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For the above reasons, whatever a patient can do for himself, it is better, i. e. less anxiety, for him to do for himself, unless the person in charge has the spirit of management. It is evidently much less exertion for a patient to answer a letter for himself by return of post, than to have four conversations, wait five days, have six anxieties before it is off his mind, before the person who has to answer it has done so.