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fessor, stethoscope in hand, informs his hearers that he
detects a cardiac murmur and the patient has valvular
disease? Then, too, the wise lecturer listens to rails of
many kinds, grand, gloomy, and peculiar noises, and tells
the class this or that lung is diseased, but the student
neither sees the malady nor hears the sounds. No hos-
pital pathologist ever yet lived who could not relate
curious tales in regard to celebrated clinician's,stories of
mistaken diagnoses and most ludicrous errors. For your
hospital lecturer puts his own valuation on the significa-
tion of a few symptoms, and is as apt to be wrong as
right. As a man can not use his own reason, but must
see things through the professor's spectacles, it follows
that little good accrues either to patient or student from
such instruction, and methinks that this system of medi-
cal education is justly open to criticism."
" Nonsense ! " exclaimed Paulus Androcydes, in a tone
of contempt and pity. " There is no better field for the
exercise of reason and observation than a clinical hospital;
for, even granting that men err in judgment in many
cases, there are numerous instances in which their con-
clusions are right. The mortuary often proves that our
diagnoses have been correct."
" There it is again ! " said Athothis. " The mortuary !
Of what benefit is a dead-house to your patients ? You
profess to cure. You establish hospitals for the good of
the pauper sick, and not for the benefit of their medical
attendants. You oblige the poor patients entering these
institutions to go before classes of students, and exhibit
at the sweet will of hospital managers, whose sole object
is to run a so-called charity in the interest of some col-
lege. The victim of disease, dispirited and downcast,
homeless and friendless, seeks a refuge where she may