Should any medical man look through these pages, he may perchance amuse himself by asking where the writer obtained his system of classification of disease. It will not, certainly, be very easy to find such a disease as the lambskin disease in any of our modern nosologies. But he will better understand me when he has read through the chapter. He may be reminded, by its perusal and its quaint title, of the classification which is found in Whitlow’s New Medical Discoveries, founded, as the doctor says, on the idea that “every disease ought to be named from the plant or other substance which is the principal exciting cause of such disease.” It is as follows:

“The Mercurial Disease,
The Belladonna       do
The Stramonium       do
The Tobacco          do
The Cicuta           do
The Butter Cup       do
The Colchicum        do
The Colocynth        do
The Pork or Hog      do
The Vinegar          do
The Fool’s Parsley   do
The Fox Glove        do
The Nux Vomica       do
The Quassia          do
The Opium            do
The Hellebore        do
The Salt             do
The Mineral Acid     do
The Acrid            do
The Putrid           do”

If on examination the curious reader should find no such disease as the “Lambskin disease” in Dr. W.’s catalogue, he should remember that the list is by no means complete, and that there will be no objection to the addition of one more. And why, indeed, may I not coin terms as well as others? All names must have been given by somebody.

But I will not dwell on the subject of nosology too long. I have something else to do in this chapter than merely to amuse. I have some thoughts to present on health and sickness, thoughts, too, which seem to me of vast importance.

A son of Mr. G., a farmer, had been at work in an adjoining town, all summer, with a man who was accustomed to employ a great number of hands in various occupations, farming, road building, butchering, etc., etc. Of a sudden, young G., now about twenty years of age, was brought home sick, and I was sent for late at night a very common time for calling the doctor to come and see him.

I found him exceedingly weak and sick, with strong tendencies to putridity. What could be the cause? There was no prevailing or epidemic disease abroad at the time, either where he had been laboring, or within my own jurisdiction; nor could I, at first, find out any cause which was adequate to the production of such effects as were before me.

I prescribed for the young man, as well as I could; but it was all to no purpose. Some unknown influence, local or general, seemed to hang like an incubus about him, and to depress, in particular, his nervous system. In short, the symptoms were such as portended swift destruction, if not immediate. I could but predict the worst. And the worst soon came. He sunk, in a few days, to an untimely grave. I say untimely with peculiar emphasis; for he had hitherto been regarded as particularly robust and healthy.

His remains were scarcely entombed when several members of his father’s family were attacked in a similar way. Another young man in the neighborhood, who had been employed at the same place with the deceased, and who had returned at the same time, also sickened, and with nearly the same symptoms. And then, in a few days more, the father and mother of the latter began to droop, and to fall into the same train of diseased tendencies with the rest. Of these, too, I had the charge.

My hands were now fully occupied, and so was my head. Anxious as most young men are, in similar circumstances, not only to save their patients, but their reputation, and though the distance at which they resided was considerable, I visited both families twice a day, and usually remained with one of them during the night. I was afraid to trust them with others.

Physically this constant charge was too much for me, and ought not to have been attempted. No physician should watch with his patients, by night or by day, above all by night any more than a general should place himself in the front of his army, during the heat of battle. His life is too precious to be jeoparded beyond the necessities involved in his profession.

But while my hands were occupied, my mind was racked exceedingly with constant inquiry into the cause of this terrible disease, for such to my apprehension it was becoming. The whole neighborhood was alarmed, and the paleness of death was upon almost every countenance.

My doubts were at length removed, and the cause of trouble, as I then supposed and still believe, fully revealed. The disease so putrescent in its tendencies, had originated in animal putrefaction. The circumstances were as follows:

The individual with whom the young men who sickened had been residing and laboring, had laid aside, in his chamber, some time before, quite a pile of lambskins, just in the condition in which they were when removed from their natural owners, and had suffered them to lie in that condition until they were actually putrescent and highly offensive. The two young men, owing to the relative position of the chambers they occupied, were particularly exposed to the poisonous effluvia.

I did not forget I did not then forget the oft inculcated and frequently received doctrine, that animal impurity is not apt to engender disease. It most certainly had an agency a prominent one in the case before us. Perhaps it has such an influence much more frequently than is generally supposed.

One of my patients, in the family which I first mentioned, a little boy two or three years old, died almost as soon, after being seized with disease, as his elder brother had done. The rest, though severely sick, and at times given over to die, finally recovered. Some of them were sick, however, many months, and none of them, so far as I now recollect, with perhaps a single exception, ever enjoyed as good health afterward as before.

I had in these families six or eight of the most trying cases I ever had in my life; and yet, with the exceptions before named, all recovered. How much agency my own labors as a medical man had in producing this result, I am at a loss to conjecture. As an attendant or nurse, I have no doubt my services were valuable. And it was because a good nurse is worth more than a physician that I so frequently ran the risk of watching over the sick so closely as considerably to impair my own health.

The neighbors and friends of the two sick families, as I have already intimated, looked on in silent agony during the whole campaign; expecting, first that their families, too, would soon be called to take their turn; and secondly, that I, the commander in chief, should be a sufferer, which of course would be a great public disadvantage. They were almost as much gratified as I, when we all came forth from the fire unscathed.

On the whole, except as regards health, I was a gainer rather than a loser by the affair. I mean, of course, in the way of medical reputation. I was by this time fairly established as a powder and pill distributer, of the first water. In other words, I was beginning to be regarded as a good family physician, and to be sought for, not only within the narrow limits of my own native township, some four or five miles square, but also quite beyond these narrow precincts. Occasionally I had patients in three or four adjoining towns, and I was even occasionally called as counsel to other physicians. My ambition was high, perhaps higher than it ought to have been; but it had its checks and even its valleys of humiliation; so that on the whole I retained my sanity and a full measure of public confidence.

And yet, in conclusion, I have to confess that besides exposing my own health, I made many medical blunders. I would not again run the risk to health or reputation which, during this long trial of several months, I certainly ran, for any sum of money which king Croesus or the Rothschilds could command. Nor do I believe an intelligent physician can do it, without being guilty of a moral wrong. Every one has his province; let him carefully ascertain what that is, and confine himself to it. The acting commander in an important military expedition has no right to place himself in the ranks of those who are about to leap a ditch, scale a wall, or charge bayonet. Paul has no right to labor in Athens when he knows perfectly well that he can do more good in Jerusalem, and the voice of God, by his Providence or otherwise, calls him thither. And “to him that knoweth to do good and doeth it not, to him it is sin.”