But a profession where men make way through the whisperings of women, and an inexhaustible variety of sotto voce contrivances, must needs have a tendency to create a subserviency of spirit and of manner, which naturally directs itself into gentility-mongering: where realities, such as medical experience, reading, and skill, are remotely, or not at all, appreciable, we must take up with appearances; and of all appearances, the appearance of proximity to people of fashion is the most taking and seductive to people not of fashion. It is for this reason that a rising physician, if he happen to have a lord upon his sick or visiting list, never has done telling his plebeian patients the particulars of his noble case, which they swallow like almond milk, finding it an excellent placebo.
As it is the interest of a gentility-monger, and his constant practice, to be attended by a fashionable physician, in order that he may be enabled continually to talk of what Sir Henry thinks of this, and how Sir Henry objects to that, and the opinion of Sir Henry upon t’other, so it is the business of the struggling doctor to be a gentility-monger, with the better chance of becoming one day or other a fashionable physician. Acting on this principle, the poor man must necessarily have a house in a professional neighbourhood, which usually abuts upon a neighbourhood fashionable or exclusive; he must hire a carriage by the month, and be for ever stepping in and out of it, at his own door, keeping it purposely bespattered with mud to show the extent of his visiting acquaintance; he must give dinners to people “who may be useful,” and be continually on the look-out for those lucky accidents which have made the fortunes, and, as a matter of course, the merit, of so many professional men.
He becomes a Fellow of the Royal Society, which gives him the chance of conversing with a lord, and the right of entering a lord’s (the president’s) house, which is turned into sandwich-shop four times a-year for his reception; this, being the nearest approach he makes to acquaintance with great personages, he values with the importance it deserves.
His servants, with famine legibly written on their bones, are assiduous and civil; his wife, though half-starved, is very genteel, and at her dinner parties burns candle-ends from the palace.[48]