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appiness which escapes you, and you cannot attain it till you are considerate. It is inconsiderate and it is discourteous to send an immediate demand for a physician "to come at once" if there is no urgent need for his services, and if you have just been inspired for aid after a week's blindness, there is no urgency in the matter. A call in an hour would do just as well. Take the following case: A mother discovers a small quantity of blood in the diaper of her two months old baby. There is a larger quantity in the afternoon and she decides to give the baby a dose of castor oil. During the night it slept fitfully and in the morning it has a large stool as a result of the castor oil and there is a large quantity of blood in the stool. She sends a "rush" call for a physician. The physician discovers the following facts: The baby is being artificially fed; it has been vomiting its food for a week; its stools have been green, foul and contained mucus; it had a fever for a number of days; it has lost much weight and looked pale and sickly. The physician obtained this history from the mother--she therefore knew the baby's condition. Why did she delay sending for a physician? How sick did she want the child to be before the need for aid seemed justifiable to her? Why didn't the sight of blood in the stool suggest the need of assistance? What do the public expect of physicians in such cases? But why ask questions? Many mothers will doubt the existence of such a mother as is described above. They need not; she was one of my own patients. I do not understand such women; I only know that such mothers exist in quite large numbers. This particular mother has other children; she is a good housekeeper, is personally attractive, and is thought well of in the community. If such seemingly heartless conduct can spring from such a source is it not evidence of the fact that the average mother needs instruction, needs education, and does it not bespeak the need of eugenics being sown broadcast throughout the land? Delays are dangerous in all sicknesses that last, despite a thorough cleaning out of the bowels. To wait, hoping that "things will change," is bad practice. It is unjust to the medical profession, and it is infinitely more unjust to the victim. There are two kinds of surgical operations--those of choice and those of necessity. Every one knows about the operations of necessity, most of which must be performed as a result o
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