It was, of course, not every doctor who could, at the beginning of his career, go in for the brimstone system. Unless he was backed by very powerful patronage, or wrote a book or pamphlet which attracted attention—as Elliotson’s practice rose from £500 to £5,000 a year through his papers in the _Lancet_—or was by some lucky accident pitched into a position which by itself alone inspired the public with an overwhelming belief in his skill, the experiment of treating his patients with rudeness and indifference would have been fatal to his prospects. But let him once make a hit, either by being luckily on the spot when a king or prince was thrown off his horse, or by a successful operation, or by writing a book which ’caught on,’ and the public were at his feet, and he could trample on them as much as he liked. But it did not follow that, after such success, he must necessarily abuse his privileges. Dr. Arbuthnot, the son of a non-juring clergyman in Scotland, came to London about the time of the Restoration, and at first earned a living by teaching mathematics, though he had studied medicine. He happened to be at Epsom on one occasion when Prince George, who was also there, was suddenly taken ill. Arbuthnot was called in, and having effected a cure, was soon afterwards appointed one of the physicians in ordinary to the Queen. And, of course, his practice was established on a solid foundation, and he carried it on with considerable professional distinction. But his success did not spoil him, for he was a man of a genial disposition, who turned neither to brimstone nor to treacle, but always maintained a dignified demeanour. He was a wit and a man of letters, and enjoyed the esteem of such men as Swift, Pope, and Gay. Before coming to London he had chosen Dorchester as a place to practise as a physician, but the salubrity of the air was opposed to his success, and he took horse for London. A friend meeting him, asked him where he was going. ’To leave your confounded place, where I can neither live nor die.’ It was said of him that his wit and pleasantry sometimes assisted his prescriptions, and in some cases rendered them unnecessary. He died at the age of sixty from a complication of disorders, so little is the physician able to cure himself. Sir Astley Cooper (b. 1768, d. 1841) also did not belong to the brimstone school. His surgical skill was very great, and he liked to display it. He always retained perfect self-command in the operating theatre, and during the most critical and dangerous performances on a patient, he tried to keep up the latter’s courage by lively and facetious remarks. When he was in the zenith of his fame, a satirical Sawbones said of him: ’Nor Drury Lane nor Common Garden Are, to my fancy, worth a farden; I hold them both small beer. Give me the wonderful exploits, And jolly jokes between the sleights, Of _Astley’s Amphitheatre_.’