Delphi Complete Works of Sir Arthur Conan Doyle (Illustrated) (1023 page)

One glance at the stern, drawn face which met him showed that it was no pleasant news which had sent the doctor downstairs. His appearance had altered as much as Johnson’s during the last few hours. His hair was on end, his face flushed, his forehead dotted with beads of perspiration. There was a peculiar fierceness in his eye, and about the lines of his mouth, a fighting look as befitted a man who for hours on end had been striving with the hungriest of foes for the most precious of prizes. But there was a sadness too, as though his grim opponent had been overmastering him. He sat down and leaned his head upon his hand like a man who is fagged out.

“I thought it my duty to see you, Mr. Johnson, and to tell you that it is a very nasty case. Your wife’s heart is not strong, and she has some symptoms which I do not like. What I wanted to say is that if you would like to have a second opinion I shall be very glad to meet any one whom you might suggest.”

Johnson was so dazed by his want of sleep and the evil news that he could hardly grasp the doctor’s meaning. The other, seeing him hesitate, thought that he was considering the expense.

“Smith or Hawley would come for two guineas,” said he. “But I think Pritchard of the City Road is the best man.”

“Oh yes, bring the best man,” cried Johnson.

“Pritchard would want three guineas. He is a senior man, you see.”

“I’d give him all I have if he would pull her through. Shall I run for him?”

“Yes. Go to my house first and ask for the green baize bag. The assistant will give it to you. Tell him I want the A.C.E. mixture. Her heart is too weak for chloroform. Then go for Pritchard and bring him back with you.”

It was heavenly for Johnson to have something to do and to feel that he was of some use to his wife. He ran swiftly to Bridport Place, his footfalls clattering through the silent streets, and the big dark policemen turning their yellow funnels of light on him as he passed. Two tugs at the night-bell brought down a sleepy, half-clad assistant, who handed him a stoppered glass bottle and a cloth bag which contained something which clinked when you moved it. Johnson thrust the bottle into his pocket, seized the green bag, and pressing his hat firmly down ran as hard as he could set foot to ground until he was in the City Road and saw the name of Pritchard engraved in white upon a red ground. He bounded in triumph up the three steps which led to the door, and as he did so there was a crash behind him. His precious bottle was in fragments upon the pavement.

For a moment he felt as if it were his wife’s body that was lying there. But the run had freshened his wits and he saw that the mischief might be repaired. He pulled vigorously at the night-bell.

“Well, what’s the matter?” asked a gruff voice at his elbow. He started back and looked up at the windows, but there was no sign of life. He was approaching the bell again with the intention of pulling it, when a perfect roar burst from the wall.

“I can’t stand shivering here all night,” cried the voice. “Say who you are and what you want or I shut the tube.”

Then for the first time Johnson saw that the end of a speaking tube hung out of the wall just above the bell. He shouted up it —

“I want you to come with me to meet Doctor Miles at a confinement at once.”

“How far?” shrieked the irascible voice.

“The New North Road, Hoxton.”

“My consultation fee is three guineas, payable at the time.”

“All right,” shouted Johnson. “You are to bring a bottle of A.C.E. mixture with you.”

“All right! Wait a bit!”

Five minutes later an elderly, hard-faced man with grizzled hair flung open the door. As he emerged a voice from somewhere in the shadows cried —

“Mind you take your cravat, John,” and he impatiently growled something over his shoulder in reply.

The consultant was a man who had been hardened by a life of ceaseless labour, and who had been driven, as so many others have been, by the needs of his own increasing family to set the commercial before the philanthropic side of his profession. Yet beneath his rough crust he was a man with a kindly heart.

“We don’t want to break a record,” said he, pulling up and panting after attempting to keep up with Johnson for five minutes. “I would go quicker if I could, my dear sir, and I quite sympathise with your anxiety, but really I can’t manage it.”

So Johnson, on fire with impatience, had to slow down until they reached the New North Road, when he ran ahead and had the door open for the doctor when he came. He heard the two meet outside the bedroom, and caught scraps of their conversation. “Sorry to knock you up — nasty case — decent people.” Then it sank into a mumble and the door closed behind them.

Johnson sat up in his chair now, listening keenly, for he knew that a crisis must be at hand. He heard the two doctors moving about, and was able to distinguish the step of Pritchard, which had a drag in it, from the clean, crisp sound of the other’s footfall. There was silence for a few minutes and then a curious drunken, mumbling sing-song voice came quavering up, very unlike anything which he had heard hitherto. At the same time a sweetish, insidious scent, imperceptible perhaps to any nerves less strained than his, crept down the stairs and penetrated into the room. The voice dwindled into a mere drone and finally sank away into silence, and Johnson gave a long sigh of relief for he knew that the drug had done its work and that, come what might, there should be no more pain for the sufferer.

But soon the silence became even more trying to him than the cries had been. He had no clue now as to what was going on, and his mind swarmed with horrible possibilities. He rose and went to the bottom of the stairs again. He heard the clink of metal against metal, and the subdued murmur of the doctors’ voices. Then he heard Mrs. Peyton say something, in a tone as of fear or expostulation, and again the doctors murmured together. For twenty minutes he stood there leaning against the wall, listening to the occasional rumbles of talk without being able to catch a word of it. And then of a sudden there rose out of the silence the strangest little piping cry, and Mrs. Peyton screamed out in her delight and the man ran into the parlour and flung himself down upon the horse-hair sofa, drumming his heels on it in his ecstasy.

But often the great cat Fate lets us go, only to clutch us again in a fiercer grip. As minute after minute passed and still no sound came from above save those thin, glutinous cries, Johnson cooled from his frenzy of joy, and lay breathless with his ears straining. They were moving slowly about. They were talking in subdued tones. Still minute after minute passing, and no word from the voice for which he listened. His nerves were dulled by his night of trouble, and he waited in limp wretchedness upon his sofa. There he still sat when the doctors came down to him — a bedraggled, miserable figure with his face grimy and his hair unkempt from his long vigil. He rose as they entered, bracing himself against the mantelpiece.

“Is she dead?” he asked.

“Doing well,” answered the doctor.

And at the words that little conventional spirit which had never known until that night the capacity for fierce agony which lay within it, learned for the second time that there were springs of joy also which it had never tapped before. His impulse was to fall upon his knees, but he was shy before the doctors.

“Can I go up?”

“In a few minutes.”

“I’m sure, doctor. I’m very — I’m very — —” he grew inarticulate. “Here are your three guineas, Doctor Pritchard. I wish they were three hundred.”

“So do I,” said the senior man, and they laughed as they shook hands.

Johnson opened the shop door for them and heard their talk as they stood for an instant outside.

“Looked nasty at one time.”

“Very glad to have your help.”

“Delighted, I’m sure. Won’t you step round and have a cup of coffee?”

“No, thanks. I’m expecting another case.”

The firm step and the dragging one passed away to the right and the left. Johnson turned from the door still with that turmoil of joy in his heart. He seemed to be making a new start in life. He felt that he was a stronger and a deeper man. Perhaps all this suffering had an object then. It might prove to be a blessing both to his wife and to him. The very thought was one which he would have been incapable of conceiving twelve hours before. He was full of new emotions. If there had been a harrowing, there had been a planting too.

“Can I come up?” he cried, and then, without waiting for an answer, he took the steps three at a time.

Mrs. Peyton was standing by a soapy bath with a bundle in her hands. From under the curve of a brown shawl there looked out at him the strangest little red face with crumpled features, moist, loose lips, and eyelids which quivered like a rabbit’s nostrils. The weak neck had let the head topple over, and it rested upon the shoulder.

“Kiss it, Robert!” cried the grandmother. “Kiss your son!”

But he felt a resentment to the little, red, blinking creature. He could not forgive it yet for that long night of misery. He caught sight of a white face in the bed and he ran towards it with such love and pity as his speech could find no words for.

“Thank God it is over! Lucy, dear, it was dreadful!”

“But I’m so happy now. I never was so happy in my life.”

Her eyes were fixed upon the brown bundle.

“You mustn’t talk,” said Mrs. Peyton.

“But don’t leave me,” whispered his wife.

So he sat in silence with his hand in hers. The lamp was burning dim and the first cold light of dawn was breaking through the window. The night had been long and dark but the day was the sweeter and the purer in consequence. London was waking up. The roar began to rise from the street. Lives had come and lives had gone, but the great machine was still working out its dim and tragic destiny.

A MEDICAL DOCUMENT

Medical men are, as a class, very much too busy to take stock of singular situations or dramatic events. Thus it happens that the ablest chronicler of their experiences in our literature was a lawyer. A life spent in watching over death-beds — or over birth-beds which are infinitely more trying — takes something from a man’s sense of proportion, as constant strong waters might corrupt his palate. The overstimulated nerve ceases to respond. Ask the surgeon for his best experiences and he may reply that he has seen little that is remarkable, or break away into the technical. But catch him some night when the fire has spurted up and his pipe is reeking, with a few of his brother practitioners for company and an artful question or allusion to set him going. Then you will get some raw, green facts new plucked from the tree of life.

It is after one of the quarterly dinners of the Midland Branch of the British Medical Association. Twenty coffee cups, a dozen liqueur glasses, and a solid bank of blue smoke which swirls slowly along the high, gilded ceiling gives a hint of a successful gathering. But the members have shredded off to their homes. The line of heavy, bulge-pocketed overcoats and of stethoscope-bearing top hats is gone from the hotel corridor. Round the fire in the sitting-room three medicos are still lingering, however, all smoking and arguing, while a fourth, who is a mere layman and young at that, sits back at the table. Under cover of an open journal he is writing furiously with a stylographic pen, asking a question in an innocent voice from time to time and so flickering up the conversation whenever it shows a tendency to wane.

The three men are all of that staid middle age which begins early and lasts late in the profession. They are none of them famous, yet each is of good repute, and a fair type of his particular branch. The portly man with the authoritative manner and the white, vitriol splash upon his cheek is Charley Manson, chief of the Wormley Asylum, and author of the brilliant monograph—”Obscure Nervous Lesions in the Unmarried.” He always wears his collar high like that, since the half-successful attempt of a student of Revelations to cut his throat with a splinter of glass. The second, with the ruddy face and the merry brown eyes, is a general practitioner, a man of vast experience, who, with his three assistants and his five horses, takes twenty-five hundred a year in half-crown visits and shilling consultations out of the poorest quarter of a great city. That cheery face of Theodore Foster is seen at the side of a hundred sick-beds a day, and if he has one-third more names on his visiting list than in his cash-book he always promises himself that he will get level some day when a millionaire with a chronic complaint — the ideal combination — shall seek his services. The third, sitting on the right with his dress-shoes shining on the top of the fender, is Hargrave, the rising surgeon. His face has none of the broad humanity of Theodore Foster’s, the eye is stern and critical, the mouth straight and severe, but there is strength and decision in every line of it, and it is nerve rather than sympathy which the patient demands when he is bad enough to come to Hargrave’s door. He calls himself a jawman, “a mere jawman,” as he modestly puts it, but in point of fact he is too young and too poor to confine himself to a specialty, and there is nothing surgical which Hargrave has not the skill and the audacity to do.

“Before, after, and during,” murmurs the general practitioner in answer to some interpolation of the outsider’s. “I assure you, Manson, one sees all sorts of evanescent forms of madness.”

“Ah, puerperal!” throws in the other, knocking the curved grey ash from his cigar. “But you had some case in your mind, Foster.”

“Well, there was one only last week which was new to me. I had been engaged by some people of the name of Silcoe. When the trouble came round I went myself, for they would not hear of an assistant. The husband, who was a policeman, was sitting at the head of the bed on the further side. ‘This won’t do,’ said I. ‘Oh yes, doctor, it must do,’ said she. ‘It’s quite irregular, and he must go,’ said I. ‘It’s that or nothing,’ said she. ‘I won’t open my mouth or stir a finger the whole night,’ said he. So it ended by my allowing him to remain, and there he sat for eight hours on end. She was very good over the matter, but every now and again
he
would fetch a hollow groan, and I noticed that he held his right hand just under the sheet all the time, where I had no doubt that it was clasped by her left. When it was all happily over, I looked at him and his face was the colour of this cigar ash, and his head had dropped on to the edge of the pillow. Of course I thought he had fainted with emotion, and I was just telling myself what I thought of myself for having been such a fool as to let him stay there, when suddenly I saw that the sheet over his hand was all soaked with blood; I whisked it down, and there was the fellow’s wrist half cut through. The woman had one bracelet of a policeman’s handcuff over her left wrist and the other round his right one. When she had been in pain she had twisted with all her strength and the iron had fairly eaten into the bone of the man’s arm. ‘Aye, doctor,’ said she, when she saw I had noticed it. ‘He’s got to take his share as well as me. Turn and turn,’ said she.”

“Don’t you find it a very wearing branch of the profession?” asks Foster after a pause.

“My dear fellow, it was the fear of it that drove me into lunacy work.”

“Aye, and it has driven men into asylums who never found their way on to the medical staff. I was a very shy fellow myself as a student, and I know what it means.”

“No joke that in general practice,” says the alienist.

“Well, you hear men talk about it as though it were, but I tell you it’s much nearer tragedy. Take some poor, raw, young fellow who has just put up his plate in a strange town. He has found it a trial all his life, perhaps, to talk to a woman about lawn tennis and church services. When a young man
is
shy he is shyer than any girl. Then down comes an anxious mother and consults him upon the most intimate family matters. ‘I shall never go to that doctor again,’ says she afterwards. ‘His manner is so stiff and unsympathetic.’ Unsympathetic! Why, the poor lad was struck dumb and paralysed. I have known general practitioners who were so shy that they could not bring themselves to ask the way in the street. Fancy what sensitive men like that must endure before they get broken in to medical practice. And then they know that nothing is so catching as shyness, and that if they do not keep a face of stone, their patient will be covered with confusion. And so they keep their face of stone, and earn the reputation perhaps of having a heart to correspond. I suppose nothing would shake
your
nerve, Manson.”

“Well, when a man lives year in year out among a thousand lunatics, with a fair sprinkling of homicidals among them, one’s nerves either get set or shattered. Mine are all right so far.”

“I was frightened once,” says the surgeon. “It was when I was doing dispensary work. One night I had a call from some very poor people, and gathered from the few words they said that their child was ill. When I entered the room I saw a small cradle in the corner. Raising the lamp I walked over and putting back the curtains I looked down at the baby. I tell you it was sheer Providence that I didn’t drop that lamp and set the whole place alight. The head on the pillow turned, and I saw a face looking up at me which seemed to me to have more malignancy and wickedness than ever I had dreamed of in a nightmare. It was the flush of red over the cheek-bones, and the brooding eyes full of loathing of me, and of everything else, that impressed me. I’ll never forget my start as, instead of the chubby face of an infant, my eyes fell upon this creature. I took the mother into the next room. ‘What is it?’ I asked. ‘A girl of sixteen,’ said she, and then throwing up her arms, ‘Oh, pray God she may be taken!’ The poor thing, though she spent her life in this little cradle, had great, long, thin limbs which she curled up under her. I lost sight of the case and don’t know what became of it, but I’ll never forget the look in her eyes.”

“That’s creepy,” says Doctor Foster. “But I think one of my experiences would run it close. Shortly after I put up my plate I had a visit from a little hunch-backed woman, who wished me to come and attend to her sister in her trouble. When I reached the house, which was a very poor one, I found two other little hunched-backed women, exactly like the first, waiting for me in the sitting-room. Not one of them said a word, but my companion took the lamp and walked upstairs with her two sisters behind her, and me bringing up the rear. I can see those three queer shadows cast by the lamp upon the wall as clearly as I can see that tobacco pouch. In the room above was the fourth sister, a remarkably beautiful girl in evident need of my assistance. There was no wedding ring upon her finger. The three deformed sisters seated themselves round the room, like so many graven images, and all night not one of them opened her mouth. I’m not romancing, Hargrave; this is absolute fact. In the early morning a fearful thunderstorm broke out, one of the most violent I have ever known. The little garret burned blue with the lightning, and the thunder roared and rattled as if it were on the very roof of the house. It wasn’t much of a lamp I had, and it was a queer thing when a spurt of lightning came to see those three twisted figures sitting round the walls, or to have the voice of my patient drowned by the booming of the thunder. By Jove, I don’t mind telling you that there was a time when I nearly bolted from the room. All came right in the end, but I never heard the true story of the unfortunate beauty and her three crippled sisters.”

“That’s the worst of these medical stories,” sighs the outsider. “They never seem to have an end.”

“When a man is up to his neck in practice, my boy, he has no time to gratify his private curiosity. Things shoot across him and he gets a glimpse of them, only to recall them, perhaps, at some quiet moment like this. But I’ve always felt, Manson, that your line had as much of the terrible in it as any other.”

“More,” groans the alienist. “A disease of the body is bad enough, but this seems to be a disease of the soul. Is it not a shocking thing — a thing to drive a reasoning man into absolute Materialism — to think that you may have a fine, noble fellow with every divine instinct and that some little vascular change, the dropping, we will say, of a minute spicule of bone from the inner table of his skull on to the surface of his brain may have the effect of changing him to a filthy and pitiable creature with every low and debasing tendency? What a satire an asylum is upon the majesty of man, and no less upon the ethereal nature of the soul.”

“Faith and hope,” murmurs the general practitioner.

“I have no faith, not much hope, and all the charity I can afford,” says the surgeon. “When theology squares itself with the facts of life I’ll read it up.”

“You were talking about cases,” says the outsider, jerking the ink down into his stylographic pen.

“Well, take a common complaint which kills many thousands every year, like G.P. for instance.”

“What’s G.P.?”

“General practitioner,” suggests the surgeon with a grin.

“The British public will have to know what G.P. is,” says the alienist gravely. “It’s increasing by leaps and bounds, and it has the distinction of being absolutely incurable. General paralysis is its full title, and I tell you it promises to be a perfect scourge. Here’s a fairly typical case now which I saw last Monday week. A young farmer, a splendid fellow, surprised his friends by taking a very rosy view of things at a time when the whole country-side was grumbling. He was going to give up wheat, give up arable land, too, if it didn’t pay, plant two thousand acres of rhododendrons and get a monopoly of the supply for Covent Garden — there was no end to his schemes, all sane enough but just a bit inflated. I called at the farm, not to see him, but on an altogether different matter. Something about the man’s way of talking struck me and I watched him narrowly. His lip had a trick of quivering, his words slurred themselves together, and so did his handwriting when he had occasion to draw up a small agreement. A closer inspection showed me that one of his pupils was ever so little larger than the other. As I left the house his wife came after me. ‘Isn’t it splendid to see Job looking so well, doctor?’ said she; ‘he’s that full of energy he can hardly keep himself quiet.’ I did not say anything, for I had not the heart, but I knew that the fellow was as much condemned to death as though he were lying in the cell at Newgate. It was a characteristic case of incipient G.P.”

“Good heavens!” cries the outsider. “My own lips tremble. I often slur my words. I believe I’ve got it myself.”

Three little chuckles come from the front of the fire.

“There’s the danger of a little medical knowledge to the layman.”

“A great authority has said that every first year’s student is suffering in silent agony from four diseases,” remarks the surgeon. “One is heart disease, of course; another is cancer of the parotid. I forget the two other.”

“Where does the parotid come in?”

“Oh, it’s the last wisdom tooth coming through!”

“And what would be the end of that young farmer?” asks the outsider.

“Paresis of all the muscles, ending in fits, coma and death. It may be a few months, it may be a year or two. He was a very strong young man and would take some killing.”