an (fice1 !y %\ld h _! own disp5s>y4 ,:5 nei!r plan sugge/$ is feasible1 ! doctor %\ld endeavor to f9d a druggi/ :o1 9 consid]ation ( hav+ practically a monopoly ( ! prescriptions ( t p>ticul> physician1 w disp5se 8 prescriptions on ciph] & nev] )\t an ord]4 ,x is possible to f9d su* druggi/s4 ,self-int]e/ is likely to induce !m to treat ! doctor fairly1 :5 all o!r argum5ts fail4 ,!re is a peculi> advantage 9 ?is sy/em 9 ! fact t ! doctors' favorite =mul c be kept 9 quantities already prep>$1 ?us sav+ "t & assur+ uni=mity 9 disp5s+4 ,"u su* an arrangem5t1 too1 ! druggi/ is able to be mu* m reasonable 9 8 prices4 ,he is also likely to keep su* special prep>ations z ! doctor may reque/1 ?us avoid+ ! temptation to sub/itute4 ,"o ?+ is c]ta9 9 ! relations ( doctor & druggi/1 viz41 ! "t is n f> di/ant :5 ! doctor w ei!r disp5se 8 own drugs or w boycott e druggi/ :o c\nt]-prescribes or sells pat5t m$ic9es4 ,! pr(ession w n g bl9dly on =ev]1 c>ry+ gri/ to ! o!r fell['s mill4 ,next we mu/ cont5d ) ! propriet>y m$ic9e fakir4 ,! doctor's exp]i5ce (t5 bre$s a lack ( confid5ce 9 8 rem$ies1 & 8 mat]ia m$ica n>r[s ye> by ye>4 ,yet 8 pati5ts clamor = relief1 & 9 despair ! doctor receives1 ) op5 arms1 ! fakir :o agrees to furni% him ) spe$y cures4 ,behold ! result4 ,! ph>macopeia is fa/ drift+ into ! valley ( dead lumb]4 ,x is no long] necess>y to "k any?+ ( mat]ia m$ica & !rapeutics--! fakir att5ds to all t = u4 ,we are no long] (f5d$ by ! gratuit\s insult (f]$ u by ! propriet>y m$ic9e fi5d1 :o knocks at our door1 &1 ) ! impli$ ins9uation t he furni%es bra9s = ! m$ical pr(ession1 clutt]s our (fice tables up ) samples1 ! labels on :i* tell u all ab\t diseases & ! only prep>ations t w cure !m4 ,pah6 ,h[ mo/ ( !m smell6 ,& :at a nuisance !y are4 ,b ! fakir has done 8 "w well4 ,he has evolv$ ! ready-made doctor--man ( all "w1 aye1 slave to ! fakir4 ,h[ g5tly fl[s ! curr5t ( ,dr4 ,readymade's pr(essional life4 ,no m incurable cases4 ,no m midnight oil--= :y %\ld he be a slave ( ! lamp8 ,no m worry4 ,no m c>e4 ,no m exp5ditures = books1 j\rnals & in/rum5ts4 ,all ! doctor has to d n[adays is to read ! labels on ! bottles & boxes ( samples ! fakir br+s him4 ,does ! pati5t compla9 ( /oma* di/urbance8 ,he is giv5 8,/oma*9e40 ,are 8 kidneys work+ ov]time8 8,kidneyol0 is ! prop] cap]4 ,is !re a pa9 lurk+ some:]e 9 8 economy8 ,give him "o ( ^! pretty little tablets ) a hi]oglyph on x1 :i* nobody kn[s ! composition (--s ! firm t makes !m claims4 ,oh1 ! practice ( m$ic9e is s easy n[adays4 ,ready-made diagnosis & treatm5t--:at c\ld be simpl]8 ,! propriet>y m$ic9e fakir beg9s 8 little song by assur+ ! physician t 8 wond]ful prep>ation is = ! use ( ! pr(ession only4 ,he is try+ to introduce x 8along /rictly e?ical l9es40 ,he has giv5 ! prep>ation a fanciful "n & m>k$ x ) a special design 8= ! protection ( ! physician1 :o1 ( c\rse1 wants to "k t 8 pati5t gets j :at is ord]$40 ,:at an imbecile ! doctor is4 ,! *ief objects ( ! special "n & hi]oglyphic design are3 7#a7 ,to induce ! physician to ord] ! prep>ation frequ5tly1 ! "n be+ cat*y & easy to rememb]4 7#b7 ,to let ! pati5t "k :at is ord]$1 s t he c prescribe x = himself & fri5ds )\t ! aid ( a doctor4 ,hav+ popul>iz$ ! prep>ation 9 ?is mann]1 ! propriet>y m$ic9e man (t5 adv]tises 8 w>es directly to ! public via ! secul> press4 ,if ! pr(ession prote/s1 ! wily m$ic9e man says3 8,well1 y indors$ x2 ! pr(ession uses x2 h5ce x is a good prep>ation & a b5efit to humanity4 ,g to1 y are bigot$ & n>r[-m9d$40 ,n[1 bre?r51 :ile ! =ego+ rem>ks are fre% 9 y\r m9ds1 try & recall ! facts reg>d+ 8,scott's ,emulsion0 & ! 8,midy ,capsule40 ,n all propriet>y m$ic9e m5 take ! newspap] r\te--!y don't h to4 ,! catspaw doctor does 8 "w too well4 ,witness ! 8little jok]0 anti-pa9 tablet already m5tion$4 ,probably t5 times z mu* ( ?is prep>ation is self-prescrib$ z is prescrib$ by physicians4 ,x unque/ionably conta9s drugs t %\ld be tak5 only "u m$ical advice1 & yet physicians prescribe x 9 a mann] :i* leads directly to self-prescrib+ by ! laity4 ,is x possible t ! ,ph>macopeia (f]s no ag5t ( equal or bett] m]it8 ,has ! manufactur] m wisdom ?an all ! ages pa/--to say no?+ ( ! pres5t age ( progress8 ,or is ?is an age ( m$ical progress1 anyway8 ,we h]e) submit ! proposition t ! m$ical catspaw is pull+ ! propriet>y monkey's *e/nuts out ( ! fire1 e "t he prescribes a propriet>y article 8protect$0 by special design & "u a t]m t he :o runs may read4 ,! fakir laughs 9 8 sleeve at ! pr(ession1 & small wond]4 ,x has come to pass t he owns u1 & :5 8 impud5t ag5t dem&s a he>+ at our (fices we are tacitly giv5 to und]/& t our "t is 8 by "r4 ,p]haps x is1 by "r ( conque/1 = ! m$ical pr(ession seems to be ?or\ghly subjugat$4 ,! di/ributor ( drug samples is always work+ 9 ! bus9ess int]e/s ( 8 firm & himself4 ,h[ w\ld x d to insi/ on paym5t = our "t f ! ag5ts ( "s ( our irresponsible1 mu%room fake m$ic9e factories8 ,!re is ano!r side to ! picture4 ,drug manufactur]s--ev5 "s ( ^? engag$ 9 ! manufacture ( quasi-propriet>y m$ic9es--h done mu* = ph>maceutic elegance & conv5i5ce4 ,_m ( our manufactur]s are consci5ti\sly proce$+ along e?ical l9es4 ,we are glad to welcome _! repres5tatives & _! prep>ations4 ,b1 un=tunately1 su* manufactur]s are a small m9ority4 ,! physician %\ld be c>eful h[ he prescribes ! prep>ations ( ev5 reliable firms4 ,prep>ations ) special & /rik+ names %\ld be prescrib$ "u =mula1 :]e possible1 & always 9 su* a mann] t ! pati5t _c prescribe ! prep>ation = himself (fh&4 ,we h mu* = :i* to ?ank "s ( our manufactur]s1 9 ! way ( elegant & reliable prep>ations--honor to :om honor is due4 ,we %\ld none ! less1 h[ev]1 gu>d our own int]e/s4 ,! manufactur]s _c always d s1 & sometimes w n4 ,!re is no objection to secret me?ods ( prep>ation ( m$ic9e s long z ! =mula is kn[n4 ,! physician %\ld "k :at he is prescrib+4 ,x is an insult to (f] him any o!r class ( prep>ations4 ,:5 prescrib+ he %\ld prescribe "u a t]m compreh5d+ ! =mula ( ! drug1 or "u 8 own ciph]4 ,:]e ! nature ( ! prep>ation is su* t he _c d ?is1 ! doctor _h bett] look else:]e = a rem$y4 ,aga9 we say1 if y _c make a satisfactory division arrangem5t ) a compet5t ph>maci/ :o w protect y\r prescriptions1 & treat !m z confid5tial1 disp5se y\r own rem$ies4 ,nev] prescribe a propriet>y rem$y by its trade "n4 ,9 s do+ y advise ! pati5t ( :at he is tak+ & 9 "t he w buy x )\t y\r prescription or advice4 ,if y are satisfi$ t ! prep>ation is a good "o & really has m$ic9al m]it--:i* a few ( !m d--prescribe x1 if y mu/1 by =mula4 ,don't let ! pati5t "k :at y are giv+ him4 ,! money 9 ! practice ( m$ic9e is 9 my/]y4 ,p don't atta* mu* importance or value to ?+s t !y "k4 ,x is ! my/]i\s t comm&s _! att5tion--& money4 ,let a man "k t y are giv+ him a c]ta9 propriet>y prep>ation & he values x only at ! e/abli%$ m>ket price4 ,give him ! same +r$i5ts 9 ! =m ( a regul> prescription1 ea* item writt5 out 9 its ,lat9 "n ) ! prop] hi]oglyphics = quantities1 & he w rate y z a wond] work]4 ,add 8aqua1 quant4 suf410 & he is knock$ daffy4 ,x's simply ano!r =m ( t peculi> trait ( human nature :i* leads ! av]age man to 8kick0 :5 8 regul> family physician *>ges #e = mak+ a t5-mile call on a /ormy night1 :5 he w travel ! t5 miles himself & *e]fully pay a speciali/ #be = t5 m9utes' consultation 9 ! latt]'s (fice4 ---------------------------------------- -------------------------------- ,,*apt] ,,xiv ,,corporation ,,doctors ,( rec5t ye>s _m corporations1 especially ! l>ge manufactur+ & railway conc]ns1 h made x "p ( _! policy to employ doctors on contract4 ,at fir/ su* jobs paid fairly well4 ,x 0 to ! int]e/ ( ! corporations to engage m5 ( reputation & !y _h to pay !m4 ,x s\nd$ well1 x creat$ a favorable impression1 to h x kn[n t ! ,unit$ ,/ates ,/eel ,corporation _h engag$ ! celebrat$ ,dr4 ,curem to att5d to su* ( its employees z might become sick or disabl$ :ile 9 s]vice4 ,truly1 a g5]\s corporation1 ! public w\ld argue4 ,x n only looks aft] its sick & injur$ )\t *>ge to ! un=tunate1 b x gives !m ! b5efit ( ! be/ m$ical & surgical tal5t obta9able4 ,b ! corporations did n d ?is f philan?ropic motives4 ,n mu*4 ,x 0 a matt] ( bus9ess4 ,sickness & accid5t among a l>ge =ce ( employees co/s money4 ,! quick] x c be ov]come ! bett] (f ! company w be4 ,b1 ! reputation = philan?ropy once e/abli%$1 ! corporations began to economize 9 _! outlay = m$ical exp5ses4 ,= ?is ! doctors & surgeons 7 l>gely at fault !mselves4 ,! plum 0 too tempt+ & !re 0 a ke5 competition = x1 ) ! result t prices took a %>p tumble4 ,physicians ) a small practice :o he>d ( o!r doctors gett+ #e1jjj a ye> to look aft] ! sick & injur$ employees ( a corporation argu$ t !y w\ld l to d ! "w = #b1jjj4 ,x w\ld ensure liv+ exp5ses1 & :at !y c\ld pick up on ! side 9 regul> practice w\ld be pr(it4 ,!y didn't "k1 until too late t ! dem&s on _! "t w\ld be su* t !y w\ld h little opportunity = outside practice1 & t ! #b1jjj !y receiv$ f ! corporation w\ld cov] _! entire income4 ,s !y began bidd+ & wire-pull+ aga9/ "o ano!r1 & ! corporations1 wise unto _! day & g5]ation1 took advantage ( ! unseemly competition4 ,9 no "o l9e ( corporate endeavor is ?is competition m ke5 & noticeable ?an 9 life insurance4 ,x is n s v long ago t ! position ( m$ical exam9] = a good company 0 a respectable1 lucrative position4 ,:at is x n[8 ,x is safe to say t !re is h>dly a company 9 ! field to-day t pays a dec5t sum = its m$ical exam9ations4 ,! doctor is ! wat*dog ( ! company's treasury4 ,he /&s betwe5 x & great f9ancial loss4 ,he protects x aga9/ fraud4 ,a slight error or ! lea/ degree ( neglig5ce on 8 "p may co/ ! company ?\s&s & ?\s&s ( doll>s4 ,! issuance ( a policy is a v important bus9ess transaction4 ,! doctor /&s 9 ! same relation to x z does ! lawy] :o exam9es ! ab/ract 9 a real e/ate deal4 ,contra/ ! fee all[$ ! m$ical exam9] 9 a case involv+ ! issuance ( a #ajj1jjj life insurance policy & t receiv$ by ! lawy] :o exam9es ! ab/ract 9 a real e/ate transf] involv+ #e1jjj1 & my argum5t is complete4 ,"s companies expect to secure all ( an exp]t exam9]'s "t--& actually get x--= #b1jjj to #c1jjj a ye>4 ,x might be well to contra/1 also1 ! commission receiv$ by ! ag5t :o writes ! policy1 ) ! m$ical exam9]'s fee4 ,9 ! case ( our frat]nal societies ! exam9]'s fees are pitifully l[1 s l[ t a busy man _c d ! "w save at a great loss ( "t4 ,!re are "s ext5uat+ circum/ances 9 ! case ( ! co-op]ative societies4 ,9 ! case ( bo? old l9e & co-op]ative insurance1 h[ev]1 only ! ov]cr[d$ & g5]ally pov]ty-/rick5 condition ( ! m$ical pr(ession c possibly expla9 ! fact t good m5 are to be _h s *eaply4 ,railroad & manufactur+ corporations h no difficulty 9 secur+ doctors to look aft] _! int]e/s at a rate s l[ z to reflect on ! respectability ( ! pr(ession at l>ge4 ,!re are1 = example1 in/ances 9 :i* doctors are r5d]+ = #cjj a ye> s]vices t %\ld br+ sev]al ?\s& doll>s at v ord9>y fees4 ,9 addition to ?is direct *eap5+ ( pr(essional values1 ! company or corporation surgeon is expect$ to g on ! /& z an exp]t & prev>icate 9 ! int]e/s ( 8 employ]s4 ,z a coroll>y1 he is expect$ to te/ify aga9/ ! int]e/s ( ! poor fell[ :o1 p]haps1 z ! result ( ! company's wilful neglect1 has only ! wreck ( a once vigor\s manhood ) :i* to oppose ! company's imm5se capital4 ,& ?is ! doctor does 9 an uncom=table proportion ( cases4 ,:5 ! *>ge is made t he 8prev>icates0 x is correct4 ,x w\ld be pitiful1 inde$1 if ! exp]t op9ions r5d]$ by "s corporation doctors 7 ! result ( ignorance4 ,! corporation exp]t does n always prev>icate4 ,! tru? may be ! be/ c>d to play4 ,he _h bett] n let ! corporation cat* him tell+ ! tru?1 h[ev]1 :5 said tru? is prejudicial to its int]e/s4 ,!re is an ax1 my bre?r51 an ax t is ev] ready4 ,speak+ ( corporation surgeons rem9ds me ( ! fact t practice 9 ! neighborhood ( our l>ge factories is r poor pick+ = ev]ybody4 ,!re is pl5ty ( "w to be done1 & !re w\ld be consid]able income d]iv$ !refrom1 b ! corporation surgeon gets x all1 & receives a m]e pittance !re=4 ,! corporation claims to employ a surgeon = humanity's sake4 ,?is is pure hypocrisy--! doctor is employ$ = its own protection4 ,e doctor kn[s ( cases 9 :i*1 by ! co-op]ation ( ! claim ag5t & ! surgeon1 an injur$ employee has be5 induc$ to sign away 8 manife/ rights4 ,he is usually d5i$ ! "r to select 8 own surgeon4 ,to ! non-p>tisan m$ical obs]v]1 ! bitt] opposition ( ! av]age juryman to corporations is 9 no wise rem>kable4 ,x w be argu$ t !re are pl5ty ( hone/ corporation doctors4 ,grant y t1 b x is h>d to see h[ !y hold _! jobs4 ,!n !re is a hurtful disposition to frat]nize4 ,9 ! good old days ! regul> pr(ession o/raciz$ him :o consult$ ) t horrid bugaboo1 ! homeopa?4 ,x has come to pass t ! regul> lion has laid him d[n beside ! homeopa?ic lamb4 ,& :5 !y rise aga9 ! mutton %all be no m1 & ! lion %all h wax$ fat4 ,! latt]-day regul> has gone f>!r1 & hobnobb$1 z on equal t]ms1 ) 8o/eopa?s10 8,*ri/ian ,sci5ti/s10 8fai? heal]s10 & o!rs ( _! ilk4 ,n s8 ,oh1 yes x is4 ,x is n long s9ce ! ,physicians' ,club ( ,*icago invit$ repres5tatives ( ^! cre$s to break bread ) x1 & =mally discuss ! m]its & dem]its ( _! !ories z oppos$ to regul> m$ic9e4 ,! affair 0 giv5 great publicity 9 ! newspap]s1 & ! wise layman1 read+ !re(1 laugh$ exce$+ly m]ry & said1 8,:at fools ^! doctors be40 ,&1 f a bus9ess1 politic & social /&po9t1 7 !y really s v clev]8 ,! ,physicians' ,club gave ^! p /&+ 9 ! public eye1 & by invit+ !m to a jo9t discussion1 gave !m pr(essional recognition--a recognition !y 7 n sl[ to use z a valuable adv]tisem5t4 ,if a d9n] invitation does n con/itute social recognition1 :at does8 ,?is action ( ! ,physicians' ,club did m to fur!r ! int]e/s ( ^! p ?an !y !mselves c\ld h done 9 a ye>4 ,/ill1 mi/akes w happ51 & ! wor/ t c be said ( ! club is t x made a s]i\s1 impolitic & unbus9ess-l blund]4 ,x is mu* easi] to direct att5tion to faults ?an x is to sugge/ rem$ies !re=4 ,9 mo/ ( ! po9ts "h made1 ! rem$y sugge/s itself4 ,9 g5]al1 ! rem$y lies 9 an improvem5t ( pr(essional esprit de corps4 ,) a bett]m5t ( ?is z a f\ndation1 mu* c be done to improve ! bus9ess aspect ( m$ic9e 9 its high] s5se4 ,! "t w come :5 pr(essional co-op]ation 9 ! broade/ s5se w be absolutely necess>y if we w\ld survive4 ,a little ( ! prop] _s ( trades unionism might n be a bad ?+4 ,s f> z ! /rictly f9ancial aspect ( legitimate practice is conc]n$1 ! soon] we impress ! public ) ! idea t we appreciate our own m>ket value & insi/ on its appreciation by ! public1 ! bett] x w be = ! pr(ession4 ,once let x be und]/ood t ours is a bus9ess-l & f9ancially s\nd pr(ession1 & ! hoi polloi w give u ! respect t is our due4 ,! public %\ld h frequ5t & po9t$ rem9d]s t !re is m ?an a philan?ropic side to our labors4 ,! doctor's wife & *ildr5 des]ve q z mu* consid]ation z ! layman's4 8,i "k t ! _w1 ! great big _w1 ,f ! peasant up to ! k+1 ,has a diff]5t tale f ! tale ,i tell1 ,& a diff]5t song to s+4 ,b = me--& ,i c>e n a s+le fig ,if !y say ,i am wrong or "r-- ,i %all always g 9 = ! weak] dog1 ,= ! "u dog 9 ! fight4 ,i "k t ! _w1 ! great big _w1 ,w nev] a mom5t /op ,to see :i* dog may be 9 fault1 ,b w %\t = ! dog on top4 ,b = me1 ,i %all nev] pause to ask ,:i* dog may be 9 ! "r1 ,= my he>t w beat1 :ile x beats at all1 ,= ! "u dog 9 ! fight4 ,p]*ance :at ,i've said 7 bett] n said1 ,or 'tw]e bett] ,i'd said x incog2 ,b ) he>t & ) glass fill$ *ock to ! brim1 ,"h's luck to ! "u dog40 ---------------------------------------- -------------------------------- ,,*apt] ,,xv ,,m$ical 8,,/e]]s0 ,,& ,,_! ,,"w ,e doctor has 8 /e]]s1 p :o drum up bus9ess = him4 ,9 _m in/ances x is a s]vice will+ly p]=m$ out ( real affection & confid5ce 9 ! skill & ability ( ! physician4 ,! latt] is unconsci\s ( any su* influ5ce be+ ex]t$ 9 8 behalf until he is told by "s new pati5t1 8,i 0 advis$ to come to y by ,mr4 ----1 :o says y are ! only man :o ev] did him any good40 ,?is is 8/e]+10 legitimate1 unpaid-= /e]+4 ,! doctor is1 ( c\rse1 grateful to ,mr4 ----1 or ought to be1 b x is seldom t he gives ! matt] a second ?\ght4 ,!n !re is ano!r k9d ( 8/e]+10 ! cold1 comm]cial v>iety 9 :i* ! labors ( ! /e]]1 if !y are successful1 are rew>d$ 9 co9 ( ! realm4 ,ne>ly e adv]tis+ physician--& "s :o d n adv]tise--has "o or m ( ! g5us 8/e]]0 on 8 /aff4 ,!re is j z mu* ca/e1 j z pron\nc$ a social di/9ction 9 ?is call+ z !re is 9 ! m$ical pr(ession itself4 ,! *eap doctor has *eap1 r\gh /e]]s2 ! doctor :o is high] up 9 ! social scale has smoo? diplomats 9 8 employ4 ,! object ( all is ! same--to get bus9ess = _! employ]1 & ! m bus9ess !y get ! l>g] are _! incomes4 ,!re are "s /e]]s :o ?9k !mselves well repaid if !y are h&$ a doll> = ea* pati5t !y l& 9 ! (fice ( ! physician :o employs !m4 ,^! are ! m5 :o c approa* only a *eap class ( p to :om a five doll> fee is ! limit4 ,! bett] class ( /e]]s1 ! m5 :o "w = ! big fee gett]s1 scorn a sal>y1 or a /at$ am\nt = ea* pati5t4 ,!y pref] a p]c5tage1 usually "o-qu>t] ( ! fee secur$ f ! pati5t4 ,!re are m5 9 ,*icago :o are mak+ #aej a week 9 ?is occupation4 ,g into ! rotunda ( any fir/-class hotel 9 ,*icago1 ,new ,york1 or "s o!r l>ge city & affect to walk lame z if afflict$ ) locomotor ataxia1 or make up to resemble a confirm$ invalid4 ,x w n be long be=e y w be approa*$ by "s well-dress$1 prosp]\s-look+ individual :o w say3 8,beg p>don1 sir1 b y appe> to be suff]+ f locomotor ataxia4 ,y w excuse me = address+ y1 b ,i 0 afflict$ 9 ! same way myself = t5 ye>s1 & h a sympa!tic feel+ = fell[ suff]]s40 ,if y are a g5u9e suff]] ?is w comm& y\r att5tion4 ,"h is a robu/1 heal?y man :o tells y t = t5 ye>s he 0 afflict$ ) ! same ailm5t :i* y h be5 assur$ by _m physicians is incurable4 ,naturally y want to "k h[ ! disease 0 ov]come4 ,! /rang] smiles1 & says3 8,:y ! ?+ is s easy x s\nds ridicul\s1 & ,i dislike to tell ( x on t acc\nt4 ,= eight ye>s ,i doctor$1 & sp5t a l>ge am\nt ( money1 )\t obta9+ ! slighte/ relief4 ,ab\t two ye>s ago ,i read 9 a magaz9e ( a new treatm5t ) :i* wond]ful results 7 be+ accompli%$4 ,aft] s _m failures ,i naturally didn't h mu* fai?1 b ?+s c\ldn't be any worse s ,i decid$ to inve/igate4 ,:at ,i le>n$ l$ me to take ! treatm5t4 ,!re 0 an improvem5t aft] ! fir/ week1 & at ! end ( ! six? mon? ,i 0 j z s\nd z ,i am to-day4 ,t 0 eighte5 mon?s ago1 & !re are no signs ( a reaction ( any k9d40 ,by ?is "t ! real suff]] is deeply impress$4 ,"h is a prosp]\s /rang]1 once a fell[ suff]]1 dangl+ be=e 8 eyes ! hope1 nay1 ! c]ta9ty1 ( cure1 ) no o!r object ?an t ( sympa?y4 ,x is ! "o *ance = :i* he has be5 s long & fruitlessly seek+4 ,press$ to tell :]e ?is wond]ful treatm5t may be _h1 ! 8/e]]10 if he is "o ( ! %>p ones1 w be apt to say3 8,i believe ! address is ,no4 ---- ,mi*igan ,av5ue4 ,let's see1 ,i ?9k ,i h ! doctor's c>d 9 my pocket some:]e40 ,meantime he se>*es ?r\gh v>i\s pockets 7kn[+ full well all ! "t :]e x is7 & f9ally locates ! doctor's c>d4 8,ah1 yes1 "h x is4 #8,dr4 ----1 ---- ,mi*igan ,av5ue4'0 ,adroitly he *anges ! topic at ?is po9t1 %ift+ to ! v>i\s features ( ! disease itself1 its excruciat+ pa9s1 ! cu%ion-sol$ feet1 loss ( v>i\s bodily functions1 & o!r unfail+ accompanim5ts ( ! ailm5t4 ,comp>+ notes ! two f9d t !y h suff]$ mu* 9 ! same way 7all ataxia pati5ts d7 & f t mom5t !re is a /rong bond ( fell[%ip betwe5 !m4 ,! smoo? /e]] tells ( ! v>i\s treatm5ts he _h tak5 at great co/ & )\t results1 glibly describes ! _m drugs swall[$1 & ! tortures endur$ ) me*anical appliances1 su* z ! 8hang+0 process1 w9d+ up ) 8b n "o ( !m did a bit ( good until ,i took up ! ---- ---- treatm5t40 ,! actual suff]] has met a cong5ial _s1 & talks freely4 ,)\t realiz+ x he tells ( 8 bus9ess affairs1 8 f9ancial condition1 & simil> matt]s4 ,dur+ all ?is ! /e]] makes no sugge/ion t he %\ld call on ,dr4 ----4 ,f> f x4 ,he /udi\sly avoids any?+ ( ! k9d4 ,! bait has be5 ca/ & ! fi% w rise to x ( 8 own accord4 ,hav+ secur$ all ! in=mation he wants ! 8/e]]0 w rise & excuse himself on ! gr\nd ( an important bus9ess engagem5t4 ,h&+ out a neatly engrav$ c>d he says3 8,if y ev] come to ,new ,york1 ,mr4 ----1 ,i w\ld l to h y hunt me up4 ,i'd /ay long] ) y ?is aft]noon1 b = ?is press+ engagem5t40 ,! c>d reads ab\t l ?is3 ,,mr4 ,g4 ,,add+ton ,,wells #ajbg ,broadway ,/ructural ,iron ,new ,york ,city ,! c>d is a bl9d4 8,g4 ,add+ton ,wells0 is an assum$ "n4 ,b x s\nds well4 ,y\r smoo? 8/e]]0 nev] pret5ds to live 9 ! same city 9 :i* he f9ds 8 victim4 ,x might be too easy to locate him 9 case he 0 want$4 ,he lives 9 ,*icago1 all "r1 b he assumes ! role ( an ,ea/]n bus9ess man "h on bus9ess purposes4 ,8 appe>ance1 8 g5]al 8get up10 8 talk is all impressive & calculat$ to beget confid5ce4 ,t's 8 bus9ess4 ,he's a fake all ?r\gh1 ev5 to ! nature ( ! ailm5t ) :i* he pret5ds to h be5 afflict$4 ,he 0 nev] s]i\sly ill 9 8 life4 ,b he's a clev] fakir2 we mu/ give him cr$it = t4 ,he's an arti/ 9 8 l9e4 ,!re is "o man ( ?is k9d 9 ,*icago s ?or\ghly po/$ 9 m$ic9e t he c accurately describe ! symptoms & *>act]i/ics ( half a doz5 *ronic ailm5ts1 & 9 "o week has successfully play$ ! role ( hav+ entirely recov]$ f ea*4 ,if he meets a tabetic suff]] he has be5 successfully treat$ = tabes1 & w conv]se intellig5tly ab\t tabetic conditions4 ,*ronic ar?ritis1 nephritis1 p>alysis agitans1 lat]al scl]osis2 !y are all kn[n to ?is *ap4 ,he's _h !m all--9 8 m9d--:5 he wants to impress a suff]]1 & he seldom makes a mi/ake4 ,almo/ inv>iably z ! 8/e]]0 is ab\t to leave ! suff]] w say3 8,if ,i c /& ! trip ,i'll g d[n & see ?is ,dr4 ---- ?is aft]noon4 ,h[ f> is x f "h80 8,well1 x's q a j\rney = a man 9 y\r condition1 b ,i'll tell y :at ,i'll d4 ,if y want to g n[ y c ride 9 my cab4 ,i'm go+ t way & ,i'll drop y out at ! doctor's4 ,he w see t y get back to ! hotel all "r40 ,?is suits ! suff]]1 :o is pleas$ ) ! att5tion %[n him by ! 8/e]]40 ,! latt] excuses himself = a mom5t :ile he 8telephones = a cab40 ,he goes into ! telephone boo? b1 in/ead ( call+ = a cab1 he r+s up ! doctor4 8,hello1 is ?is ,dr4 ----8 ,yes4 ,?is is ,wells4 ,j l&$ a good "o at ! ,la ,salle4 ,w br+ him d[n 9 ab\t tw5ty m9utes4 ,"n is ,smi?1 bank] at ,pontiac4 ,well fix$40 ,!n he rejo9s ! suff]]1 escorts him c>efully to ! sidewalk & places him 9 a taxicab4 ,! doctor's (fice is n f> (f1 b ! *auffeur takes ! longe/ way1 & dur+ ! ride ! 8/e]]0 tells ( hav+ liv$ 9 ,new ,york all 8 life ) ! exception ( ! six mon?s he 0 "u treatm5t 9 ,*icago1 & dilates ^u ! wond]s ( ! ,ea/]n metropolis4 ,on rea*+ ! doctor's ! 8/e]]0 looks at 8 wat*1 say+3 8,i've got t5 m9utes to sp>e s ,i'll g up to ! doctor's (fice ) y40 ,! suff]] is glad ( ?is assi/ance1 & :5 !y rea* ! (fice is impress$ by ! dignifi$ appe>ance ( ! speciali/ :o greets 8,wells0 w>mly4 8,h[ d y d1 ,mr4 ,wells4 ,i 0 afraid y _h =gott5 me40 8,oh1 no1 ,doctor1 ,i c\ldn't d t1 aft] all y h done = me4 ,b1 really ,i c't /op to talk n[4 ,i'll see y aga9 be=e ,i leave t[n4 ,dr4 ----1 ?is is ,mr4 ,smi? ( ,pontiac1 :o is suff]+ ! same z ,i 04 ,if y d z well = him z y did = me ,i ?9k he w h reason to be glad he came "h4 ,good day1 g5tlem54 ,excuse me = my ha/e1 b ,i mu/ get away40 8,f9e man1 t ,wells10 says ! doctor to ,mr4 ,smi?1 aft] ! 8/e]]0 has gone4 8,yes1 inde$10 replies ,smi?4 8,mighty glad ,i met him4 ,he has giv5 me a lot ( valuable advice & aid40 8,"o ( ! t\ghe/ cases ,i ev] _h10 cont9ues ! doctor1 8b ,i pull$ him ?r\gh all "r1 & ,i'm pr\d ( x40 ,by ?is "t ,mr4 ,smi? is an easy subject to h&le4 8,wells0 has pav$ ! way1 & ! doctor does ! re/4 ,smi? pays a good-siz$ fee1 say #a1jjj1 & beg9s treatm5t4 ,lat] 9 ! day ! 8/e]]0 calls on ! doctor aga9 & gets 8 bit--#bej4 ,any *ance = ! doctor to hold out on him8 ,n a *ance 9 ! _w4 ,9 ! fir/ place he is too valuable a man to lose & x is to ! doctor's int]e/ to treat him fairly4 ,besides ?is ! 8/e]]0 is 9 position to protect himself4 ,if he has any d\bts ab\t ! size ( ! fee he w drop 9 on ,mr4 ,smi? aga9 at ! hotel ! same ev5+ 8j = a mom5t's *at be=e ,i leave ! city40 8,h[ did y get along ) ! doctor1 ,mr4 ,smi?80 he w ask4 8,v nicely4 ,he seems to be a good man1 & app>5tly und]/&s 8 bus9ess4 ,b he's pretty /eep 9 8 fees40 8,yes2 he's a good man1 & an ,a ,no4 #a physician4 ,z = fees1 all ^! big speciali/s *>ge pretty well1 b we %\ldn't m9d t if we get relief4 ,i paid him #a1jjj40 8,t's j :at he *>g$ me10 says ,mr4 ,smi?4 ,aft] a few mom5ts *at ! 8/e]]0 leaves1 satisfi$ t ! doctor has giv5 him ! agre$-^u commission4 ,if1 on ! o!r h&1 he f9ds t ! doctor has 8held out0 on him he hunts him up & remon/rates4 ,%\ld ?is be ( no avail ! 8/e]]0 sev]s bus9ess relations ) t p>ticul> speciali/1 & makes a compact ) "o ( 8 competitors4 ,good 8/e]]s0 are always 9 dem& & ! doctor :o picks up an arti/ 9 ?is l9e is pretty sure to use him well s z to make sure ( reta9+ him4 ,x is n e day t ! /e]] c pick up a pati5t t w net him #bej4 ,sometimes 8 8bit0 w n be m ?an #ab4ej or #be1 b x is safe to say t a smoo? man :o ?or\ghly und]/&s ! bus9ess c easily av]age #aej a week4 ,he takes life easy1 dresses well1 & lives on ! fat ( ! l&4 ,few pati5ts aft] pay+ a big fee to ! doctor feel l /ay+ at an exp5sive hotel = any l5g? ( "t4 ,besides ?is ! doctor g5]ally manipulates matt]s s t ! pati5t f9ds x to 8 int]e/ to bo>d at "s place recomm5d$ by ! physician4 ,?is cle>s ! road = ! /e]] at ! hotels & leaves him free to op]ate among !m )\t fe> ( runn+ into any ( 8 victims4 ,9 a city :]e !re are a numb] ( l>ge hotels x is an easy matt] = ! /e]] to s regulate 8 movem5ts z to avoid suspicion by be+ se5 ar\nd any "o h\se too (t5 or cont9u\sly4 ,!re are wom5 8/e]]s0 also1 b !y "w 9 a mu* diff]5t mann] f ! m54 ,9 ne>ly e community !re are wom5 ( bus9ess in/9ct :o are n av]se to e>n+ "s 8easy0 money4 ,"o ( ^! wom5 w make an arrangem5t ) ,dr4 ,sweatem by :i* %e is to receive a commission on all ! pati5ts %e may s5d him4 ,h] commission is n s l>ge z t giv5 ! m5 /e]]s because %e does n "w among /rang]s1 or p]sonally take su* pati5ts z %e may secure to ! doctor's (fice4 ,/ill x is a h&some sum--g5]ally #aj or #ae p] c5t ( ! fee--en\gh to give an active1 influ5tial woman a v respectable income4 ,! woman 8/e]]0 makes x h] bus9ess to jo9 v>i\s clubs & *ur*es1 take "p 9 all wom5 movem5ts1 & to get acqua9t$ ) z _m ( h] sex z possible4 ,%e especially cultivates ! acqua9tance ( well-to-d wom5 :o are real suff]]s1 or imag9e !mselves to be afflict$ 9 "s mann]4 ,%e enc\rages !m to talk ab\t _! physical tr\bles1 is k9dly sympa!tic1 &1 at ! prop] mom5t makes delicate sugge/ion t x w\ld be well = ! suff]] to see ,dr4 ,sweatem4 8,he's su* a gr& man4 ,seems to "k j :at to d1 & has be5 s successful 9 treat+ a lot ( my fri5ds4 ,i w\ldn't ?9k ( go+ to anyone b him myself40 ,?us ! se$ is s[n1 & 9 "t be>s fruit4 ,! well-to-d suff]] goes to see ,dr4 ,sweatem & is reliev$ ( a good fee1 if no?+ else4 ,! doctor 9 ! meantime has be5 advis$ ov] ! phone by ! woman 8/e]]0 t ,mrs4 ---- is com+ to see him1 & in=m$ z to h] f9ancial condition1 z well z ! nature ( ! ailm5t ) :i* %e ?9ks %e is afflict$4 ,arm$ ) ?is in=mation he kn[s j :at to d :5 ,mrs4 ---- arrives at 8 (fice1 & ! pati5t is deeply impress$ by ! mann] 9 :i* he s accurately diagnos$ h] case at ! fir/ int]view4 ,ano!r po9t ( in=mation always convey$ 9 advance to ! doctor is ! age ( ! prospective call]4 ,?us advis$1 :5 ! int]view does take place he is 9 position to say3 8,a woman ( y\r age--let's see1 y're n ov] #cb1 are y1 ,mrs4 ----8 ---- ought to10 etc4 8,oh1 yes1 ,doctor1 ,i'm #dj10 w be ! answ]4 8,y surprise me4 ,i w\ld nev] ?9k x40 ,foxy doctor4 ,he kn[s all ! "t h] exact age because ! 8/e]]0 has told him1 b he's too smoo? to give himself away4 ,& ?us he makes ano!r ally1 & easily-dup$ pati5t4 ,z = ,mrs4 ----1 %e is en?usia/ic4 ,%e reports h] visit to ! 8/e]]10 say+3 8,i'm glad y advis$ me to g4 ,he's a spl5did doctor2 p]fectly lovely1 & ,i "k he's go+ to d me good40 ,& he does4 ,n only t1 b ! *ances are t h] en?usiasm w give ,dr4 ,sweatem opportunity to 8d0 ! pati5t's intimate fri5ds & relatives also4 ---------------------------------------- -------------------------------- ,,*apt] ,,xvi ,,:at ,,%\ld ,,! ,,physician ,,d8 ,all ?is leads up to ! "q 8,:at is ! "y physician to d80 ,! majority ( !m c rema9 /rictly e?ical & drag out a mis]able exi/5ce1 s f> z gett+ a livelihood f ! practice ( _! pr(ession is conc]n$1 because !y nev] %\ld h /udi$ m$ic9e 9 ! fir/ place4 ,^? :o are equipp$ by nature & education = successful practice1 may ga9 a compet5ce by imitat+ "s ( _! eld]s 7^? :o h[l ! l\de/ ab\t violation ( e?ics7 & ?r[ d[n ! b>s4 ,j h[ f> !y may graze 9 ! non-e?ical pa/ure is a matt] = ea* practition] to judge = himself4 ,accord+ to ! ,j\rnal ( ! ,am]ican ,m$ical ,association1 ! organ ( ! /rictly e?ical cult1 !re are #adj 8acceptable0 m$ical colleges 9 ! ,unit$ ,/ates1 turn+ out on an av]age ( #e1jjj "y doctors annually1 to say no?+ ( ^? graduat$ f o!r s*ools4 ,! c5sus ( #aijj gave ! numb] ( physicians 9 ! ,unit$ ,/ates1 includ+ ,alaska & ,hawaii1 z #acb1dci1 an av]age ( "o to ea* #abb4e families4 ,b ^! are n di/ribut$ pro rata4 ,naturally ! doctors are mo/ num]\s 9 ! ?ickly settl$ p>ts ( ! c\ntry4 ,hawaii has "o physician to e #a1dab p]sons1 & ,utah "o to e #ijg4 ,! ratio 9 ! entire ,unit$ ,/ates is "o to e #ege4g p4 ,9 ! ,di/rict ( ,columbia1 h[ev]1 :i* is virtually co-ext5sive ) ! limits ( ! city ( ,wa%+ton1 s f> z population is conc]n$1 (ficial figures %[ "o doctor to e #big resid5ts4 ,*icago1 ) a population ( #b1ahe1bhc p1 has #d1dcb doctors1 "o to ea* #eae p4 ,! pla9 fact is t ! m$ical s*ools are gr9d+ out alleg$ 8doctors0 too fa/1 & )\t prop] reg>d = individual qualifications4 ,b !re is "s sign ( improvem5t4 ,! bett] class ( colleges1 notably ,ru% ,m$ical & ! ,college ( ,physicians & ,surgeons1 h call$ a halt1 & are insi/+ ^u a high] grade ( atta9m5ts = admission1 & ^u a m ?or\gh & se>*+ exam9ation at graduation "t4 ,la/ ye> ! ,college ( ,physicians & ,surgeons alone turn$ away #aej applicants z n be+ fitt$ = a m$ical c>e]4 ,?is new sy/em has _h ! effect ( greatly r$uc+ ! numb] ( c&idates = m$ical diplomas4 ,9 #aijj-aija ,ru% ,m$ical _h #a1jee /ud5ts on its rolls2 9 #aiji-aiaj ! numb] 0 only #ehd4 ,! decrease at ! ,college ( ,physicians & ,surgeons1 :ile n s m>k$1 0 /ill a heal?y "o4 ,9 #aijj-aija ?is college _h #fgf /ud5ts2 9 #aiji-aiaj ! numb] _h dropp$ to #ebi4 ,b1 despite ?is r$uction1 ! numb] graduat$ e ye> is /ill mu* too l>ge4 ,!re are at lea/ #b1jjj alleg$ 8doctors0 turn$ loose e ye> ^: m$ical s]vices c\ld well be disp5s$ )--) pr(it to !mselves1 & m safety to ! community4 ,tak+ ! av]age ( "o physician to e #abb4e families x foll[s t1 9 ord] = ea* doctor to e>n ! mode/ income ( #b1jjj a ye> ea* family mu/ contribute #af4ca 9 fees e ye>4 ,?is is prepo/]\s4 ,aga9 we are br\ght face to face ) ! "q1 8,:at is ! "y physician go+ to d80 ,z said be=e1 he c kick d[n ! b>s ( ! e?ical field & emancipate himself1 if he has bra9s1 c\rage1 & a w9n+ address4 ,or1 he may assi/ 9 ! =mation ( a sort ( labor union = ! ma9t5ance ( fees & ! black-li/+ ( dead beats4 ,?is latt] c\rse1 h[ev]1 is n likely to prove effective1 z !re are too _m ne$y ones 9 ! pr(ession ready to rema9 outside ( su* a union & grab :at !y c4 ,dr4 ,w4 ,a4 ,evans1 commission] ( heal? = ! city ( ,*icago & = tw5ty ye>s 9 t\* ) ! m$ical pr(ession1 says t hundr$s ( physicians 9 ,*icago are virtually )\t means to support _! families4 ,:at a man situat$ l ?is (t5 does d 9 ! circum/ances may "w disa/] ev5 ^u ! g5]al public4 ,he may help put ! records ( ! heal? dep>tm5t to ! bad4 ,"h is an example 9 po9t4 8,a "y doctor is call$ into a family :i* lives 9 ! re> ( a man's place ( bus9ess1 above ! /ore or next door to x4 ,! compet5t "y physician discov]s a pati5t suff]+ f diph!ria1 sc>let fev]1 maybe smallpox4 ,! law requires ! po/+ ( plac>ds & ! isolation ( ^! victims ( contagi\s diseases4 ,b at once ! family 9 su* close connection ) ! place ( bus9ess recognizes :at su* a plac>d may mean to ! bus9ess by :i* ! family ( ! pati5t lives4 8,w y imag9e ! pressure t may be br\ght to be> on ?is physician ^: own family is s dep5d5t ^u him8 ,isn't x reasonable t ) suffici5t comp5sation (f]$ him he is likely to cov] up ! infecti\s case8 ,or if ! family has n ?\ght ( (f]+ ! inducem5t1 ! "y doctor himself may propose x & ask ! limit ( comp5sation40 ,educat$1 bra9y physicians ( high /&+1 are beg9n+ to balk at "s ( ! e?ical comm&m5ts :i* b> ! way to a doctor's increas+ 8 income4 ,:5 ,dr4 ,osc> ,a4 ,k+ 0 ask$ :at he ?\ght ab\t ! division ( fees1 he said3 8,:y n8 ,! physician :o has diagnos$ ! tr\ble & f9ds t an op]ation is necess>y may h paid only two or ?ree visits to ! pati5t at #b or #c a visit4 ,! result is t1 hone/ly1 he mu/ give 8 pati5t ov] to a surgeon4 #8,:at surgeon8' is ask$ mo/ frequ5tly by ! pati5t4 ,hone/ly ! doctor names a man :o has tak5 _m cases f him & mo/ successfully4 ,b :]e ! physician gets #h or #aj1 ! surgeon may get #aej1 #cjj1 or #ejj4 ,&--except = ! physician--! surgeon nev] w\ld h he>d ( ! pati5t40 8,x's all fair en\gh if op5ly above bo>d10 said ,dr4 ,evans1 9 reply to ! same "q4 8,x w\ld be a mo/ logical ?+ 9 bus9ess1 only t ! public is n prep>$ to comp>e bus9ess ) ! pr(essions ( m$ic9e & surg]y4 ,:5 x comes home t bo? doctor & surgeon mu/ be assur$ ( a liv+1 h[ev]1 ! fact is a j> to ! purely e?ical40 ,ano!r physician said3 8,i h j _h an exp]i5ce along ! l9e ( ! split fee4 ,an old doctor fri5d ( m9e discov]$ ! pres5ce ( gall /ones 9 8 pati5t4 ,x is a difficult ?+ to diagnose ) c]ta9ty4 ,my fri5d1 h[ev]1 made no mi/ake & receiv$ #be f ! weal?y pati5t4 ,! surgeon :o op]at$ 9 ! comp>atively simple case got a fee ( #ejj4 ,x w\ld h be5 only fair = ! physician to h receiv$ "p ( t #ejj fee1 & ,i ?9k he 0 a *ump if he did n get x40 8,b y c't put a pr(ession on a bus9ess basis10 %riek ! high moguls ( e?ics4 ,:y n8 ,on ?is subject ,pr(4 ,george ,burman ,fo/]1 ( ! ,univ]sity ( ,*icago1 speaks pla9ly1 z foll[s3 8,:at is ! diff]5ce betwe5 a pr(ession & a bus9ess8 ,is x1 z 0 once ?\ght1 t ! =m] is fulfill$ by ! m9d & ! latt] by ! body8 ,b1 = example1 d5ti/ry is q manual & eng9e]+ or c>p5try q m5tal z well4 ,besides1 ! old idea ( a dualism betwe5 m9d & body is no long] held by ! mod]n man4 ,!n is ! diff]5ce t ! pr(ession is #8le>n$' b ! bus9ess is n8 8,b we h m5 :o are n college graduates ent]+ ! pr(essions1 :ile bus9ess ( a high] ord] is clamor+ = college graduates4 ,besides1 we h *ang$ our notion ( :at con/itutes #8le>n+' & conclud$ t ! man :o by exp]i5ce has le>n$ #8life' may "k q z mu* z ! man :o has le>n$ books 9 ! s*ool4 ,b is ! diff]5ce1 !n1 t ! pr(essional man receives a special pr(essional tra9+1 :ile ! bus9ess man does n8 ,b f>m]s are go+ to agricultural s*ools1 :ile ! majority ( prea*]s /ill d n g to a !ological s*ool6 8,%all we say t ! pr(essional man is di/+ui%$ by em95t "* & ability1 :ile ! bus9ess man is n8 ,h>dly4 ,we "k t :ile ! bus9ess pr9ciple is pagan & n ,*ri/ian to-day1 /ill ! av]age bus9ess man is q z good z ! av]age pr(essional man1 no matt] :at ! pr(ession may be4 8,:o des]ves m honor--! f>m] :o provides u ) our daily bread1 or ! d5ti/ :o keeps our tee? s t we c eat x1 or ! physician our /oma* s t we c dige/ x8 8,! be/ sign ( our "t is ! gr[+ s5se ( ! wor? ( ! pr(ane1 ( ! secul>1 & a gr[+ depreciation ( :at once 0 call$ #8sacr$' & #8holy4' ,to be sure1 ( ! pr(essions ! #8cl]ical' is /ill reg>d$ z #8sacr$2' b s9ce ! religion ( ! future is to be a secul> religion1 ! #8sacr$ness' ( ! m9i/]ial (fice w 9 "t pass away4 8,! /ud5ts 9 our s*ools to-day are taught ?is4 ,!y see t ! di/9ction betwe5 pr(ession & bus9ess is at la/ only traditional4 ,!y are b5t on fulfill+ ! task :i* is 9 accord ) ! inc5tive & legislation ( _! special natures & *>act]s4 ,!y "k ( some?+ above ! old honor ( ! pr(ession & ! new money ( ! bus9ess--namely3 ! unfold+ ( moral p]sonality & ! s]vice ( _! bro!rs4 8,!y seek ! call+1 disreg>d+ ! old di/9ctions1 :i* is adapt$ to ! gr[? ( _! peculi> self & to ! s]vice ( ! bro!r4 ,h5ce1 ! wall ( p>tition has be5 brok5 d[n by int]e/s t are above pr(ession & above bus9ess40 ---------------------------------------- -------------------------------- ,transcrib]'s ,notes3 ,miss+ or obscur$ punctuation 0 sil5tly correct$4 ,typographical errors 7 sil5tly correct$4 ,inconsi/5t spell+ & hyph5ation 7 made consi/5t only :5 a pr$om9ant =m 0 f\nd 9 ?is book4 ,text t 0 9 italics is enclos$ by und]scores 7italics72 text t 0 bold by 8equal0 signs 7bold74