Dr. Thorne at the time of his story had been in practice in the small town of Greshamsbury for over twenty years. He is described as a proud man with a sharp tongue, but his outlook was so similar to that of the author that Trollope has been said to have poured into the character of Dr. Thorne those characteristics that he himself most admired, which comprised the ideal of the conservative English country gentleman. His integrity obliged him to be open about his fees; he had a fixed schedule of how much was to be charged for each visit, with allowance for the distance he had to travel. His colleagues considered this to be unprofessional. "A physician should take his fee without letting his left hand know what his right hand was doing; it should be taken without a thought, without a look, without a move of the facial muscles; the true physician should hardly be aware that the last friendly grasp of the hand had been made more precious by the touch of gold." In one of our few glimpses of Dr. Thorne at work, he visits his childhood friend who has become Sir Roger Scatcherd, the wealthiest man in the county. Sir Roger refuses to accept a recommendation of abstinence from alcohol and rest from work, and he threatens to call another of the town doctors, Dr. Fillgrave. Dr. Thorne calls his bluff and dares him to call Dr. Fillgrave, requesting only that he let Lady Scatcherd remove the brandy bottle. Of course a consultation with a childhood friend can hardly be considered a representative sample of Dr. Thorne's bedside manner. But it can be assumed that he made himself sufficiently acceptable to make a living in his country practice. We are told that he was occasionally summoned to neighboring towns to consult with colleagues on difficult cases. The great crisis in Dr. Thorne's practice had to do with Lady Arabella Gresham. After he refused to forbid his daughter to see her son, she angrily transferred her case to the infamous Dr. Fillgrave. She still did not thrive, however, and as she became worse, the family in desperation sent to London for the great Sir Omicron Pie, who came and assessed her condition. "'You should have Thorne back here, Mr. Gresham,' said Sir Omicron, almost in a whisper, when they were quite alone. 'Dr. Fillgrave is a very good man, and so is Dr. Century; very good, I am sure. But Thorne has known her ladyship so long.'" And so Dr. Thorne was recalled to the care of Lady Arabella.