Such men are not only the pillars of our profession, but its topmost pinnacles, even if the wreaths and the knighthoods but seldom come their way. I am saying all this because I think that I can detect in your letter, and certainly in the newer generation of qualifying students, a kind of reluctance about going into general practice, as if this were in a way an admission of failure, a sort of _dernier ressort_. Whereas of course there is no point of view from which such a way of looking at it is at all justifiable. General practice is at least as difficult, if it is to be carried on well and successfully, as any special practice can be, and probably more so; for the G.P. has to live continually, as it were, with the results of his handiwork. He is always liable to meet his failures round the next corner; and his mistakes may quite easily rent the pew behind him in the parish church. The consultant, on the other hand, comes into the family life from afar, and returns again, an hour or two later, to the seclusion of his private fastness. He has brought down his little bit of extra technical skill or knowledge. He has used it for good or ill. And the results do not follow him, save indirectly, and at a very comfortable distance. But the G.P. who has taken upon himself the responsibility of calling him in must needs still bear upon his shoulders not only the anxiety that heralds ultimate success, but a large share of the possible obloquy that may follow failure. Moreover, in all the hundred extraneous interests that are involved, his advice becomes of paramount importance. This would be the best room for the patient from the point of view of quietness and aspect. But that, on the other hand, is the room that he has been used to. His favourite books and pictures surround him there in the old accustomed order. Does the doctor think it better for him to be moved? His wife, his mother, or his sister are anxious to nurse him. Are they strong enough or skilful enough? What is the doctor's opinion on this point? Here is a telephone message from the office. A disturbing point has arisen in the conduct of a great business, and should be dealt with promptly. Are we to worry the patient with it now, or postpone the settlement, with the possibilities of greater anxieties later on? Let us wait, at any rate, until the doctor comes.