Abernethy had imitators, but they had been pupils of his. Tommy Wormald, or ’Old Tommy,’ as the students called him, was Abernethy over again in voice, style, appearance and humour. To an insurance company he reported on a bad life proposed to them: ’Done for.’ When an apothecary wanted to put him off with a single guinea at a consultation on a rich man’s case, he said: ’A guinea is a lean fee, and the patient is a fat patient. I always have fat fees from fat patients. Pay me two guineas instantly; our patient is a fat patient.’ Some rich but mean people would drive to St. Bartholomew’s to get advice gratis as out-patients. To this Tommy meant to put a stop. Seeing a lady dressed in silk, he thus addressed her before a roomful of people: ’Madam, this charity is for the poor, destitute invalids; I refuse to pay attention to destitute invalids who wear rich silk dresses.’ The lady quickly disappeared. Will no Old Tommy arise at the present day and put an end to the abuse, which is as rampant as ever? Doctors are not agreed as to what constitutes medical science. By an empiric a quack is meant. Now, an empiric goes by observation only, without rational grounds; yet Sir Charles Bell asserted that physiology was a science of observation rather than of experiment, which is the rational ground the quack is said to disregard. Who is right? Without attempting to answer the question, which would lead us too far, we must rest satisfied with the fact that the profession and the public have agreed to stigmatize certain individuals as quacks who, with or without any medical training, pretend to cure diseases by charms, manipulations, or nostrums, which have no scientific or rational basis. Quacks have existed at all times, for mankind, especially suffering mankind, has ever been credulous. Henry VIII. endeavoured to put down those of his own times by establishing censors in physic, but the public would not be enlightened, and so the quacks flourished. In 1387 one Roger Clerk, of Wandsworth, pretending to be a physician, got twelve pence in part payment from one Roger atte Haccke, in Ironmonger Lane, for undertaking the cure of his wife, who was ill. He put a charm, consisting of a piece of parchment, round her neck, but it did her no good, whereupon Roger brought him before the chamber at Guildhall for his deceit and falsehood, and Roger Clerk was sentenced to be led through the middle of the city with trumpets and pipes, he riding on a horse without a saddle, the said parchment and a whetstone[#] for his lies being hung about his neck, a urinal also being hung before him, and another on his back. In the reign of Edward VI. one Grig, a poulterer in Surrey, was set in the pillory at Croydon, and again in the Borough, for cheating people out of their money by pretending to cure them by charms or by only looking at the patient.