That James Van Horn and R.P. Burns had long been conscious or unconscious rivals was known to everybody. Van Horn was not popular with the hospital staff, while Burns might have ordered them all to almost any deed of valour and have been loyally obeyed. But Van Horn's standing in the city was well understood; he was admired and respected as the most imposing and influential figure in the medical profession there represented. He held many posts of distinction, not only in the city, but in the state, and his name at the head of an article in any professional magazine carried weight and authority. And that he should have chosen Burns, rather than have sent abroad for any more famous surgeon, was to be considered an extraordinary honour indicative of a confidence not to have been expected.

Altogether, there was more than ordinary tension observable in the operating-room just before the appointed hour. A number of the city's surgeons were present—Grayson, Fields, Lenhart, Stevenson—men accustomed to see Burns at work and to recognize his ability as uncommon. Not that they often admitted this to themselves or to one another, but the fact remains that they understood precisely why Van Horn, if he chose a local man at all—which of itself had surprised them very much—had selected Burns. Not one of them, no matter how personally he felt antagonistic to this most constantly employed member of the profession, but would have felt safer in his hands in such a crisis than in those of any of his associates.

Burns held a brief conference with Miss Mathewson, who having been with him in his office and his operative work for the entire twelve years of his practice, was herself all but a surgeon and suited him better than any man, with her deft fingers and sure response to his slightest indication of intention. The others found themselves watching the two as they came forward, cool, steady, ready for the perfect team work they had so long played. If both hearts were beating a degree faster than usual there was nothing to show it. Nobody knew what had passed between the two. If they had known they might have understood why they worked so perfectly together.

"You're going to give me your best to-day, Amy, eh?"

"You know that, Doctor Burns."

"Of course I know it. But I want a little better than your best. This is one of the cases where every second is going to count. We have to make all the speed that's in us without a slip. I can trust you. I didn't tell you before because I didn't want you thinking about it. But I tell you now because I've got to have the speed. All right; that's all."

He gave her one quick smile, then his face was set and stern again, as always at this moment, for it was the moment when he caught sight of his patient, quietly asleep, being brought to him. And it was the moment when one swift echo of the prayer he had already made upon his knees leaped through his mind—to be gone again as lightning flashes through a midnight sky. After that there was to be no more prayer, only action.


The watching surgeons unconsciously held their breath as the operation began. For the patient on the table was James Van Horn, and the man who had taken Van Horn's life into his hands was not a great surgeon from New York or Boston, as was to have been anticipated, but their everyday colleague Burns. And at that moment not one of them envied him his chance.

Ellen had seldom waited more anxiously for the word her husband always sent her at such times. He fully recognized that the silent partner in crises like these suffered a very real and trying suspense, the greater that there was nothing she could do for him except to send him to his work heartened by the thought of her and of her belief in him.