Middlemarch George Eliot (essential reading txt) 📖

the smells of retail trading which suggested the reduction of cash payments to a balance. And he did not think it worth his while to show Lydgate up until he knew how. He had not indeed great resources of education, and had had to work his own way against a good deal of professional contempt; but he made none the worse accoucheur for calling the breathing apparatus “longs.”

Other medical men felt themselves more capable. Mr. Toller shared the highest practice in the town and belonged to an old Middlemarch family: there were Tollers in the law and everything else above the line of retail trade. Unlike our irascible friend Wrench, he had the easiest way in the world of taking things which might be supposed to annoy him, being a well-bred, quietly facetious man, who kept a good house, was very fond of a little sporting when he could get it, very friendly with Mr. Hawley, and hostile to Mr. Bulstrode. It may seem odd that with such pleasant habits he should have been given to the heroic treatment, bleeding and blistering and starving his patients, with a dispassionate disregard to his personal example; but the incongruity favored the opinion of his ability among his patients, who commonly observed that Mr. Toller had lazy manners, but his treatment was as active as you could desire: no man, said they, carried more seriousness into his profession: he was a little slow in coming, but when he came, he did something. He was a great favorite in his own circle, and whatever he implied to anyone’s disadvantage told doubly from his careless ironical tone.

He naturally got tired of smiling and saying, “Ah!” when he was told that Mr. Peacock’s successor did not mean to dispense medicines; and Mr. Hackbutt one day mentioning it over the wine at a dinner-party, Mr. Toller said, laughingly, “Dibbitts will get rid of his stale drugs, then. I’m fond of little Dibbitts⁠—I’m glad he’s in luck.”

“I see your meaning, Toller,” said Mr. Hackbutt, “and I am entirely of your opinion. I shall take an opportunity of expressing myself to that effect. A medical man should be responsible for the quality of the drugs consumed by his patients. That is the rationale of the system of charging which has hitherto obtained; and nothing is more offensive than this ostentation of reform, where there is no real amelioration.”

“Ostentation, Hackbutt?” said Mr. Toller, ironically. “I don’t see that. A man can’t very well be ostentatious of what nobody believes in. There’s no reform in the matter: the question is, whether the profit on the drugs is paid to the medical man by the druggist or by the patient, and whether there shall be extra pay under the name of attendance.”

“Ah, to be sure; one of your damned new versions of old humbug,” said Mr. Hawley, passing the decanter to Mr. Wrench.

Mr. Wrench, generally abstemious, often drank wine rather freely at a party, getting the more irritable in consequence.

“As to humbug, Hawley,” he said, “that’s a word easy to fling about. But what I contend against is the way medical men are fouling their own nest, and setting up a cry about the country as if a general practitioner who dispenses drugs couldn’t be a gentleman. I throw back the imputation with scorn. I say, the most ungentlemanly trick a man can be guilty of is to come among the members of his profession with innovations which are a libel on their time-honored procedure. That is my opinion, and I am ready to maintain it against anyone who contradicts me.” Mr. Wrench’s voice had become exceedingly sharp.

“I can’t oblige you there, Wrench,” said Mr. Hawley, thrusting his hands into his trouser-pockets.

“My dear fellow,” said Mr. Toller, striking in pacifically, and looking at Mr. Wrench, “the physicians have their toes trodden on more than we have. If you come to dignity it is a question for Minchin and Sprague.”

“Does medical jurisprudence provide nothing against these infringements?” said Mr. Hackbutt, with a disinterested desire to offer his lights. “How does the law stand, eh, Hawley?”

“Nothing to be done there,” said Mr. Hawley. “I looked into it for Sprague. You’d only break your nose against a damned judge’s decision.”

“Pooh! no need of law,” said Mr. Toller. “So far as practice is concerned the attempt is an absurdity. No patient will like it⁠—certainly not Peacock’s, who have been used to depletion. Pass the wine.”

Mr. Toller’s prediction was partly verified. If Mr. and Mrs. Mawmsey, who had no idea of employing Lydgate, were made uneasy by his supposed declaration against drugs, it was inevitable that those who called him in should watch a little anxiously to see whether he did “use all the means he might use” in the case. Even good Mr. Powderell, who in his constant charity of interpretation was inclined to esteem Lydgate the more for what seemed a conscientious pursuit of a better plan, had his mind disturbed with doubts during his wife’s attack of erysipelas, and could not abstain from mentioning to Lydgate that Mr. Peacock on a similar occasion had administered a series of boluses which were not otherwise definable than by their remarkable effect in bringing Mrs. Powderell round before Michaelmas from an illness which had begun in a remarkably hot August. At last, indeed, in the conflict between his desire not to hurt Lydgate and his anxiety that no “means” should be lacking, he induced his wife privately to take Widgeon’s Purifying Pills, an esteemed Middlemarch medicine, which arrested every disease at the fountain by setting to work at once upon the blood. This cooperative measure was not to be mentioned to Lydgate, and Mr. Powderell himself had no certain reliance on it, only hoping that it might be attended with a blessing.

But in this doubtful stage of Lydgate’s introduction he was helped by what we mortals rashly call good fortune. I suppose no doctor ever came newly to a place without making cures that surprised somebody⁠—cures which may be called fortune’s testimonials, and deserve as much credit as the written or printed kind. Various patients got well while Lydgate was attending them, some