The nurses of the present day would be surprised at the stringency of the instructions in the charge to the sisters. Mr. Morrant Baker specially refers to one command: 'And so muche as in you shall lie, ye shall avoyde and shonne the conversacion and company of all men,' and adds, 'An order which, I have no doubt, was as implicitly obeyed then as any similar command would be now.' At the end of the charges is 'A daily service for the poore,' and 'A thankesgeving unto Almyghtie God to be said by the poore that are cured in the hospital, at ye time of their delivery from thence, upon their knies in the hall before the hospitaler, and twoo masters of this house, at the least. And this the hospitaler shal charge them to learne without the booke, before they be delivered.' Thomas Vicary, serjeant surgeon to the King, and the foremost surgeon of his time, was first appointed Governor of St. Bartholomew's on the 29th of September 1548, and in January 1552 he was made governor for life. He was the first medical officer of the hospital. Dr. Norman Moore describes his position as 'intermediate between that of the master of older times and that of the surgeons subsequently appointed. For some years he seems to have had both medical and general charge of the hospital.'[157] At this time he had long held a distinguished position, although not originally a trained surgeon, and at first in small practice at Maidstone. In 1525 he was junior of the three wardens of the Barber Surgeons' Company. In 1528 he was upper warden and one of the surgeons to Henry VIII. On 29th April 1530 he was granted the office of serjeant surgeon to the King 'as soon as Marcellus de la More shall die, or resign or forfeit his post,' and in the same year he became master of the Barber Surgeons' Company. La More died, or disappeared from England at some time after Easter 1535, when he received his last payment. Vicary received his first quarter's salary as serjeant surgeon on the 20th September 1535, and filled this distinguished office under Henry VIII., Edward VI., Mary and Elizabeth. The serjeant surgeons were originally military surgeons, whose first duty was to attend the King upon the battlefield. John Ranby was the last to perform this duty when he attended George II. at the Battle of Dettingen in 1743.[158] In 1541 Vicary was appointed first master of the Amalgamated Company of Barbers and Surgeons, and in 1548 he is said to have published for the first time his _Anatomie of Man's Body_. This work was reprinted in 1577 by the four surgeons of St. Bartholomew's of that time--William Clowes, Wil. Beton, Richard Story and Edward Bayly, who dedicated it to the president and governors. The book is one of great interest, but Dr. Payne has lately proved that it is not an original work, but merely a _rechauffé_ of an anatomical treatise of the fourteenth century, from which the greater portion has been transcribed word for word.[159]