Your happiness on the contrary is quite secure because you place it entirely in making others happy and doing those things to the utmost of your powe… - Joseph Black

If I go to London to acquire this part of medicine, I may see a good deal of Practice, but I am a stranger there, & have no acquaintance whom I can venture to trust so much or be so familiar with as to trouble him with all my questions and doubts.—On the contrary here, medicine is allowed on all hands to be in a very flourishing condition. It is practised in the most rational & simple manner.

I have not had time this last winter to apply to it sufficiently; tho I had the opportunities, my attention was too much taken up with some of the Colleges, preparing my Thesis, & recalling to my mind everything I had learned, on account of the examinations.

I should be thoroughly acquainted with the real Practice & this is a thing very different from what can be learned in a College; thus for instance we are taught by our Professors that if a sick person breaths with great difficulty, one thing must be done; if his respiration is yet more laborious, another. But how shall we judge of the nice degrees of laborious breathing unless from a dayly & familiar acquaintance with, & study of, the appearances and looks of Patients &c. Most young Physicians neglect this essential point of their art in their education & very often acquire it when they come to Practice at the expense of their patients' safety.