A MEDICAL DOCUMENT
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 dozen 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 one only 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."