Of Human Bondage W. Somerset Maugham (epub e reader txt) 📖

and the course took five years instead of four as it had done for those who registered before the autumn of 1892. Dunsford was well up in his plans and told Philip the usual course of events. The “first conjoint” examination consisted of biology, anatomy, and chemistry; but it could be taken in sections, and most fellows took their biology three months after entering the school. This science had been recently added to the list of subjects upon which the student was obliged to inform himself, but the amount of knowledge required was very small.

When Philip went back to the dissecting-room, he was a few minutes late, since he had forgotten to buy the loose sleeves which they wore to protect their shirts, and he found a number of men already working. His partner had started on the minute and was busy dissecting out cutaneous nerves. Two others were engaged on the second leg, and more were occupied with the arms.

“You don’t mind my having started?”

“That’s all right, fire away,” said Philip.

He took the book, open at a diagram of the dissected part, and looked at what they had to find.

“You’re rather a dab at this,” said Philip.

“Oh, I’ve done a good deal of dissecting before, animals, you know, for the Pre Sci.”

There was a certain amount of conversation over the dissecting-table, partly about the work, partly about the prospects of the football season, the demonstrators, and the lectures. Philip felt himself a great deal older than the others. They were raw schoolboys. But age is a matter of knowledge rather than of years; and Newson, the active young man who was dissecting with him, was very much at home with his subject. He was perhaps not sorry to show off, and he explained very fully to Philip what he was about. Philip, notwithstanding his hidden stores of wisdom, listened meekly. Then Philip took up the scalpel and the tweezers and began working while the other looked on.

“Ripping to have him so thin,” said Newson, wiping his hands. “The blighter can’t have had anything to eat for a month.”

“I wonder what he died of,” murmured Philip.

“Oh, I don’t know, any old thing, starvation chiefly, I suppose.⁠ ⁠… I say, look out, don’t cut that artery.”

“It’s all very fine to say, ‘don’t cut that artery,’ ” remarked one of the men working on the opposite leg. “Silly old fool’s got an artery in the wrong place.”

“Arteries always are in the wrong place,” said Newson. “The normal’s the one thing you practically never get. That’s why it’s called the normal.”

“Don’t say things like that,” said Philip, “or I shall cut myself.”

“If you cut yourself,” answered Newson, full of information, “wash it at once with antiseptic. It’s the one thing you’ve got to be careful about. There was a chap here last year who gave himself only a prick, and he didn’t bother about it, and he got septicaemia.”

“Did he get all right?”

“Oh, no, he died in a week. I went and had a look at him in the P.M. room.”

Philip’s back ached by the time it was proper to have tea, and his luncheon had been so light that he was quite ready for it. His hands smelt of that peculiar odour which he had first noticed that morning in the corridor. He thought his muffin tasted of it too.

“Oh, you’ll get used to that,” said Newson. “When you don’t have the good old dissecting-room stink about, you feel quite lonely.”

“I’m not going to let it spoil my appetite,” said Philip, as he followed up the muffin with a piece of cake.

LV

Philip’s ideas of the life of medical students, like those of the public at large, were founded on the pictures which Charles Dickens drew in the middle of the nineteenth century. He soon discovered that Bob Sawyer, if he ever existed, was no longer at all like the medical student of the present.

It is a mixed lot which enters upon the medical profession, and naturally there are some who are lazy and reckless. They think it is an easy life, idle away a couple of years; and then, because their funds come to an end or because angry parents refuse any longer to support them, drift away from the hospital. Others find the examinations too hard for them; one failure after another robs them of their nerve; and, panic-stricken, they forget as soon as they come into the forbidding buildings of the Conjoint Board the knowledge which before they had so pat. They remain year after year, objects of good-humoured scorn to younger men: some of them crawl through the examination of the Apothecaries Hall; others become non-qualified assistants, a precarious position in which they are at the mercy of their employer; their lot is poverty, drunkenness, and Heaven only knows their end. But for the most part medical students are industrious young men of the middle-class with a sufficient allowance to live in the respectable fashion they have been used to; many are the sons of doctors who have already something of the professional manner; their career is mapped out: as soon as they are qualified they propose to apply for a hospital appointment, after holding which (and perhaps a trip to the Far East as a ship’s doctor), they will join their father and spend the rest of their days in a country practice. One or two are marked out as exceptionally brilliant: they will take the various prizes and scholarships which are open each year to the deserving, get one appointment after another at the hospital, go on the staff, take a consulting-room in Harley Street, and, specialising in one subject or another, become prosperous, eminent, and titled.

The medical profession is the only one which a man may enter at any age with some chance of making a living. Among the men of Philip’s year were three or four who were past their first youth: one had been in the Navy, from which