Medical men are, as a class, very much too busy to take stock of singular situations or dramatic events. Thus it happens that the ablest chronicler of their experiences in our literature was a lawyer. A life spent in watching over death-beds—or over birth-beds which are infinitely more trying—takes something from a man’s sense of proportion, as constant strong waters might corrupt his palate. The overstimulated nerve ceases to respond. Ask the surgeon for his best experiences and he may reply that he has seen little that is remarkable, or break away into the technical. But catch him some night when the fire has spurted up and his pipe is reeking, with a few of his brother practitioners for company and an artful question or allusion to set him going. Then you will get some raw, green facts new plucked from the tree of life.
It is after one of the quarterly dinners of the Midland Branch of the British Medical Association. Twenty coffee cups, a dozer liqueur glasses, and a solid bank of blue smoke which swirls slowly along the high, gilded ceiling gives a hint of a successful gathering. But the members have shredded off to their homes. The line of heavy, bulge-pocketed overcoats and of stethoscope-bearing top hats is gone from the hotel corridor. Round the fire in the sitting-room three medicos are still lingering, however, all smoking and arguing, while a fourth, who is a mere layman and young at that, sits back at the table. Under cover of an open journal he is writing furiously with a stylographic pen, asking a question in an innocent voice from time to time and so flickering up the conversation whenever it shows a tendency to wane.
The three men are all of that staid middle age which begins early and lasts late in the profession. They are none of them famous, yet each is of good repute, and a fair type of his particular branch. The portly man with the authoritative manner and the white, vitriol splash upon his cheek is Charley Manson, chief of the Wormley Asylum, and author of the brilliant monograph—Obscure Nervous Lesions in the Unmarried. He always wears his collar high like that, since the half-successful attempt of a student of Revelations to cut his throat with a splinter of glass. The second, with the ruddy face and the merry brown eyes, is a general practitioner, a man of vast experience, who, with his three assistants and his five horses, takes twenty-five hundred a year in half-crown visits and shilling consultations out of the poorest quarter of a great city. That cheery face of Theodore Foster is seen at the side of a hundred sick-beds a day, and if he has one-third more names on his visiting list than in his cash book he always promises himself that he will get level some day when a millionaire with a chronic complaint—the ideal combination—shall seek his services. The third, sitting on the right with his dress shoes shining on the top of the fender, is Hargrave, the rising surgeon. His face has none of the broad humanity of Theodore Foster’s, the eye is stern and critical, the mouth straight and severe, but there is strength and decision in every line of it, and it is nerve rather than sympathy which the patient demands when he is bad enough to come to Hargrave’s door. He calls himself a jawman “a mere jawman” as he modestly puts it, but in point of fact he is too young and too poor to confine himself to a specialty, and there is nothing surgical which Hargrave has not the skill and the audacity to do.
“Before, after, and during,” murmurs the general practitioner in answer to some interpolation of the outsider’s. “I assure you, Manson, one sees all sorts of evanescent forms of madness.”
“Ah, puerperal!” throws in the other, knocking the curved grey ash from his cigar. “But you had some case in your mind, Foster.”
“Well, there was only one last week which was new to me. I had been engaged by some people of the name of Silcoe. When the trouble came round I went myself, for they would not hear of an assistant. The husband who was a policeman, was sitting at the head of the bed on the further side. ‘This won’t do,’ said I. ‘Oh yes, doctor, it must do,’ said she. ‘It’s quite irregular and he must go,’ said I. ‘It’s that or nothing,’ said she. ‘I won’t open my mouth or stir a finger the whole night,’ said he. So it ended by my allowing him to remain, and there he sat for eight hours on end. She was very good over the matter, but every now and again HE would fetch a hollow groan, and I noticed that he held his right hand just under the sheet all the time, where I had no doubt that it was clasped by her left. When it was all happily over, I looked at him and his face was the colour of this cigar ash, and his head had dropped on to the edge of the pillow. Of course I thought he had fainted with emotion, and I was just telling myself what I thought of myself for having been such a fool as to let him stay there, when suddenly I saw that the sheet over his hand was all soaked with blood; I whisked it down, and there was the fellow’s wrist half cut through. The woman had one bracelet of a policeman’s handcuff over her left wrist and the other round his right one. When she had been in pain she had twisted with all her strength and the iron had fairly eaten into the bone of the man’s arm. ‘Aye, doctor,’ said she, when she saw I had noticed it. ‘He’s got to take his share as well as me. Turn and turn,’ said she.”
“Don’t you find it a very wearing branch of the profession?” asks Foster after a pause.
“My dear fellow, it was the fear of it that drove me into lunacy work.”
“Aye, and it has driven men into asylums who never found their way on to the medical staff. I was a very shy fellow myself as a student, and I know what it means.”
“No joke that in general practice,” says the alienist.
“Well, you hear men talk about it as though it were, but I tell you it’s much nearer tragedy. Take some poor, raw, young fellow who has just put up his plate in a strange town. He has found it a trial all his life, perhaps, to talk to a woman about lawn tennis and church services. When a young man IS shy he is shyer than any girl. Then down comes an anxious mother and consults him upon the most intimate family matters. ‘I shall never go to that doctor again,’ says she afterwards. ‘His manner is so stiff and unsympathetic.’ Unsympathetic! Why, the poor lad was struck dumb and paralysed. I have known general practitioners who were so shy that they could not bring themselves to ask the way in the street. Fancy what sensitive men like that must endure before they get broken in to medical practice. And then they know that nothing is so catching as shyness, and that if they do not keep a face of stone, their patient will be covered with confusion. And so they keep their face of stone, and earn the reputation perhaps of having a heart to correspond. I suppose nothing would shake YOUR nerve, Manson.”
“Well, when a man lives year in year out among a thousand lunatics, with a fair sprinkling of homicidals among them, one’s nerves either get set or shattered. Mine are all right so far.”
“I was frightened once,” says the surgeon. “It was when I was doing dispensary work. One night I had a call from some very poor people, and gathered from the few words they said that their child was ill. When I entered the room I saw a small cradle in the corner. Raising the lamp I walked over and putting back the curtains I looked down at the baby. I tell you it was sheer Providence that I didn’t drop that lamp and set the whole place alight. The head on the pillow turned and I saw a face looking up at me which seemed to me to have more malignancy and wickedness than ever I had dreamed of in a nightmare. It was the flush of red over the cheekbones, and the brooding eyes full of loathing of me, and of everything else, that impressed me. I’ll never forget my start as, instead of the chubby face of an infant, my eyes fell upon this creature. I took the mother into the next room. ‘What is it?’ I asked. ‘A girl of sixteen,’ said she, and then throwing up her arms, ‘Oh, pray God she may be taken!’ The poor thing, though she spent her life in this little cradle, had great, long, thin limbs which she curled up under her. I lost sight of the case and don’t know what became of it, but I’ll never forget the look in her eyes.”
“That’s creepy,” says Dr. Foster. “But I think one of my experiences would run it close. Shortly after I put up my plate I had a visit from a little hunch-backed woman who wished me to come and attend to her sister in her trouble. When I reached the house, which was a very poor one, I found two other little hunched-backed women, exactly like the first, waiting for me in the sitting-room. Not one of them said a word, but my companion took the lamp and walked upstairs with her two sisters behind her, and me bringing up the rear. I can see those three queer shadows cast by the lamp upon the wall as clearly as I can see that tobacco pouch. In the room above was the fourth sister, a remarkably beautiful girl in evident need of my assistance. There was no wedding ring upon her finger. The three deformed sisters seated themselves round the room, like so many graven images, and all night not one of them opened her mouth. I’m not romancing, Hargrave; this is absolute fact. In the early morning a fearful thunderstorm broke out, one of the most violent I have ever known. The little garret burned blue with the lightning, and thunder roared and rattled as if it were on the very roof of the house. It wasn’t much of a lamp I had, and it was a queer thing when a spurt of lightning came to see those three twisted figures sitting round the walls, or to have the voice of my patient drowned by the booming of the thunder. By Jove! I don’t mind telling you that there was a time when I nearly bolted from the room. All came right in the end, but I never heard the true story of the unfortunate beauty and her three crippled sisters.”
“That’s the worst of these medical stories,” sighs the outsider. “They never seem to have an end.”
“When a man is up to his neck in practice, my boy, he has no time to gratify his private curiosity. Things shoot across him and he gets a glimpse of them, only to recall them, perhaps, at some quiet moment like this. But I’ve always felt, Manson, that your line had as much of the terrible in it as any other.”
“More,” groans the alienist. “A disease of the body is bad enough, but this seems to be a disease of the soul. Is it not a shocking thing—a thing to drive a reasoning man into absolute Materialism—to think that you may have a fine, noble fellow with every divine instinct and that some little vascular change, the dropping, we will say, of a minute spicule of bone from the inner table of his skull on to the surface of his brain may have the effect of changing him to a filthy and pitiable creature with every low and debasing tendency? What a satire an asylum is upon the majesty of man, and no less upon the ethereal nature of the soul.”
“Faith and hope,” murmurs the general practitioner.
“I have no faith, not much hope, and all the charity I can afford,” says the surgeon. “When theology squares itself with the facts of life I’ll read it up.”
“You were talking about cases,” says the outsider, jerking the ink down into his stylographic pen.
“Well, take a common complaint which kills many thousands every year, like G. P. for instance.”
“What’s G. P.?”
“General practitioner,” suggests the surgeon with a grin.
“The British public will have to know what G. P. is,” says the alienist gravely. “It’s increasing by leaps and bounds, and it has the distinction of being absolutely incurable. General paralysis is its full title, and I tell you it promises to be a perfect scourge. Here’s a fairly t............