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seeming want of success, in the first stage of treatment, affords no evidence of a lack of professional knowledge or skill.

EMERGENCY CASES.

SEC. 6. When a physician is called to an urgent case, because the family attendant is not at hand, unless assistance in consultation is desired, the former should resign the care of the patient immediately on the arrival of the family physician.

DUTY WHEN CALLED WITH OTHER PHYSICIANS.

SEC. 7.-It often happens, in cases of sudden illness, and of accidents and injuries, owing to the alarm and anxiety of friends, that several physicians are simultaneously summoned. Under these circumstances, courtesy should assign the patient to the first who arrives, and who, if necessary, may invoke the aid of some of those present. In such case, however, the acting physician should request that the family physician be called, and should withdraw unless requested to continue in attendance.

CASE ΤΟ BE RELINQUISHED ΤΟ REGULAR ATTENDANT.

SEC. 8.-Whenever a physician is called to the patient of another physician during the en

forced absence of that physician the case should be relinquished on the return of the latter.

EMERGENCY ATTENTION AND ADVICE.

SEC. 9.-A physician, while visiting a sick person in the country, may be asked to see another physician's patient because of a sudden aggravation of the disease. On such an occasion the immediate needs of the patient should be attended to and the case relinquished on the arrival of the attending physician.

SUBSTITUTE OBSTETRIC WORK.

SEC. 10.-When a physician who has been engaged to attend an obstetric case is absent and another is sent for, delivery being accomplished during the vicarious attendance, the acting physician is entitled to the professional fee, but must resign the patient on the arrival of the physician first engaged.

ARTICLE V.-DIFFERENCES

BETWEEN PHYSI

CIANS.

ARBITRATION OF DIFFERENCES.

SECTION 1.-Diversity of opinion and opposition of interest may, in the medical as in other professions, sometimes occasion controversy and even contention.

Whenever such

unfortunate cases occur and can not be im

mediately adjusted, they should be referred to the arbitration of a sufficient number of impartial physicians.

RESERVE TOWARD PUBLIC ON CERTAIN PROFES

SIONAL QUESTIONS.

SEC. 2.—A peculiar reserve must be maintained by physicians toward the public in regard to some professional questions, and as there exist many points in medical ethics and etiquette through which the feelings of physicians may be painfully assailed in their intercourse, and which can not be understood or appreciated by general society, neither the subject-matter of their differences nor the adjudication of the arbitration should be made public.

ARTICLE VI.-COMPENSATION.

THE LIMITS OF GRATUITOUS SERVICE.

SECTION 1.-By the members of no profession are eleemosynary services more liberally dispensed than by the medical, but justice requires that some limits should be placed to their performance. Poverty, mutual professional obligations, and certain of the public duties named in Sections 1 and 2 of Chapter III, should always be recognized as presenting

valid claims for gratuitous services; but neither institutions endowed by the public or the rich, or by societies for mutual benefit, for life insurance, or for analogous purposes, nor any profession or occupation, can be admitted to possess such privilege.

CERTIFYING OR TESTIFYING TO BE PAID FOR. SEC. 2.-It can not be justly expected of physicians to furnish certificates of inability to serve on juries, or to perform militia duty; to testify to the state of health of persons wishing to insure their lives, obtain pensions, or the like, without due compensation. But to persons in indigent circumstances such services should always be cheerfully and freely accorded.

FEE BILLS.

SEC. 3. Some general rules should be adopted by the physicians in every town or district relative to the minimum pecuniary acknowledgement from their patients; and it should be deemed a point of honor to adhere to these rules with as much uniformity as varying circumstances will admit.

GIVING OR RECEIVING OF COMMISSIONS CONDEMNED.

SEC. 4. It is derogatory to professional character for physicians to pay or offer to pay

commissions to any person whatsoever who may recommend to them patients requiring general or special treatment or surgical operations. It is equally derogatory to professional character for physicians to solicit or to receive such commissions.

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