Part 146

“We’ll give the dispenser something to do. If we go on prescribing mist: alb: he’ll lose his cunning.”

The students laughed, and the doctor gave them a circular glance of enjoyment in his joke. Then he touched the bell and, when the porter poked his head in, said:

“Old women, please.”

He leaned back in his chair, chatting with the H.P. while the porter herded along the old patients. They came in, strings of anaemic girls, with large fringes and pallid lips, who could not digest their bad, insufficient food; old ladies, fat and thin, aged prematurely by frequent confinements, with winter coughs; women with this, that, and the other, the matter with them. Dr. Tyrell and his house-physician got through them quickly. Time was getting on, and the air in the small room was growing more sickly. The physician looked at his watch.

“Are there many new women today?” he asked.

“A good few, I think,” said the H.P.

“We’d better have them in. You can go on with the old ones.”

They entered. With the men the most common ailments were due to the excessive use of alcohol, but with the women they were due to defective nourishment. By about six o’clock they were finished. Philip, exhausted by standing all the time, by the bad air, and by the attention he had given, strolled over with his fellow-clerks to the Medical School to have tea. He found the work of absorbing interest. There was humanity there in the rough, the materials the artist worked on; and Philip felt a curious thrill when it occurred to him that he was in the position of the artist and the patients were like clay in his hands. He remembered with an amused shrug of the shoulders his life in Paris, absorbed in colour, tone, values, Heaven knows what, with the aim of producing beautiful things: the directness of contact with men and women gave a thrill of power which he had never known. He found an endless excitement in looking at their faces and hearing them speak; they came in each with his peculiarity, some shuffling uncouthly, some with a little trip, others with heavy, slow tread, some shyly. Often you could guess their trades by the look of them. You learnt in what way to put your questions so that they should be understood, you discovered on what subjects nearly all lied, and by what inquiries you could extort the truth notwithstanding. You saw the different way people took the same things. The diagnosis of dangerous illness would be accepted by one with a laugh and a joke, by another with dumb despair. Philip found that he was less shy with these people than he had ever been with others; he felt not exactly sympathy, for sympathy suggests condescension; but he felt at home with them. He found that he was able to put them at their ease, and, when he had been given a case to find out what he could about it, it seemed to him that the patient delivered himself into his hands with a peculiar confidence.

“Perhaps,” he thought to himself, with a smile, “perhaps I’m cut out to be a doctor. It would be rather a lark if I’d hit upon the one thing I’m fit for.”

It seemed to Philip that he alone of the clerks saw the dramatic interest of those afternoons. To the others men and women were only cases, good if they were complicated, tiresome if obvious; they heard murmurs and were astonished at abnormal livers; an unexpected sound in the lungs gave them something to talk about. But to Philip there was much more. He found an interest in just looking at them, in the shape of their heads and their hands, in the look of their eyes and the length of their noses. You saw in that room human nature taken by surprise, and often the mask of custom was torn off rudely, showing you the soul all raw. Sometimes you saw an untaught stoicism which was profoundly moving. Once Philip saw a man, rough and illiterate, told his case was hopeless; and, self-controlled himself, he wondered at the splendid instinct which forced the fellow to keep a stiff upper-lip before strangers. But was it possible for him to be brave when he was by himself, face to face with his soul, or would he then surrender to despair? Sometimes there was tragedy. Once a young woman brought her sister to be examined, a girl of eighteen, with delicate features and large blue eyes, fair hair that sparkled with gold when a ray of autumn sunshine touched it for a moment, and a skin of amazing beauty. The students’ eyes went to her with little smiles. They did not often see a pretty girl in these dingy rooms. The elder woman gave the family history, father and mother had died of phthisis, a brother and a sister, these two were the only ones left. The girl had been coughing lately and losing weight. She took off her blouse and the skin of her neck was like milk. Dr. Tyrell examined her quietly, with his usual rapid method; he told two or three of his clerks to apply their stethoscopes to a place he indicated with his finger; and then she was allowed to dress. The sister was standing a little apart and she spoke to him in a low voice, so that the girl should not hear. Her voice trembled with fear.

“She hasn’t got it, doctor, has she?”

“I’m afraid there’s no doubt about it.”

“She was the last one. When she goes I shan’t have anybody.”

She began to cry, while the doctor looked at her gravely; he thought she too had the type; she would not make old bones either. The girl turned round and saw her sister’s tears. She understood what they meant. The colour fled from her lovely face and tears fell down her cheeks. The two stood for a minute or two, crying silently, and then the older, forgetting the indifferent crowd that watched them, went up to her, took her in her arms, and rocked her gently to and fro as if she were a baby.

When they were gone a student asked:

“How long d’you think she’ll last, sir?”

Dr. Tyrell shrugged his shoulders.

“Her brother and sister died within three months of the first symptoms. She’ll do the same. If they were rich one might do something. You can’t tell these people to go to St. Moritz. Nothing can be done for them.”

Once a man who was strong and in all the power of his manhood came because a persistent aching troubled him and his club-doctor did not seem to do him any good; and the verdict for him too was death, not the inevitable death that horrified and yet was tolerable because science was helpless before it, but the death which was inevitable because the man was a little wheel in the great machine of a complex civilisation, and had as little power of changing the circumstances as an automaton. Complete rest was his only chance. The physician did not ask impossibilities.

“You ought to get some very much lighter job.”

“There ain’t no light jobs in my business.”

“Well, if you go on like this you’ll kill yourself. You’re very ill.”

“D’you mean to say I’m going to die?”

“I shouldn’t like to say that, but you’re certainly unfit for hard work.”

“If I don’t work who’s to keep the wife and the kids?”

Dr. Tyrell shrugged his shoulders. The dilemma had been presented to him a hundred times. Time was pressing and there were many patients to be seen.

“Well, I’ll give you some medicine and you can come back in a week and tell me how you’re getting on.”

The man took his letter with the useless prescription written upon it and walked out. The doctor might say what he liked. He did not feel so bad that he could not go on working. He had a good job and he could not afford to throw it away.