Part 145

“I?” said Philip. “Quite.”

Little by little he discovered the history of Mildred’s relations with Griffiths. He listened with a smile on his lips, feigning an equanimity which quite deceived the dull-witted boy who talked to him. The week-end she spent with Griffiths at Oxford inflamed rather than extinguished her sudden passion; and when Griffiths went home, with a feeling that was unexpected in her she determined to stay in Oxford by herself for a couple of days, because she had been so happy in it. She felt that nothing could induce her to go back to Philip. He revolted her. Griffiths was taken aback at the fire he had aroused, for he had found his two days with her in the country somewhat tedious; and he had no desire to turn an amusing episode into a tiresome affair. She made him promise to write to her, and, being an honest, decent fellow, with natural politeness and a desire to make himself pleasant to everybody, when he got home he wrote her a long and charming letter. She answered it with reams of passion, clumsy, for she had no gift of expression, ill-written, and vulgar; the letter bored him, and when it was followed next day by another, and the day after by a third, he began to think her love no longer flattering but alarming. He did not answer; and she bombarded him with telegrams, asking him if he were ill and had received her letters; she said his silence made her dreadfully anxious. He was forced to write, but he sought to make his reply as casual as was possible without being offensive: he begged her not to wire, since it was difficult to explain telegrams to his mother, an old-fashioned person for whom a telegram was still an event to excite tremor. She answered by return of post that she must see him and announced her intention to pawn things (she had the dressing-case which Philip had given her as a wedding-present and could raise eight pounds on that) in order to come up and stay at the market town four miles from which was the village in which his father practised. This frightened Griffiths; and he, this time, made use of the telegraph wires to tell her that she must do nothing of the kind. He promised to let her know the moment he came up to London, and, when he did, found that she had already been asking for him at the hospital at which he had an appointment. He did not like this, and, on seeing her, told Mildred that she was not to come there on any pretext; and now, after an absence of three weeks, he found that she bored him quite decidedly; he wondered why he had ever troubled about her, and made up his mind to break with her as soon as he could. He was a person who dreaded quarrels, nor did he want to give pain; but at the same time he had other things to do, and he was quite determined not to let Mildred bother him. When he met her he was pleasant, cheerful, amusing, affectionate; he invented convincing excuses for the interval since last he had seen her; but he did everything he could to avoid her. When she forced him to make appointments he sent telegrams to her at the last moment to put himself off; and his landlady (the first three months of his appointment he was spending in rooms) had orders to say he was out when Mildred called. She would waylay him in the street and, knowing she had been waiting about for him to come out of the hospital for a couple of hours, he would give her a few charming, friendly words and bolt off with the excuse that he had a business engagement. He grew very skilful in slipping out of the hospital unseen. Once, when he went back to his lodgings at midnight, he saw a woman standing at the area railings and suspecting who it was went to beg a shake-down in Ramsden’s rooms; next day the landlady told him that Mildred had sat crying on the doorsteps for hours, and she had been obliged to tell her at last that if she did not go away she would send for a policeman.

“I tell you, my boy,” said Ramsden, “you’re jolly well out of it. Harry says that if he’d suspected for half a second she was going to make such a blooming nuisance of herself he’d have seen himself damned before he had anything to do with her.”

Philip thought of her sitting on that doorstep through the long hours of the night. He saw her face as she looked up dully at the landlady who sent her away.

“I wonder what she’s doing now.”

“Oh, she’s got a job somewhere, thank God. That keeps her busy all day.”

The last thing he heard, just before the end of the summer session, was that Griffiths, urbanity had given way at length under the exasperation of the constant persecution. He had told Mildred that he was sick of being pestered, and she had better take herself off and not bother him again.

“It was the only thing he could do,” said Ramsden. “It was getting a bit too thick.”

“Is it all over then?” asked Philip.

“Oh, he hasn’t seen her for ten days. You know, Harry’s wonderful at dropping people. This is about the toughest nut he’s ever had to crack, but he’s cracked it all right.”

Then Philip heard nothing more of her at all. She vanished into the vast anonymous mass of the population of London.

LXXXI

At the beginning of the winter session Philip became an out-patients’ clerk. There were three assistant-physicians who took out-patients, two days a week each, and Philip put his name down for Dr. Tyrell. He was popular with the students, and there was some competition to be his clerk. Dr. Tyrell was a tall, thin man of thirty-five, with a very small head, red hair cut short, and prominent blue eyes: his face was bright scarlet. He talked well in a pleasant voice, was fond of a little joke, and treated the world lightly. He was a successful man, with a large consulting practice and a knighthood in prospect. From commerce with students and poor people he had the patronising air, and from dealing always with the sick he had the healthy man’s jovial condescension, which some consultants achieve as the professional manner. He made the patient feel like a boy confronted by a jolly schoolmaster; his illness was an absurd piece of naughtiness which amused rather than irritated.

The student was supposed to attend in the out-patients’ room every day, see cases, and pick up what information he could; but on the days on which he clerked his duties were a little more definite. At that time the out-patients’ department at St. Luke’s consisted of three rooms, leading into one another, and a large, dark waiting-room with massive pillars of masonry and long benches. Here the patients waited after having been given their ‘letters’ at mid-day; and the long rows of them, bottles and gallipots in hand, some tattered and dirty, others decent enough, sitting in the dimness, men and women of all ages, children, gave one an impression which was weird and horrible. They suggested the grim drawings of Daumier. All the rooms were painted alike, in salmon-colour with a high dado of maroon; and there was in them an odour of disinfectants, mingling as the afternoon wore on with the crude stench of humanity. The first room was the largest and in the middle of it were a table and an office chair for the physician; on each side of this were two smaller tables, a little lower: at one of these sat the house-physician and at the other the clerk who took the ‘book’ for the day. This was a large volume in which were written down the name, age, sex, profession, of the patient and the diagnosis of his disease.

At half past one the house-physician came in, rang the bell, and told the porter to send in the old patients. There were always a good many of these, and it was necessary to get through as many of them as possible before Dr. Tyrell came at two. The H.P. with whom Philip came in contact was a dapper little man, excessively conscious of his importance: he treated the clerks with condescension and patently resented the familiarity of older students who had been his contemporaries and did not use him with the respect he felt his present position demanded. He set about the cases. A clerk helped him. The patients streamed in. The men came first. Chronic bronchitis, “a nasty ’acking cough,” was what they chiefly suffered from; one went to the H.P. and the other to the clerk, handing in their letters: if they were going on well the words Rep 14 were written on them, and they went to the dispensary with their bottles or gallipots in order to have medicine given them for fourteen days more. Some old stagers held back so that they might be seen by the physician himself, but they seldom succeeded in this; and only three or four, whose condition seemed to demand his attention, were kept.

Dr. Tyrell came in with quick movements and a breezy manner. He reminded one slightly of a clown leaping into the arena of a circus with the cry: Here we are again. His air seemed to indicate: What’s all this nonsense about being ill? I’ll soon put that right. He took his seat, asked if there were any old patients for him to see, rapidly passed them in review, looking at them with shrewd eyes as he discussed their symptoms, cracked a joke (at which all the clerks laughed heartily) with the H.P., who laughed heartily too but with an air as if he thought it was rather impudent for the clerks to laugh, remarked that it was a fine day or a hot one, and rang the bell for the porter to show in the new patients.

They came in one by one and walked up to the table at which sat Dr. Tyrell. They were old men and young men and middle-aged men, mostly of the labouring class, dock labourers, draymen, factory hands, barmen; but some, neatly dressed, were of a station which was obviously superior, shop-assistants, clerks, and the like. Dr. Tyrell looked at these with suspicion. Sometimes they put on shabby clothes in order to pretend they were poor; but he had a keen eye to prevent what he regarded as fraud and sometimes refused to see people who, he thought, could well pay for medical attendance. Women were the worst offenders and they managed the thing more clumsily. They would wear a cloak and a skirt which were almost in rags, and neglect to take the rings off their fingers.

“If you can afford to wear jewellery you can afford a doctor. A hospital is a charitable institution,” said Dr. Tyrell.

He handed back the letter and called for the next case.

“But I’ve got my letter.”

“I don’t care a hang about your letter; you get out. You’ve got no business to come and steal the time which is wanted by the really poor.”

The patient retired sulkily, with an angry scowl.

“She’ll probably write a letter to the papers on the gross mismanagement of the London hospitals,” said Dr. Tyrell, with a smile, as he took the next paper and gave the patient one of his shrewd glances.

Most of them were under the impression that the hospital was an institution of the state, for which they paid out of the rates, and took the attendance they received as a right they could claim. They imagined the physician who gave them his time was heavily paid.

Dr. Tyrell gave each of his clerks a case to examine. The clerk took the patient into one of the inner rooms; they were smaller, and each had a couch in it covered with black horse-hair: he asked his patient a variety of questions, examined his lungs, his heart, and his liver, made notes of fact on the hospital letter, formed in his own mind some idea of the diagnosis, and then waited for Dr. Tyrell to come in. This he did, followed by a small crowd of students, when he had finished the men, and the clerk read out what he had learned. The physician asked him one or two questions, and examined the patient himself. If there was anything interesting to hear students applied their stethoscope: you would see a man with two or three to the chest, and two perhaps to his back, while others waited impatiently to listen. The patient stood among them a little embarrassed, but not altogether displeased to find himself the centre of attention: he listened confusedly while Dr. Tyrell discoursed glibly on the case. Two or three students listened again to recognise the murmur or the crepitation which the physician described, and then the man was told to put on his clothes.

When the various cases had been examined Dr. Tyrell went back into the large room and sat down again at his desk. He asked any student who happened to be standing near him what he would prescribe for a patient he had just seen. The student mentioned one or two drugs.

“Would you?” said Dr. Tyrell. “Well, that’s original at all events. I don’t think we’ll be rash.”

This always made the students laugh, and with a twinkle of amusement at his own bright humour the physician prescribed some other drug than that which the student had suggested. When there were two cases of exactly the same sort and the student proposed the treatment which the physician had ordered for the first, Dr. Tyrell exercised considerable ingenuity in thinking of something else. Sometimes, knowing that in the dispensary they were worked off their legs and preferred to give the medicines which they had all ready, the good hospital mixtures which had been found by the experience of years to answer their purpose so well, he amused himself by writing an elaborate prescription.