The hands of the office clock were pointing to half after two, on a certain September night, when Burns came into his office, alone. The fire in the office fireplace, kept bright until nearly midnight, when his housekeeper had given up waiting for him and gone to bed, had burned to a few smouldering lumps of cannel-slag. A big leather easy-chair, its arms worn with much use, had been pulled into an inviting position before the fireplace, and the night-light by the desk was burning, as usual. All that could be expected had been done by the kind-hearted Cynthia, who comprehended, by signs she knew well and had been watching for several days, that affairs were going wrong with her employer.

But he needed more than could be given him by things inanimate—needed it woefully. He came in as a man comes who is not only physically' weary to the point of exhaustion, but heart sick and sore besides. He dropped his heavy surgical bags upon the floor by the desk as if he wanted never to take them up again, pulled off coat and cap and let them fall where they would, then stumbled blindly over to the big chair and sank into it with a great sigh, as if he had reached the end of all endeavour.

If it had been physical fatigue alone which had brought him to this pass he might have dropped asleep where he sat, and waked, after an hour or two, to drag himself away to bed, like one who had been drugged. For a short space, indeed, he lay motionless in the chair in the attitude of one so spent for sleep that he must needs find it in the first place his body touches. But there are times when the mind will not let the body rest. And this was one of them.

The scene he had left lately was burning before his tired eyes; the sounds he had lately heard were beating in his brain. For a week he had been putting every power he possessed into the attaining of an end for which it had more than once seemed to him that he would be willing to sacrifice his own life. He had dared everything, fought every one, had his own way in spite of every obstacle, believing to the last that he could win, as he had so often won before, by sheer contempt of danger. But this time he had failed.

That was all there was of it—he had failed, failed so absolutely, so humiliatingly, so publicly—this was the way he put it to himself—that he was in disgrace. He had operated when others advised against operation and had seemed to succeed, brilliantly and incredibly. Then the case had begun to go wrong. He had operated a second time—against all precedent, taking tremendous risks—and had lost.

But this was not the worst. He had lost cases before and had suffered keenly over them, but not as he was suffering now. In a world of death some cases must be lost, even by the most successful of all of his profession. But this was an unusual case. This was—O God—how could he bear losing this one?

He had known her from a little girl of eight till now, when at sixteen, bright, beautiful, winsome sixteen, he had... what had he done? She might have had a chance for life—without operation. He had taken that chance away. And she had trusted him—how she had trusted him! Ah, there was the bitter drop in the cup the turn of the knife in the raw wound. When the others had opposed, she had looked up at him with that smile of hers—how could she smile when she was in such pain?—and whispered: “Please do whatever you want to, Doctor Burns.” And he had answered confidently: “Good for you, Lucile—if only they'd all trust me like that I'd show them what I could do!”

Vain boast—wild boast! He had been a fool—twice a fool—thrice a fool! He was a fool clear through—that was the matter with him—a proud fool who had thought that with a thrust of his keen-edged tools he could turn Death himself aside.

And when he had tried his hand a second time, in the last futile effort to avert the impending disaster, she had trusted him just the same. When he had said to her, speaking close to her dull ear: “Dear little girl, I'm going to ask you to go to sleep again for me,” she had turned her head upon the pillow, that tortured young head—he would not have thought she could move it at all—and had smiled at him again... for the last time... He would remember that smile while he lived.

He got up from his chair as the intolerable memory smote him again, as it had been smiting him these three hours since the end had come. He began to pace the floor, back and forth back and forth. There were those who said that R. P. Burns threw off his cases easily, did not worry about them, did not take it to heart when they went wrong. It is a thing often said of the men who must turn from one patient to another, and show to the second no hint of how the first may be faring. Those who say it do not know—can never know.