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.

Apprehension, uncertainty, waiting, expectation, fear of surprise, do a
patient more harm than any exertion. Remember, he is face to face with
his enemy all the time, internally wrestling with him, having long
imaginary conversations with him. You are thinking of something else.
"Rid him of his adversary quickly," is a first rule with the sick.[3]

For the same reasons, always tell a patient and tell him beforehand when
you are going out and when you will be back, whether it is for a day, an
hour, or ten minutes. You fancy perhaps that it is better for him if he
does not find out your going at all, better for him if you do not make
yourself "of too much importance" to him; or else you cannot bear to
give him the pain or the anxiety of the temporary separation.

No such thing. You _ought_ to go, we will suppose. Health or duty
requires it. Then say so to the patient openly. If you go without his
knowing it, and he finds it out, he never will feel secure again that
the things which depend upon you will be done when you are away, and in
nine cases out of ten he will be right. If you go out without telling
him when you will be back, he can take no measures nor precautions as to
the things which concern you both, or which you do for him.


[Sidenote: What is the cause of half the accidents which happen?]