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by difficulty of breathing. And he went without shrinking through his abstinence from drugs, much sustained by application of the thermometer which implied the importance of his temperature, by the sense that he furnished objects for the microscope, and by learning many new words which seemed suited to the dignity of his secretions. For Lydgate was acute enough to indulge him with a little technical talk.

It may be imagined that Mr. Trumbull rose from his couch with a disposition to speak of an illness in which he had manifested the strength of his mind as well as constitution; and he was not backward in awarding credit to the medical man who had discerned the quality of patient he had to deal with. The auctioneer was not an ungenerous man, and liked to give others their due, feeling that he could afford it. He had caught the words “expectant method,” and rang chimes on this and other learned phrases to accompany the assurance that Lydgate “knew a thing or two more than the rest of the doctors⁠—was far better versed in the secrets of his profession than the majority of his compeers.”

This had happened before the affair of Fred Vincy’s illness had given to Mr. Wrench’s enmity towards Lydgate more definite personal ground. The newcomer already threatened to be a nuisance in the shape of rivalry, and was certainly a nuisance in the shape of practical criticism or reflections on his hard-driven elders, who had had something else to do than to busy themselves with untried notions. His practice had spread in one or two quarters, and from the first the report of his high family had led to his being pretty generally invited, so that the other medical men had to meet him at dinner in the best houses; and having to meet a man whom you dislike is not observed always to end in a mutual attachment. There was hardly ever so much unanimity among them as in the opinion that Lydgate was an arrogant young fellow, and yet ready for the sake of ultimately predominating to show a crawling subservience to Bulstrode. That Mr. Farebrother, whose name was a chief flag of the anti-Bulstrode party, always defended Lydgate and made a friend of him, was referred to Farebrother’s unaccountable way of fighting on both sides.

Here was plenty of preparation for the outburst of professional disgust at the announcement of the laws Mr. Bulstrode was laying down for the direction of the New Hospital, which were the more exasperating because there was no present possibility of interfering with his will and pleasure, everybody except Lord Medlicote having refused help towards the building, on the ground that they preferred giving to the Old Infirmary. Mr. Bulstrode met all the expenses, and had ceased to be sorry that he was purchasing the right to carry out his notions of improvement without hindrance from prejudiced coadjutors; but he had had to spend large sums, and the building had lingered. Caleb Garth had undertaken it, had failed during its progress, and before the interior fittings were begun had retired from the management of the business; and when referring to the Hospital he often said that however Bulstrode might ring if you tried him, he liked good solid carpentry and masonry, and had a notion both of drains and chimneys. In fact, the Hospital had become an object of intense interest to Bulstrode, and he would willingly have continued to spare a large yearly sum that he might rule it dictatorially without any Board; but he had another favorite object which also required money for its accomplishment: he wished to buy some land in the neighborhood of Middlemarch, and therefore he wished to get considerable contributions towards maintaining the Hospital. Meanwhile he framed his plan of management. The Hospital was to be reserved for fever in all its forms; Lydgate was to be chief medical superintendent, that he might have free authority to pursue all comparative investigations which his studies, particularly in Paris, had shown him the importance of, the other medical visitors having a consultative influence, but no power to contravene Lydgate’s ultimate decisions; and the general management was to be lodged exclusively in the hands of five directors associated with Mr. Bulstrode, who were to have votes in the ratio of their contributions, the Board itself filling up any vacancy in its numbers, and no mob of small contributors being admitted to a share of government.

There was an immediate refusal on the part of every medical man in the town to become a visitor at the Fever Hospital.

“Very well,” said Lydgate to Mr. Bulstrode, “we have a capital house-surgeon and dispenser, a clearheaded, neat-handed fellow; we’ll get Webbe from Crabsley, as good a country practitioner as any of them, to come over twice a-week, and in case of any exceptional operation, Protheroe will come from Brassing. I must work the harder, that’s all, and I have given up my post at the Infirmary. The plan will flourish in spite of them, and then they’ll be glad to come in. Things can’t last as they are: there must be all sorts of reform soon, and then young fellows may be glad to come and study here.” Lydgate was in high spirits.

“I shall not flinch, you may depend upon it, Mr. Lydgate,” said Mr. Bulstrode. “While I see you carrying out high intentions with vigor, you shall have my unfailing support. And I have humble confidence that the blessing which has hitherto attended my efforts against the spirit of evil in this town will not be withdrawn. Suitable directors to assist me I have no doubt of securing. Mr. Brooke of Tipton has already given me his concurrence, and a pledge to contribute yearly: he has not specified the sum⁠—probably not a great one. But he will be a useful member of the board.”

A useful member was perhaps to be defined as one who would originate nothing, and always vote with Mr. Bulstrode.

The medical aversion to Lydgate was hardly disguised now. Neither Dr. Sprague nor Dr. Minchin

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