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A Respectable Occupation: - University of Hertfordshire Research ...

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physicians, surgeons and apothecaries. Pelling refines this by saying that<br />

this tripartite arrangement was developed in continental Europe, but that it<br />

is difficult to identify the period when it existed in England. 123 Instead<br />

there was considerable overlap in the practice <strong>of</strong> the three occupations. 124<br />

When writing about the period from 1550-1640, he goes on to state that<br />

many surgeons and apothecaries admitted to providing internal remedies.<br />

They justified this by claiming that either their actions were within the<br />

terms <strong>of</strong> their own occupation, or that they were responding to physicians‘<br />

requests, or that they were obliged to do so as practitioners. 125<br />

After the Great Plague the physicians tried to take back from the<br />

apothecaries the business they had lost during their absence. They opened<br />

dispensaries and gave free advice to the poor. They tried to persuade the<br />

apothecaries to reduce the cost <strong>of</strong> medicines supplied to the poor, but<br />

without success. This was not surprising, as at that time the apothecaries<br />

were only permitted to charge for their medicines and not their consultation.<br />

The real problem was a difference <strong>of</strong> mindset; the physicians, as a<br />

pr<strong>of</strong>ession, were slow to realise that society was changing; they only<br />

recognised two classes, the gentry and their servants. The apothecaries<br />

were aware <strong>of</strong> the growth <strong>of</strong> a middle class and the desire for medical<br />

treatment among the tradesmen who had some money to pay for it. They<br />

were a new breed <strong>of</strong> doctor who wished to provide an affordable service for<br />

123 Pelling, Common Lot, p. 231.<br />

124 M. Pelling, „Appearances and Reality: barber surgeons, the body and diseases‟, in A. Beier and R.<br />

Findlay (eds.) London 1500-1700 the Making <strong>of</strong> the Metropolis (London, 1986), pp. 82-112 quoted in P.<br />

Watson, „Acquiring Surgical Know-how; occupational and lay instruction in early eighteenth century<br />

London‟, in R. Porter, The Popularization <strong>of</strong> Medicine 1650-1850 (London and New York, 1992), p. 43,<br />

note 9.<br />

125 M. Pelling, Medical Conflicts in Early Modern London: patronage, physicians and irregular<br />

practitioners (Oxford, 2003), p. 292.<br />

34

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