It strikes me forcibly, Tom, that medical science is one of the things that makes little progress, considering all the advantages of our century. I don't mean to say that they don't know better what's inside of you, what your bones are made of, that they have n't more hard names for everything than formerly; but that when it comes to cure you of a toothache, or a colic, or a fit of the gout, my sure belief is they made just as good a hand of it two hundred years ago. I won't deny that they 'll whip off your leg, tie one of your arteries, or take your hip out of the socket quicker than they used long ago; but how few of us, thank God, have need of that kind of skill! and if we have, what signifies a quarter of a minute more or less? Tim Hackett, that was surgeon to our County Infirmary forty years, never used any other tools than an old razor and a pair of pincers, and I believe he was just as successful as Astley Cooper; and yet these fellows that come to see James cover the table every day with instruments that would puzzle the Royal Society,--things like patent corkscrews, scissors with teeth like a saw, and one little crankum for all the world like a landing-net: James is more afraid of that than all the rest When I saw it first, I thought it was a new contrivance for taking the fees in. The Pharmacopoeia--I hope I spell it right--is greater, to be sure, than long ago, but what's the advantage of that? We never discover a new kind of beast for food, and I see little benefit in multiplying what only disgusts you. 'T is with medicine as with law, Tom; the more precedents we have, the more confused we get; and where our ignorant ancestors saw their way clearly, we, with all our enlightenment, never can hit on the right track at all. The mill-owner and the engineer, the tanner, the dyer, the printer, ay, even the fanner, picks up something every day that helps him in his craft. It's only the learned professions that never learn anything; maybe that's how they got the name "lucus à non," Tom, as Dr. Bell would say. You keep preaching to me about economy and making "both ends meet," and all that kind of balderdash; and if you only saw the way we 're living, you 'd be surprised at our cheapness. Whenever a five-pound note sees me through our bill for the day, I give myself a bottle of champagne at night out of gratitude! You remember all Mrs D.'s promises about thrift and saving; and, faith, I must say that so far as cutting "down the estimates" for the rest of the family, she 's worthy of the Manchester school; but whenever it touches herself, her liberality becomes boundless.