CHAPTER IV[ToC]
AT THE LONDON HOSPITAL
I have never ceased to regret that there was not more corporate life in our medical school, but I believe that conditions have been greatly improved since my day. Here and there two or three classmates would "dig" together, but otherwise, except at lectures or in hospitals, we seldom met unless it was on the athletic teams. We had no playground of our own, and so, unable to get other hospitals to combine, when a now famous St. Thomas man and myself hired part of the justly celebrated London Rowing Club Headquarters at Putney for a united hospitals' headquarters, we used to take our blazers and more cherished possessions home with us at night for fear of distraint of rent.
They were great days. Rowing on the Thames about Putney is not like that at Oxford on a mill-pond, or as at Cambridge on what we nicknamed a drain that should be roofed over. Its turgid waters were often rough enough to sink a rowing shell, and its busy traffic was a thing with which to reckon. But it offered associations with all kinds of interesting places, historical and otherwise, from the Star and Garter at Richmond and the famous Park away to Boulter's Lock and Cleveden Woods, to the bathing pools about Taplow Court, the seat of the senior branch of our family, and to Marlow and Goring where our annual club outings were held. Twice I rowed in the inter-hospital race from Putney to Mortlake, once as bow and again as stroke. During those early days the "London" frequently had the best boat on the river.
Having now finished my second year at hospital and taken my preliminary examinations, including the scientific preliminary, and my first bachelor of medicine for the University of London degree, I had advanced to the dignity of "walking the hospitals," carried a large shining stethoscope, and spent much time following the famous physicians and surgeons around the wards.
Our first appointment was clerking in the medical wards. We had each so many beds allotted to us, and it was our business to know everything about the patients who occupied them, to keep accurate "histories" of all developments, and to be ready to be quizzed and queried by our resident house physician, or our visiting consultant on the afternoon when he made his rounds, followed by larger or smaller crowds of students according to the value which was placed upon his teaching. I was lucky enough to work under the famous Sir Andrew Clark, Mr. Gladstone's great physician. He was a Scotchman greatly beloved, and always with a huge following to whom he imparted far more valuable truths than even the medical science of thirty years ago afforded. His constant message, repeated and repeated at the risk of wearying, was: "Gentlemen, you must observe for yourselves. It is your observation and not your memory which counts. It is the patient and not the disease whom you are treating."
Compared with the methods of diagnosis to-day those then were very limited, but Sir Andrew's message was the more important, showing the greatness of the man, who, though at the very top of the tree, never for a moment tried to convey to his followers that his knowledge was final, but that any moment he stood ready to abandon his position for a better one. On one occasion, to illustrate this point, while he was in one of the largest of our wards (one with four divisions and twenty beds each) he was examining a lung case, while a huge class of fifty young doctors stood around.
"What about the sputum, Mr. Jones?" he asked. "What have you observed coming from these lungs?"
"There is not much quantity, sir. It is greenish in colour."
"But what about the microscope, Mr. Jones? What does that show?"