The young practitioner : with practical hints and instructive suggestions as subsidiary aids for his guidance on entering into private practice : being modified selections from, with additions to, "The Physician Himself" / by Jukes de Styrap.

  • De Styrap, Jukes.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: The young practitioner : with practical hints and instructive suggestions as subsidiary aids for his guidance on entering into private practice : being modified selections from, with additions to, "The Physician Himself" / by Jukes de Styrap. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    411/420 (page 395)
    professional etiquette for a ' Public Vaccinator' to call, unsolicited, upon a patient of another medical man—as has repeatedly been done,—and insist, or otherwise request, that a non-vaccinated child be brought to him for the purpose, or, in any way, to offer gratuitous vaccination; and thus too often succeed in obtaining an introduction to the patients of other practitioners.] 14. Certificates.—Simple Certificates of the state of health (or of the death—other than the usual one for the Registrar of Deaths;) of a patient may be charged to such as Ordinary Visits—to others, as for Letters of Advice; but in cases of Life Assurance, or Lunacy, involving special examination and responsibility, 10/6 to 42/0 should be charged according to Class, and circumstances. The Assurance Fee of 10/6, however, should apply only to cases in which the amount insured does not exceed £so. 15. Medicines Repeated.—When, as frequently happens, a patient applies simply for a renewal of medicine—a visit or advice being deemed unnecessary—the charge should be regulated by Class, as per Tariff No. 2, and worded in accordance with the suggestion made at page 387. (' For the Prescriptions, &c.') 16. Urinary Testing.—An ordinary examination of urine, secundum artem, as an aid to diagnosis, in contradistinction to a special and minute analysis. B CONSULTANTS. I. Advice or Visit.—This includes Advice at Home, and attendance within a mile—either alone, or in consultation with another prac- titioner. Two visits, except in consultation, are generally made for each fee, except in Classes II and I. Note.—In prolonged (ex necessitate rei) consultations, an extra fee may very justly be claimed by the respective consulting practitioners. . 2. Mileage exclusive of Fee.—For any distance beyond the first fee- included mile, not exceeding three miles, 21/0, and a like sum for every additional chree, or part of three miles ; or it may be charged (fractions of a guinea being proscribed) at the rate of 7/0 to 10/6 per mile, according to Class, and the facility or difficulty of access. Frequency of attendance, and facilities for travelling by rail, may, in exceptional cases, and on the recommendation of the local attendant practitioner, be regarded as a valid reason for a moderate reduction of the fee. The above fees are from one to two-thirds less than the usual consultation charges for mileage, &c., in London, Edinburgh, Dublin, and other large towns.