ARTES LIBRARY VERITAS SCIENTIA OF THE UNIVERSITY OF MICHIGAN TCEBOR # 1-QUÆRIS-PENINSULAM-AMŒE NAN CIRCUMSPICE IIMH The George E. Wantz (UM Medicine 1946) Collection A PROPER REPLY TO THE SERGEANT SURGEONS DEFENCE OF THEIR CONDUCT A T CHELSEA HOSPITAL. By SAMUEL LEE, Surgeon to His Majesty's ROYAL HOSPITAL at Greenwich. The interested Prevention of a real Remedy partakes no lefs of Impoſture than the mercenary Impofition of a pretended one. See Preface to Narrative. LONDON: Printed for W. OWEN, at Homer's Head, near Temple-Bar. MDCC LIV. (3) A PROPER REPLY TO THE Serjeant Surgeons, &c. M R. LEE, having abundant reaſon to complain of the Treatment he had re- ceived at Chelfea Hofpital, and finding all private Avenues to Redrefs clofed againſt him, thought it might not be deemed impertinent to fubmit a fair and candid Account of the whole Pro- ceedings to the Judgment of the Public; and appre- hended himſelf more peculiarly juftified in this Ap- peal, as the extraordinary Oppofition he met with was not merely a perfonal Concern, but, in fome meaſure, affected the Welfare of Mankind in general.-Had the petty Confideration of an Hofpital Allowance been the only Point in difpute, he would have fpared his Opponents and himfelf the Trouble of this public Conteft, and have fpent his time much more profit- A 2 ably (4) ably in the Courfe of a fuccefsful private Practice; but when an honeft Propofal for his Majefty's Service, the Relief of his afflicted Veterans, and the Benefit of the Revenue is treated as a Chimera, and the Author of it as an Impoftor, only becauſe it may interfere with the Intereft and Vanity of fome dignified Profeffors, Silence would be criminal; and a paffive Acquiefcence under fuch Calumny would imply as great an Indifference in Mr. Lee, with regard to his Reputation, as thefe Gen- tlemen ſeem to have fhewn to theirs in their unwarrant- able Attack of him. THIS Motive occafioned the Publication of a Pam- phlet intitled, A Narrative of fome Proceedings in the Management of Chelfea Hofpital, as far as relates to the Appointment and Difmiffion of Samuel Lee, Surgeon. As this Piece contained a fuccinct and plain Recital of Facts juftified by the Minutes of the Board, and cor- roborated by the Teftimony as well as Oaths of nume- rous living Witneffes, it had the good Fortune to ob- tain fuch a degree of Credit, as to render the Inno- cence of Mr. Lee's Oppofers not totally indifputable even among their beft Friends and greateſt Supporters; to remove which unfavourable Impreffion no Diligence was fpared, no Art left unpractifed, every Ear of Quality was befieged, every Toilet haunted and the Miſtreſs of it alarmed with fome dreadful Account of Mr. Lee, while their phyfical Emiffaries were inftruc- ted to roar out in every Coffee-houfe Impofture, Bri- bery, Quackery, Perjury, &c. however, this method of exculpating themfelves not being judged fufficiently fatisfactory, they found themſelves at length reduced to the diſagreeable neceffity of expofing themſelves in Print, and hoped, though unable to confute, they might at leaft be fuccefsful enough to confound, and imagined that a lucky Legerdemain of Names, Dates, Affertions, Mif- reprefentations, Fibs (or to use their own more fignificant Term (5) Term) falfe-Facts, would pafs with the inattentive for an Anſwer. Accordingly by the united Affiftance of various medical Committees, and feven months clofe application, an elaborate Performance makes its Ap- pearance, mifcalled-The true Account of all the Tranf actions before the Right Honourable the Lords and other Commiffioners for the Affairs of Chelfea Hofpital, &c. fanctified with the authoritative Names of JOHN RANBY and CÆSAR HAWKINS, Serjeant Surgeons to his Majefty. It is obfervable, that in whatever low and infignificant a Light Mr. Lee had been reprefent- ed by his Adverfaries, that nothing now but thefe chi- rurgical Generals taking the Field in Perfon is thought capable of oppofing his Progrefs, and though the lat- ter of theſe Gentlemen may plead the excufe of having had but an inconfiderable fhare in thefe Tranfactions, yet, as he has thought proper to become a Partner in the Avowal of them, he muft fubmit to the Penalty which generally attends the Indifcretion of keeping bad Company. BUT not to detain the Reader any longer than poffi- ble upon a Subject which, though it may excite his In- dignation, will afford him little matter of Entertain- ment, we fhall proceed in the moft fummary manner, First, to examine thefe Gentlemen's Account of a Rup- ture. Secondly, to detect the Infufficiency of what they would willingly have understood as an Anſwer. And, Thirdly, recapitulate fome material Facts to which they have been prudent enough not to attempt giving any Anfwer at all; in the courfe of which it will evidently appear, that, how fkilful foever our Serjeant Surgeons may be in the Anatomy of the Parts of the Body, they are fomewhat defective in that of the Powers of the Mind; and that it implies no con- tradiction to affert, That a very good Surgeon may be a very bad Author. THESE (6) وو THESE Gentlemen fet out with informing the Reader, that" They long befitated whether they ought, or, in- deed, whether it was worth their while to take any public Notice of the Charge which had been alledged against them, hoping that their Characters would fkreen them from Suf picion, and that Time, who generally does justice to Men, would prove their Defender. But finding at length that the former was rather too frail a Security for their Innocence, and the Verdict of the latter was by no means in their Favour, it feems they were obliged at laft to put themſelves on their Defence at the Bar of the Public, and endeavour, by fome other method, to obtain that Acquittal which experience had fhewn neither their CHARACTERS or TIME had been able to procure them. HOWEVER general and fuperficial our learned Ser- jeants Definition of a Rupture may be, yet, for bre vity's fake, we fhall agree with them, "That it is an external Swelling at the bottom of the Belly, eafily to be felt and feen, occafioned by the Gut or Caul, or both, forcing their Way, out of their proper Situation within the Cavity of the Belly, through Openings naturally de- figned to give Paffage to particular Veffels only, which O- penings are fo tight and fmall in the right and natural State of the Body as not to permit the Gut or Caul to pafs along with thefe Veffels, and it is only from fome acciden- tal and preternatural dilating of them that the Rupture proceeds."- To which they ſhould have added, and that it is only by fuch Applications as have a Power to contract this preternatural Dilatation that the Cure can be effected. Now the only effential Queftion in this Controverfy is, whether Mr. Lee has difcovered any fuch Means of producing this Effect as were either un- known or unpractifed by his Brethren of the Profeffion; to invalidate his Pretenfions to any merit of this fort: while his Succefs remained doubtful, the Cure of a Rup- (7) Rupture was treated as an Innovation altogether incon- fiftent with the Tenets of chirurgical Orthodoxy; but when Facts began to accumulate and come in public competition with their private Opinions, a new Doc- trine is to be inculcated, the Difficulty of Cure is to be exploded, and the Science of the Surgeon is to be fa- crificed to the Mechanifm of the Trufs-maker; a Ban- dage is at once inveſted with every miraculous Power neceffary to this End, and, if you will believe our Ser- jeant Surgeons, "The Infant, in whom this is fcarce. to be reckoned as a Diftemper, is easily cured by a Ban- dage." To thofe " In a growing Age, the Bandage well fitted and conftantly worn for a proper length of Time proves a certain and infallible Cure."-In " In "Grown-up Perfons, provided the Trufs is early and well fitted, and the Cure favoured by Reft for a length of Time, the di- lated Opening is often compleatly strengthened again, and the Rupture cured."-In " Old Men, the conftant wear- ing of a good Trufs frees the ruptured Perfons from Pain and all kind of Danger, and most commonly renders the Diforder a flight Inconvenience only, and not an Obftacle to any of the Offices of Life, and fometimes perfectly Wonderful Effects of Steel and Cotton! and for the Diſcovery of which the Public will, no doubt, hold themfelves greatly indebted to theſe Gen- tlemen; but as Writers, of authority in Surgery, have generally thought it expedient to bring Argu- ment and Fact in aid of their Doctrine, it may feem fomewhat fingular that our dignified Profeffors have not condefcended to produce one fingle Cafe in Illu- ftration of their chirurgical Dogma, or given any o- ther reaſon why a Trufs fhould have this extraordi- nary Virtue, except that decifive feminine One-BE- CAUSE IT HAS. But if a Trufs is fuch a Specific, it may be enquired, why have Infants, and thofe of Qua lity, been configned over from thefe very Gentlemen themfelves to the Care of Mr. Lee? was it, becaufe a Rup- cures. دو ture (8) ture at that Age was fcarcely to be reckoned a Distemper? Why have Perfons of a growing age, though attended by theſe Gentlemen, been kept in Irons from Infancy to Manhood? Was it, because they had not worn them for a proper Length of Time to prove a certain and abfolute Cure? Why are our Armies drained, and Hofpitals crowded with Soldiers deemed unferviceable by this Diftemper in their Prime of Life? Is it becaufe the di- lated Opening is often compleatly strengthened again in a grown-up Perfon, and the Rupture cured by a Trufs? Why do our Hofpitals echo with the continual La- mentations of afflicted Veterans? Is it becaufe in old Age, the wearing of a good Trufs frees the ruptured Perfon from Pain and all kind of Danger, and renders the Distemper no Obftacle to any of the Offices of Life, and fometimes perfectly cures? BUT our Serjeants fhould have forefeen, that while they are enhancing the Efficacy of this Machine, they are unwarily impeaching their own Integrity; for may it not furniſh matter of Sufpicion, that the Army fhould be fuffered to lofe fo many Men, and the Go- vernment fo much Money on Account of a Diftemper fo eafily and generally cured? Nay, may not thefe Gen- tlemen's private Patients begin to think, the conftant Annuities they are fubjected to by this Complaint ra- ther the refult of Policy than Neceffity? efpecially when it is confidered, that our Profeffors have by no Means rendered their vifitorial Interpofition unneceffa- ry, but have prudently referved to themſelves, the well fitting this Inftrument, -the Care of Inflammations during the wear of it, and the final Decifion of the Cure. Upon which laft Point, in particular, we are told in the following myftical Terms, "That Surgeons are often confulted, but cannot be determined by any Appear- ance or Examination of the Parts, but must be guided in their Opinions, by their general Rules from Experience, and ((9) and the Circumftance and Hiftory of each particular Cafe; and that two or three Months at least are neceffary (with no doubt frequent Vifitations) before they can upon any juft Foundation conclude the Cure really compleat and per- fect." All this! to determine whether a Man's Guts are actually down, or the Hole big enough for them to fall through. THOUGH the Efficacy of the Trufs has been induftri- oufly pleaded in Diminution of Mr. Lee's Merits with refpect to common Cafes, yet it feems, there are fome complicated ones which do not come within the curative Power of this magic Circle. What then is to be done? Why, Authority is to be oppofed to Experiment, and the Reader is boldly affured, in Verbo Chirurgorum, that they are incurable." It fometimes happens (fay they) that the Gut and Caul, from a long Neglect of re- turning them into the Belly, adhere and grow to the Parts furrounding them: this Adhesion of Course ever afterwards prevents the Return of the Rupture into the Belly, which thus becomes an INCURABLE CASE."-To fuppofe thefe Gentlemen finned againft Knowledge, in affert- ing this Species of a Rupture to be incurable, might be deemed an Affront to their Sincerity; to fuppofe Want of Knowledge the Occafion of it, no great Compliment to their Abilities: If the former is the cafe, Mr. Lee has Charity enough to forgive their Malice; if the latter, Generofity enough to rectify their Miftake, by convincing them that it is not only curable but has actually been frequently cured; and however unneceffary our Serjeants have thought it to produce Cafes in fupport of their Doctrine, Mr. Lee apprehends the Sanction of the following (out of many others) will by no means leffen the Authority of his. MR. RUTH of Pudding-lane had been afflicted with a Rupture forty Years, which, when Mr. Lee under- took B ( 10 ) took him, was about the Size of a Child's Head, with various Adhefions of the Caul in the Scrotum-the Gut being reduced, the Adheſion of the different Parts of the Caul were feparated in about two months, with- out any Incifion, and the Cure afterwards ſo perfectly compleated that he has made no ufe of any Bandage for theſe three Years laft paft. MR. SOLOMON of Church-ftreet, Sobo, had been rup- tured about thirty Years, the Caul adhered below. He applied to Mr. Lee the 6th December 1751, the Adhefions were all feparated without any Incifion by the2 5th Day of the fame month, and the Caul entirely reduced, though, from the great Diftention of the Ori- fice, a fmall Part of it fometimes flid through, but was perfectly cured in about eight months: He conti nued to wear a Bandage till the 20th of February 1753, ever fince which he has never once put it on, or ex- perienced the leaft Symptom of the Return of his Di- ftemper. MR. OAKLEY of Chelfea was ruptured 26 Years, when Mr. Lee, being called in by another Gentleman of the Profeffion, he was of Opinion that a large Quan- tity of the Caul was fallen into the Scrotum with a fmall Portion of the Gut, and, as he thought, the Adhefions of the former too ftrong to be feparated without an Incifion, propofed an Operation, to which the Patient fubmitted, and three Days after, the Gut being reduced, he took twenty-three Ounces of the Caul out of the Scrotum, the Wound was healed, and the Patient perfectly cured in fix weeks.* AFTER *We fhould not have made fo free with thefe Gentlemen's Names had they not already generously appeared to teftify their refpective Cures, upon Oath, in open Court; and it is remarkable that while Mr. (11) "That a AFTER this, will our Serjeants infift, Rupture attended with an Adhefion is incurable ?" That " a Trufs well fitted is fufficient to effect every poffible Cure?" That "all Experiments made by the Knife and Cauftic have been unsuccessful ?". And will the Public be induced to give an implicit Affent to their bare Affir- mation, that "all Medicines, internal or external, are of triffling Effect in this Disorder, and unable to pene- trate deep enough even to affift or fhorten the Cure?" Had thefe Gentlemen added, All Medicines known to them, it would at leaſt have been an inftance of their Modefty if not of their Science; but that their Know- ledge fhould be the Boundary of all chirurgical Dif- covery may by fome be held no very logical Conclu- fion. Does not every Surgeon's Apprentice know, that there are Medicines capable of pervading the whole Mafs of the human Body, and that almoſt inſtantaneouſly? Why then unable to pene- trate to the Seat of this particular Diſorder? And as the Complaint proceeds from a preternatural dilating of the Opening at the bottom of the Belly, may not an Application of a contracting Quality, able to reach this Part, bid fairer for Cure than any Bandage what- ever, which, however ufeful it may be to keep up the Gut or Caul till the Part fo contracted recovers its na- tural Strength and Tone, is by no means an adequate Caufe of that Contraction. Hence it is that although the Patient may experience fome degree of Relief, from the Trufs preventing the Defcent of the Rupture, yet, without fome more effectual Application, he is feldom B 2 ex- Mr. Oakley, who lived in the Neighbourhood, was under Mr. Lee's Care, fome phyfical Spies were almoft hourly diſpatched from the College in order to get the earlieſt Notice, had the Operation proved unfuccefsful; but being difappointed in a Subject of Clamour, they took care to conceal the Cure as much as poffible from the Know- ledge of the Public, by obferving ever after a profound Silence on the Occafion. (12) extricated from its difagreeable Bondage during his whole Life. WOULD not that Practitioner be deemed a Novice in his Bufinefs, who becauſe it may be neceffary in the Treatment of a Fracture, fhould afcribe the Cure to the fole Virtue of the Bandage? Which of itfelf is full as capable of fetting the Bone as of contracting the ruptural Orifice.- Does not every Day's Prac- tice demonftrate that external Applications are made ufe of for violent Strains, which penetrate to the Parts affected? And that the Bandage is only called in Aid of the Operation of fuch Medicines as are fuited to re- ftore the relaxed Mufcles to their natural State and Tone; in fhort, a Trufs, and that only, in fome Cafes may afford a temporary Relief, by keeping up in fome meaſure the Gut and Caul; but will hardly ever be capable of effecting a Cure, by the Contraction of the Paffage through which they defcend: It may indeed alleviate the Effects, but cannot remove the Caufe. And for the truth of this we may appeal to the ex- perience of thoſe who have only made ufe of this in- adequate Remedy, as well as to the State of our Hof- pitals, in ONE of which at leaft our Serjeants have not been able to produce a fingle Inftance of Cure per- formed by this Means; and which, could they have done, it is prefumed the Public would not have failed of having ample Information. This Advantage there- fore Mr. Lee may juftly claim over his Opponents, that, whether he has performed any Cures or no is at leaft a matter of fome Difpute, that they have perform- ed none admits of no Difpute at all, That a Ban- To eftablish this Doctrine, dage is the only Remedy fuited to the Cure of Ruptures, the Practice of Sir THOMAS RENTON is to be im- peached: But altho' that Gentleman's Method might not ( 13 ) not prove fuccefsful in every Cafe, furely it by no means follows that it fhould be unfuccefsful in all; and that it really was not fo is even within the Knowledge of our Serjeant Surgeons themfelves, to whom one of the prefent Commiffioners of Chelsea Hofpital has de- clared, that he was actually cured by Sir Thomas, and remains perfectly well to this Day. What Opinion then muſt the Public entertain of thefe Gentlemen's Sincerity, when they roundly affirm, "That within the Courfe of a few Months the Ruptures of all the Perfons who had been under the Care of Sir Thomas re- turned, and none proved to be cured?" But were this the cafe, How does it affect the prefent Difpute? Would they infer, that becaufe Sir Thomas Renton, who made ufe of one Method, did not; therefore Mr. Lee, who makes ufe of another, cannot, fucceed? Excellent reafoning! and however peculiar to our learned Profeffors, may not be thought altogether fo conclufive by their Readers. d OUR Serjeants being aware that the Difappearance of the Rupture might, to vulgar Apprehenfions, in- duce a Belief of the Cure, and well knowing that Mr. Lee had frequently given this degree of Proof, find it expedient to affure their Readers "That Mr. Lee was misleading every one to judge, from their Rup- tures not being down at any fingle examination, that the Men were cured." By which they would un- fairly infinuate, that Mr. Lee would not permit more, than one Examination. How difingenuous muft this ap- pear to thofe who, by the NARRATIVE, will perceive that one of Mr. Lee's principal Complaints is, the being refufed, not refufing, Examinations. Do his con- ftant Attendances on the Board to folicit Examinations upon Examinations, His frequent applications to Mr. Chefelden and Mr. Ranby to repeat their Infpec- tions, or his Agreement with the former to ex- ( 14 ) examine his Patients three times a week for a Month Does this Behaviour juftify the Re- "That free and fair Examinations were together, flection, denied by Mr. Lee." feffors calculation, But it feems, by our Pro- 66 two or three months at leaft are neceffary for the Decifion of a Cure." If to this it is anfwered, that Mr. Lee's Patients paffed through a State of Probation for an equal number of Years, with reiterated Infpections, we are then to be told, "That even repeated Infpections at fixed times, if the Perfon has it in his power to prepare himself accordingly, are ftill infufficient." What Chica- nery is this! and who would not from hence be apt to conclude, the Belly and Bowels of the Patient fome- what like the Jugler's Cup and Balls, equally at the difpofal of the Surgeon's dexterity to be hocus pocus'd in and out, juft as a Deception becomes convenient or profitable. But may not the Practitioner who can thus dexterously produce an apparent Cure, be fhrewdly fufpected of not being the moft ignorant in effecting a real one? their Poftulatum may be, How true foever then "That a fingle Ex- it amination is infufficient to determine a Cure," muſt be allowed to be very inconclufively applied on the prefent occafion; and for any reafons thefe Gen- tlemen have condefcended to affign, fome may ſtill be inclined to hold, That whenever the Inteftine is found to be reduced, and the Opening at the bottom of the Belly contracted to its natural Dimenfions, a Cure may juftly be pronounced without the Authority of fuch extream cautionary and eternal Re-re-examinations and Re-re-infpections. If a broken Leg was once fet and reftored to its ufual Functions, would our Serjeants themſelves heſitate to ratify the Cure only be- caufe it might again be fubject to the like Acci- dent? BUT ( 15 ) BUT who can forbear fmiling to fee unfimilar Si- miles brought in fupport of illogical Arguments: An Ague is compared to a Rupture, and becaufe the Abfence of the Fit on the intermittent days of a perio- dical Diftemper is no Proof of a Cure, therefore the Difappearance of the Symptoms in a continual Com- plaint is equally inconclufive. THUS much for our learned Serjeants ACCOUNT OF THE NATURE OF A RUPTURE. And how fkil- fully they have acquitted themſelves as to the Nature, or how ingenuoufly as to the Account of this Diftem- per, we fhall fubmit to the Reader's Determination; and proceed to examine that part of the Performance which is intended to juftify their Proceedings, in op- pofition to Mr. Lee, at Chelfea Hofpital; in which it will appear, that thefe Gentlemen are full as unlucky in point of Fact as they have been in point of Opinion, and that the one is as ill fuited to eftablish their Inno- cence as the other to authorize their Judgment. Ir is agreed with our Serjeants, that Mr. Lee found- ed his application to the Chelfea Board upon a recom- mendation from Sir William Yonge, and feveral Certi- ficates of Cures, two of which, it feems are now only to be found (or were perhaps thought proper for the public Infpection:) However, Mr. Lee thinks himfelf obliged for the communication of thefe, as they con- tain an additional Evidence of his Abilities, which had before been omitted as not effential in the Difputes between him and his Oppofers. The Certificates are as follow: "This is to certify, that I Robert Pitt, Coachman to Sir William Yonge, being troubled with a Rup- ture, did, in December 1747, apply to Mr. Ran- by, Serjeant Surgeon, for the fame; who told me I was ( 16 ) was incurable; but that I might poffibly find fome benefit from a Trufs, which, by his Direction, I got: But notwithstanding that, my Rupture came down very often, and was at last fo troublesome that I was obliged to leave off my Trufs, and continue without till November 1749, when the Rupture was as large as ever; and I, by Sir William Yonge's direction, then applied to Mr. Samuel Lee of Arundel-ftreet, by whom I was, in three Weeks, cured, and have continued quite well in that refpect ever fince, though have continually drove the Coach and had a violent Cough. In Witness where of, and that I now find myself quite well, I have fet my hand this 28th of January, 1749. only told but دو Robert Pitt." دو In order to invalidate the truth of this Certificate we are "That poffibly this Man might ap- ply to Mr. Ranby," "That poffibly the Trufs be directed, not being a good one, might fail in keeping up the Rupture," "That poffibly, had it been well fitted, the Rupture might not have come down; that it was abfolutely impoffible Mr. Ran- by fhould fay, that he was incurable. To which the Reader may be apt to add, that all thefe Poffibilities may poffibly be true, and yet nothing to the purpoſe, fince the only material point is, Whether the Man was actually cured? Which, if a Fact, our Serjeants might at leaft have added one more POSSIBILITY, with which they by no means feem inclinable the Public fhould be acquainted, viz. That Mr. Lee can cure that Rup- The other Cer- ture, which Mr. Ranby cannot. tificate runs : This is to certify, that I John Sackville, aged 60, have been troubled with an Hernia (Rupture) for 30 Years laft paft, which for about three Years has been (17) been fo bad that I could not walk five yards without the most exquifite pain; in September last 1 was examined by Mr. Ranby, Serjeant Surgeon, who then told Mr. Lee if he could cure me that he should then be convinced that he was able to relieve that Complaint, which he thought was by all deemed in- curable. In witnefs whereof, and that I was com- pleatly cured by the faid Mr. Lee of Arundel-ftreet, and afterwards examined again by the faid Mr. Ran- by, who confeffed the faid Cure was compleated, and that I have not fince had the leaft Symptom thereof, I have fet my hand this 5th day of December 1749. John Sackville.' 66 92 دو muft not the Credibility of this Evidence in Mr. Lee's Fa- vour vanish at once when our Serjeants come with their convincing Suppofes? "Is it (fay they) to be fuppofed, that Mr. Ranby fhould tell Mr. Lee that if he cured this Man be fhould be convinced that he was able to relieve that Complaint, which he thought was by all deemed in- curable" again Is it to be fuppofed, (that though Mr. Lee produced the Patient in three months time with his Rupture up, and no Appearance of a Swelling) that Mr. Ranby fhould confefs to Mr. Lee that the Cure was compleat, and indeed whoever confiders the Reluctance Mr. Ranby has fhewn throughout thefe Tranfactions, to make fuch fort of Confeffions, muft allow there is fome weight in the Objection, notwithſtanding this new kind of Ca- fuiftry in confuting Facts with Suppofitions. دو BUT it feems Mr. Ranby was fo far confeffing the Cure compleat" that nothing lefs from upon this Evidence, "than repeated Examinations, and that not of one man only but of Numbers perfectly cur- could induce him to give a Certificate in Mr. Lee's Favour, by which it appears, that as the ed C Num- (18) Numbers are indefinite and the Examinations perpetual, Mr. Lee had but a very diftant profpect of receiving any Advantage from this fcrupulous Gentleman's Te- ftimonium. 99 THOUGH the Acutenefs of our Serjeant Surgeons has enabled them thus fully to detect the Falfhood and Infufficiency of thefe Certificates, yet it is appa- rent the Commiffioners were unequal to fo nice a Dif- covery, fince upon this Authority they were pleafed to order "That Mr. Lee fhould make experi- ment upon fuch of the In-Penfioners as fhould voluntarily fubmit themfelves to his Care. Thus much of the Order our Serjeants have thought fit to publifh, but "That for his Trouble and Attendance be Should have a reafonable compenfation" is pru- dently omitted, in order, it is prefumed, the better to reconcile it with that part of the Difcharge by which it appears Mr. Lee was difmiffed without any compen- fation at all. We are told by our Serjeants, they were told by Mr. Chefelden, that after this permiffion was given to Mr. Lee the following Terms were propofed to him: FIRST, "That the Men fhould be previously exa- mined by Mr. Chefelden as to the Condition of their Ruptures." What an evaſive Advantage Mr. Chefelden took of this pretended Article the Reader will foon fee. SECONDLY, "That the Penfioners thus examined (if they were not known to him before) fhould be brought to him once or twice more that he might be able to remember their Perfons, left from the Similitude of Faces (19) Faces or Uniformity of Cloathing he might mistake one Man from another." Why the extream caution of this Article? Had Mr. Chefelden at this time reafon to fufpect Mr. Lee would be guilty of fuch unfair Proceedings as to palm falfe Men upon him, or did he forefee the heinous Mal- Practice he was afterwards charged with? If Mr. Lee was then upon good terms with Mr. Chefelden, as not having yet committed the unpardonable Sin of Cure, was it decent to imply, by the very terms of his Agreement, that Mr. Lee was a Rafcal, or would he have fubmitted to fuch an Implication? But if Mr. Chefelden's Eyes were fo very fubject to a Mi- ftake, would not thofe of his faithful Affiftant Mr. Thomas been able to rectify it, efpecially as the Precau- tion of taking down the Men's Names in writing was always ftrictly obferved? LASTLY (fay they) it was agreed, "That whenever Mr. Lee fhould declare any of the Cures compleat, and defire Mr. Chefelden's final Report of them, he or his Affiftants might then have the li- berty of vifiting and examining the Men as often as be fhould think proper, in order that they themselves might be witneſſes whether the Men had entirely left off the Ufe of their Truffes, and that their Ruptures did not come down." And how confonant Mr. Lee's Behaviour was even to this other pretended Article of Agreement, the Courfe of thefe Tranfactions fufficiently teftifies, which fhews That they had not only the liberty of viſiting and examining his Patients as often, but were even preffed by him to do it much oftner than they thought proper That Mr. Chefelden himfelf repeated his Examinations till even he declared his full fatisfacti- C 2 on (20) on in point of Cure; but his private opinion and pub- lic Certificate were, it feems, two very different things: The firft he thought he might fafely give, as it could be of no Service to Mr. Lee; the latter he prudent- ly refufed, as it might be of fome Differvice to himfelf. BUT how formal and circumftantial an Account is here drawn up, of a Treaty between two Parties who themſelves had never a fingle Conference upon the occa- fion, and which has no other Foundation in fact than the following Circumftance when Mr. Lee felected the firft Sett of Patients, Mr. Thomas, the Affiftant Surgeon, hinted to him "That it might be more fatisfactory to the Commiffioners if Mr. Chefelden and himſelf were to examine the Men prior to any Ap- plication of Mr. Lee's, and as he was to dine with Mr. Chefelden that day they would, after dinner, make fuch Examination, and if they had any Objection to the Cafe of either it fhould be left in writing with the Man fo objected to: But if by Monday no fuch objection was left, Mr. Lee was to proceed" (See Nar- rative Page 9.) accordingly, no Objection being left, Mr. Lee proceeded in the Cures; but fometime after, when they were produced at the Board perfectly well, and Mr. Chefelden and Mr. Thomas were examined to their Cafes, the former (fay our Serjeants) alledged- "That he had not been privy to the Condition of the faid Men before they put themfelves under the Care of Mr. Lee, and therefore could not be thoroughly acquainted with the nature of their Cafes, or judge of the Performance of the Cures." It is to be obferved, that not a word was at this time mentioned concerning the neceffity of repeated Examinations, this Expedient was to be referv- ed for future Exigencies, and the only Objection then offered was the Want of previous Infpection: But it may be aſked, How does it appear that Mr. Chefelden had not actually infpected them? Did not thefe very (21) very Men receive Truffes by Mr. Chefelden's Orders? Did not Mr. Chefelden, while they were under "That Mr. Lee's Care, tell the Deputy Governor, two of the Men had but very fmall Ruptures, and one, viz. Hanna was not ruptured at all?" Did he once, during the time of the Cure, make this ob- jection of not having examined them? Is it to be fuppofed, when Mr. Thomas dined with Mr. Chefelden, that they neglected the promiſed Infpection, or ought their Negligence to be pleaded in Mr. Lee's Disfavour? But if Mr. Chefelden did not know thefe Men were ruptured, Mr. Thomas, by whom they were delivered into Mr. Lee's hands, could certainly have fatisfied the Board in this point. How candid therefore and equitable foever our Serjeants may pronounce this Conduct of Mr. Chefelden's, the Reader may be apt think it had fome fufpicious Marks of Evafion and Infincerity. 66 HOWEVER, feven more Men were taken at two different times under Mr. Lee's Care, and whom our Serjeants allow were previously examined by Mr. Chefelden, and though declared cured by Mr. Lee, yet no Report was made of any of them to the Board by Mr. Chefelden till the 16th of January 1750-1." Is not this Delay one of Mr. Lee's Complaints? And does it not fhew what difficulty he had to drag his Op- ponents to a public Decifion of his Pretenfions? "At a Board held the 11th of May, Mr. Chefelden pretends he cannot conveniently attend himſelf, but will fend for Mr. Thomas to carry his Report, whom he knew to be gone to London hours before." Chefelden is then ordered to make his Report the next Meeting, which, being held the 6th of September 1750, وو Mr. Mr. Chefelden does not make his Report or Appearance, and is therefore again ordered to examine Mr. (22) Mr. Lee's Patients without delay, and make his Report which being held the 21ft Mr. Chefelden does not the next Board-day of November 1750, make his Report, but fends a Letter to mifinform the Commiffioners, "that Mr. Lee had two days before agreed that he fhould continue to examine his Patients one month longer," though Mr. Lee then affured the Board that he had not feen Mr. Che- felden for near two months before. This pro- duced another Order for Mr. Chefelden's perfonal Atten- dance the 28th, when he at laft condefcended to obey the Commiffioners and made the following extraordi- nary Declaration, ed any one Man that had been under Mr. Lee's Care." (See Narrative, Page 14.) "That he had never examin- "This Interval of time (fays our Serjeants) till the 16th of January 1750-1, paffed in continual Altercations between Mr. Chefelden and Mr. Lee, in relation to the different Methods of examining the Men; and that Mr. Lee was perpetually teazing and labouring by all Arts and Means to prevail with him to fix a peremptory day for the examination of thefe Men, on which fingle Examination Mr. Chefelden was to make a conclufive Report, whether the Men were cured or not, ftill harping upon tion? the Fallibility of a fingle Examination. But are Mr. Lee's conftant Complaints to the Board, of Mr. Chefel- den's refufals to examine his Patients, a Proof of Mr. Lee's infifting upon the Validity of a fingle Examina- Is the Confent of Mr. Lee (and which is allowed by thefe Gentlemen) That Mr. Chefelden fhould infpect his Patients three times a week for one Month, a Proof that Mr. Lee depended on the Securi- ty of a fingle Examination, or Is Mr. Chefel- den's Letter to the Commiffioners, informing them, "that Mr. Lee had confented he fhould con- tinue the Examinations of his Patients one Month lon- gers (23) ger" a Proof of Mr. Lee's refufing more than one Examination? However demonftrative fuch kind of Inferences may appear to Mr. Lee's Op- ponents, he need be under no great apprehenfion of their prejudicing him in the opinion of the Public, who, from what has been faid, it is prefumed, will form a very different Conclufion: That it was rather the Want of fufficient Inclination, than fuffi- cient Evidence, that protracted Mr. Chefelden's chirur- gical Fiat, and "that (to ufe their own words) he ought to have published Mr. Lee's Success to the World on fuch Authority as could not have been difputed." "It is to be obferved (continue our Serjeants) that there had not as yet been any Proof produced to the Board, that Mr. Lee had performed a fingle Cure, befides his own and the Men's Affertions." How fhould there, as Mr. Chelefden had conftantly refufed to do Mr. Lee Juftice, by giving the Commiffioners any fa- tisfaction whatever? But does this perpetual obftinacy and Neglect of Duty in Mr. Chefelden juftify (as is infinuated) the Board's taking no Notice of Mr. Lee's Petition? And was not this tacit Submiffion, in fome degree, a confirmation of Mr. Lee's and the Men's Affertions? "At length, it feems, Mr. Chefelden (poor Man) barraffed and tired out with Mr. Lee's Importunities, and unhappy left the Commiffioners fhould give any credit to the many Complaints Mr. Lee had made of him, re- folved to do" What? Why, what he ought to have done long before, make a Report of the State of Mr. Lee's Patients. But who would not wil- lingly fubmit to a like Perfecution to be fo pathetically lamented by his phyfical Brethren. THUS (24) THUS Our Serjeants have affured us upon their words "That the only reafon why Mr. Che- felden refufed to examine the firft Sett of Men was" Because he had not previously infpected them: "That the only reafon why he did not report the State of the reft was" fpected them fufficiently: Because he had not in- "That And Becauſe ano- the only reaſon why he refufed to certify the, Cures af- ter a Month's Examination was" - ther Month was neceffary: with this definitive Demonftration, All which is clofed WE WERE INFORMED OF BY MR. CHESELDEN HIMSELF. Indifputable Evidence. Prince Volfcius kill Prince Volfcius! felden impeach Mr. Chefelden! "THIS What! Mr. Che- but it fhould feem our learned Serjeants are not Logicians enough to diſtinguiſh, that all they have hitherto advanced a- mounts to nothing till they have firft eftabliſhed thefe previous Poftulata 1ft, That because Mr. Che- felden told them fo, it muft certainly be true. - 2dly, That it is certainly true Mr. Chefelden told them fo. WE are now arrived at the Board held the 16th of January 1750-1, when Mr. Chefelden made his Report, the whole Tranfactions of which (we are warned) require fome Attention." 66 A Memorial of Mr. Lee's (fay they) was read at this Meeting, fetting forth, that Mr. Chefelden, long before the Month's examinations which had been agreed upon between them were compleated, told Mr. Lee that he might fpare himſelf any further Trouble, fince the Men were as well as ever they were in their Lives; and that he found not the leaft appearance of a Rup- ture in any of them, and promifed to make a Report in Mr. Lee's Favour" but how can this be true, afk our Serjeants, when Mr. Chefelden did actually report, "That (25) 99 "That two of the three Men brought to him by Mr. Lee on the 3d of December had their Ruptures down, and that two of four Men brought to him the Friday following had their Ruptures down. This is fomewhat like confuting a Fact by acknow- ledging the Commiffion of it; and from thefe Gen- tlemen's new Method of Reaſoning it fhould follow, That it is impoffible Mr. Chefelden's Report fhould be difingenuous, Because be made it. The Reader will however be pleafed to obferve, that at this time three Ruptures out of feven had diſappear- ed from the penetrating Sight of this Argus-eyed Exa- miner but, in order to give fome degree of Sanction to the truth of this Report, the folemn Tefti- mony of Mr. Reid attefted by Mr. Thomas, both Affi- ftants to Mr. Ranby, is fince added by our Serjeants. Friday, December 7. "Mr. Lee brought to the Infirmary the following Men to be examined, John Hanna, Peter Curtis, John Tanner and William Storey - Mr. Che- felden, Mr. Thomas and I, examined three of them, viz. Tanner, whofe Rupture was at that time up; Peter Curtis and William Storey, the Ruptures of both thefe appeared in the Groin, but Mir. Lee would not allow the Swellings that appeared in their Groins to be Ruptures, though Mr. Chefelden re- duced them into the Belly with his Hand in my Sight." Though the Competence of thefe Witneffes might ad- mit of fome difpute, yet, even by their folemn Teftimc- ny, it appears, one Man was not at that time ruptur- ed, and whether the others were fo or no was at leaft a diſputable matter, and tho' Charity may induce us to believe thefe Gentlemen would not fin in point of Felt, it will be no breach of it to fuppofe they might err in D point ( 26 ) point of Judgment, and that too complaifant a De- ference for the Opinion of their Mafter and Superior in Science might in fome meaſure influence their De- termination (which is no uncommon cafe in phyfical Confultations) Would it not therefore have been fomewhat more fatisfactory, had they defcribed the Nature and Dimenfions of the Swellings, fince all fuch are not ruptural? Would not a Defcent of the Inteftines, or a Dilatation of the Opening thro which they muft pafs, be rather a more evident Mark of a Rupture, and, had thefe Symptoms exifted, is it to be fuppofed thefe nice Enquirers would have con- fined themfelves to the general and evafive Term of a Swelling in the Groin, and that only in Appearance; and which, it is to be obferved, Mr. Chefelden's hand alone was permitted to reduce? Therefore, notwithſtanding what our Serjeants have advanced in defence of their trufty and well beloved Brother, it may ftill remain a matter of fome fmall doubt Whether Mr. Chefelden did not acquiefce in the Cure Whether he did not decline any farther Examina- tion, and Whether he did not promife to report in Mr. Lee's favour, efpecially as the whole was au- thenticated by the Oaths of the Men themfelves; which, with thoſe who (like our Serjeants) do not hold Pover- ty and Integrity entirely incompatible, may have fome little weight. 66 THESE Gentlemen farther obferve, that at this Board Mr. Lee infifted "As Mr. Chefelden reported theſe Men not cured whofe Ruptures were down, be ought, in justice to him, to Ruptures were up" no means affent; fo that it Bandage or no Bandage ral all are equally report the others cured whofe and to which they can by feems, up or down one Examination or feve- unfatisfactory: But thefe Gentlemen, it is apprehended, would not have made fo free ( 27 ) free with this obfervation had they remembered that it came from a much better Authority than Mr. Lee, fince in reality it was the PAY-MASTER, who was pleaſed to obferve "That as Mr. Chefelden re- ported only two of the Men not cured, he ought equal- ly to report the State of the other two" which Mr. Chefelden evading, the Secretary was ordered to draw up a Minute "That two Men were cured, and admitted to be fo on an Examination of Mr. Chefel- den's :" But the Pay-mafter, ftill thinking this not ſtrong enough, ordered it fhould ftand "That two Men were admitted to be cured on a Re-ex- amination of Mr. Chefelden's." Who but muſt here obferve the Difference between the Fact and their Account of it! and does it not demonftrate, that when- ever they find Mifrepreſentation convenient they are far from holding it to be unjuftifiable and tho' for Mr. Chefelden's Report they carefully examined the Minutes of the Board, yet this of the Pay-mafter's, which muft ftand in the fame Page, was thought by no means proper to be felected for the Notice of the Pub- lic. BUT after this point was decided our Serjeants in- form us "Mr. Lee defired that four Men who attended without might be called in, and examined by Mr. Chefelden in the prefence of the Commiffioners, tho' they had been three times examined by him before; and Mr. Chefelden being called upon to declare his Opinion Jpecially of their Cures, faid That for ought appeared to him two of the faid Men were cured, he not finding the Orifices open. May not the Reader from all this fufpect the Candour of our Serjeans in all they have hitherto advanced? Will it not be objected 35 that Mr. Lee's Defire of ſo public an Examination, and that by his profeffed Enemy, was no great Sign of his Intention to deceive? Will his calling upon D 2 Mr. (28) But our Mr. Chefelden for a fourth Infpection of the fame Men eftabliſh the Charge urged againft him, of refufing repeated Examinations? Will Mr. Chefelden's declaring that, for ought appeared to him, two of the Men were cured, be a juft foundation for the Public's believ- ing them not fo? And though the odd expref- fion for ought appeared to him may denote Mr. Chefelden's Unwillingness to pronounce the Cure, it feems no very cogent reafon for thefe Gentlemen's Conclufion "That he certainly did not believe it:" Serjeants for once venture to differ with their Brother, and though Mr. Chefelden thought the Orifice, being clofed, was an Indication of Cure, they cannot poffibly ſubſcribe to his Opinion; yet, however ready they are to acknowledge Mr. Chefelden's Want of Judgment, they are particularly careful to conceal his Want of Ingenuity upon this occafion, by cautioufly avoiding to acquaint the Reader that one of the Men Mr. Chefel- den then allowed to have no Appearance of a Rupture, was the very identical Peter Curtis who, by his Report of the fame day, is declared to be ruptured. (See the folemn Teftimony of Mr. Ranby's faithful Affiftants be- fore mentioned.) BUT fay thefe Gentlemen (6 "The Orifice be- ing clofed is no more than what is every day produced by a Trufs," if fo frequent, may not their own Pa- tients entertain fome unfavourable Scruples for not be- ing ſuffered to experience fo falutary an Effect, and if totally leaving off the Trufs" is the proper Proof of Cure, what pity the Hofpital, in which one of our Serjeants prefides, has not been able to produce a fingle Inftance of this Evidence in favour of his phyfical Adminiftration, notwithſtanding the fo- vereign Efficacy of this Machine. THE ( 29 ) THE NARRATIVE takes notice "that Mr. Lee was furprized at the Commiffioners not permit- ting the Affidavits made in his juftification to be read," but our Serjeants tell us “Mr. Lee might have known this was the reception they would meet with" and indeed, had he at that time been as well acquainted with the intentions of the Board as they ſeem to have been, he ſhould certainly have been of their opinion "That no Credit would be given to thefe Affidavits of the Penfioners (even though the Men appeared to be well) in contradiction to Mr. Chefelden." BUT it feems the SECRETARY AT WAR in par- ticular concurred with the Serjeant Surgeons, as to the Invalidity of the Affidavits, and has given them per- miffion in his Name to publish, "That He had a very bad opinion of thefe old Men's Affidavits, and thought no Credit was to be given to them." But how What! before he had feen them? great an Act of Generofity muft it appear in this Ho- nourable Gentleman to fupply the Deficiency of our Ser- jeants Credit with the Loan of his fterling Opinions, which, as they are now paffed in public Payment, we may at least be permitted to examine into their Currency. IN all Schemes of Fraud fome Intereft is propofed; but, in this Affair, what was to be the mighty Reward of thefe poor old Men's forfwearing themſelves! Was the uncomfortable Situation of remaining in their afflicted State a Motive for their falfly infifting on a Cure? Was the Inconvenience that might attend the rendering themſelves obnoxious to their Ru- lers ( 30 ) lers fufficient encouragement to their falfly juftifying Mr. Lee, in oppofition to their Inclinations?- And is it not probable, had they offended in this refpect, it would rather have been on the fide of Power than a- gainst it? Yet however vendible a Commodi- ty Oaths are reprefented to be among thefe Men, it is apparent our Serjeants have not been able to procure a fingle one in their Favour; and if they had Truth on their fide (as they pretend) muft it not appear unac- countable that fuch a Number of Perfons fhould difco- ver fo much more Alacrity in justifying the Guilty, than in vindicating the Innocent! Has not this Point of Cure been more than once eſtabliſhed in open Court, by the Teftimony of Gentlemen, Merchants, Tradefmen, &c. Is then Perjury peculiar to the Penfi- oners, and only to them in this particular Hofpital? Since the Veracity of thofe in another has never been impeached. tion. BUT we are told, Bribery has been practiced, and Poverty it muſt be allowed is fufceptible of Corrup- Was not, fay Mr. Lee's Oppofers, "FIFTEEN SHILLINGS given to be spent among thefe Men ?" Poor compenfation for the Souls of fo many Penfioners: And from whence one must be in- clined to think, that thefe Men had full as little regard for their Souls, as the Surgeons feem to have had for their Bodies. Yet when the various Attendances of thefe forfworn Wretches on the Board, and the Ser- jeants themfelves, on Mr. Lee's Account are confider- ed, this Bounty may perhaps be rather deemed a nig- gardly Gratification than an extravagant Degree of Corruption. FROM all which the Candour of the Reader may induce him to think there is fomewhat lefs of Charity than Truth in this honourable Gentleman's Reflection, and (31) and that it ftill implies no contradiction to fuppofe, that The Oath of a poor Penfioner may Pos- SIBLY be as true as the Word of a Serjeant Sur- geon. It will be perceived, that hitherto the learned La- bours of thefe Gentlemen have principally aimed to exculpate Mr. Chefelden, and that on the indifputable evidence of his own relation; but as they now became Principals themfelves in the following Tranfactions, we fhall examine, whether they have not been full as un- lucky in the juftification of their own Conduct, as in that of their trufty Ally. 66 66 IN confequence of an Order made by the Board this 16th of January, "That Mr. Chefelden do "examine the faid four Men in the prefence of Mr. Ranby and Mr. Hawkins, Serjeant Surgeons to his Majefty" "Mr. Lee (fays the Narrative) pro- "duced three of thofe Men, namely, Hanna, Tanner and Storey, together with one Benfon who had never "been ruptured in his Life, to thefe Gentlemen at "Mr. Chefelden's Apartment, when no objection was "made to the Welfare of any but the laft, who they 66 66 very unluckily pitched upon as ruptured; and evad- "ed certifying in what State they found them, becauſe CC they pretended, as one Man appeared uncured, their "Certificate could only be a partial one, and therefore "defired a fecond Examination, to which Mr. Lee "confented; and accordingly, on the Monday fol- lowing, attended the Serjeants by their own ap- "pointment at St. George's Hofpital, with Hanna, "Tanner and Benfon (Storey being taken ill of a Fever) "where each was infpected by the Triumvirate and "feveral others of the Profeffion, at which time no "objection was made to the Cure of either, even of Benfon himself; but ftill they refufed to certify that 46 66 they (32) 66 they had ever examined them at all: Inſtead of "which they propofed Mr. Chefelden's old Evafion, "that Mr. Lee fhould take another Sett of Men un- "der his Care, whom they would examine while ill, " and when cured would certify." LET US now fee our Serjeants account of the Tranf- action at this Meeting, who tell us, "That they firft enquired, whether Mr. Chefelden knew the Men be- fore him to be the fame be had formerly examined and found ruptured? Who declared upon his honour that he believed they were not all the fame, only two or three of them" in this Mr. Chefelden was pretty right, for there were but four in all, and Benfon he had moft certainly not examined before ———————————- a Proof however, by the way, that he was actually there. وو "They then afked Mr. Chefelden, whether he knew thofe Men had been without their Truffes for any time previous to that examination? Who told them, Mr. Lee had not permitted him to make any fuch Enquiry. But how could Mr. Lee prevent it, as they refided in the Hofpital? And indeed the Men's Breeches were almoſt continually unbuttoning to fatisfy the Curiofity of the Surgeons, or their Affiftants, in this point: But Mr. Chefelden might at leaft have informed thefe Gen- tlemen, "That he himself had examined three of them five or fix times in different months, when they had no Truffes on or Ruptures down. "That NEXT our Serjeants affure the Reader they examined them all, and took notice that there was not the leaft appearance in the parts which could induce them to believe any Alteration whatever had been produced by medicinal applications." Why this equivocal Expreffion? Had it not been much more fatisfactory to fay, whether they had any appearance of a Rupture or no? If by this they would have it understood that they ( 33 ) they were all ILL, how does it agree with Benfon's Cafe? If that they were all WELL, how is it reconcili- able with their Sincerity? But as this was the firſt time they had inſpected them, how was it poffible for them to know that no alteration had been produced in them by medicinal applications, especially as by their own ac- licinal app "the Ruptures were not down" nor could be brought down with all the Coughing, Jumping, and other Exercifes impofed upon them? Though it is obfervable that, with refpect to this laſt circumftance, a profound Silence is obferved by our Examiners. Count "One only (fay they) whofe Name was Hanna, bad his Rupture appearing in his Groin*; the Ruptures of the others were not down, but fome Marks upon t the Skin made them distrust their Truffes had been wore within a fhort fpace of time." How artfully do they here, in order to fave their credit, metamorphofe Benfon into Hanna! but if Hanna was the Man, why did they refufe to acknowledge Benfon well, who had never been ill, as the Marks of the Trufs could not appear round his Hips if Benfon was the Man, then it follows, that Hanna's Rupture did not appear; a circumftance as will be fhewn hereafter was by no means convenient for them to allow. And as the only Symptoms thefe fharp-fighted Examiners were able to difcover of a Rupture was a Rednefs they thought they faw on the Hips, why fhould they be fo much furprized, as they pretend, at Mr. Lee's Requeft of their certifying "The Men appeared to be or why fhould they refufe a Certificate of only in what State they found them, which in fact well' was all Mr. Lee defired. E May it not then be * In their Narrative prefented to the Board- Appearance. + Ibid. pre- It is a fmall They thought they faw Marks. ( 34 ) prefumed, that this Refufal proceeded rather from the too favourable Appearance of Cure, than any confcientious Diffidence of it in thefe fkilful Anato- mifts? AGAIN they afk, "With what propriety could they certify thefe Men cured, when they had no one Proof whatever of their being fo, when the Rup- ture of one appeared in the Groin, and with respect to the others there was no Evidence that one part of them had ever been ruptured?" To which it may be anſwered, might not they with ftill more Propriety have faid, when they had no one reafon to object to it, except the pretended Rednefs on the Hips (the ufual Effect of the Waiſtband of the Breeches) Is the Appearance of the Rupture in the Groin of one, a reafon for not certifying the Non-appearance of it in the other three? And is not The Want of Evi- dence, that they had ever been ruptured, an invincible Argument that they were at that time well, and if well, does it not follow that two of them at leaft, viz. Tanner and Storey, muft have been cured fince they were delivered into Mr. Lee's Care by Mr. Chefelden himfelf as very bad? It may be proper to remark how induftrioufly they IT have endeavoured to puzzle the Reader in this place, with refpect to the Number, in order to conceal the I- dentity of the Men produced at this Meeting. veral old Men (fay they) attended" his Rupture down" "Se- "One had "Others had no Sign of ever "Others whom Mr. having had a Rupture" Chefelden bad known to be ruptured, no Evidence ap- peared of their having laid afide their Truffes" Would it be imagined that all theſe amounted but to FOUR, and that thefe were Hanna, Tanner, Storey and Benfon? But had they ſpecified the Number, or Names, they (35) they were cunning enough to difcover that from their own account it would then appear, They muft either have found Benfon, who had never been ruptured in his life, to be ill; or Tanner and Curtis, who had, been pronounced very bad by Mr. Chefelden himfelf, to be well; neither of which was proper the Public ſhould be acquainted with. BUT our Serjeants themfelves feem to have had fome Qualms of Confcience about heſitating to autho- rize the Welfare of thefe Men, by propofing a fecond Examination, fo foon after as the Monday following, at St. George's Hofpital, yet this Propofal they are willing to evade by obferving "That Mr. Lee, instead of new Men with Ruptures down for them to infpect, as fresh Subjects for him to cure, brought with him the fame Men they faw at Mr. Chefelden's Apart- ment, to whom the fame Objections they made before were ftill valid, this they declared to Mr. Lee, which was the whole that paffed between them at the Hofpital that day." Can What! have they forgot the folemn Exami- nation of thefe Men that day in the prefence of feveral others of the Faculty? But confeffing this might im- ply, that theſe were the identical Men it was agreed Mr. Lee fhould bring for their Determination, and not a new Sett of ruptured Ones for their Inspection. it be fuppofed a fecond Examination fhould be meant, of thofe Men they had never feen before? Befides, it was thought ftill more neceffary to conceal this Cir- cumftance, as the Reader might expect to be acquain- ted with the Event of it, Whether they found the Men at that time ill, or well; if they pronounced the for- mer, it might be rather too notorious a Contradiction to the Senfe of fo many Witneffes then prefent; if the latter it would by no means coincide with their Report at the enfuing Board, of two of the Men be- ing ruptured." From thefe Obfervations it is E 2 not ( 36 ) not doubted but the plain and candid relation of this Tranfaction, in the NARRATIVE, will bid full as fair for Belief, as our Serjeants puzzled and evafive Account of it. AT a Board held April 24, 1751. The Serjeant Surgeons again attended with Mr. Chefelden, when "Mr. Lee (they tell us) was very earnest for an immediate Examination" how impolitic this; what, again expofing himſelf to the danger of a public Detection, while thefe Gentlemen more prudently pre- fer the Security of a private Determination; but the Pay-mafter enquiring if there were any among the Men whom Mr. Chefelden knew to have been ruptur- ed, Mr. Chefelden named Peter Curtis and John Tan- ner; upon which Mr. Ranby and Mr. Hawkins were defired to examine them, who accordingly did, and inform us, this was their Report" That their Ruptures were not down (this was the third time the Serjeants had experienced this unlucky Conviction with refpect to Tanner) but they took notice that the Openings of the Mufcles, through which the Ruptures used to de- fcend, were large and unclofed, in fuch manner that they concluded their Ruptures would come down fooner or later, apon their ufing Exercife, and that thefe Men were not cured." It is pity thefe learned Anatomifts had not told us how large and unclofed thefe Openings were, though it is plain they were fmall and clofe enough to keep up the Rupture without a Bandage, which, perhaps, is all a Patient may require, or Mr. Lee pre- tend to; but how can this be deemed a Cure ?" fince fooner or later it may come down again" - yet, notwith- ftanding this terrifying Prediction, fome may think it no uncomfortable Degree of Relief, to exchange a pre- fent and certain Calamity for fuch a future and preca- rious Return of it, and be very far from condemning him (37) him as an Impoftor in point of Cure who was able to perform fomething fo very like it. THE Reader is next amufed with a notable Difco- very theſe Gentlemen at that time made, viz. "That one of the Men buttoned bis Waistcoat into his Breeches, which they thought an excellent Subftitute for a Trufs." What wretched Shifts muft Men be drove to, when no less than three or four Pages are ta- ken up to eſtabliſh fo very material a Fact; and does it not appear, that as the not having an actual Trufs might imply no abfolute Want of it, they were willing to feize any opportunity of adopting a Substitute in the place of it; fince the Truth is no more than this: Curtis, who is between Seventy and Eighty years of Age, had long accuftomed himſelf to wear two or three Waiſtcoats, the under one of which being Flan- nel he conſtantly tucked in his Breeches, no uncommon practice with others, and which he had ufed many Years before he had the Misfortune to be ruptured.- Will not the Reader here be apt to apply the Fa- Ridiculus Mus nafcitur ble THIS is all the account our Serjeants have thought proper to give of the Proceedings at this Board, but not a Word of the following particulars. "THAT they then reported Tanner and Curtis's Ruptures to be down, when they examined "them at St. George's Hofpital." THAT they allowed them well upon their exa- "mination in an adjacent Room, but reported " them ill on their Return to the Board." "THAT upon the Commiffioners and Sir William Yonge's examining and infpecting the Men "them- (38) 66 "themſelves it appeared, that the Serjeants had never before this day feen Curtis, and that both "he and Tanner were perfectly well."-Laftly, "THAT though they had examined fix ruptured "Men the 2d of February preceding, at Mr. 66 Chefelden's Apartments, in order for a farther "tryal of Mr. Lee's Abilities, they now abfo- "lutely denied before the Commiffioners that they had ever dined at Mr. Chefelden's, or ex- "amined one Man there." (See Narrative, P. 19, 20. ' tr WE are next informed, that three days after this Board was held Mr. Chefelden detected Tanner with his Trufs on, and, in revenge for which difcovery, he made a very extraordinary Affidavit, to the following purpoſe:- That Mr. Thomas, the affiftant Surgeon, dragged him by force from his Bed, on which he was lying, to Mr. Chefelden's Apartments, at the door of which he faw the Serjeant Surgeons; that Mr. Che- felden offered him a Dram, which was not above a large Spoonful in a Glafs, which he drank, but thought it did not taste like Brandy, though Mr. Chefelden told him it If fo, we are told (the Narrative ob- "that it must be allowed to have pro- "duced a very unuſual Effect; for the poor old Man was immediately feized with a violent fhaking and trembling, which continued many days, attended "with a great difficulty in drawing his Breath, info- "much that his death was hourly expected; but he "happily recovered. Now if it be confidered was. 99 ferves,) 46 "how convenient bringing down this Man's Rupture "would be to the Triumvirate, it requires no great "Stretch of Credulity to fuppofe fome forcing Medi- "cine adminiftred for that purpoſe, and which indeed "feems to be the cafe; for the Serjeant Surgeon foon after, 66 (39) "after, waiting on Sir William Yonge, told him, that "Mr. Lee had fufficient reafon to be angry with Mr. Chefelden, but none with him." 66 LET us now fee in what decifive a manner, and with what Energy of Reafon and Argument, the Credibility of this whole Story is at once deſtroy- ed. The Serjeant Sur- There is no "This Story (fay our Serjeants) is all of a-piece, Mr. Ranby never faid this to Sir William Yonge.- -There is no fuch Medicine known as a forcing Medicine to bring down a Rupture His Illness, after he left Mr. Chefelden, is all a Fiction geons were not at Mr. Chefelden's one circumftance true but Mr. Chefelden's giving him a Nevertheless, thefe Gentlemen, ap- prehending that their concife method of confuting Facts by mere Denials might not be thought altoge- ther fatisfactory, produce the following account given by Mr. Thomas, to the beft of his memory (almoſt three years after) in aid of their Credit. Dram. April 27, 1751. Mr. Chefelden directed him to go to their Wards, after dinner-time, and bring Tanner and Curtis to him at his Apartment, which he did accordingly: Mr. Che- felden examined them, found their Truffes on, and on their Removal their Ruptures came down: Mr. Chefelden then expoftulated kindly with them, afking Tanner in particular, how fo old a Man, between 80 and 90 years of Age, with one Foot in the Grave, ot could go to deceive the Board and give falfe teftimo- ny, that he had left off his Trufs, and even make an Affidavit of fuch a Falfhood? The Men feem- ed concerned at Mr. Chefelden's difcourfe, upon 20 which (40) dad which he gave them a Dram and bid them go and M have a better way of thinking for the future. How unhappy is it that this corroborating Account of their faithful Friend and Servant, Mr. Thomas, was not better calculated to answer the purpofe intended. Does it in any fingle Point authenticate our Does it not rather leave the Serjeants Denials? Reader at full liberty ftill to conclude, that for aught appears to the contrary this to Sir William Yonge Mr. Ranby might fay That there may be a That forcing Medicine to bring down a Rupture Tanner's Illness might not be a Fiction — That the Serjeant Surgeons might be at Mr. Chefelden's Door and that there may be more circumſtances true than Mr. Chefelden's giving him a Dram. BUT though this account of Mr. Thomas's unluckily proves no way advantageous to our Serjeants, it cer- tainly was meant to be difadvantageous to Mr. Lee, by mifinforming the Reader time the Ruptures did come down "That at this That Mr. Che- felden expoftulated with them for giving falfe Teftimony to the Board, that they had left off their Truffes, and even making Affidavits of fuch a Falfhood"——————— yet per- haps it may feem fomewhat odd that the Ruptures fhould come down at this very private examination, which had never done fo at the many previous public ones; and that Mr. Chefelden fhould cenfure thefe Men for a Teftimony they had never given, and Affidavits they had never made; all which happens to be the cafe. Is it then to be fuppofed, that Mr. Chefelden's kind Expoftulations fhould fo deeply affect thefe Men as to render his reviving Dram neceffary to alleviate their Concern. THO ( 41 ) THO' enough has been faid to evince, that an im- plicit Belief ought by no means to be the Refult of this Deputy Surgeon's Relations, yet our Serjeants feem very defirous to eftablifh thofe of his Mafter, as Arti- cles of the Reader's Faith; and after fome exalted En- comiums on his chirurgical Character "Is it Was to be fuppofed (fay they) that fuch a Man, retired as be was then from private Bufinefs in fo honourable a public Employment, would not have rejoiced at an opportunity of introducing, under his own Patronage, fo general a Bene- fit to Mankind as a Speedy, certain and radical Cure of Ruptures ?" Aye; but as this Attempt was made in open Contempt of his own Patronage, and even to become a Sharer with him in his fo honourable and public Employment, might it not fomewhat abate his Zeal in a proper Encouragement of it? Mr. Chefelden fo totally unfufceptible of the Impreffi- ons of Pride, Vanity and Intereft, as to be in no de- gree actuated by them whenever the Public Service came in competition? And though Mr. Lee's Succefs might not injure him in a private Bufinefs from which he was retired, our Serjeants at leaft have no fuch prefumptive Plea to countenance their Oppofiti- on, as one of them in particular has not yet approved himfelf fuch a phyfical Patriot as to refign the Emolu- ments arifing from a private, the better to attend the Duties of his public, Practice AGAIN (Continue they) Is it to be fuppofed that fuck a Man could be capable of ufing the lowest and bafeft Arts to ftifle a Difcovery which, if real and efficacious, he must be very fenfible would very foon be proved fo to the Pub- lic ?" Not altogether fo foon perhaps, fince thefe Gentlemen prudently referve to themſelves the fole Right of determining the Merits of it. Might it not therefore with equal propriety be afk- ed, Why all this unexampled Induftry to ftifle F a ( 42 ) a Diſcovery which, if NOT real and efficacious, would ve- ry foon be proved fo to the Public. 66 "Mr. Ranby and Mr. Hawkins, we are informed, now thought (and it is prefumed hoped) this Affair en- tirely at an end, as from this time till the Board held 2d of April 1752, they heard but once from Mr. Lee, which was to defire their Infpection of the Men they had examin- ed at St. George's Hofpital when ruptured, and who he then faid were cured." But thefe Gentlemen are willing to forget no less than three meetings within that Interval, the firft when Mr. Lee waited on Mr. Ranby to thank him for fome obliging things he had been pleafed to fay of him to Sir William Yonge, to which he anſwered, "that he thought they were no more than what he juftly deferved, and promifed, that, when either of the two Men he had laft under- "taken, viz. Harvey and Hamilton, appeared to be cured by a Bandage or any other means, he would gladly do any thing to ferve him." Yet, however courtly he was in his Promifes, he was full as courtly in the Performance of them; for on the Thurf- day following, when they again met Mr. Lee at Sir William Yonge's, thefe two Men being produced (and though no objection was made to the Cures,) they re- fufed to certify, Because Mr. Lee thought it prudent to continue the Ufe of their Bandages fome time longer. Be- ing then defired by Sir William to examine one Hanna, who attended at their own requeft, this they declined 66 66 66 Because they had never feen him when ruptured. Sir William once more requefting their Infpection of one Morgan, who they had examined when ruptured at Mr. Chefelden's Apartments, this likewife they refufed, de- nying They had ever examined him at all, and then took their leave. THE ( 43 ) THE third Meeting was on the 3d of September, when Mr. Lee again waited on Mr. Ranby to defire his farther Infpection of Harvey and Hamilton, above men- tioned, examined by him at Sir William Yonge's, when he roundly denied having ever examined any Men at Sir William's, adding "That as the Commiffi- oners had left it to him and the other two Surgeons, be would take care that Mr. Lee fhould never be pre- fent at any future Examination, &c. (in which point he has punctually kept his word.) Mr. Lee then ob- ferved, any farther application to him would be unnef- fary, fince one of the Men, viz. Benfon, he had de- clared ill had never been ruptured in his Life. To which our Serjeant replied, "That he would take care no more fuch Tricks fhould be played him for the future." And thus they parted. (See Narrative, P. 22, 23, 24.) IT is a little furprizing that all thefe Tranfactions. fhould be deemed unworthy the leaft Notice in our Serjeants Defence; but as the Honourable Gentlemen a- bove mentioned was privy to fo great a part of them, it fhould feem they feared their ufual Method of Con- futation, by round Denials, might here be dange- FOUS. Ar a Board held the 2d of April 1752, the Ser- jeant Surgeons again attended; but, inftead of abiding a full and fair Examination of Mr. Lee's Patients before the Commiffioners, only delivered their Opinions con- cerning the Cure of Ruptures in writing, by which they reprefented. "That the Method of feeing and examining Men, who for ought they knew might have worn their Truffes till the time they were prefented to them for Exami- nation, could not give them any real and fatisfactory F 2 Proof (44) Proof of their being cured, becaufe thofe Ruptures which have been kept up by Bandage any time, fel- dom appear and drop down at once without Exer- cife, or fome ftrong Motion of the Body, &c." THE Progrefs of thefe Gentlemen's Infidelity is very obfervable. The only Criterion of Cure at firft re- quired of Mr. Lee is, the Ruptures keeping up: No fooner is this effected but the Suppofed Marks of a Trufs upon the Skin is held an Indication of the Continuance of the Distemper: Thefe Symptoms being no longer pretended, now the bare Poffibility of having wore a Trufs is objected againſt the Ratification of the Men's Welfare: But why had they not procured even this de- gree of Evidence? Were not the Men refident in. the College, were they not feen publickly every day, was Mr. Lee their Keeper? And after he had pronounced their Cure, had he any thing more to do with them? Were they not as much fubject to the Command of the Surgeons, or other Officers of the Houfe, as if they had never been under Mr. Lee's Care? Nay, do not our Serjeants allow that, with refpect to two of them at leaft, Mr. Chefelden had obtained a fpecial Order twelve months before, to infpect them as often as he thought proper, and can it be fuppofed that he was negligent in fatisfying either his own, or their Curiofity to the full in this Point? Can then their Refufal to enter into an Examination at this time be thought to proceed from “Mr. Lee's not having given them an opportunity of knowing whether the Men bad left off their Truffes for any time?" And if Exerciſe or a ftrong Motion of the Body will bring down thofe Rup- tures which have been kept up by Bandages, had they not full conviction, that the fevere Difcipline of Cough- ing, Jumping, Sneezing, with fome other more unwar- rantable Methods had not been able to produce this Ef- fect in Mr. Lee's Patients?. Muft not the Rea- der ( 45 ) der therefore imagine our Serjeants Flight proceeded rather from a Confcioufnefs, that the Men's Welfare would now be eftabliſhed beyond all contradiction, fince two Gentlement then attended to examine them, whofe Capacity to diftinguifh a Cure admitted of no conteft, and whofe Ingenuity in allowing it could not be fufpected. However we are informed, that after their Departure two Certificates of Dr. Thompson's and Mr. Mitchel's were produced, the firft fetting forth, "That they had examined fix of the Men in "the November preceding, when they found them "all cured, having no Appearance of their Ruptures 66 at that time." The other informing the Board, "That they had at that prefent re-examined "the fame Men, and found not the leaft Sign, Symp- 66 66 tom, or Appearance of a Rupture, and all the Men "declared they had not wore a Bandage for fome "months of any kind whatfoever.” But in our Serjeants opinion this was not fufficient to authorize their Determination of a Cure, fince they ought to have known whether thefe Men continued from Novem- ber to April, "without ever once wearing their Truffes; and therefore conclude theſe Gen- tlemen certified a great deal more than they themfelves poffibly could (or rather willingly would) yet the Doctor and Mr. Mitchel finding the Rupture reduced, and the Openings cloſed to the natural Dimenfions at both thefe diftant Infpections, might think it little to the purpoſe whether the Men had wore their Truffes once, or a hundred times, during this Interval; fince they knew the Trufs could never produce fuch a Contraction of the ruptural Orifice in which alone the Cure con- fifts. But when Mr. Lee's Opponents are able to demonftrate that a Precaution to prevent the Return is a Proof of the Continuance of a Diftemper, he will have Candour enough to confefs the once wearing of a Trufs in fix Months, an evidence of the exiſtence of a Rup- (46) Rupture, and even refign all future pretenfions to the Cure of it. But it is not thought fufficient to difpute the Judg- ment of Mr. Lee's phyfical Friends on this occafion : The Veracity of another Gentleman, who attended at this Meeting to teftify his Cure, muft likewife be im- peached, by telling us, "That when Mr. Roebuck gave his Evidence in Weftminfter-hall, in the Caufe between Mr. Ranby and Mr. Lee, he fwore he wore the Trufs but a Day or two; yet when cross exa- mined, be faid he kept it on not more than a Fort- night." 66 'Till by a new kind of Arithmetic a day or two can be made more than a Fortnight, the Reader may not perhaps think this fuch a glaring Con- tradiction as to merit the following invidious reflection, Surely, from a Gentleman, at least a confiftent "Evidence might have been expected." Altho' this Gentleman's Character is as much above our Serjeants Malice, as they are below his Refentment, we fhall fa- tisfy the Reader whence this feeming difference arofe. The Exhibition of the Fire works happening about a fortnight after Mr. Roebuck had left off his Trufs, and he, apprehending that the Crowd and Tu- mult might affect fo recent a Cure, thought it prudent to put it on again for that day; which Circumftance he recollected upon his crofs examination, and includ- ed that time in his calculation: Thus, notwithſtanding thefe Gentlemen's Triumph, it was rather a fcrupulous Adherence to Truth, than a Defign of violating it, that occafioned this boafted Inconfiftency. AN EXAMPLE WORTHY THE IMITATION OF OUR CON- SCIENTIOUS SERJEANTS. THE following Minutes, fay thefe Gentlemen, were entered upon the Proceedings of this Day. John ( 47 ) John Ranby and Cæfar Hawkins, Efqs; Serjeant Surgeons, attended the Board, and declared their Opinion in writing concerning the Cure of a Rup- ture. Mr. Lee, Surgeon, attended with Dr. Thomfon and others, who gave their opinion on the fame Sub- ject. And after confidering what was offered on both fides, the Board came to the following Refolution: That Mr. Lee may undertake the Cure of fuch In- Penfioners, afflicted with Ruptures, as fhould volun- tarily put themfelves under his Care, &c. Does not this manifeft whofe Opinions appeared moft fatisfactory to the Commiffioners? And if they had thought Mr. Lee's Pretenfions unjuftified, would they have agreed that "He fhould receive 100 l. for his next Year's Attendance ?" Which Agreement, though made in the Prefence of Dr. Thomson and Mr. Roebuck, was afterwards entered in their Books, with this material Alteration, "That in twelve months σε after, the operations of his Cures will be confidered by "the Board, and he will be rewarded accordingly.". At whofe inftigation this was done, we muft leave the Reader to fuggeft. 66 MR. Chefelden dying foon after, Mr. Ranby no foon- er fucceeded this Primier in the Hofpital but (we are told) He obtained an Order " for him or his Deputy to examine, as often as they thought ne- ceffary, fuch Men as Mr. Lee had affirmed to be "cured, which fay they, implies having left off their Bandages entirely." How fo? If a Cure confifts in a Reduction of the Rupture, and Contraction of the C6 66 29 Ori- ( 48 ) Orifice through which it defcends, may not a Man who wears a Bandage be as effectually cured as one who does not? Should a Perfon who had never been afflicted with this Diftemper in his Life put on a Trufs, would our learned Anatomifts, for that reafon, pro- nounce him ruptured? Is the Precaution of an infirm old Man, in occafionally putting on, or even conftant- ly wearing his Bandage, to be deemed a Continuance of the Symptoms? Is the Rupture down, becauſe he wears a Bandage? Is the Orifice open, becauſe he wears a Bandage? And if thefe Appearances ceaſe to exiſt when it is off, who but our Serjeants would heſitate to acknowledge him to be well, though he had not left it off entirely? Thefe Gentlemen feem to miftake the Bandage for the Rupture itself, fince the mere Wear of it is to conftitute the Diftemper. We muft here beg the Reader to obferve, how careful thefe Gen- tlemen have been to inculcate, throughout the whole difpute, this notorious Fallacy, that "Becauſe "Mr. Lee's Patients fometimes wore their Bandages, "therefore they could not be cured:" Tho' Mr. Lee's Pretenfion to cure, they well knew, were not founded on the intire leaving off the Bandage, but on the Rupture's not falling down when it was left off, and which was frequently experienced for Weeks, Months, and even Years, an Effect at leaft they have not been able to produce during their whole phyfical Adminiftration in this Hofpital. BUT nothing lefs will ferve our Serjeants purpofe, than at once deftroying the Credit both of Mr. Lee and his Patients; to which end they tell us, "Mr. Ranby was always very confident the Men were not cured; He had reafon to fufpect they fill continued the Wear of their Bandages; and if he proved this, it would be a Matter of Fact, point blank, the contrary to what Mr. Lee had affirmed to the Board, and to what the Men bad (49) دو bad fworn. But was it not incumbent firft to prove, that Mr. Lee did really affirm, and the Men fwear, what our Serjeants would infinuate; and as neither was the cafe, what then becomes of their Point-blank Con- trariety? "Is the Men's fwearing that they were well, and, confidering their Age, could walk as well as ever in their Lives, without feeling the leaft Pain, Preffure or Symptom of their late Complaint," is this fwearing they had left off their Bandages entirely? "Is Mr. Lee's affirming his Patients had left off their Bandages for a Month, or Months, in order to fatisfy the Surgeons and the Commiffion- ers, a proof of his Denial that they ever put them on afterwards?" And can the Perjury of the former, or Falfhood of the latter, be inferred from theſe Pre- mifes? BUT the Reader by this time will perceive that Falfe Facts (to ufe their own Phrafe) and Falfe Reafon- ing are the only Pillars on which they have refted their Defence, and that the Charge they have exhibited a- gainft Mr. Lee is comprized in the following Accufa- tions: First, His Refufal to admit of more than one Exa- mination. Second, That the Men did fometimes wear their Ban- dages. And, Thirdly, That both Mr. Lee and his Patients deny this Fact. Now if it appears, from what has been offered, that the firft is abfurd; the fecond nothing to the purpofe; and the laſt a downright Fib; What is left for the Friends of theſe Gentlemen (if any fuch remain) but to wish they had either had a better Caufe, or abler Ad- vocates to defend it. G "Mr. ( 50 ) "Mr. Chefelden (continue our Serjeants) found bis Sufpicions well grounded with regard to Tanner and Cur- tis, and had his Life been fpared, would in all probability have made the full difcovery of the Wickedness of all the other old Men, which afterwards fell to Mr. Ranby's Lot." What Wickedness? What, the having never fworn, or denied fometimes ufing their Banda- ges! and if this was the cafe, to what end was Mr. Ranby's first Enquiry, "to find out whether the old Men had really left them off?" Why all this extreme Cau- tion uſed by himself, his Affiftants, and the Servants of the Houfe (whom it feems he thought the moft pro- per Evidence) to catch the Men off their Guard, in order to detect what they were ready to admit? Aye, "but had they been fent for in Form they might have left "their Truffes at home;" a fhrewd Sign this however of their not being fo abfolutely neceffary: And fhould a lame Man do the fame by his Crutches, fome might, be apt to conclude he had no great occafion for them. But upon thefe Gentlemen's Principles, muft not Mr. Lee's Patients have even left their Skins at home like- wife, fince, by the Marks of the Trufs remaining there- on, our Surgeons would have had all the Evidence they required of the Deficiency of their Cures. Up- on the whole though we fhall readily agree with our Serjeant Surgeons that fome of the Men did -"fometimes wear their Bandages," 66 We they "The can by no means admit the Conclufion, that were therefore ruptured." But it feems. Ruptures now came down immediately on the Removal of thefe Bandages." Strange that this Effect fhould only be diſcoverable at their private examinations, fince at a public one before the Board, April 24, 1751, it appears, on their Infpection of Tanner and Curtis, "That their Ruptures were not down;" and is not this immediate and general Defcent of the Rup- tures, at this time, a juftification of their Doctrine de- livered (51) livered in writing to the Commiffioners, "That thofe Ruptures which have been kept up by Bandage any time, feldom appear or drop down at once. 99 AT a Board held the 14th of March 1753, and of which particular care was taken Mr. Lee fhould have no notice, Six Men were produced and examined by the Commiffioners, affifted by Mr. Thomas, "and furely (fay our Serjeants) the Commiffioners were compe- pent Judges whether the Men wore their Bandages ftill; and as to the Point of Cure," who was to deter- mine? Why, Mr. Ranby and Mr. Thomas. But let us fee what notable Evidence this examination pro- duced. 66 وو JOHN TANNER got a Fall about fix months ago, and then his Rupture came down ;' to which they might have added, but not of the fame fide he had been cured: "His Trufs was on at the Trial" and his Rupture came down now. Poffibly true too, as Mr. Lee had been no farther con- cerned for him fince his laft Accident, but giving him a Bandage. True وو WILLIAM STOREY has now his Rupture down If you believe Mr. Thomas,-Had his Trufs on before he came into the Room. What then? without a Bandage for four Months. Probation. Went Tolerable Mr. Thomas Jays, his Rupture is now in the ftate it was when Mr. Lee firft undertook his Cure. the State? walks, Bad Authority! and why not afcertain Wears bis Trufs fometimes when he deplorable Condition. -The Rup- ture grown larger while he was under Examination. How much? Has made two Affidavits before Manley, and fays be made but one a third to the contrary. G 2 ready to make PE- ( 52 ) PETER CURTIS, another Trial Man, ther tried Man they fhould have faid, ture as fmall at firft as it is now. ano- bis Rup- How ſmall was that, and who fays fo? Why, Mr. Thomas again. Wore his Trufs till last week. likely. Very Wore it for Security and Warmth by the Good Advice. Advice of Mr. Lee. Made an Affidavit of his Cure before Manley, by the re- commendation of Mr. Lee own Confcience. and Impulfe of his STEPHEN COWEL, A LARGE RUPTURE When? At his coming under Mr. Lee's Care. Had his Bandage on before the Board. ed. Could not fwear that he was cured, Never left off his Trufs. but thought fo. Prudence. davit Allow- JOHN COULSON cannot tell what he figned in his Affi becaufe the Juftice read it to him. Leaves off his Bandage by Night, but not by Day. May be true. fays Mr. Thomas. His Rupture now down, Is well with a Bandage on. Impoffible, fay our Serjeants. To wear the Bandage by Mr. Lee's Order as long as he lives.- Prudent Precaution. be made Affidavit. The Contents of it were writ. generally are. knew. fay as much. Had his Bandage on when Never denied it. As moft Affidavits That he was well, for ought he Well for their Patients, if they could THOMAS MERRIMAN fays he is not cured, and found no Benefit from Mr. Lee. Becauſe taken out of his hands into the Infirmary within a fortnight. But a Trufs from Mr. Chefelden did keep up his Rupture. Unufual Effect, yet plain it did not cure ( 53 ) cure it. Mr. Lee reported he was cured.- And would have remained fo, had he not come into their hands. It is very remarkable, that thefe Examinations now taken, viva voce, fhould be almoft literally the fame as thofe in writing cooked up 8 months before by Mr. Ranby, Mr. Thomas, and other menial Servants of the Houfe; but as this was to determine Mr. Lee's Me- rits, furely his Prefence was at leaft neceffary to pre- ferve the Air of Impartiality: Yet this it feems was a Circumftance to be particularly guarded againft, for though our Serjeants could by no means be prevailed on to enter into a public Examination of Mr. Lee's Pa- tients before the Board, when Doctor Thomfon, Mr. Mitchel, and himſelf were prefent to confront them; yet now they are very ready to fubmit to it, when left in fole Poffeffion of their chirurgical Authority. But what were the Commiffioners to determine? Why, whether the Men had entirely left off their Bandages: A Point which has before been fully proved to be no- thing to the purpoſe, the phyfical Determination was prudently referved to Mr. Thomas, and his general Terms of the Ruptures being down in the fame State it was when Mr. Lee first undertook the Cure as fmall at first as it is now; however fatisfactory to the Board, may not be deemed altogether particular enough to eſtabliſh an univerfal Belief of the Deficiency of Cure; efpecially when it is known, that all the Men then publickly infifted on their Welfare, in oppofition to his Opinion. If this Examination was defired for a full and fair Satisfaction of the Commiffioners, Why were thofe Men, to whom even the Continuance of the Trufs could not be objected, thought improper Subjects of their Enquiry, more particularly Harvey; as the Event of his Cure, it had been exprefsly agreed, ſhould determine our Serjeants Judgment in Mr. Lee's Fa- (54) 03 66 Favour? May not then the fame Scruples ftill remain in the mind of the Reader concerning this Tranfaction, as are mentioned in the NARRATIVE, ift, "Becauſe Mr. Lee was not permitted at this Ex- "amination to be prefent. 2d, Becaufe it was made by Mr. Lee's Adverfaries. 3d, Becaufe a Swelling is rather too precarious a Term to afcertain a Rup- ture, and which, inftead of the Size of a Child's "head (once the cafe) may imply little more than a Pimple. 4th, Becauſe the Men then affirmed their "Welfare. 5th, Becauſe Mr. Ranby had himfelf be- "fore allowed Tanner and Curtis to be cured. 6th, "Becauſe thefe two laft had, in open Court, proved "the fame. 7th, Becaufe Mr. Ranby had publickly de- 66 66 66 clared, that he would never certify any thing in Mr. "Lee's Favour. And, laftly, Becaufe Mr. Lee, (not- withstanding our Serjeants obfervation) ftill pub- lifhes in Capitals, "THAT HE IS READY TO SUBMIT THE WELFARE OF THESE VERY MEN TO THE CANDID JUDGMENT OF ANY IMPARTIAL TRIBUNAL." CAN it be conceived the Commiffioners would have paid any Regard to this Farce of an Enquiry, had not the fame Fallacy been impofed upon them which thefe Gentlemen have all along endeavoured to pafs upon their Readers, viz. "That the Continuance of the Bandage was a demonftrative Evidence of the Conti- nuance of the Distemper. And might not the Mifinformation given the Board, that the Men had affirmed, and even fworn, they had entirely left off their Bandages, create a Sufpicion of Mr. Lee's Ingenuity, and be a Motive of his Difmiffion. 59 ABOUT this time we are told, Mr. Ranby delivered in a dreadful Mufter-Roll of Examinations, Certificates, and Declarations, in Proof of Mr. Lee's Infufficiency in ( 55 ) in the Cure of Ruptures, &c. but as moſt of theſe are almoft in the fame Words, and founded upon the fame Principles with the Examination of the fix Men before mentioned, we fhall not tire the Reader with a parti- cular Detection of them, efpecially as they have no bet- ter Sanction than the difputable Authority of Mr. Ranby himfelf, his trufty Affiftants and their Apprentices, Apothecaries and their Journeymen, with fome other inferior Officers of the Houfe; the few who have been prevail'd on to fign their Declarations it is notorious no Arts were left unattempted to gain, Threats were to intimidate the obftinate, Promifes to encourage the willing; but it is pleafant enough to obferve how our Serjeants would avail themfelves of the bare Declara- tion of the very fame Men whofe Oaths they have all along endeavour'd to invalidate! Thus their Intereft is to be the Criterion of Truth, and juft as Cure or no Cure is the Word, they become either perjur'd Rafcals, or creditable Witnejjes: However, it may not be amifs to beſtow a few curfory Remarks on this Bundle of Evi- dence, as far as it relates to the Men who have them- felves figned their Declarations. 66 Two of thefe Certificates are taken up to prove, that Serjeant James Morgan refufed to be examined;" By whom? by Mr. Ranby's Deputies; who were conti- nually teazing him and the reft of Mr. Lee's Patients, by pulling down their Breeches, and feizing them wherever they found them, either in their Wards or in the Street. Morgan therefore infifted they fhould ex- amine him no more, without Mr. Lee or fome of his Friends were prefent; and for this High Crime and Miſdemeanour was fent Prifoner to the Guard-houfe, where he fhew'd the whole Guard that he was cured, and had no Bandage; after which he was diſcharg'd the Hofpital without any Examination. BROCAS'S ( 56 ) BROCAS'S Declaration is introduc'd to prove,- that he was cured by Mr. Lee, and had left off his Bandage three Weeks; but, by a Fall when he was drunk, got ruptur'd again. An Accident Mr. Lee will undertake to prevent, when thefe Gentle- men will allow that a fecond Fracture is a Proof that the firft was never reduc'd; but the Man's prefent Complaint, that he has never been able to obtain the leaft degree of Relief from Mr. Ranby ever fince, is deem'd an Article of no Importance to the Public. JOHN WELCH fays, that he paid Mr. Lee 2 Gui- neas in part, but was not cured. The reafon of Mr. Lee's taking the Money was, that he was not a Penfi- oner in the Hofpital, and kept a Houfe in Jews-Row. The reafon why he apprehends he was not cured at this time is, Becauſe Mr. Ranby had, unknown to him, taken off his Bandage and put him on a Steel Trufs. HOWEVER atrocious an offence it may be in Mr. Lee to expect a confideration for his Affiftance, yet it is a Species of Mal-Practice which perhaps thefe Gentle- men's Patients may not totally acquit them of; but the Charge on which the next Certificate is founded is of a very different nature, that of Giving, not Receiving. WILLIAM FIELDING (it feems) was worfe for Mr. Lee's Attendance, this, at leaft, muft be allow'd a fingular inftance, and "be received fo much. pain from Mr. Lee's burning Medicine that it took the Skin off bis Groin." Certainly this Man's Skin muft be of a more delicate Texture than that of all Mr. Lee's other Patients, who it is not even pretended ever experienc'd any ſimilar Effect; but burning Medicine was thought a proper chirurgical Scare-crow, to be fet up in Terrorem to the Public. Laft of all, this Man 66 once (57) CC once receiv'd a Treat, and feveral times Money from Mr. Lee" but the confideration of this Bounty is prudently conceal'd: the firft was an Acknowledgment, as has been before hinted, for the various Journies he had made on Mr. Lee's Account; the latter, an Act of Charity, when, in a high Fever, all Medicines were refus'd him at the Hofpital, only becaufe He was Mr. Lee's Patient. RANDAL COLEMAN fays he was fome time under Mr. Lee's Care, but was not cured. A very common phyfical cafe, and not at all extraordinary in this, as Mr. Lee never drefs'd him but three times, and the Rupture being fmall the Man defir'd nothing farther than a Bandage. JOHN WARDEN's Declaration is calculated for the Benefit of the Trufs-maker to the Hofpital (an Inftance at leaſt of Mr. Ranby's Regard for his Brother Place- man and Fellow Practitioner) "the Steel Trufs was more effectual in keeping up his Rupture than Mr. Lee's Bandage," but certainly not in curing it, fince, after having been kept twelve Months in Irons, he is pro- nounc'd as bad as ever. But how could the Conti- nuance of this Man's Illneſs be plac'd to Mr. Lee's Ac- count? and tho' Mr. Lee's Bandage would not keep up this Man's Rupture, it feems it was all-fufficient for that purpoſe with the next. JOHN HENRY, who declares, "that during the two Months he wore Mr. Lee's Bandage it kept up his Rup- ture, and that he would have continued longer under bis Care but that a Misunderstanding arofe between Mr. Chefelden and Mr. Lee." An excellent Article of In- dictment against Mr. Lee, for not having cured him but more Bribery again: this Man was likewife invited to partake of the Fifteen Shillings fpent at Hanna's. H JOHN ( 58 ) Precaution. JOHN HAMILTON Confeffes," that at times, when be has a Cough, which is generally from the time the cold. Weather begins, he always wears his Bandage by way of Demonftrative Proof of the Defi- ciency of Cure. — But left this fhould be thought too favourable a Symptom, they make fhift to perfuade him that fomething comes down now and then, but not fo low as it did before; and Mr. Thomas once made the lucky Difcovery of fomething like a Pin-cufhion in the Waiſtband of his Breeches, which, like the Waiſtcoat before mention'd, is immediately vefted with the Virtue of a Trufs. RICHARD BURBRIDGE, we are inform'd, "bad been two whole Months under Mr. Lee's Care, when a Fall brought down his Rupture again. A Proof, by the way, that Mr. Lee in fo fhort a time had produced the falutary Effect of keeping it up, and which, for aught theſe Gentlemen know, might have remain'd fo had not this Accident happen'd: but it is certain the Benefit this Man receiv'd was by no means adequate to the Pain occafioned by Mr. Lee's Medicines, which oblig'd him to keep his Bed Nine Days. Another chirurgical Scare-crow. HOWEVER our Serjeants may plume themſelves upon the above Declarations, yet their Triumph is fomewhat clouded by being obliged to confefs that there was one, viz. Harvey, who had pafs'd thro' their phyfical In- quifition without being convicted of having any Traces either of Rupture or Bandage remaining; and how un- lucky is it that this fhould be the very Man on whofe Cure our Serjeants themfelves had agreed to reft the determination of Mr. Lee's Pretenfions. It can hardly be fuppos'd thefe Gentlemen would have felected the moft favourable Subject on this occafion, and if it was as they then pronounc'd it, a very bad one, we have this (59) this Inftance, at leaft, that Mr. Lee can cure a very bad Rupture, which is all we have aim'd to prove, and they have fo induftriouſly endeavour'd to conceal from the Public. - Suppofe Mr. Lee to have fail'd in the particular Cafes they have mention'd, Has he not fucceeded in others? and ought not this to be rather a Foundation for Encouragement than fuch an unexampled Oppofition, efpecially as his firft Propofal was only to be of more Service in this Distemper than bad bitherto been experienced in our Hofpitals? But it ſeems the Teftimony of living Witneffes was not deemed fufficient to Mr. Lee's Conviction, the Bodies of the Dead are likewife to be ranfack'd in fearch of Evidence against him; and the following awful Certi- ficate is ufher'd in, in no lefs than two or three Places : Whereas it hath been reported, that John Hanna, whofe dead Body we have this day infpected, was perfect- ly cured of a Rupture, under which be fome time labour'd, We do bereby certify, that the Perforation of a Rupture on the right fide was fo large as easily to admit of three Fingers: a moft certain Proof that the faid Hanna bad not been cured of his Rupture. 24 July. Signed in my Prefence, H. Fielding. Benjamin Hoadly, Meffenger Monfey, C. Hawkins, T. Hawkins, W. Hunter, D. Middleton. If the Extenfion of this Perforation is now to be held a certain Symptom of the Difeafe, ought not the pro- per Contraction of it to be allow'd a Proof of the Cure? yet this we have feen our Serjeants could no way be in- duc'd to admit. But is it not fomewhat ftrange that, in fuch a relaxed State of the Body, the Rupture fhould H 2 not (60) not have been actually down, efpecially as there was nothing to prevent its Defcent, and which muft have been confiderably forced by the Agonies of Death? yet, whatever magnifying Spectacles fome of thefe Gentle- men might make ufe of for the Difcovery of this borrid Chafm, it is certain one of them, and the very Perfon who opened the Body, was oblig'd to apply to Mr. Lee for Information to know on which Side the Man had formerly been ruptur'd. Another Gentleman of the Profeffion then prefent, but not of their Sett, feeing the violence with which they bored their Fingers into the Part, obferv'd, "That it certainly was poffible by a proper degree of Force to open a Paffage for the whole Hand down into the Scrotum :" Nor could this Gentleman agree with them in another material point, which indeed was the principal one this Confultation was fummoned to fanctify, viz. That the Man died a natural Death. Surely there is fomething very fingu- lar in Hanna's Cafe; no fooner had Mr. Lee felected him for Cure, but Mr. Chefelden affures the Deputy- Governor, he was not ruptur'd: no fooner is he cur'd, but the utmoft Efforts are made by the Triumvirate to prove him ruptur'd. And if this pretended Perfora- tion was fo large when dead, is it not even miraculous that when Mr. Ranby met him, juft before he died, in the King's Road, and made him unbutton his Breeches to fhew he had no Bandage on; is it not, I fay, mira- culous that the Rupture fhould not then drop thro' fo capacious a Paffage, particularly as he was walking, and that fo luftily, as made our Serjeant tell him, "He was fure he must have a Bandage on, or he could not walk fo well." THE Reader's Surprize, that fo great Solicitude fhould be fhewn by our Serjeants to prove this Man in particular ruptur'd, will ceafe when he is inform❜d, that this was one of the 4 Men who were produc'd at the (61) the Duke's Apartments to teftify his Cure, and, when Mr. Ranby afterwards told His Highness that he had de- tected two of thofe very Men wearing their Bandages, join'd in an Affidavit that they had never feen Mr. Ranby, or wore a Bandage, from the time of their be- ing fo produced. AFTER our Serjeants had been fuccefsful enough to procure Mr. Lee's Difmiflion from Chelfea, they were ftill apprehenfive that his Appointment in another Hof- pital might induce a Diftruft that fomething more than mere Demerit was the Occafion of it, and therefore thought it convenient to fanctify their Proceedings by the Verdict of fome of their Brother Practitioners; nor was this the first time they had fought Refuge in the Sanctuary of a phyfical Inquifition, which was always too complaifant to refufe Protection to Brethren in fo elevated a Station: accordingly we are told, "Mr. Ranby invited feveral of the principal Perfons of the Profeffion to dine with him, in order to obtain the follow- ing Certificate. July 13, 1753. The following In-Penfioners of Chelfea Hofpital, viz. * Stephen Cowel, * John Colfon, *John Brocas, *John Hamilton, *William Storey, * John Tanner, *Peter Curtis, Thomas Merriman, Thomas Clark, William Fielding, Randal Colman, were (62) were feverally examin'd by us whofe Names are under- written; they had every one of them Truffes on, upon the Removal of which Truffes all the Ruptures, except Peter Curtis's, came down. Minu John Ranby, Cafar Hawkins, D. Middleton, Peter Sainthill, Edward Nourfe, Robert Adair, Samuel Sharp, Jofeph Paul, William Hunter, John Thomas, Alexander Reid, As here appears to be a Surgeon to every Man, it may be expected they fhould have been a little more particular in the defcription of their feveral Cafes, and not by fuch a lumping Certificate exact an implicit Be- lief, in what was intended (if intended for any thing) to furnish Matter of Conviction; but as the Mystery of this Examination may, by our Serjeants, be thought of too folemn a Nature to be communicated to vulgar Ears, we fhall be prophane enough to expofe fuch part of it as has come to our Knowledge. THUS then ſay the Men themſelves; and, as they are not upon Oath, perhaps they may bid fairer for our Serjeants Allowance of their Credibility. STEPHEN COWEL. Mr. Ranby order'd me to take off my Bandage, and then faid "See, this Man is not cured, and he has taken an Oath that he is cured." One Gentleman then touched me, and Mr. (63) Mr. Ranby again faid, "He is not cured." But the Gentlemen never ſpoke a word. I was then fent out. JOHN COLSON. I was ordered to loofe my Ban- dage; Mr. Ranby then faid, "He is not cured, and this Fellow has been with Lee fince." The Surgeons never touched me, and I was turned out. geons, WILLIAM STOREY. Mr. Ranby firft told the Sur- "That I had fwore before Mr. Manley that I never was to wear a Bandage, and that he took it off the next day." After this they bid me take off my Bandage, and then made me Cough and Jump for about a Quarter of an Hour, and without touching me bid me withdraw. JOHN TANNER. Mr. Ranby firft faid, CC If I can do it, your Ears fhall be cut off and nailed to the Pillory, and you turned out of your Bread for ever: then faid, It is pity fuch an ancient Man as you fhould be ferved fo." I then took my Bandage off, and one of the Gentlemen touched me; then Mr. Ranby faid, "You may fee he is not cured:" the Gentleman anfwered, thing ails him. وو And "I cannot fee that any I was then ordered to put up my Breeches and go out. PETER CURTIS. Mr. Ranby afked 66 If I wore a Bandage?" I anfwered, Yes. The Gen- tlemen then afked, "if I was cured?" I faid Yes; and only wore my Bandage by way of Pre- caution. I then took it off, and the Gentlemen exa- mined me, when, I declared, -I was as well as any Man in the World: Mr. Ranby faid that an impudent Fellow. دو "I was Then fome more of the Gentlemen examined me: I was then ordered to walk round (64) round the College feveral times, and up and down three pair of Stairs, 'till I was quite tired. Then I re- turned to the Surgeons, who again examined me, and faid, I was just the fame as I was before." ever I was: وو Mr. Ranby then infifted" that I was as bad as Several of the Gentlemen then ex- amined me again; and I faid, Take a Knife and open me, and I will ftand it, for I am as well as any Man in England. Then I was turned out.* N. B. POTTS, one of the Men Mr. Lee had laft un- dertaken by Order of the Board, then offered himfelf for Infpection, but was not admitted. AFTER fo nice, fo critical, and fo truly Surgeon- like an Examination, is it not amazing that thefe poor deluded old. Men fhould ftill perfift in their Welfare, and be infatuated enough not to think themſelves obli- ged to make a Surrender of only two of their Senfes to the Authority of fuch an infallible Judicature, a Judi- cature which, from all appearance, muft even be en- dowed with fupernatural Talents, fince nothing lefs than the Gift of a Second Sight could certainly enable them to difcern what neither the Patients themſelves, or any other Perfon who had not the Microfcope of a Diploma, could poffibly difcover. It is plain theſe Gentlemen were far from having the incredulous Cu- riofity of the APOSTLE, and thought thrufting their Fingers into the Man's Side by no means a neceffary Article of Conviction; but perhaps the Profeffors of the Old Baily may have the fame prudent BY-LAW with thofe of Warwick-lane, " That no junior Gradu- ate fhall, on any occafion, prefume to call in Question the Judgment of his Senior :" If fo, we may rather wonder * Hamilton was not afked a Queftion. Some of the other Men are dead, others can't be found, and Brocas told them as in his De- claration. (65) wonder that one of thefe Gentlemen fhould be found to differ with our Serjeants in point of opinion, than that all fhould fign fo plump a Certificate in fupport of it. "The Ruptures came down," ſay they, but not a Symptom is to be explained, whe- ther of the Caul or the Inteftine Whether in the Groin or in the Scrotum, nor are the Dimenfions thought a Matter of any neceffary Information; yet, as we find they were not large enough to convince the Men themſelves that they were really ruptured, they may perhaps be thought too fmall to convince any one elfe (befides thefe Gentlemen) of it. Thefe learned Practitioners well knew that even a Swelling in the Parts is far from being any certain Mark of the Diftemper, and if any fuch had appeared, would not a Reduction of the Rupture have afforded them the moft unerring E- vidence of its Reality; but it appears, feveral were dif miffed untouched, and almoft all unquestioned, by thefe Examiners; they were too polite to be inquifitive, and too regularly bred to difpute our Serjeants concife de- termination, "He is not cured," which definitive Sentence feems folely to have direct- ed the Opinions of the whole Board on this chirurgical Inqueft. and MAY it not excite fome unfavourable Sufpicions that, among fo many Surgeons, Mr. Lee fhould be the only one that was thought improper to be fummoned on this occafion : Or was it confiftent with the Candour of thefe Gentlemen, to proceed in an Affair which fo materially concerned the Intereft as well as Reputation of a Brother Practitioner, in his Abfence? Might not Mr. Lee have informed them of fome particulars which our Serjeants would by no means be inclinable fhould come to their Knowledge? And if the former was to be excluded, why were the latter not only to be admitted, but even fuffered to prefide at the Head of I that ( 66 ) that very Jury whofe Verdict was to determine the Rec- titude of their own Conduct? Has not Mr. Lee then ample reafon to enter his Proteft againſt a Sentence obtained under fuch partial Circumftances, efpecially as former occafions have evinced that his Brethren in general are far from being the most forward Advocates, or Witneffes, in his Favour? Has not Mr. Lee annihilated fome of their ruptural Annuities? And though we ſhould not prefume fuch a confideration could poffibly pervert their Integrity, it may be fup- pofed to give fome little inclining Biafs to their Judg Quod volumus facile credimus. ment. How facred foever thefe Gentlemen's Characters are repre- fented to be, if they are not totally unfufceptible of the Frailty of Human Nature, they may probably ex- perience fome fmall Emotions of Spleen at Mr. Lee's Pretenfion to excel them in any one particular Branch of their Profeffion; for, as Mr. Locke obferves, "Would it not be an infufferable thing for a learned "Profeffor, and that which his Scarlet would blufh 66 66 at, to have his Authority of Forty years ftanding "over-turned in an Inftant by an upftart Novelift, "and he made to confefs, that what he taught his Pupil thirty years ago was all Error and Miftake." In fhort, the only material Points this Certificate feems to eſtabliſh are, That theſe Gentlemen certainly dined with Mr. Ranby, and were very grateful for their Entertainment. YET however full this Certificate may be thought, "That on the Removal of the Truffes all the Ruptures came down," it is not ftill compleat enough for our Serjeants Wishes, as being qualified with the exception of Peter Curtis's, and therefore they warn the Reader "there is fomething worth notice in his that par- (67) particular Cafe, whofe Rupture did not come down and inform us, this day," His Rupture was down, December 7, 1750. Was not down, Was down, Was down, April 24, 1752. June 27, 1752. March 14, 1752. And this Day was not down, July 15, 1753. All which, fay they, is fufficient to convince any one, "that a fingle examination can give no Proof Or how, up- on theſe Gentlemen's Principles, would it be at all more fatisfactory, if thefe Examinations fhould be re- peated to Eternity? But however this may convince, it will certainly furprize the Reader, That this that a Perfon is perfectly cured." Man's Rupture fhould only luckily be down, when the Triumvirate or their Affiftants were in fole poffeffion of the Enquiry; and unluckily up, when any other Perfons were concerned in the determination of this Point. 66 worn THUS have we examined every material Part of theſe learned Gentlemen's Performance, thro' which, if the Reader has had patience to follow us, he will at leaſt think it ftrange that Mr. Lee fhould have been fo peculiarly unfortunate as not to have effected one fingle Cure, even though he made ufe of that all-fufficient Remedy, a Trufs; and which, upon our Serjeants own Authority, in growing Perfons for a proper Length of time proves a certain and infallible Cure," In grown up Perfons, compleatly cures, and, in Old Men, "fome- times perfectly cures." So that it feems this chirurgical Machine is only ineffectual when applied by Mr. Lee. But will not the Public think it ftill ftranger, that this fatal Spell upon Mr. Lee's Practice fhould be دو I 2 66 often con- (68) confined to the Walls of this Hofpital only, fince his Success in another has received the Sanction of indif- putable Authority; and where fingle Examinations could not be pleaded in juftification of Doubt, but every Means were as fully, tho' fomewhat more fairly, made ufe of to detect an Impofture, as thofe practifed by our Triumvirate themfelves, tho', it muſt be confef- fed, the poor Men were left in poffeffion of their See- ing and Feeling, without incurring the imputation of Perjury for adhering to the Evidence of two fuch de- ceitful Senfes. UPON the whole then, Why this Distemper fhould be fo manifeftly curable at GREENWICH, and fo ob- ftinately incurable at CHELSEA, is a phyſical Pheno- nom, we ſhall leave the Faculty to explain, and will only fuppofe, that there muft certainly be fome effen- tial difference between a Marine and a Land Rupture; or that the Air of the two Places is not equally fuited to the fuccefs of this Operation, fince upon thefe prin- ciples it is only poffible to justify our Serjeant Surgeons Conduct, and account for the following odd kind of Contraft in the fame Character. At CHELSEA. Mr. Lee is an Impoftor. Mr. Lee has been guilty of Mal- Practice. Mr. Lee never cured one Penfio- ner. At GREENWICH. Mr. Lee is an able Surgeon. Mr. Lee's Conduct is unanimouf- ly approv'd. Mr. Lee cured upwards of Forty Penfioners. Mr. Lee's Cures are denied by Mr. Lee's Cures are acknowledg- Serjeant Surgeons. Mr. Lee's Patients are not to be credited on Oath. ed by Surgeons of his Majefty's Yards. Mr. Lee's Patients are credited without an Oath. Mr. (69) Mr. Lee's Patients' Ruptures are always down when inspected by his Oppofers, but always up when inspected by indiffe- rent Perfons. Mr. Lee's Patients never leave off their Bandages Mr. Lee is deem'd unworthy his ftipulated Salary. Mr. Lee's Merits are determin'd by the Repreſentations of his chirurgical Adverfaries. Mr. Lee is condemn'd by a Board Commiffioners. of 5 Mr. Lee's Patients' Ruptures are always up when infpected either by Friends or Foes. Mr. Lee's Patients frequently leave off their Bandages. Mr. Lee is thought worthy more Advantages than his Salary. Mr. Lee's Merits are confirm'd by the Sanction of the Surgeons of his Majefty's Yards, and the whole Board. Mr. Lee is juftified by a Board of Forty Governors. Mr. Lee is difcharg'd with Igno- Mr. Lee is continued with Ho- miny. nour. As our Serjeants NARRATIVE (every Part of which is more fully fet forth in the preceding part of their Defence) feems only to be inferted in hopes a Repetition of Facts fhould be mistaken for a Multipli- cation of them, we fhall forbear taking any notice of it; and after having expofed the Infufficiency of their pretended Anfwer, only by way of Appendix, recapi- tulate fome material Facts, to which they have been too prudent to give any Anfwer at all. APPEN ( 70 ) APPENDIX. As S the Serjeant Surgeons have prudently paffed over the following Facts, it may be prefumed the Reader will be induced to place them among the Credenda of the NARRATIVE. Page 8, It is faid "That upon Mr. Lee's firft going to the Hofpital, Mr. Thomas produced only three miferable Objects, almoft expiring with other Complaints, as Subjects for the Experiment:" to which Mr. Lee objecting, He was told, 66 Thofe were all afflicted with Ruptures in that Hofpital;" but applying to the Deputy Governor, the next day he found no lefs that Thirty-fix impatiently waiting for relief. Mr. Thomas being reproached with this Difingenuity, anfwer'd, "That Mr. Chefelden and be did not trouble themfelves about fuch old infirm Fellows as were afflicted with Ruptures, for it was not worth their while to have any thing to do with them." Page 9. Mr. Chefelden is charged with telling the Deputy Governor, That two of the Men Mr. Lee felected for Cure bad but very fmall Ruptures, and that one, viz. Hanna, was not ruptured at all;" tho' Sir Robert Rich confirmed his being difcharged his own Regiment for that Diftemper, and on his admiffion into the Hofpital being reported by Mr. Chefelden himfelf to be ruptur'd very bad. Page (71) Page 13. Mr. Chefelden is accufed of fending a Let- ter to the Board, informing them, "That having met Mr. Lee two days before, it had been agreed between them that he fhould continue his Examinations of the Men one Month longer,' tho' Mr. Lee had never ſeen him for near two months before. "That Mr. Lee, Page 13, 14. It is obferved, being directed to produce the Men he had cured, at the Board the 28th November, for a final determina- tion of the Affair, found, upon his going to the Hof- pital the day before, Orders had been given that None of the Penfioners fhould ftir from the Hofpital the Board-Day; upon which he procured the Affidavits of the Men to their Cure, and that Mr. Chefelden had ex- amined them, which, on Mr. Chefelden's Denial at the Board, "That he had ever examined one Man who had been under Mr. Lee's Care he pro- duced, fomewhat to this Gentleman's Confufion." Page 14, fets forth, "That an Agreement being made that Mr. Chefelden fhould examine the Men for one whole month, he, after three Examina- tions, declared "That Mr. Lee might Spare bimfelf any farther trouble, fince the Men were as well as ever they were in their Lives, and that he found not the leaft Appearance of a Rupture in any of them, pro- mifing to make a Report the next Board-day in his Fa- vour:" Yet on the 16th January, 1750, re- ported, "That two of the faid Men had their Ruptures down at the time he examined them, and that the Examination was given up at Mr. Lee's Requeft." Page 17 alledges, "That our Serjeant Sur- geons and Mr. Chefelden, upon an examination, de- clared (72) clared a Man, viz. BENSON, to be ruptur'd, who had never been ill of that Diftemper in his Life."* Page 19 charges our Serjeants with reporting to the Board held April 24, 1751, "That they had examined Peter Curtis, in particular, at St. George's Hofpital, and found his Rupture down," when it appeared they had never feen that Man in their Lives, and, who, being then called in before the Commiffioners, was found to be perfectly well. Page 20 informs us, "That tho' the Ser- jeants had examined fix ruptured Men at Mr. Chefel- den's Apartments, in order to be put under Mr. Lee's Care, yet at this Board they denied ever examined one Man there." Having Page 20. The Serjeants are accuſed of publickly declaring 66 thing in Mr. Lee's Favour. دو That they would never certify any "That our Serjeants Because they had not en- to examine Hanna, Page 22 acquaints us refufed to examine, at Sir William Yonge's Houfe, Harvey and Hamilton, tirely left off their Bandages: Because they had not feen him when ruptured to examine Morgan, who they had before acknowledged to have infpected at Mr. Chefelden's, they now faid they had never examined him at all. Becaufe Page 24 fays, "That four of the Pen- fioners were examined by feveral Noblemen and Ge- neral Officers at the Duke's Apartments, all of whom feemed fatisfied of their Welfare; but Mr. Ranby foon after affured his Royal Highnefs "That be bad *N. B. Our Serjeants, in order to acquit themfelves of this un- lucky millake, think it fufficient to change the Name of Benfon into Hanna; but this Evafion has been fully expofed in our Reply. (73) bad, fince the Examination, been at Chelfea, where be found two of the aforefaid Penfioners wearing their Bandages, and ruptured as bad as ever. In contradiction to which an Affidavit of the four Men was prefented to his Hoyal Righnefs, fetting forth "That Mr. Ranby had never fpoke to them, or had they wore any Bandage from the time they were pro- duced to the time Mr. Ranby had fo mif-informed his Royal Highness." *** "unfair, Page 46, 77 Expofes our Serjeants tho' unfuccefsful, Endeavours to defeat Mr. Lee's Ap- pointment at the Greenwich Board." Page 48 to 75, fhews "how inconteftibly Mr. Lee's Cures were eftabliſhed, in open Court, by Gentlemen, Merchants and Tradefmen, as well as the Penfioners of both Hofpitals," on all which our Serjeants have not bestowed a fingle Remark, ex- cept that frivolous one relating to Mr. Roebuck. Page 83, complains "That none of the Men who were put under Mr. Lee's Care, after his Agreement with the Commiffioners, were examined either by them or the Surgeons, 55 fo that the very fervices that were to entitle him to the Reward were the only ones left uninquired into at the Determi- nation concerning it. SOME fcrupulous Readers may be apt to think all thefe particulars required at leaft fome alleviating Juf- tification; but our Serjeants, finding Facts too ftub- born for their Cafuiftry, deemed Silence their beſt Sex curity, K N. B. Our Serjeants are weak enough to imagine that their now faying, it was two other Men they detected with Bandages on, viz. Tanner and Curtis, is fufficient to clear them of this intentional Im- pofition. ( 74 ) curity, and had they obferved the like prudential Caution with refpect to the rest of thefe Tranfactions, they might have been lefs expofed, if not lefs criminal. SHOULD any one be of opinion that too great a Free- dom has been taken with thefe dignified Profeffors, in the courſe of this Reply, let the Provocation prove our Apology; and furely fome little fpirited Sallies may be excuſed when it is confidered, that not only the Livelihood of Mr. Lee was to be the Victim of his Opponents Malice, but every Page of their Perform- ance is pointed at his Reputation, and calculated to ftigmatize him with the odious Crimes of SUBORNA- TION and IMPOSTURE; yet, however deficient Mr. be thought in point of Decency, he is deter- mined not to offend in point of Gratitude, but make this public Acknowledgement of his Obligations to thefe Gentlemen, for the additional Emoluments he has experienced in Practice from their Oppofition, tho' perhaps an accidental Advantage they by no means intended him. Lee may adadagdagada da POSTSCRIPT. S, by way of Poftfcript, a Letter is added in proof of the new diſcovered Virtue of the Trufs, to render Men ferviceable, we fhall produce a recent Inftance to prove that neither this miraculous Machine, or even or even our Serjeants Judgment itſelf, is fufficient to prevent ferviceable Men from being deem- ed, and paid, as unferviceable. A Letter is JOSEPH (75) JOSEPH PHILLIPS, late of the Hon. Colonel How- ard's Regiment, aged 48, was difcharged at Inverness in October 1752, and admitted on the Chelfea Penfion in the December following, for a Rupture; he was fent by his Colonel (with two others who were dif charged the fame Regiment for the fame Complaint) to Mr. Lee about two months fince, who infpected them and informed the Colonel that Phillips was not ruptured: the Colonel told him he muft certainly be miſtaken, for not only the Surgeon of the Regiment had certified it, but he had been reported fo on the Examination of the Surgeons at Chelfea. Mr. Lee ftill perfifted in his opinion, and propofed fatisfying the Colonel, with any other Gentlemen he fhould think proper, in this point: accordingly, fome time after, he attended at the Colonel's Houfe, where, in the Prefence of feveral Perfons of Quality and Diftinction, he tapped the Scrotum and brought away above a Quart of Water. What opinion muſt the Public then entertain of our Serjeant's learned Ac- COUNT OF THE NATURE OF THIS DISTEMPER, who, it appears, was at leaft capable of miftaking a Hydrocele for a Rupture. N. B. There is reafon to think that many of theſe miftaken Cafes may be found among the Pen- fioners, and thofe on the Bounty Lift, who very unneceffarily remain ufelefs to their King and Country, and burthenfome to the Revenue. FINI S. ERRATA. P. 35. Line 4. for Curtis read Storey P. 37. Line 14. for Curtis read Ter.