Huntingdon journal. (Huntingdon, Pa.) 1843-1859, January 09, 1851, Image 1
BY JAS. CLARK. HAPPY DAYS. MY CHARLES MACKAY. Come back—come back—thou youthful time ! When joy and innocence were ours, When life was in its vernal prime, And redolent of sweetwand flowers. Como back ! let us roam once more, Free-hearted through life's pleasant ways, And gather garlands as of yore. Come back—come back—ye happy days ! Come back—come back !—'twas pleasant then To cherish fltith in Love and Truth, For nothing in dispraise of men hod soured the temper of our youth; Come back !—and let us still believe The gorgeous dream romance displays, Nor trust the tale that men deceive. Come back—come back—ye happy clays Come back, oh freshness of the past ! • When every face seemed fair and kind, When sunward every eye was cast, • And all the shadows fell behind. Come back! 'twill come; true hearts can turn Their own Decembers into Mays; The secret be it oars to learn, They come—they come—those happy days ! CODE OF ETHICS Of de American Medical Association, asadopted by the Iluntinydon County Slidical Society. CIirTER I. Ant. /.—Duties of Physicians fu their patients. 1. A physician should not only be ever ready to obey the calls of the sick, but his mind ought also to be imbued with the greatness of his mis sion, and the responsibility he habitually incurs in its discharge. 'Mei° obligations are more deep and enduring, because there is no other tribunal than his own conscience to adjudge penalties for careless or neglect. Physicians should, therefore, minister to the sick with due impressions of the importance of their office; reflecting that the case, the health, and the lives of those committed to their charge, depend on their skill, attention and fidelity. They should study, also, in their deportment, so to unite tenderness with firmness, and condescension with as throity, as to inspire tl:c minds of their patients with gratitude, respect and confidence. 2. Every case committed to the charge of a physician should be treated with attention, stead iness, and humanity. Reasonable indulgence should be granted to the mental imbecility and caprices of the sick. Secrecy and delicacy, when required by peculiar circumstances, should be strictly observ ed; and the familiar and confidential intercourse to which physicians are admitted in their profes sional visits, should be used with discretion, and with the most scrupulous regard to fidelity and honor. The obligation of secrecy extends beyond the period of professional services ;—none of the privacies of personal and domestic life, no infirmi ty of disposition or flaw of character observed du ring professional attendance, should ever be divt4- ed by him except when he is imperatively required to do so. The force and necessity of this obliga tion aro indeed so great, that professional men have, under certain circumstances, been protected In their observance of secrecy by courts of justice. 3. Frequent visits to the sick are in general requisite, since they enable the physician to arrive at a more perfect knowledge of the disease,—to meet promptly every change which may occur, and also to tend to preserve the confidence of the pa tient. But unnecessary visits are to be avoided, as they give useless anxiety to the patient, tend to diminish the authority of the physician, find render him liable to be suspected of interested motives. • 4. A physic!an should not be fumard to make gloomy prognostications, because they savour of empiricism, by magnifying the importance of his services in the treatment and cure of the disease. Beebe should not fail, on proper occasions, to give to the friends of the patient timely notice of dan ger when it really occurs; and even to the patient himself, if absolutely necessary. This office, however, is so peculiarly alanning when executed by him, that it ought to be declined whenever it can be assigned to any other person of sufficient judgment and delicacy. For, the physician should be the minister of hope and comfort to the sick; that, by such cordials to the drooping spirit, he may smooth the bed of death, revive expiring life, and counteract the depressing influence of those maladies which often disturb' the tranquillity of the most resigned in their last moments. The life of a sick person can be shortened not only by the acts, but also by the words or the manner of a physician. It is, therefore, a sacred duty to guard himself carefully in this respect, and to avoid all things which have a tendency to discourage the patient and to depress his spirits. 3. A physician ought not to abandon ti pa tient because the case is deemed incurable ; for his attendance may continue to be highly useful to the patient, and comforting to the relatives around him, even in the last period of a fatal malady, by alleviating pain and other symptoms, and by sooth ing mental anguish. To decline attendance, un such circumstances, would he sacrificing to fanci ful delicacy and mistaken liberality, that moral duty, which is independent of, and far superior to, ell pecuniary considerations. § 6. Consultations should be promov,rl in dif hrult or protracted cases, as they give rise to con fidence, energy, and more enlarged rinses in prim . - tice. § 7. The opportunity which a physician not infrequently enjoys of promoting nil strengthen lug the good resolutions of his patients, suffering ander the consequences of vicious conduct, ought never to be neglected. His counsels, or even re- Ittionenewel., it'll] give ma:idiot; not nefOltooa iii 'niLngbmi they he proffered with politeness, and evince a genuine love of virtue, accompanied by a sincere interest in the welfare of the person to whom they aro addressed. ART. 11.-*9bligations of patients to their physi- § 1. The members of the medical profession, upon whom is enjoined the performance of so ma ny important and arduous duties towards the com munity, and who are ramaired to make so many sacrifices of comtbrt, case, and health, for the welfare of those who avail themselves of their services, certainly have a right to expect and re quire, that their patients should entertain a just Ruse of the duties which they owe to their medi cal attendants. . § 2. The first duty of a patient is, tOlect as his medical adviser one who has received a regu lar professional education. In no trade or occu pation do mankind rely on the skill of an untaught artist; and in medicine, confessedly the most dif ficult and intricate of the sciences, the world ought not to suppose that knowledge is intuitive. § 3. Patients should prefer a physician whose habits of life are regular, aind who is not devoted to company, pleasure, or to any pursuit incomput able with his professional obligations. A patient should, also, confide the cure of himself and fiun fly, as much as possible, to one physician, for a medical man who has become acquaiuted with the peculiarities of constitution, habits, and predispo sitions, of those he attends, is more likely to be successful in his treatment, thou one who does nut possess that knowledge. A patient who has thus selected his physician, should always 'apply for advice in what may appear to hint trivial eases, Aar the most fatal results often supervene on the slightest accidents. It is of still more importance that he should apply for assist ance in the. forming stage of violent diseases; it is to a neglect of this precept that medicine owes much of the uncertainty and imperfection with which it Lars been reproached. § 4. Patients should faithfully and unreserved ly communicate to their physician the supposed cause of their disease. This is the more impor tant, as many ditt.tes of a mental origin, simu late those depending on external causes, and yet are only to be cured by ministering to the mind diseased. A patient should never be afraid of thus making his physician his friend and adviser; he should always bear in mind that a medical man is under the strongest obligations of secrecy.— Even the female sex should never allow feelings of shame or delicacy to prevent their disclosing the seat, symptoms, and causes of complaints pe culiar to them. However commendable t modest reserve may be in the common occurrence! of life, its strict 'observance in medicine is often attended with the most serious consequences, and a patient may sink under a painful and loathsome disease, Which might have been readily prevented had timely intimation been given to the physician. §' 5. A patient should never weary his physi chm with a tedious detail of events or matters not appertaining to his disease. Even as relates to his actual symptoms, lie will convey much more real information by giving clear answers to inter rogatories, than by the most minute account of his own framing. Neither should he obtrude upon his physician the details of his business nor tine history of his family concerns. § 6. The obedience of a patient to the pre scriptions of his physician' should be prompt and implicit. Ile should never permit his own crude opinions as to their fitness, to influence his atten tion to them. A failure in one particular may render an otherwise judicious treatment danger ous, and even fatal. This remark is equally up plicable to diet, drink, nod exercise. As patients become convalescent, they are very apt to suppose that the rules prescribed for them may be disre garded, and the consequence, but too often, is a relapse. Patients shonlal never allow themselves to be persuaded to take any medicine whatever, that may be reconnuendml to them by the self constituted doctors and doctoresses, who are so frequently met with, and who pretend to possess infallible remedies for the curb of every disease. However simple some of their prescriptions may appear to he, it often happens that they al, pro ductive of much mischief, and in all cas , .., they are injurious, by contravening the plan of treat ment adapted by the physician. § 7. A patient should, if possible, avoid even the friendly visits of a physician who is not nttend ing him—and when he does receive them, he should never converse on the subject of his dis ease, as an observation may he made, without any intention or interference, which may destroy his confidence in the course he is pursuing, and induce him to neglect the directions prescribed to him. A patient should never send for a consult ing physician without the express consent of his own medical attendant. It is of great importance that physicians should net iu concert; for, although their modes of treatment may be attended with equal success when employed. singly, yet conjointly they are very likely to be productive of disastrous results. ' §9. When a patient wishes to dismiss his physician, justice and common courtesy require that he should declare his reasons fur so doing. § 9. Patients should always, when practicable, send for their physician in the molinag, before his usual trout• of going out ;. tor, by being early aware of tho visits hi has to pay during the day, the physical' is able to apportion his time in such a manner us to prevent an interference of engage wrests. Patients should also avoid calling on their medical advisor unnecessarily during the hours devoted to meals or sleep. They should always be in readiness to receive the visits of their phy sician, as the detention of a feu• minutes is often of 104043 i11C0114016012C0 to him. . HUNTINGDON, PA., THURSDAY, JANUARY 9, 1851. § 10. A patient should, after his recovery, en tertain ajust and enduring sense of the value of the services rendered him by his physician; for these WO of such a characrer,that no mere pecu niary acknowledgment can repay or cancel them. C HAPTER IT, ART. 1.-Duties for the support of professional character. § 1. Every individual, on entering the profes sion, as he becomes thereby entitled to all its priv ileges and immunities, incurs an obligation to ex ert bin best abilities to maintain its dignity And lanumr, to exalt its standing, and to extend the bounds of its usefulness. Ile should, therefore, observe strictly, inteli laws arc instituted for the government of its members ; —should avoid all contumelious and sarcastic remarks relative to the • faculty, as a body; and while, by unwearied dili gence, lie resorts to every honourable means of enriching the science, he should entertain a due respect tar his seniors, who have, by their labours, brought it to tint elevated condition iu which he finds 'it. § '2. There is no profession, from the members of which greater purity of character, and a higher standard of moral excellence are required, than the medical; and to attain such eminence, is a duty every physician ones alike to his profession, and to his patients. It is due to the latter, 'as without it he cannot command their respect and confidence, and to both, because no scientific at tainments can compensate for the want of correct moral principles. It is also incumbent upon the faculty to be temperate in all things, for the prac tice of physic requires the unremitting exercise of a clear and vigorous understanding; and, on emergencies, for which no professional man should be unprepared, a steady hand, an acute , eye, cod nil unclouded head may be essential to the well being, and even to the life, of a fellow creature. § .3. It is derogatory to the dignity of the pro fession, to resort to public advertisements or pH ! vete cards or hand-bills, inviting the attention of individuals affected with particular disease —pnb licly offering advice and medicine to the poor gratis,.or protnising radical cures; or to publish cases and operations in the daily prints, or suffer such publications to be made ;—to invite laymen to be present at operatious,—to boast of cures and remedies,—to adduce certificates of skill and sue , cess, or to perform any other similar acts. These are the ordinary practices of empirics, and are highly reprehensible in a regular physician. § 4. Equally derogatory to professional char acter is it, fur a physician to hold a patent fur any surgical instrument, or medicine; or to dispense it secret nostrum, whether it be the composition or exclusive property of himself, or others. For, if such nostrum be of real efficacy, any concealment regarding it is inconsistent with beneficence and professional liberality; and if mystery alone give it value and importance, such craft implies either disgraceful ignorance, or fraudulent avarice. It is also reprehensible for physicians to give certifi cates attesting the efficacy of patent or secret medicines, or in any way to promote the use of them. Ant. ll—Professioncd ; tervices of physicians to each other'. § 1. All practitioners of Medicine, their wives, and their children while under the paternal care, are entitled to the gratuitous services of any one or mare of the faculty residing near them, whose assistance may be desired. A physician afflicted with disease is usually an incompetent judge of his own case; and the natural aniiety and solici tude which he experiences at the sickness of a wife, a child, or any one who, by the tics of con sanguinity, is rendered peculiarly dear to him, tend to obscure his judgment, and produce timidi ty and irresolution in his practice. Under such circumstances, medical men are peculiarly depot dent upon each other, and kind offices mid profess sional aid should always be cheerfully and gratui tously afforded. Visits ought not, however, to be obtruded officiously; as such unasked civility may give rise to embarrassment, or interfere with that chasten on which confidence depends. BM, if a distant member of the faculty, whose.c.iremustan ces are affluent ; request attendance, and an hono rarium be efilired, it should not he declined; for no pecuniary obligation ought to be imposed, which the party receiving it would wish not to incur. Ant, lII.—Of the dudes of pkisicions as respects ricatious offices. § I. The affairs of life, the pursuit of health, and the various accidents and contingencies to which a medical man is peeuliarly expdsed, some times require hint temporarily to witbdraw from his duties to his patients, and to revs •, -moe of his professional brethren to officiate Mt Luu. Com pliance with this request is an act of courtesy which should always be performed .vitlt the utmost consideration fur the interest awl character of the family phy,iiian, and when exercked for a short period, all the pecuniary obligations for such ser vice should he awarded to him. But if a member of the profession neglect -his bushier, in quest of pleasure and amusement, he cannot be considered as entitled to thwadvantaws of the frequent and long-continued exercise of this fraternal cottrtesy, without awarding to the physician who officiates the fees arising from the discharge of his profession al duties.' In obstetrical and important surgical cases, which give rise. to unusual listigne, anxiety and responsi bility, it is just • that the fees accruing therefrom , should be awarded to the physicists who officiates.' ART.. IV.—Of the duties of phricions in regard to consultations. § 1. A regular medical education furnishes the only Presionptive evidence of professional abilities and acquirements, and ought to be the only ac knowledged right of an individual to the exercise and honours of his profession. Nevertheless, as in consultations the good of the patient is-the sole ob 'ject in view, and this is often dependent on person al confidence, no intelligent regular practitioner, who has a license Co practice front some medical board of known and acknowledged respectability, recognized by this association, and who is in good moral and professional standing iu the place in , which he resides, should be titatilliously excluded front fellowship, or his aid refused in Consultation, when it is requested by the patient. But nu one can be considered as a regular practitioner, or alit associate iu consultation, whose practice is based on an exclusive dogma, to the rejection of the ac inudated experience of the profission, and of the aids actually famished by anatomy, physiology, pathology, and organic chemistry. § 2. In consultations, no rivalshjp or jealousy should be indulged; candour, probity, and all due respect should be exercised towards the physician having charge of the case. 3. In consultations, the attending physician should be the first to propose the necessary ques tions to the sick; after which the consulting phy sician should have the opportunity to make such farther inquiries of the patient as may he necessary to satisfy him of the true character of the case.— Both physicians Should then retire to a private place for deliberation; and the one first in atten dance should communicate the directions agreed upon to the patient or his friends, as well as any opinions which it may be thought proper to ex press. But no statement or discussion of it should take place before the patient or his friends, except in the presence of all the faculty attending, and by their common consent; and no opinions (wpm:i sms/kat/ens should be delivered, which are not the result of previous deliberation and concurrence. § 4. In consultations, the yhysician in atten dance should deliver his opinion first; and when there ate several consulting, they should deliver their opinions in the order in which they have been called its. No decision, however, should restrain else attending physician from making such varia tions in the mode of treatment, as any subsequent utv , xpected change in the character of the case may demand. But such variation, and the reasons fur it, ought to be carefully detailed Ist the next meeting in consultation. The 'same privilege be longs also to the consulting physician If he is sent for its an emergency, when the regular attendant is out of the way, and similar explanations must be made by him at the next consultation. 5. The utmost punctuality should be obser ved in the visits of physicians when they are to hold consultation, together, and this is generally prac ticable, fur society has been considerate enough to allow the plea of a professional engagement to take precedence of all others, and to bo on ample reason for the relinquishment of any present occupation. But, as professional engagements may . sometimes interfere, and delay one of the partiosohe physi cian who first arrives should wait for his associate a reasonable period, after which the consultation should be considered as postponed to a new ap pointment. Ifit be the attentlingpin•sician who is present, he will of course see the patient and pre scribe ; but if it be the consulting one, he should retire, except in case of emergency, or when he has been called front a considerable distance, in which latter case he limy examine the patient, and give his opinion in n•ritiny and under oral, to be delivered to his associate. § G. In consultations, theoretical discussions should be avoided, as occasioning perplexity and loss of time. Fur there may be much diversity of opinion concerning speculative points, with perfect agreement in those modes of practice which are founded, not on hypothesis, but on experience and observation. § 7. All discussions in consultation . should be held as secret and confidential. Neither by words nor manner should any of the parties tel a consul tation assert or insinuate, that any tam of the treat ment pursued did not receive his assent. The respomibility must be equally• divided between the medical attendants,—they must equally sham the credit of success as well its the blame of failure. § N. Should an irreconcilable diversity of opin ion occur when seferal physicians are called upon to consult together, the opinion of the majority should be considered as decisive ; but if the num bers he equal on each side, then the decision should rest with the attending physician. It elan more over, sometimes happen, that two physicians can not agree in their Views of the nature of a ease, stud the treatment to be pursued. This is a circum stance much to be deplored, and should always he avoided, if possible, by mutual coneegions, ns far as they con be justified by a conscientious regard fn• the dictates of judgment. But, in the event of its oecurreuce, a thin" physician should, if practi cable, be called to act as umpire ; and, if circum stances prevent the adoption of this course, it must he left to the patient to select the physician in whom he is most willing to confide. But, as every phy sician relics upon the rectitude of his judgment, he should, when left in the minority, politely and con sistently retire from any further delilwrat bin in the consultation, or participation in the management of the case. § 9. As circumstances sometimes occur to ren der a specia: consultation desirable,. when the con tinued attendance of two physicians might be ob jectionable p) the patient, the. member of the facul ty whose assistance is required in such eases, should sedulously guard against all Wore unsolicited at tendance. • As such consultations require an ex traordinary portion both of tittle mall attention, at least a double honorarium may he reasonably ex pected. § 10. A physician who k called mu to con sult, should observe the most honountblettud scru pulous regard for the character and standing of the practiti6ncr in attendance: the practice of the let- ~ ~• ~~ , _~ ~,~ ~ ~ ~ ~ ' _ ~ ~ ~, te~~ ~ , ~ ter, if noceisary, should be justified as far as it can be, consistently with a conscientious regard for truth, and no hint or insinuation should be thrown oat which could impair the confidence reposed in him, oralfect his reputation. The consulting phy sician should also carefully refrain from any of those extraordinary attentions or assiduities, which are too often practiced by the dishonest for the base purpose of gaining applause, or ingratiating them selves-into the thvour of fiunilies and individuals. Air?. V.—Duties of physicians in cascsnf § I. Medicine is a liberal profession, and those admitted into its ranks should found their expeolti talons of practice upon the extent of their (valid cations, net on intrigue or artifice. § 2. A physician, in his intercourse with a pn- Aleut under the care of another practitioner, should observe the strictest caution and reserve. No med• dling inquiries should be made—no disingenuous hints given relative to the nature and treatment of his disorder; nor any course of conduct pursued that may directly or indirectly tend to diminish the trust reposed its the physician employed. § 3. The same circumspection and reserve should he observed whets, from motives of business or friendship, a physician is prompted to visit an individual who is under the direction of another practitioner. Indeed, such visits should be avoided except under peculiar circumstances ; tind when they are made, no particular inquires should be instituted relative to the nature of the disease, or the remedies employed, but the topics of conver sation should hens foreign to the case as dream. , stances will admit. § 4. A physician ought not to take charge of, or prescribe for a patient who has recently been under the care of another member of the faculty in the some illness, except in Cases of sudden emer gency, or in consultation with the physician previ ously in attendance, or when the latter hag relin- • quished the case, or been regularly notified that his services are no longer desired. Under such cir cumstances, no unjust and illiberal insinuations should be thrown out in relation to the conduct or practice previously pursued, which should bejusti fied as far as candour, and regard. for truth and probity will permit; for it often happens, that pa tients become dissatisfied when they do not expe rience immediate relief, and, as many diseases are naturally protracted, the want of success, in the first stage of treatment, affords no evidence of a lack of professional knowledge and skill. § 5.. When a physician is called to an argent case, because the family attendant is not at hand, ho ought, unless his assistance in consultation be desired; to resign the rare of the patient to the hit ter immediately on his arrival. § 6. It often happens, in eases of sudden ill ness, or of recent accidents and injuries, owing to the alarm and anxiety of friends, that it nund , er of Physicians are simultaneouly sent fur. Under these circumstances, courtesy should assign the patient to the first who arrives, who should select from those present, any additional assistance that he may deem necessary. la all such cases, how ever, the practitioner who officiates, should request the flimsily physician, if there lie one, to be called, and, unless his further attendance be requested, should resign the case to the latter on his arrival. § 7. When a physician is called to the patient of another pfactitioner, in consequence of the sick- • ness or absence of the latter, he ought, on the re turn or recovery of the regular attendant, and with' the consent of the patient, to surrender the case. § 8. A physician, When visiting a sick person in the country, may be desired to see a neighbour ing patient who is under the regular direction of another physician, in consequence of sudden change or aggravation of symptoms. The conduct to be permed on such an occasion is to give advice'' adapted to present circumstances ; to interfere no further than is absolutely necessary with the gene ral plan of treatment; to assume no future direc tion, unless it he expressly desired; and, in this last case, to request an immediate consultation with the practitioner previously employed. § 8. A wealthy physician should not give ad vice gratis to the affluent ; because his doing so is an injury to his professional brethren. The office of a physician can never be supported as an ex clusively beneficent one; mid it is defrauding, in some degree, the common funds for its support, when fees ate dispensed with which might justly he claimed. § 10. When a physician who has been mpg get) to attend a ease of midwifery,. is absent, and another in sent for, if delivery Is accomplished du ring the attendance of the latter, be is entitled to the fee, but should resign the patient to the practi tioner first engaged. Air. Vl.-Ofckirerenees hareem physicians § 1. Diversity of opinion, nod om;osition of in terest way, in the medical, as in other professions, sometimes occasion controversy and even conten tion. Whenever such cases unfortunately occur, and cannot be immediately terminated, they should be referred to the arbitration of a sufficient num ber of physicians, or a court-m.4.d. § 2. As peculiar reserve must be maintained by physicians towards the public, in regard to professional matters, and as there exist numerous points in medical ethics and etiquette through which the feelings of medical men muy be painful ly assailed in their intercourse with each other, and wllich cannot he understood or appreciatedi by general society, neither the subject matter of such differences nor the adjudication of the arbitrators should be made public, as publicity iu a case of this nature may be personally injurious to the in dividuffis concerned, and can hardly fail to bring discredit on the faculty. A Irr. 111 . .—0 f Pecuniary ackunededgements Some general rides should be Adopted by the faculty, in every town or district, relative to peen- VOL. XVI.--NO. 1. niczry aclatowledgments from their patients ; and it ehonid be deemed a point of honor to adhere to these rules With as much uniformity us varying Circumstances will admit. CHAFfER AltT. itheprolession to the public': } I. As good citizens, it is the duty of Al clans to be ever vigilant for the welfare of the coin inanity, and to bear their part in silt:lining its in stitutions and Intrtlens : they should also ho ever ready to give. counsel to the public in relation to inducts especially appertaining to their professidn, `as on subjects of utudiesi !Mike, public bmtorte, ' and legal medicine. It is their province to en lighten the public in regard to quarentine regula tions,—the location, arrainginent, and dietaries of hospitals, asylums, schools, prisons, • and similar institutions,—in relation to the medical pollee of towns, as drainage, ventilation, &e.,—and in ve gard to measures for the prevention of epidemic and contagioustliseases ; and when pestilence pre vails, it is their duty to face the danger, and to continue their labours for the alleviation of the suffering, even at the jeopardy of their..own lives. 2. Medical men should also be always ready when called on by the legally constituted authori • tics, to enlighten coroner's inquests, and courts of justice, on subjects strictly medical,—such as in volve questions relating to sanity, legitimacy, mur der by poisons or other violent menus, and' in re gard to the variotmother subjects embraced in thu science of Medical Jurisprudence. But in those eases , tool especially where they aro required to make a post-mortem examination, it is just, in consequence of the tithe, lahOuf, AM,' skill required, mod the resnomildlity and risk they incur, that thu publie . should award them a proper honorarium..,,, § 3. There is no profession, by the unembcp of which eloposynary services are more liberally dispensed than the medical, but justice requires that some limits should be placed to the perform , unto of such good . offices. Poverty, professional brotherhood, and certain of the public duties refer ! red to in the first section of this chapter, should al ways be recognized as presenting valid claims for gratuitous services; but neither institutions .en dowed by the public or by rich individuals, socie ties for mutual benefit, tbr the insurance of lives or for analogous purposes, nor any profession or od cupation, can be admitted to possess such privi lege. Nor can it he justly expected of physicians to furnish certificates of inability to serve so ju ries, to podium militia dUty, or to testily to the state of health of persona wishing to insure their lives, obtain pensions, or the like, without a pecu niary acknowledgment. But to individuals in in digent circumstances, such professional services should always be cheerfully and freely accorded. § 4. It is the duty of physicians, who aro fre quent witnesses of the enormities committed by quackery, and the injury to health and even des truction of life caused by the use of quack medi cines, to enlighten the public on these ,ultjects, to expose the injuries sustained by the unwary from the devices Mid pretentious of artful empiries and impostors. Physicians might to use all the influ enea which they limy possess, as professors in Col, legcs of Pharmacy, and by exercising their option in regard to the shops to which their preseriptitms shall he sent, to discourage druggists and apotbe caries from vending quack or secret medicines, or from being in uny way cog aged in their manufac ture and sale. Awe. I.—Obkeations tithe public to physicians. I. The benefits accruing to the public, di reedy and indirectly, from the active and unwen ' tied beneficence of tile profession, are so numer ous nod Important, that physicians arc justly en titled to the utmost consideration and respect from the community. The public ought likewise to entertain a just appreciation of medical qualifiea tions make a proper discrimination between true science nud the assumptions cf ignorance and empiricism,—to afford every encouragement mid facility for the acquisition of Medical educa tion,—and no longer to allow the statute booki to exhibit the anomaly of exacting knowledge from under liability to beery penalties, and of making them obnoxious to punishment for re sorting to the only means of obtaining it. GUE.AR STORM IN CANADA.-MONTIIZAL, Dee. Ill.—Yesterday a heavy snow storm swept over this city, the most severe that has visited ni fur 20 years. It is feared considerable damage her Lou 'Wale 'Jest and most exclusive reason for an effect that I ever remember to have heard; (writes a western correspondent,) was one given by a "one-idea" Dutchmen, in reply to a friend who reinarked : "Why, limn, you. have the most fem inine east of countenance I have ever seen."— "Oh, yaw," was the reply "I know do reason for lint; mins moddcr ms a roman:" • OR Mr.—A lady was the other day describing to her husband some poor hut decent people elm; had visited, and concluded by revealing the fal lowing climax of fully to which she had attained: "And my dear, only think, they have a rag carpet, on the door—Am/yet their eliihlrcn call thrir pa rents pa mid urn !"' cgs""Knowledge is power," wrote the great lord Bacon. %Knowledge is power,"-eomplueent ly exelahnedu geatlernan the other day, whets strong men haying tillbd, he retraced a lap-dole front the teeth of A hugo mastiff, by quietly edmin• istering to tlau, latter a pinch of snuff! • • PRETTY Ko7Ms.—"My dear," said a gentleman. to a yottug• lady to whom he thought to he married coo wish to make a foul oftr `'.:goo," plied the lady, "namre hao oared me the trouble."