A plague doctor (Italian: medico della peste, Dutch: pestmeester, Spanish: médico de la peste negra, German: Pestarzt) was a special medical physician who treated those who had the plague. They were specifically hired by towns that had many plague victims in times of plague epidemics. Since the city was paying their salary, they treated everyone: both the rich and the poor. They were not normally professionally trained experienced physicians or surgeons, and often were second-rate doctors not able to otherwise run a successful medical business or young physicians trying to establish themselves. Plague doctors by their covenant treated plague patients and were known as municipal or "community plague doctors", whereas "general practitioners" were separate doctors and both might be in the same European city or town at the same time. In France and the Netherlands plague doctors often lacked medical training and were referred to as "empirics". In one case a plague doctor had been a fruit-seller before his employment as a physician.