VALEDICTORY TO THE GRADUATING CLASS OF THE PHILADELPHIA COLLEGE OF MEDICINE, DELIVERED IN THE MUSICAL FUND HALL, February 28, 1852, BY THOMAS D. MITCHELL, M. D., PROFESSOR OF THE THEORY AND PRACTICE OF MEDICINE IN THE PHILADELPHIA COLLEGE OF MEDICINE. PHILADELPHIA: T. K. AND P. G. COLLINS, PRINTERS. 1852. CORRESPONDENCE. Medical Hall, February 17, 1852. Professor Mitchell:- Dear Sir: At a meeting of the Graduating Class, held this day, the undersigned were instructed to solicit a copy of the Valedictory to be given by you at the Commencement, to be held on the 28th inst. Your compliance will afford great pleasure to the entire Class. Yours, very respectfully, C. C. Moore, Pa., Chairman. Wm. G. Sanders, N. Y. Nathan G. Thompson, Pa., Treasurer. Theo. Le Blanc, La. Isaac Pritchard, La., Secretary. II. K. Alexander, Tenn. W. F. Bason, N. C. R. S. Bunn, Pa. Simon Rosenberger, Pa. R. L. Bowes, Pa. James Cunningham, Pa. K. A. Black, N. C. J. T. Hudson, Ga. Wm. Burch, Ga. John R. Umberger, Pa. Joseph Koerper, Pa. S. A. Haltawanger, S. C. R. W. Claybrook, S. C. Edwin F. Vallette, Pa. D. J. McKinne, Pa. H. G. Hendrick, Ala. A. G. Cook, Ga. J. G. L. Whitehead, Pa. James S. Raymond, N. Y. L. P. Hobbs, S. C. Wm. T. Potts, Pa. Jos. A. Holton, Md. John D. Keedy, Md. John T. Williams, Pa. Wm. B. Holton, Md. No. 297 Pine Street, Philadelphia, February 18, 1852. To Messrs. Moore, Thompson, Pritchard, &c. &c. Gentlemen: Your polite request for a copy of the Valedictory for the ensuing Commencement, is acceded to with pleasure. I could wish it were more worthy of your perusal; but, such as it is, the manuscript is at your disposal. Accept for yourselves, and the gentlemen you represent, my hearty wishes for your future welfare. Yours, very truly, THOS. D. MITCHELL. VALEDICTORY. Gentlemen of the Graduating Class :- The traveller who has made a long and toilsome journey over the rough and the smooth places of life's pathway, feels an inex- pressible satisfaction when he finds himself safely housed, even in a temporary resting-place. How pleasant are his reflections on the past, checkered though they be with incidents that he would fain erase from the tablet of memory! He feels that he has reached the terminus of a tedious pilgrimage, and his heart is glad. But when he thinks for a moment that the associations of the past are now to be broken-that the ties which have bound him to others are in a few brief hours to be rent-his spirits flag, and he sighs for that prospective era, so full of blessing to the good man, when the weary shall have unceasing quietude in their eternal home. Not only are pupils to be dissevered from teachers, but pupils, so long identified by a common and a growing interest, are to gaze on each other for the last time. May there never be a moment in your history, gentlemen, in which the reminiscence of this hour will not be fraught with joyous emotions, blended though it must be with the sad assurance that one and another of the happy group of to-day has entered the dark valley and gone to his last account I Henceforth, gentlemen, you are to take your stand, firm and erect, in the great commonwealth of medical science ; and although you are not to forget the task and the privileges of the student while you live, your future position is to be in the great body politic of a mighty profession. In this new sphere of duty and of trial, you will soon perceive that a special trust is committed to your care ; that with you are to be identified the honor, the integ- rity, the usefulness of your exalted vocation. Already has the cry been heard by all of you, that the republic of medicine is in danger; that her ermine is stained, and her glory marred, by a 6 VALEDICTORY. sombre eclipse that is well nigh total. Will you not come to the rescue in such a crisis ? We are not of those who look at the dark side of this picture so persistently as to obscure oui' vision in respect of its brighter hues. We know well that forty years ago, when a single corporate title covered nearly all the public teaching in this country, there were just such defects as are now the chief theme of complaint by the cynics of the day. Diplomas were given oftener than once or twice, even when there was but one school of medicine, and when rivalry was almost unknown, to young men whose orthographical enterprise could not venture safely beyond the range of mono- syllables. Their inaugural theses were written by other hands than those which penned their private letters; and the latter were sufficiently original to be readily identified. Some of these epis- tolary communications have long been in my possession, and I defy the production of any graduate of 1852 to surpass them for monstrous aberrations from a pure orthography, or the simple grammar of the king's English. Do not think that the speaker is inclined to tolerate or sanction such departures from propriety. The allusion is made to show that the grievances now magnified and published on the house-top, as the legitimate fruits of the present lax system of collegiate instruction, are more ancient than some of the modern reformers, who prate as though they alone had charge of the key of knowledge and the casket of truth. It has fallen to our lot to live in the wonderful era of conven- tions, whose avowed aim is reformation. Almost every mechanical occupation has its convention ; and, if reformation be not realized, a vast amount of conventional effort will have been put forth in vain. The ladies, dear creatures, fearful of unendurable invasion of their rights, are holding conventions, too, for the purpose of illuminating the lords of creation, and asserting full equality in the scale of being. And is it strange that so grave a body of gentlemen as our profession is composed of, should catch the spirit of the age ? The doctors might almost as well be out of the world at once as out of the fashion, for this very thing rules nine-tenths of the profession. Nor do we deny that some good thing may come out of conventions even, albeit their past history has little in it calculated to awaken confidence or respect. My own experi- ence and observation have not augmented my regards for the VALEDICTORY. 7 popular expedient. The elementary construction, and the secret wire-working of the machinery, are intrinsically unsuited to induce lasting improvement. There may be show enough, and, in truth, there is far too much, to warrant the belief that permanently good results can follow. The lessons to be enforced on this occasion, are intended as guides, from the moment you pass the threshold of this hall, until you become actual practitioners of medicine, and thenceforward to the close of your professional career. Some of you will be solicited, ere long, to receive under your care one or more young men whose parents regard as eminently fitted for the duties of the healing art. This may be deemed so significant a compliment as to forestall in- quiry ; and a young doctor, just about to take position, may fee} the flattering appliance so sensitively as to forget that significant ingredient in human character, called self-respect. For this and other reasons, it is necessary to interpose the note of admonition, and to say that, as this entire affair has been heretofore a mere matter of form, I repudiate all affinity with the system, and reject the past dynasty as unworthy the profession-a de^th-blight on its high claims to respectability and usefulness. Bear with me, then, while I make the experiment, to show you a more excellent way. And the chief point to which I would direct your attention is the indispensable necessity of a just appreciation of the profession of your choice. The elementary principles and prominent facts of that profession, as a science, are now yours, and they are essential to the attainment of honorable success. But, it is not to these that reference is now directed. There is a peculiar glory about the noble art of healing, in that it enters deeply into the sympa- thies of our common humanity, identifies its interests with the welfare of the race, and affiliates its destiny with the mission of the Son of God, whose chief errand was to do good to the heirs of sorrow and pain. Viewed from this exalted elevation, I charge you, gentlemen, to venerate your profession, as the pattern and model of unselfishness; as an angel of mercy, ever buoyant on wings of love. Make this feeling the substratum of all your plans in the outset of your career, and there need be no apprehensions for the result. In your first settlement, in the location of your office, in the purchase of your library and medicines, in the recep- 8 VALEDICTORY. tion of office pupils and their reiterated instruction, you will be sure to do right, if guided only by a deep sense of responsibility to God and men, in the exercise of your high vocation. Under any other tutelage, it is utterly impossible to contribute a particle to the elevation of the profession, as a whole, or to secure youi' own individual respectability. Need I say that the selection of a spot for the exercise of your profession should be made with caution and care ? You have good sense enough to know that the moral qualities of a people are at least as essential to solid growth and ability to compensate your services, as are the physical advantages of the place for all that appertains to the well-being of society. Let these contingencies ever be in your mind, in the choice of a professional home. Let your associations, plans, and purposes be under such genial in- fluences as to make it certain that the addition of your humble self to the population will not impair, but enhance the sense of moral obligation, so necessary to the real happiness of every com- munity. I have been tempted, in making these suggestions, to refer pointedly to a most interesting item, aside from which, home scarcely merits the name. I allude to that indispensable fireside charm, called a wife. And yet a moment's reflection sufficed to assure me that, in respect of nearly the whole class, the hint would be in the nature of an ex post facto admonition. Should any one of you, however, yet be derelict in this obvious duty of a practi- tioner of medicine, let me urge its importance, as a contingency whose present and prospective bearings are happily epitomized in that ancient axiom, "It is not good for man to be alone." In respect to the location of your office, whether in the village or the rural district, it is hardly possible to give you safer advice than to plant it very much nearer to the church than to the tavern. Every young man will be more likely to acquire the character of a good citizen, whose affinities for the former are habitual and so cognizant of all; while marked attraction for the latter is an in- fallible presage of the utter wreck of fortune and reputation. The young doctor, least of all men, needs the stimulus of the still to rouse his mental or his physical energies for persistent and suc- cessful effort. He knows that this fiend of humanity is his direst enemy, the demon that most of all, and worse than all, curses the race. Emphatically may he exclaim, in view of its blasting ra- VALEDICTORY. 9 vages, "Delenda est Carthago;" shouting victory, universal victory, to any law that meditates its utter annihilation. In the purchase of a library, allow me to say that a few books, well selected, are of more real value to a young physician, than an office full of volumes gathered, chiefly, because they cost little. The standard works, well digested, are the most important profes- sional aliment for a candidate for business. In addition, he should be in the regular receipt of at least one of the best medical journals, since, apart from this help, he cannot be advised of the constant improvements or suggestions in the several departments of the science, the knowledge of which is just as vital to professional growth, as is the atmosphere to the function of respiration. Make the resolution, and forget it not, that, when professional calls fail, because of general healthfulness, your standard works and your medical journal shall be the fast companions of your leisure hours. With such a purpose to grow in knowledge, you will always find these fountains of intelligence so full and so fresh, that your relish for the repast may realize perpetual satisfaction. Apart from this fixed resolve, you may indeed retain the torpid vitality of the toad's hibernation, but cannot realize the vigorous and healthful growth of intelligent and efficient maturity. Onward, upward be your aspirations, Search the book of Nature eagerly, Looking through Nature up to nature's God. But the most important item at which I have hinted, as related to the true dignity of the profession, is the reception and instruc- tion of office pupils. Every village and rural district has its young men who aspire to Esculapian honors, and hence the certainty of applications to you, in this behalf. Let me express my deep, abiding conviction, that you can do more to elevate the profession, just at this point, than by all other expedients combined. It should be a law, binding on every one of you with the iron per- petuity of the statutes of the Medes and Persians, to reject every applicant for the post of office pupil, whose palpable ignorance of his mother tongue, or incurable mental deficiencies, or addictedness to intemperance or other vice, or fondness for the transcendental fooleries of the day, manifestly constitutes an insurmountable ob- jection. In all doubtful cases, in respect of which your information may not be quite satisfactory, institute a term of probation, extend- 10 VALEDICTORY. ing to three or six months, during which period a careful super- vision would enable you to decide with unerring accuracy; and if the result of such a trial should prove unfavorable to the applicant, advise him kindly to try the plough, or the workshop, or at all events to bid adieu forever to the profession of medicine. Nor is this all. Having taken pupils under your care, with the pre- cautions just stated, it will be obligatory on you, if you aim at the discharge of duty honestly and faithfully, to direct their studies, personally, every week, and to be assured, by oft-repeated exami- nations, that they are diligent in the task assigned. Do this as you ought, and your pupils will honor you at home, and not less at the medical schools to which they may resort, for the completion of their studies. Do this, and our graduating classes will, with scarce an exception, contribute most effectively to elevate the rank and dignity of the profession. The clamors put forth, touching decrepitude and decay, and lost dignity, and the whole Pandora's box of groans and sighs, will cease by necessity. Die out they must and will, for very lack of the breath of life; for all the via- bility they have ever appeared to possess has owed its being to a dereliction of duty in the matters already named, so universal, that the redeeming tendency of the rare exceptions is wholly nullified. And here, gentlemen, as within the circumference of a nutshell, you have an epitome of the more excellent way, to which your attention was invited. Analyze its brief, yet comprehensive de- tails, and, if I do not sadly mistake, you will be deeply impressed with the certainty of its remedial power, to secure infallibly and for all time, the most perfect health, and vigorous growth, and transparent purity of the profession with which you have volunta- rily identified yourselves for life. The remedy is simple. Will you give it a faithful application ? See to it, graduates of the Philadelphia College of Medicine, that you discharge your whole duty to the profession, and to society. Impressed with all the solemnity of the last hour we may ever spend in company on earth, I charge you, never allow your professional ermine to be tinged by the perpetration of a professional atrocity, the secrecy of which might shield you from the finger of scorn. Let your whole course be so spotless, that the broad sunlight of heaven may not be searching enough to reveal a solitary blemish. PAGES 11-12 MISSING VALEDICTORY. 13 winter session, invests it substantially with the duration of a full term. You are all aware, gentlemen, that in relation to the spring, as W'ell as to the winter course, we require satisfactory evidence that our candidates have been students of medicine for the term of three years, under the care of regular practitioners. You know that all our candidates are expected to avail themselves of the advan- tages of hospital practice, for at least one session; and that it is our custom to recapitulate, from day to day, throughout the course of lectures, by question and answer, so as to fix the instruction permanently in the minds of our hearers. Your own observation, in respect of the spring session, has abundantly satisfied you that it is quite as available as the winter course, here or anywhere, for all the ends of public medical tuition; and the imitation of our practice by the noble High School of Philadelphia is unanswera- ble evidence that it will be sustained by the voice of public senti- ment. The graduating class, now about to bid adieu to the halls en- deared by so many reminiscences, presents the following aspect. Of the entire number, there had attended lectures in other medi- cal schools, prior to pupilage in the Philadelphia College, as fol- lows:- In the University of Pennsylvania, . . . 1 " Jefferson Medical College, . . . 1 " University of New York, 1 " Charleston, South Carolina, ... 5 " Lexington, Kentucky, . . . . 1 " Albany, New York, . . . . 1 " Castleton, Vermont, . . . . 1 " Bowdoin College, Maine, . . . . 1 " Baltimore, Maryland, . . . . 1 " Belfast, Ireland, ..... 1 Other facts merit notice, here, with something like specialty. The great Blockley Hospital, located on the western margin of the Schuylkill, well known as one of the largest infirmaries in our country, has within its walls six resident physicians, who are chosen by a board of managers, with especial reference to capa- city. The competition for this post of honor and promotion is 14 VALEDICTORY. usually an exciting affair; and yet our graduate list has furnished at least four of the actual incumbents. In Saint Joseph's Hos- pital, located in the western portion of the city, another of our alumni holds the responsible position of resident medical attend- ant. Of the vaccine physicians, selected by the commissioners of the adjoining districts, at least three are proud to call themselves graduates of the Philadelphia College. In the magnificent State Lunatic Asylum, located on one of the hills that border the Sus- quehannah, are two physicians appointed by authority of the Com- monwealth of Pennsylvania, one of them having procured his diploma from the school which you and I have the honor of re- presenting here to-day. But, gentlemen, cast your eye over the great waters, and sur- vey the vast hospitals and splendid medical schools of Paris; and you may discover in the crowd some aspirants for fame, who but lately made their exodus from this spot, crowned with the same honors that now rest on you. They have realized a position as honorable and as profitable as falls to the lot of graduates from any school in the world; and you will meet as cordial a welcome there, should it be the good fortune of any of your number to make the experiment. If such has been the result of our enterprise thus far, what will the coming five years develop? Echo loudly answers, what? Is this the twilight lustre? What the effulgence of the mid-day sun, When the young giant, in its strength mature, The magic wand shall wave, exclaiming, " ;Tis enough ?" Need I tell you that my colleagues intend to act their part in the drama in such a manner as to invest the future with a ra- diance and glory far excelling the reality of past success ? You know all this, gentlemen; ay, and you feel it, too, so deeply, that you cannot fail to urge the glad tidings on the wings of the wind, to the remotest corner of the land. But I will detain you no longer. In the name and behalf of my colleagues, I bid you an affectionate farewell. GRADUATES OF THE PHILADELPHIA COLLEGE OF MEDICINE. At a public Commencement held on the twenty-eighth day of February, 1852, the degree of Doctor of Medicine was conferred on the following gentlemen, by the Hon. Jesse R. Burden, M. D., President of the Institution, after which the Valedic- tory was delivered by Professor Mitchell. NAMES. TITLE OF THESIS. STATE. Alexander. H. K. Uterine Hemorrhage, Tennessee. Bason, Wm. F. The Teeth, North Carolina. Beasley, John F. Remitting Fever, Louisiana. Black, K. A. Prolapsus Uteri, North Carolina. Bowes, Robert L. Scarlatina, Pennsylvania. Bunn, Robert S. Scarlatina, Pennsylvania. Burch, William Rubeola, Georgia. Carter, George N. Intermitting Fever, Virginia. Claybrook, Robert W. Worms, South Carolina. Cochrane, Andrew Typhus Fever, Ireland. Cook, Augustus G. Digestion, Georgia. Cunningham, James Medical Profession, Pennsylvania. Gegan, Michael F. Peritonitis, Philadelphia. Gihon, John H. Tumors, California. Haltawanger, S. A. Typhoid Fever, South Carolina. Hendrick, H. G. Typhoid Fever, Alabama. Hobbs, L. D. Fecundation, South Carolina. Holton, Joseph A. Science of Medicine, Maryland. Holton, William B. Typhoid Fever, Maryland. Hudson, James T. Signs of Pregnancy, Georgia. Keedy, John D. Intermitting Fever, Maryland. Kcerper, Joseph Pericarditis, Pennsylvania. Le Blanc, Theodore Management of Children, Louisiana. McKinne, Daniel J. Onanism, Pennsylvania. McPherson, C. F. Typhus Fever, Pennsylvania. Moore, C. C. The Teeth, Philadelphia. Niles, Andrew Prolapsus Uteri, Vermont. O'Neill, J. S. Dental Pulp, Philadelphia. Potts, William T. Oil of Turpentine, Pennsylvania. Pritchard, Isaac Fractures, Louisiana. Raymond, James S. Death, New York. Richardson, Francis X. Dysentery, Maryland. 16 LIST OF GRADUATES. NAMES. TITLE OF THESIS. STATE. Rosenberger, Simon Onanism, Pennsylvania. Saunders, William G. Apoplexy, New York. Snowden, Isaac Wayne Signs of Pregnancy, Pennsylvania. Thompson, N. G. Dysentery, Pennsylvania. Umberger, John R. Phrenitis, Pennsylvania. Vallette, Edward F. Gonorrhoea, Philadelphia. Whitehead, John G. L. Scorbutus, Philadelphia. Williams, John T. Alcohol, Philadelphia. The Honorary Degree of M. D. was conferred, at the same time, on Dr. Samuel Thome, of Pennsylvania; and the ad eundem on Eliab Wabd, M. D., of Philadel- phia, a graduate of 1847 in Harvard University. Dr. Joseph Alonzo Cbespo. of Cuba, was admitted to the Honorary Degree in 1851, but the announcement was not made before. RECAPITULATION. From Pennsylvania - - - 12 Philadelphia - - - 6 Maryland - - - - 4 Louisiana 3 Georgia - - - 3 South Carolina - - - 3 North Carolina - - - 2 New York 2 From California - - - - 1 Alabama - - - - 1 Virginia 1 Ireland 1 Vermont - - - - 1 Tennessee - - - - 1 Cuba ----- 1 Total - - 42 james McClintock, m.d., ' Dean of Faculty, No. 1 North Eleventh St. TO MEDICAL STUDENTS. The following are the Text-books for the Lectures on the Theory and Practice of Medicine: Mitchell's Therapeutics. Watson's or Elliotson's Practice. Freckleton's or Williams's Pathology. And, so soon as published, Mitchell on the Fevers of the United States, now nearly ready for the press. PHILADELPHIA COLLEGE OF MEDICINE, Fifth Street, a few doors South of Walnut. The Winter Course of Lectures, 1852-53, will be commenced on Monday, 11th of October, 1852, at 5 o'clock, P. M. The General Intro- ductory will be given by Professor James Bryan, M.D. Degrees will be conferred about the 1st of March, 1852. PRESIDENT. HON. JESSE R. BURDEN, M. D. JAMES McCLINTOCK, M.D., Principles and Practice of Surgery. RUSH VAN DYKE, M. D., Materia Medica and General Therapeutics. THOMAS D. MITCHELL, M. D., Theory and Practice of Medicine. JAMES BRYAN, M. D., Institutes of Medicine and Medical Jurispru- dence. EZRA S. CARR, M. D., Medical Chemistry. JAMES McCLINTOCK, M. D., General, Special, and Surgical Anatomy. FREDERICK A. FICKARDT, M. D., Obstetrics and Diseases of Wo- men and Children. GEORGE HEWSTON, M. D., Demonstrator of Anatomy. FACULTY. Fee for a full Course, ...... $84 00 Matriculation Fee, only once paid, .... 5 00 Graduation, ........ 30 00 Fee for those who have attended two full Courses in other Colleges, ........ 45 00 Dissecting Ticket, . . . . . . . 10 00 Perpetual Ticket, . . . . . . . 150 00 The fee will be received by the Dean, who will issue a certificate enti- tling the Student to the various tickets. Full Course candidates for graduation will be furnished with the ticket for the Pennsylvania Hospital without charge. For further information, inquire of james McClintock, m.d., dean, No. 1 North Eleventh Street. Philadelphia, FeUy. 20, 1852.