Machaon


Machaon

I was returning at the close of the short winter day from my visit to St. James’s Hospital, where my old servant Parkes, who had been in my service for twenty years, was lying. I had sent him there three days before, not for treatment, but for observation, and this afternoon I had gone up to London, to hear the doctor’s report on the case. He told me that Parkes was suffering from an internal tumour, the nature of which could not be diagnosed for certain, but all the symptoms pointed directly to its being cancerous. That, however, must not be regarded as proved; it could only be proved by an exploratory operation to reveal the nature and the extent of the growth, which must then, if possible, be excised. It might involve, so my old friend Godfrey Symes told me, certain tissues and would be found to be inoperable, but he hoped this would not be the case, and that it would be possible to remove it: removal gave the only chance of recovery. It was fortunate that the patient had been sent for examination in an early stage, for thus the chances of success were much greater than if the growth had been one of long standing. Parkes was not, however, in a fit state to stand the operation at once; a recuperative week or ten days in bed was advisable. In these circumstances Symes recommended that he should not be told at once what lay in front of him.

“I can see that he is a nervous fellow,” he said, “and to lie in bed thinking of what he has got to face will probably undo all the good that lying in bed will bring to him. You don’t get used to the idea of being cut open; the more you think about it, the more intolerable it becomes. If that sort of adventure faced me, I should infinitely prefer not to be told about it until they came to give me the anæsthetic. Naturally, he will have to consent to the operation, but I shouldn’t tell him anything about it till the day before. He’s not married, I think, is he?”

“No: he’s alone in the world,” said I. “He’s been with me twenty years.”

“Yes, I remember Parkes almost as long as I remember you. But that’s all I can recommend. Of course, if the pain became severe, it might be better to operate sooner, but at present he suffers hardly at all, and he sleeps well, so the nurse tells me.”