But you, gentlemen of the jury, will you allow him to punish his benefactor, drive away his preserver, pay for his wits with hatred, and for his recovery with chastisement? I hope better things of your justice. However flagrantly I had now been misconducting myself, I had a large balance of gratitude to draw upon. With that consideration in his memory, he need not have been extreme to mark what is now done amiss; it might have inspired him with ready indulgence, the more if the antecedent service was great enough to throw anything that might follow into the shade. That fairly states my relation to him; I preserved him; he owes his life absolutely to me; his existence, his sanity, his understanding, are my gifts, given, moreover, when all others despaired and confessed that the case was beyond their skill. The service that I did was the more meritorious, it seems to me, in that I was not at the time my father's son, nor under any obligation to undertake the case; I was independent of him, a mere stranger; the natural bond had been snapped. Yet I was not indifferent; I came as a volunteer, uninvited, at my own instance. I brought help, I persevered, I effected the cure, I restored him, thereby securing myself at once a father and an acquittal; I conquered anger with kindness, disarmed law with affection, purchased readmission to my family with important service, proved my filial loyalty at that critical moment, was adopted (or adopted myself, rather) on the recommendation of my art, while my conduct in trying circumstances proved me a son by blood also. For I had anxiety and fatigue enough in being always on the spot, ministering to my patient, watching for my opportunities, now humouring the disease when it gathered strength, now availing myself of a remission to combat it. Of all a physician's tasks the most hazardous is the care of patients like this, with the personal attendance it involves; for in their moments of exasperation they are apt to direct their fury upon any one they can come at. Yet I never shrank or hesitated; I was always there; I had a life- and-death struggle with the malady, and the final victory was with me and my drugs. Now I can fancy a person who hears all this objecting hastily, 'What a fuss about giving a man a dose of medicine!' But the fact is, there are many preliminaries to be gone through; the ground has to be prepared; the body must first be made susceptible to treatment; the patient's whole condition has to be studied; he must be purged, reduced, dieted, properly exercised, enabled to sleep, coaxed into tranquillity. Now other invalids will submit to all this; but mania robs its victims of self-control; they are restive and jib; their physicians are in danger, and treatment at a disadvantage. Constantly, when we are on the very point of success and full of hope, some slight hitch occurs, and a relapse takes place which undoes all in a moment, neutralizing our care and tripping up our art.