Round The Red Lamp

It was not a very gracious speech, but it was a look of pity and not of anger which shone in her eyes as she turned away from his bedside.

Dr. Ripley had a brother, William, who was assistant surgeon at a London hospital, and who was down in Hampshire within a few hours of his hearing of the accident. He raised his brows when he heard the details.

"What! You are pestered with one of those!" he cried.

"I don't know what I should have done without her."

I've no doubt she's an excellent nurse."

"She knows her work as well as you or I."

"Speak for yourself, James," said the London man with a sniff. "But apart from that, you know that the principle of the thing is all wrong."

"You think there is nothing to be said on the other side?"

"Good heavens! do you?"

"Well, I don't know. It struck me during the night that we may have been a little narrow in our views."

"Nonsense, James. It's all very fine for women to win prizes in the lecture room, but you know as well as I do that they are no use in an emergency. Now I warrant that this woman was all nerves when she was setting your leg. That reminds me that I had better just take a look at it and see that it is all right."

"I would rather that you did not undo it," said the patient. "I have her assurance that it is all right."

Brother William was deeply shocked.

"Of course, if a woman's assurance is of more value than the opinion of the assistant surgeon of a London hospital, there is nothing more to be said," he remarked.

"I should prefer that you did not touch it," said the patient firmly, and Dr. William went back to London that evening in a huff.

The lady, who had heard of his coming, was much surprised on learning his departure.

"We had a difference upon a point of professional etiquette," said Dr. James, and it was all the explanation he would vouchsafe.

For two long months Dr. Ripley was brought in contact with his rival every day, and he learned many things which he had not known before. She was a charming companion, as well as a most assiduous doctor. Her short presence during the long, weary day was like a flower in a sand waste. What interested him was precisely what interested her, and she could meet him at every point upon equal terms. And yet under all her learning and her firmness ran a sweet, womanly nature, peeping out in her talk, shining in her greenish eyes, showing itself in a thousand subtle ways which the dullest of men could read. And he, though a bit of a prig and a pedant, was by no means dull, and had honesty enough to confess when he was in the wrong.

"I don't know how to apologise to you," he said in his shame-faced fashion one day, when he had progressed so far as to be able to sit in an arm– chair with his leg upon another one; "I feel that I have been quite in the wrong."

"Why, then?"

"Over this woman question. I used to think that a woman must inevitably lose something of her charm if she took up such studies."

"Oh, you don't think they are necessarily unsexed, then?" she cried, with a mischievous smile.

"Please don't recall my idiotic expression."

"I feel so pleased that I should have helped in changing your views. I think that it is the most sincere compliment that I have ever had paid me."

"At any rate, it is the truth," said he, and was happy all night at the remembrance of the flush of pleasure which made her pale face look quite comely for the instant.

For, indeed, he was already far past the stage when he would acknowledge her as the equal of any other woman. Already he could not disguise from himself that she had become the one woman. Her dainty skill, her gentle touch, her sweet presence, the community of their tastes, had all united to hopelessly upset his previous opinions. It was a dark day for him now when his convalescence allowed her to miss a visit, and darker still that other one which he saw approaching when all occasion for her visits would be at an end. It came round at last, however, and he felt that his whole life's fortune would hang upon the issue of that final interview. He was a direct man by nature, so he laid his hand upon hers as it felt for his pulse, and he asked her if she would be his wife.

"What, and unite the practices?" said she.

He started in pain and anger.

"Surely you do not attribute any such base motive to me!" he cried. "I love you as unselfishly as ever a woman was loved."

"No, I was wrong. It was a foolish speech," said she, moving her chair a little back, and tapping her stethoscope upon her knee. "Forget that I ever said it. I am so sorry to cause you any disappointment, and I appreciate most highly the honour which you do me, but what you ask is quite impossible."

With another woman he might have urged the point, but his instincts told him that it was quite useless with this one. Her tone of voice was conclusive. He said nothing, but leaned back in his chair a stricken man.

"I am so sorry," she said again. "If I had known what was passing in your mind I should have told you earlier that I intended to devote my life entirely to science. There are many women with a capacity for marriage, but few with a taste for biology. I will remain true to my own line, then. I came down here while waiting for an opening in the Paris Physiological Laboratory. I have just heard that there is a vacancy for me there, and so you will be troubled no more by my intrusion upon your practice. I have done you an injustice just as you did me one. I thought you narrow and pedantic, with no good quality. I have learned during your illness to appreciate you better, and the recollection of our friendship will always be a very pleasant one to me."

And so it came about that in a very few weeks there was only one doctor in Hoyland. But folks noticed that the one had aged many years in a few months, that a weary sadness lurked always in the depths of his blue eyes, and that he was less concerned than ever with the eligible young ladies whom chance, or their careful country mammas, placed in his way.

XV. The surgeon talks

"Men die of the diseases which they have studied most," remarked the surgeon, snipping off the end of a cigar with all his professional neatness and finish. "It's as if the morbid condition was an evil creature which, when it found itself closely hunted, flew at the throat of its pursuer. If you worry the microbes too much they may worry you. I've seen cases of it, and not necessarily in microbic diseases either. There was, of course, the well-known instance of Liston and the aneurism; and a dozen others that I could mention. You couldn't have a clearer case than that of poor old Walker of St. Christopher's. Not heard of it? Well, of course, it was a little before your time, but I wonder that it should have been forgotten. You youngsters are so busy in keeping up to the day that you lose a good deal that is interesting of yesterday.

"Walker was one of the best men in Europe on nervous disease. You must have read his little book on sclerosis of the posterior columns. It's as interesting as a novel, and epoch-making in its way. He worked like a horse, did Walker – huge consulting practice – hours a day in the clinical wards – constant original investigations. And then he enjoyed himself also. 'De mortuis,' of course, but still it's an open secret among all who knew him. If he died at forty-five, he crammed eighty years into it. The marvel was that he could have held on so long at the pace at which he was going. But he took it beautifully when it came.

"I was his clinical assistant at the time. Walker was lecturing on locomotor ataxia to a wardful of youngsters. He was explaining that one of the early signs of the complaint was that the patient could not put his heels together with his eyes shut without staggering. As he spoke, he suited the action to the word. I don't suppose the boys noticed anything. I did, and so did he, though he finished his lecture without a sign.

"When it was over he came into my room and lit a cigarette.

"'Just run over my reflexes, Smith,' said he.

"There was hardly a trace of them left. I tapped away at his knee-tendon and might as well have tried to get a jerk out of that sofa-cushion. He stood with his eyes shut again, and he swayed like a bush in the wind.

"'So,' said he, 'it was not intercostal neuralgia after all.'

"Then I knew that he had had the lightning pains, and that the case was complete. There was nothing to say, so I sat looking at him while he puffed and puffed at his cigarette. Here he was, a man in the prime of life, one of the handsomest men in London, with money, fame, social success, everything at his feet, and now, without a moment's warning, he was told that inevitable death lay before him, a death accompanied by more refined and lingering tortures than if he were bound upon a Red Indian stake. He sat in the middle of the blue cigarette cloud with his eyes cast down, and the slightest little tightening of his lips. Then he rose with a motion of his arms, as one who throws off old thoughts and enters upon a new course.

"'Better put this thing straight at once,' said he. 'I must make some fresh arrangements. May I use your paper and envelopes?'

"He settled himself at my desk and he wrote half a dozen letters. It is not a breach of confidence to say that they were not addressed to his professional brothers. Walker was a single man, which means that he was not restricted to a single woman. When he had finished, he walked out of that little room of mine, leaving every hope and ambition of his life behind him. And he might have had another year of ignorance and peace if it had not been for the chance illustration in his lecture.

"It took five years to kill him, and he stood it well. If he had ever been a little irregular he atoned for it in that long martyrdom. He kept an admirable record of his own symptoms, and worked out the eye changes more fully than has ever been done. When the ptosis got very bad he would hold his eyelid up with one hand while he wrote. Then, when he could not co-ordinate his muscles to write, he dictated to his nurse. So died, in the odour of science, James Walker, aet. 45.

"Poor old Walker was very fond of experimental surgery, and he broke ground in several directions. Between ourselves, there may have been some more ground-breaking afterwards, but he did his best for his cases. You know M'Namara, don't you? He always wears his hair long. He lets it be understood that it comes from his artistic strain, but it is really to conceal the loss of one of his ears. Walker cut the other one off, but you must not tell Mac I said so.

"It was like this. Walker had a fad about the portio dura – the motor to the face, you know – and he thought paralysis of it came from a disturbance of the blood supply. Something else which counterbalanced that disturbance might, he thought, set it right again. We had a very obstinate case of Bell's paralysis in the wards, and had tried it with every conceivable thing, blistering, tonics, nerve-stretching, galvanism, needles, but all without result. Walker got it into his head that removal of the ear would increase the blood supply to the part, and he very soon gained the consent of the patient to the operation.

"Well, we did it at night. Walker, of course, felt that it was something of an experiment, and did not wish too much talk about it unless it proved successful. There were half-a-dozen of us there, M'Namara and I among the rest. The room was a small one, and in the centre was in the narrow table, with a macintosh over the pillow, and a blanket which extended almost to the floor on either side. Two candles, on a side-table near the pillow, supplied all the light. In came the patient, with one side of his face as smooth as a baby's, and the other all in a quiver with fright. He lay down, and the chloroform towel was placed over his face, while Walker threaded his needles in the candle light. The chloroformist stood at the head of the table, and M'Namara was stationed at the side to control the patient. The rest of us stood by to assist.

"Well, the man was about half over when he fell into one of those convulsive flurries which come with the semi-unconscious stage. He kicked and plunged and struck out with both hands. Over with a crash went the little table which held the candles, and in an instant we were left in total darkness. You can think what a rush and a scurry there was, one to pick up the table, one to find the matches, and some to restrain the patient who was still dashing himself about. He was held down by two dressers, the chloroform was pushed, and by the time the candles were relit, his incoherent, half-smothered shoutings had changed to a stertorous snore. His head was turned on the pillow and the towel was still kept over his face while the operation was carried through. Then the towel was withdrawn, and you can conceive our amazement when we looked upon the face of M'Namara.

"How did it happen? Why, simply enough. As the candles went over, the chloroformist had stopped for an instant and had tried to catch them. The patient, just as the light went out, had rolled off and under the table. Poor M'Namara, clinging frantically to him, had been dragged across it, and the chloroformist, feeling him there, had naturally claped the towel across his mouth and nose. The others had secured him, and the more he roared and kicked the more they drenched him with chloroform. Walker was very nice about it, and made the most handsome apologies. He offered to do a plastic on the spot, and make as good an ear as he could, but M'Namara had had enough of it. As to the patient, we found him sleeping placidly under the table, with the ends of the blanket screening him on both sides. Walker sent M'Namara round his ear next day in a jar of methylated spirit, but Mac's wife was very angry about it, and it led to a good deal of ill-feeling.