After a tour in the Scottish Highlands, and some further holiday in Norfolk, he came to London, worked under Astley Cooper, and in 1808 began general practice at Croydon, Surrey.
He left Croydon, took a house in Aldermanbury, and after a tour during which he came to know Robert Southey at Keswick, he was admitted a licentiate of the Royal College of Physicians on 6 March 1812.
In January 1814 he married the sister of Benjamin Travers the surgeon, and in 1816 went to live in Berners Street, where his practice in midwifery and the diseases of women soon became large.
In January 1826 he had hæmoptysis, and in April of that year his friend Sir William Knighton procured for him the post of librarian to the king.
During one of his journeys abroad for his health he wrote the letters on Beguines and Nursing, printed in the appendix to Southey's Colloquies on Society.