is a stranger. But we all know well enough the
personal value of certain doctors for certain cases.
Mere hygienic advice will win a victory in the hands
of one man and obtain no good results in those of
another, for we are, after all, artists who all use
the same means to an end but fail or succeed according
to our method of using them. There are still
other cases in which mischievous tendencies to repose,
to endless tire, to hysterical symptoms, and to emotional
displays have grown out of defects of nutrition so
distinct that no man ought to think for these persons
of mere exertion as a sole means of cure. The
time comes for that, but it should not come until
entire rest has been used, with other means, to fit
them for making use of their muscles. Nothing
upsets these cases like over-exertion, and the attempt
to make them walk usually ends in some mischievous
emotional display, and in creating a new reason for
thinking that they cannot walk. As to the two
sets of cases just sketched, no one need hesitate;
the one must walk, the other should not until we have
bettered her nutritive state. She may be able
to drag herself about, but no good will be done by
making her do so. But between these two classes,
and allied by certain symptoms to both, lie the larger
number of such cases, giving us every kind of real
and imagined symptom, and dreadfully well fitted to
puzzle the most competent physician. As a rule,
no harm is done by rest, even in such people as give
us doubts about whether it is or is not well for them
to exert themselves. There are plenty of these
women who are just well enough to make it likely that
if they had motive enough for exertion to cause them
to forget themselves they would find it useful.
In the doubt I am rather given to insisting on rest,
but the rest I like for them is not at all their notion
of rest. To lie abed half the day, and sew a
little and read a little, and be interesting as invalids
and excite sympathy, is all very well, but when they
are bidden to stay in bed a month, and neither to
read, write, nor sew, and to have one nurse, who is
not a relative,—then repose becomes for
some women a rather bitter medicine, and they are
glad enough to accept the order to rise and go about
when the doctor issues a mandate which has become
pleasantly welcome and eagerly looked for. I do
not think it easy to make a mistake in this matter
unless the woman takes with morbid delight to the
system of enforced rest, and unless the doctor is a
person of feeble will. I have never met myself
with any serious trouble about getting out of bed
any woman for whom I thought rest needful, but it has
happened to others, and the man who resolves to send
any nervous woman to bed must be quite sure that she
will obey him when the time comes for her to get up.