 Although he had availed himself of every opportunity of acquiring medical knowledge which the times would allow him, yet he commenced practice under unfavorable circumstances, - within three miles of his first preceptor, Doctor John Gale, in the village of Goshen, (if village it might then be called) and Doctor Pierson, in the East Division, not three miles distant, all of whom had their friends and employers; he performed some operations in surgery which gave him a degree of celebrity, (Doctor Gale being the only one who pretended to do anything in surgery).Doctor Tusten was mild, modest and unassuming in his manners, pleasant to his patients, and affable with all; he was also well acquainted with all improvements in surgery up to his time, which gave him a decided advantage over his competitor in that department of science.