[XXVI]
To John Summers, M.B., c/o the Rev. W. B. La Touche, High Barn, Winchester.
91b Harley Street, W.,
October 18, 1910.
My dear Jack,
I have just received your letter, and also the accountant's statement as regards Dr. Singleton's books; and I have instructed the solicitors to sell out enough of your stock to buy the quarter-share of his practice upon which you and he have agreed. If you can manage to obtain with it an equal proportion of his skill, kindliness, and cheerful adequacy you may be quite sure that the advantage of the bargain will not be altogether upon his side. For though books are important of course, if the man who keeps them is sound you needn't trouble your head so very much about them. And Singleton is sound through and through—not exactly one of those brilliant men, perhaps, of whom, as operating surgeons, Sir Frederick Treves has declared himself to be so justly timid, but what is far better, one of those level-headed, big-hearted general practitioners, tender of hand and essentially careful, in whose professional history mistakes have been, and will continue to be, practically unknown.
Moreover he was never, even as a student, one of those people who have set out to purchase skill in their own profession by the sacrifice of very nearly every other human interest. Nihil humani a me alienum puto has been his own as well as his hospital's motto. And you must some day get him to tell you the story of how an odd little insight into esoteric Buddhism that he was once curious enough to obtain became the means of saving the life, to say nothing of the sanity, of one of the most valuable men of our time. That late cut of his, too, is still well worth seeing; and there are not many of my friends who can go straighter to the heart of a book or a picture—that is, if the book or the picture has a heart to be got to.
He may not be able to excise a Gasserian ganglion, or know very much about the researches of Calmette or von Pircquet. But he knows precisely when to call in the men who do. And he's just the sort of assistant with whom they feel safe in setting out to work. While, on the other hand, upon a hundred points—little everyday problems of medical practice, unclassified ailments that have never got into the text-books or been dignified with a Latin name, doubtful beginnings of more definite illnesses, their home-treatment, and the adequate settlement of the domestic problems that they involve—there isn't a man in Harley Street who could give a more valuable opinion. And he has performed a tracheotomy with his pocket-knife and a hair-pin, five miles from anywhere, in the heart of the Hampshire downs.
Such men are not only the pillars of our profession, but its topmost pinnacles, even if the wreaths and the knighthoods but seldom come their way. I am saying all this because I think that I can detect in your letter, and certainly in the newer generation of qualifying students, a kind of reluctance about going into general practice, as if this were in a way an admission of failure, a sort of dernier ressort. Whereas of course there is no point of view from which such a way of looking at it is at all justifiable. General practice is at least as difficult, if it is to be carried on well and successfully, as any special practice can be, and probably more so; for the G.P. has to live continually, as it were, with the results of his handiwork. He is always liable to meet his failures round the next corner; and his mistakes may quite easily rent the pew behind him in the parish church. The consultant, on the other hand, comes into the family life from afar, and returns again, an hour or two later, to the seclusion of his private fastness. He has brought down his little bit of extra technical skill or knowledge. He has used it for good or ill. And the results do not follow him, save indirectly, and at a very comfortable distance. But the G.P. who has taken upon himself the responsibility of calling him in must needs still bear upon his shoulders not only the anxiety that heralds ultimate success, but a large share of the possible obloquy that may follow failure.