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transferred to the ledger, and this half-year's account is closed. The date of payment should always be noted in the ledger.

Accounts should be sent out every six months, and certainly not later than once every year.

If the practitioner is too busy and has neither time nor inclination to make out his own accounts, the ledger may be handed to an accountant to make up and send out the accounts. This, however, is very unsatisfactory, as you yourself only know the financial position of each of your patients. You may wish to charge a much smaller fee in certain cases, while in other cases, which perhaps have occupied much more time, you may wish to charge an increased fee. If, however, you have considered these points and have entered up all the sums to be charged, then an accountant has only to sum up the figures and send out the bills. He will probably succeed also in getting more money in, as he does it from his purely business point of view, whereas you yourself might not like to unduly press your patients for payment.

The loose-leaf method of keeping books has simplified the practitioner's work very greatly. For each patient there is a visiting list sheet, which is ruled so that it lasts a whole year or more. On it the total number of visits paid, with the total sum to be charged each month, with extras, etc., is seen at a glance. At the end of the year, or when you have ceased visiting this patient, this visiting list is slipped into the ledger, of which it now forms a page. If you recommence visiting this patient, the list is again removed from the ledger and placed amongst

your current lists of patients. The ledger requires no indexing, as all the visiting list sheets when they are introduced are placed in alphabetical order.

When a patient has died or removed, and his account has been finally closed, the whole of the visiting lists relating to this family are removed from the ledger and placed in reserve, so that it never becomes laden with unnecessary pages, and so can be used permanently.

There is also on the market a register which comprises day book, cash book, ledger, etc., all in one, and certainly, when you have once mastered it, it is advantageous to have everything in one volume. There is also a card index system of account keeping, but on the whole I think the loose-leaf system is the easiest and best.

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ABORTION, criminal, duties re-

garding, 137
Abruptness of manner, 40
Accident insurance, 95
Accidents, street, 142, 148

book-keeping, 163

rendering, 94
Advances in medicine, keeping

abreast of, 61
Advertising of oneself, 109, 110
Agents for sale of practices, 28
Anæsthetics, administration of,

Anger, avoid all show of, 40
Aristocratic patients, 43
Artisan patients, 44

duties of, 20

· unqualified, 110
Assurance, examination for life,


notification of, 112

registration of, 113
Blackmail, 138
Book-keeping, 160
Books, reading of, 55
Born-dead certificates, 113
Buying a practice, 29
CANVASSING for patients, 109
Card-index book-keeping, 164
Carelessness on part of prac-

titioner, 147
Cash book, 161
Certificates, 112

cremation, 130
dead-born, 113
death, 113
emergency, 120
general, 129
lunacy, 119

witness, to excuse, 129
Certification, wrongous, 120
Certifying surgeon, 154
Character, 5
Church, attendance at, 66
Cleanliness of practitioner, 48
Commencing practice, 22

Companions, 10
Compulsory removal to hos-

pital, 128
Concentration on one's work, 7
Conduct, 3

Shakespeare's advice as to,


between doctor and patient,

when only to be broken,

Confinements, contracts to at-

tend, 152

disagreeing with, 82
fee to, 86

patients calling on, 83
Consultations, 81

etiquette of, 84
hours for, 49
when to advise having, 81

whom to consult with, 82

for confinements, 152
medical, 157

with assistants, 21
Contradictory spirit, 41
Contributory negligence of

patient, 145
Control, self-, 7
Coroner's court, 99
Courtesy to patients, 43
Courts, giving evidence in, 99

Covering," 110
Cremation, certificates, etc., 130
Criminal abortion, duties re-

garding, 137
Cross-examination, 105
DEAD-BORN certificate, 113
Death certificates, 113

care in completing, 114
refusal to give, 116

still-born children, 115

registration of, 117
uncertified, 117
vacancy, 29
when to tell patient of

approaching, 79
Declaration, dying, 149

Frivolous manner, avoidance

of, 41
Furnishings of house, 27

Garrulous patients, 47
General Medical Council, 109
Gratuitous services, 92

life, 15

HAPPINESS in one's professional
Hobbies, collection of, 53
Holidays, necessity for, 57, 60

compulsory removal to,


residentships, 17
Hours of work, 49
House, management of, 26

IDIOTS, institutional treatment,

I 22
Idle hours, what to do in, 54
Imbeciles, institutional treat.

ment, 122
Immoral relations with

patients, 110
Increasing one's practice, 51
Indecision of character, 7
Induction of premature labour,

“ Infamous conduct

fessional sense, 109
Infectious diseases, notification

of, 128

Influence, undue," 125
Insurance, accident, life or sick-

in pro-

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Defectives, institutions for, 122
Deposition of medical witness,

Discharge of lunatics, 123
Disposing mind," 124
Dress, care in, of doctor, 48
Duration of visit, 45
Duty of doctor, 3
Dwelling-house, choice of, 25
Dying declaration, 149
EDUCATION in self-control, 8
Emergency certificate, I21,

Encouragement of patient, 42,

Enthusiasm in one's work, 6
Erasure of name from medical

register, 109
Esteem, self-, 14

as branch of philosophy, I

medical, 2

professional, 74

sick-room, 77
Evidence, rules for giving, 99,


for life assurance, 156
careless, 45

thorough, 69
FACTORY or certifying surgeon,


at assizes, county court,

Court of Appeal, coro-
ner's court, High Court,
quarter sessions, police

court, 100-I
midwifery, 91
post-mortem, for making,

skilled witness, 102
special, 90
specialists', 91
suing for, 95

surgeons', 91
Foreign lands,

holidays in, 60
study in, 19

ness, 95
Interest in one's work, 6

JUDICIAL authority, 121
Juror's medical certificate, 129

KINDNESS on part of doctor, 39

LABOUR, induction of prema-

ture, 138
Ledger, medical, 162
Legacy to medical attendant,

Leisure time, what to do in,53

in, 24

Length of visit, 45
Libraries, professional, 56
Life insurance, 97, 156
Locality, choice of, to practise
Loose-leaf method of book-

keeping, 163
Lunacy certificates, 119

responsibility for, 123

rules for completing, 121

discharge of, 123
management of property,

testamentary capacity of,


undue influence, 125

of house, 26

of lunatic's property, 124

doctor's, 36

rudeness of, 39

ethics, 2
referee, 154
responsibility, 141

secrecy, 132
Mental Treatment Act, 120
Midwives, uncertified, 110
Minimising illness, folly of, 80
Moderation in life, 8
Moral duty, 2
Negligence, 143, 145

contributory, of patient,

Negligent treatment, 144
New patients, taking on, 71
Nomenclature of disease, 114

of births, 112

of infectious disease, 128

midwifery, 50

politeness to, 77
OPERATIONS, responsibility for,


Optimistic mind, 9
Original work, 62

Oughtness,” 3

encouragement of, 79
examination of, 69, 77
loss of, 73
taking on new, 71
what to tell regarding

their illness, 78
Perseverance, 5
Pessimistic mind, 9
Politeness, 39
Politics, attitude towards, 63
Post-mortem, fee for making,


before commencing, 17
commencing, 17
country, 25
increasing one's, 51
locality in which to, 24
purchase of, 23, 28
success in, 32

town, 25
Premature labour, induction of,

Price of practice, 30
Privilege, 137
Privileged communications, 136
Professional etiquette, 74
Promptness in paying medical

visits, 33
Property, management of

lunatic's, 124
Purchase of a practice, 23, 28


desultory, 57
general, 56
professional, 55
systematic, 57

wasted, 57
Referee, medical, duties of, 154
Refreshing one's memory,


for book-keeping, 164
medical, 108

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