In the profession of medicine any romance, acquired in one’s youth or college days, is quickly knocked out of one by the first term at the hospital. The medical student quickly becomes, in a manner, callous to human suffering, and by the time he obtains his degree he is generally a shrewd and sympathetic observer, but with every spark of romance crushed dead within his heart. Thus, there is no bachelor more confirmed than the celibate doctor.

I had left Guy’s a year. It is not so very long ago, for I am still under forty—young, they say, to have made my mark. True, success has come to me suddenly, and very unworthily, I think, for I confess that my advancement has been more by good luck than by actual worth.

At Guy’s I had been under Lister and other great men whose names will ever remain as medical landmarks, and when I left with my degree I quickly discovered that the doctor’s calling was anything but lucrative.

My first engagement was as assistant to a country practitioner at Woodbridge, in Suffolk; a man who had a large but very poor practice, most of his patients being club ones. Upon the latter I was allowed to exercise my maiden efforts in pills and mixtures, while my principal indulged freely in whisky in his own room over the surgery. He was a hard drinker, who treated his wife as badly as he did his patients, and whose habit it was to enter the cottages of poor people who could not pay him, and seize whatever piece of family china, bric-à-brac, or old oak which he fancied, and forcibly carry it away as payment of the debt owing. By this means he had, in the course of ten years, made quite a presentable collection of curios, although he had more than once very narrowly escaped getting into serious trouble over it.

I spent a miserable year driving, by day and by night, in sunshine and rain, far afield over the Suffolk plains, for owing to my principal’s penchant for drink, the greater part of the work devolved upon myself. The crisis occurred, however, when I had been with him some eighteen months. While in a state of intoxication he was called out to treat a man who had met with a serious accident in a neighbouring village. On his return he gave me certain instructions, and sent me back to visit the patient. The instructions—technical ones, with which it is useless to puzzle the reader—I carried out to the letter, with the result that the poor fellow’s life was lost. Then followed an inquest, exposure, censure from the coroner, a rider from the jury, and my employer, with perfect sang froid, succeeded in fastening the blame upon myself in order to save the scanty reputation he still enjoyed over the countryside.

The jury were, of course, unaware that he was intoxicated when he attended the man and committed the fatal blunder, while I, in perfect innocence, had obeyed his injunctions. It is useless, however, to protest before a coroner; therefore I at once resigned my position, and that same night returned to London, full of indignation at the treatment I had received.

My next practice was as an assistant to a man at Hull, who proved an impossible person, and through the five years that followed I did my best to alleviate human ills in Carlisle, Derby, Cheltenham, and Leeds respectively.

The knowledge I obtained by such general and varied practice, being always compelled to dispense my own prescriptions, was of course invaluable. But it was terribly uphill work, and a doctor’s drudge, as I was, can save no money. Appearances have always to be kept up, and one cannot put by very much on eighty or one hundred pounds a year. Indeed, one night, seven years after leaving Guy’s, I found myself again in London, wandering idly along the Strand, without prospects, and with only a single sovereign between myself and starvation.

I have often reflected upon that memorable night. How different the world seemed then! In those days I was content to pocket a single shilling as a fee; now they are guineas, ten or more, for as many minutes of consultation. It was an unusually hot June, and the night was quite stifling for so early in summer. Although eight o’clock, it was not yet dark; but, as I strolled westward past the Adelphi, there was in the sky that dull purple haze with which Londoners are familiar, the harbinger of a storm. I had sought several old friends of hospital days, but all were out of town. June was running out, and the season was at an end.

London may be declared empty, and half a million persons may have left to disport themselves in the country or by the sea, yet the ebb and flow in that most wonderful thoroughfare in the world—the Strand—is ever the same, the tide in the dog-days being the same as in December. It is the one highway in London that never changes.