Delphi Complete Works of Sir Arthur Conan Doyle (Illustrated) (1025 page)

“And a doctor has very much to be thankful for also. Don’t you ever forget it. It is such a pleasure to do a little good that a man should pay for the privilege instead of being paid for it. Still, of course, he has his home to keep up and his wife and children to support. But his patients are his friends — or they should be so. He goes from house to house, and his step and his voice are loved and welcomed in each. What could a man ask for more than that? And besides, he is forced to be a good man. It is impossible for him to be anything else. How can a man spend his whole life in seeing suffering bravely borne and yet remain a hard or a vicious man? It is a noble, generous, kindly profession, and you youngsters have got to see that it remains so.”

THE DOCTORS OF HOYLAND

Doctor James Ripley was always looked upon as an exceedingly lucky dog by all of the profession who knew him. His father had preceded him in a practice in the village of Hoyland, in the north of Hampshire, and all was ready for him on the very first day that the law allowed him to put his name at the foot of a prescription. In a few years the old gentleman retired, and settled on the South Coast, leaving his son in undisputed possession of the whole country-side. Save for Doctor Horton, near Basingstoke, the young surgeon had a clear run of six miles in every direction, and took his fifteen hundred pounds a year, though, as is usual in country practices, the stable swallowed up most of what the consulting-room earned.

Doctor James Ripley was two-and-thirty years of age, reserved, learned, unmarried, with set, rather stern features, and a thinning of the dark hair upon the top of his head, which was worth quite a hundred a year to him. He was particularly happy in his management of ladies. He had caught the tone of bland sternness and decisive suavity which dominates without offending. Ladies, however, were not equally happy in their management of him. Professionally, he was always at their service. Socially, he was a drop of quicksilver. In vain the country mammas spread out their simple lures in front of him. Dances and picnics were not to his taste, and he preferred during his scanty leisure to shut himself up in his study, and to bury himself in Virchow’s
Archives
and the professional journals.

Study was a passion with him, and he would have none of the rust which often gathers round a country practitioner. It was his ambition to keep his knowledge as fresh and bright as at the moment when he had stepped out of the examination hall. He prided himself on being able at a moment’s notice to rattle off the seven ramifications of some obscure artery, or to give the exact percentage of any physiological compound. After a long day’s work he would sit up half the night performing iridectomies and extractions upon the sheep’s eyes sent in by the village butcher, to the horror of his housekeeper, who had to remove the
débris
next morning. His love for his work was the one fanaticism which found a place in his dry, precise nature.

It was the more to his credit that he should keep up to date in his knowledge, since he had no competition to force him to exertion. In the seven years during which he had practiced in Hoyland three rivals had pitted themselves against him, two in the village itself and one in the neighbouring hamlet of Lower Hoyland. Of these one had sickened and wasted, being, as it was said, himself the only patient whom he had treated during his eighteen months of ruralising. A second had bought a fourth share of a Basingstoke practice, and had departed honourably, while a third had vanished one September night, leaving a gutted house and an unpaid drug bill behind him. Since then the district had become a monopoly, and no one had dared to measure himself against the established fame of the Hoyland doctor.

It was, then, with a feeling of some surprise and considerable curiosity that on driving through Lower Hoyland one morning he perceived that the new house at the end of the village was occupied, and that a virgin brass plate glistened upon the swinging gate which faced the high road. He pulled up his fifty guinea chestnut mare and took a good look at it. “Verrinder Smith, M.D.,” was printed across it in very neat, small lettering. The last man had had letters half a foot long, with a lamp like a fire-station. Doctor James Ripley noted the difference, and deduced from it that the new-comer might possibly prove a more formidable opponent. He was convinced of it that evening when he came to consult the current medical directory. By it he learned that Doctor Verrinder Smith was the holder of superb degrees, that he had studied with distinction at Edinburgh, Paris, Berlin, and Vienna, and finally that he had been awarded a gold medal and the Lee Hopkins scholarship for original research, in recognition of an exhaustive inquiry into the functions of the anterior spinal nerve roots. Doctor Ripley passed his fingers through his thin hair in bewilderment as he read his rival’s record. What on earth could so brilliant a man mean by putting up his plate in a little Hampshire hamlet.

But Doctor Ripley furnished himself with an explanation to the riddle. No doubt Dr. Verrinder Smith had simply come down there in order to pursue some scientific research in peace and quiet. The plate was up as an address rather than as an invitation to patients. Of course, that must be the true explanation. In that case the presence of this brilliant neighbour would be a splendid thing for his own studies. He had often longed for some kindred mind, some steel on which he might strike his flint. Chance had brought it to him, and he rejoiced exceedingly.

And this joy it was which led him to take a step which was quite at variance with his usual habits. It is the custom for a new-comer among medical men to call first upon the older, and the etiquette upon the subject is strict. Doctor Ripley was pedantically exact on such points, and yet he deliberately drove over next day and called upon Doctor Verrinder Smith. Such a waiving of ceremony was, he felt, a gracious act upon his part, and a fit prelude to the intimate relations which he hoped to establish with his neighbour.

The house was neat and well appointed, and Doctor Ripley was shown by a smart maid into a dapper little consulting-room. As he passed in he noticed two or three parasols and a lady’s sun-bonnet hanging in the hall. It was a pity that his colleague should be a married man. It would put them upon a different footing, and interfere with those long evenings of high scientific talk which he had pictured to himself. On the other hand, there was much in the consulting-room to please him. Elaborate instruments, seen more often in hospitals than in the houses of private practitioners, were scattered about. A sphygmograph stood upon the table and a gasometer-like engine, which was new to Doctor Ripley, in the corner. A bookcase full of ponderous volumes in French and German, paper-covered for the most part, and varying in tint from the shell to the yolk of a duck’s egg, caught his wandering eyes, and he was deeply absorbed in their titles when the door opened suddenly behind him. Turning round, he found himself facing a little woman, whose plain, palish face was remarkable only for a pair of shrewd, humorous eyes of a blue which had two shades too much green in it. She held a
pince-nez
in her left hand, and the doctor’s card in her right.

“How do you do, Doctor Ripley?” said she.

“How do you do, madam?” returned the visitor. “Your husband is perhaps out?”

“I am not married,” said she simply.

“Oh, I beg your pardon! I meant the doctor — Dr. Verrinder Smith.”

“I am Doctor Verrinder Smith.”

Doctor Ripley was so surprised that he dropped his hat and forgot to pick it up again.

“What!” he gasped, “the Lee Hopkins prizeman! You!”

He had never seen a woman doctor before, and his whole conservative soul rose up in revolt at the idea. He could not recall any Biblical injunction that the man should remain ever the doctor and the woman the nurse, and yet he felt as if a blasphemy had been committed. His face betrayed his feelings only too clearly.

“I am sorry to disappoint you,” said the lady drily.

“You certainly have surprised me,” he answered, picking up his hat.

“You are not among our champions, then?”

“I cannot say that the movement has my approval.”

“And why?”

“I should much prefer not to discuss it.”

“But I am sure you will answer a lady’s question.”

“Ladies are in danger of losing their privileges when they usurp the place of the other sex. They cannot claim both.”

“Why should a woman not earn her bread by her brains?”

Doctor Ripley felt irritated by the quiet manner in which the lady cross-questioned him.

“I should much prefer not to be led into a discussion, Miss Smith.”

“Doctor Smith,” she interrupted.

“Well, Doctor Smith! But if you insist upon an answer, I must say that I do not think medicine a suitable profession for women and that I have a personal objection to masculine ladies.”

It was an exceedingly rude speech, and he was ashamed of it, the instant after he had made it. The lady however, simply raised her eyebrows and smiled.

“It seems to me that you are begging the question,” said she. “Of course, if it makes women masculine that
would
be a considerable deterioration.”

It was a neat little counter, and Doctor Ripley, like a pinked fencer, bowed his acknowledgment.

“I must go,” said he.

“I am sorry that we cannot come to some more friendly conclusion since we are to be neighbours,” she remarked.

He bowed again, and took a step towards the door.

“It was a singular coincidence,” she continued, “that at the instant that you called I was reading your paper on ‘Locomotor Ataxia,’ in the
Lancet
.”

“Indeed,” said he drily.

“I thought it was a very able monograph.”

“You are very good.”

“But the views which you attribute to Professor Pitres, of Bordeaux, have been repudiated by him.”

“I have his pamphlet of
1890,”
said Doctor Ripley angrily.

“Here is his pamphlet of
1891.”
She picked it from among a litter of periodicals. “If you have time to glance your eye down this passage — —”

Doctor Ripley took it from her and shot rapidly through the paragraph which she indicated. There was no denying that it completely knocked the bottom out of his own article. He threw it down, and with another frigid bow he made for the door. As he took the reins from the groom he glanced round and saw that the lady was standing at her window, and it seemed to him that she was laughing heartily.

All day the memory of this interview haunted him. He felt that he had come very badly out of it. She had showed herself to be his superior on his own pet subject. She had been courteous while he had been rude, self-possessed when he had been angry. And then, above all, there was her presence, her monstrous intrusion to rankle in his mind. A woman doctor had been an abstract thing before, repugnant but distant. Now she was there in actual practice, with a brass plate up just like his own, competing for the same patients. Not that he feared competition, but he objected to this lowering of his ideal of womanhood. She could not be more than thirty, and had a bright, mobile face, too. He thought of her humorous eyes, and of her strong, well-turned chin. It revolted him the more to recall the details of her education. A man, of course, could come through such an ordeal with all his purity, but it was nothing short of shameless in a woman.

But it was not long before he learned that even her competition was a thing to be feared. The novelty of her presence had brought a few curious invalids into her consulting-rooms, and, once there, they had been so impressed by the firmness of her manner and by the singular, new-fashioned instruments with which she tapped, and peered, and sounded, that it formed the core of their conversation for weeks afterwards. And soon there were tangible proofs of her powers upon the country-side. Farmer Eyton, whose callous ulcer had been quietly spreading over his shin for years back under a gentle régime of zinc ointment, was painted round with blistering fluid, and found, after three blasphemous nights, that his sore was stimulated into healing. Mrs. Crowder, who had always regarded the birthmark upon her second daughter Eliza as a sign of the indignation of the Creator at a third helping of raspberry tart which she had partaken of during a critical period, learned that, with the help of two galvanic needles, the mischief was not irreparable. In a month Doctor Verrinder Smith was known, and in two she was famous.

Occasionally, Doctor Ripley met her as he drove upon his rounds. She had started a high dog-cart, taking the reins herself, with a little tiger behind. When they met he invariably raised his hat with punctilious politeness, but the grim severity of his face showed how formal was the courtesy. In fact, his dislike was rapidly deepening into absolute detestation. “The unsexed woman,” was the description of her which he permitted himself to give to those of his patients who still remained staunch. But, indeed, they were a rapidly-decreasing body, and every day his pride was galled by the news of some fresh defection. The lady had somehow impressed the country-folk with almost superstitious belief in her power, and from far and near they flocked to her consulting-room.

But what galled him most of all was, when she did something which he had pronounced to be impracticable. For all his knowledge he lacked nerve as an operator, and usually sent his worst cases up to London. The lady, however, had no weakness of the sort, and took everything that came in her way. It was agony to him to hear that she was about to straighten little Alec Turner’s club-foot, and right at the fringe of the rumour came a note from his mother, the rector’s wife, asking him if he would be so good as to act as chloroformist. It would be inhumanity to refuse, as there was no other who could take the place, but it was gall and wormwood to his sensitive nature. Yet, in spite of his vexation, he could not but admire the dexterity with which the thing was done. She handled the little wax-like foot so gently, and held the tiny tenotomy knife as an artist holds his pencil. One straight insertion, one snick of a tendon, and it was all over without a stain upon the white towel which lay beneath. He had never seen anything more masterly, and he had the honesty to say so, though her skill increased his dislike of her. The operation spread her fame still further at his expense, and self-preservation was added to his other grounds for detesting her. And this very detestation it was which brought matters to a curious climax.