The Man from Archangel by Arthur Conan Doyle (books you need to read TXT) 📖
- Author: Arthur Conan Doyle
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"What ails her?" asked the novice.
"Cancer of the parotid. It's the devil of a case, extends right away back behind the carotids. There's hardly a man but Archer would dare to follow it. Ah, here he is himself."
As he spoke, a small, brisk, iron-grey man came striding into the room, rubbing his hands together as he walked. He had a clean-shaven face of the Naval officer type, with large, bright eyes, and a firm, straight mouth. Behind him came his big house surgeon with his gleaming pince-nez and a trail of dressers, who grouped themselves into the corners of the room.
"Gentlemen," cried the surgeon in a voice as hard and brisk as his manner. "We have here an interesting case of tumour of the parotid, originally cartilaginous but now assuming malignant characteristics, and therefore requiring excision. On to the table, nurse! Thank you! Chloroform, clerk! Thank you! You can take the shawl off, nurse."
The woman lay back upon the waterproofed pillow and her murderous tumour lay revealed. In itself it was a pretty thing, ivory white with a mesh of blue veins, and curving gently from jaw to chest. But the lean, yellow face, and the stringy throat were in horrible contrast with the plumpness and sleekness of this monstrous growth. The surgeon placed a hand on each side of it and pressed it slowly backwards and forwards.
"Adherent at one place, gentlemen," he cried. "The growth involves the carotids and jugulars, and passes behind the ramus of the jaw, whither we must be prepared to follow it. It is impossible to say how deep our dissection may carry us. Carbolic tray, thank you! Dressings of carbolic gauze, if you please! Push the chloroform, Mr. Johnson. Have the small saw ready in case it is necessary to remove the jaw."
The patient was moaning gently under the towel which had been placed over her face. She tried to raise her arms and to draw up her knees but two dressers restrained her. The heavy air was full of the penetrating smells of carbolic acid and of chloroform. A muffled cry came from under the towel and then a snatch of a song, sung in a high, quavering, monotonous voice.
If you fly with me
You'll be mistress of the ice-cream van;
You'll be mistress of the——"
It mumbled off into a drone and stopped. The surgeon came across, still rubbing his hands, and spoke to an elderly man in front of the novice.
"Narrow squeak for the Government," he said.
"Oh, ten is enough."
"They won't have ten long. They'd do better to resign before they are driven to it."
"Oh, I should fight it out."
"What's the use. They can't get past the committee, even if they get a vote in the House. I was talking to——"
"Patient's ready, sir," said the dresser.
"Talking to M'Donald—but I'll tell you about it presently." He walked back to the patient, who was breathing in long, heavy gasps. "I propose," said he, passing his hands over the tumour in an almost caressing fashion, "to make a free incision over the posterior border and to take another forward at right angles to the lower end of it. Might I trouble you for a medium knife, Mr. Johnson?"
The novice, with eyes which were dilating with horror, saw the surgeon pick up the long, gleaming knife, dip it into a tin basin and balance it in his fingers as an artist might his brush. Then he saw him pinch up the skin above the tumour with his left hand. At the sight, his nerves, which had already been tried once or twice that day, gave way utterly. His head swam round and he felt that in another instant he might faint. He dared not look at the patient. He dug his thumbs into his ears lest some scream should come to haunt him, and he fixed his eyes rigidly upon the wooden ledge in front of him. One glance, one cry, would, he knew, break down the shred of self-possession which he still retained. He tried to think of cricket, of green fields and rippling water, of his sisters at home—of anything rather than of what was going on so near him.
And yet, somehow, even with his ears stopped up, sounds seemed to penetrate to him and to carry their own tale. He heard, or thought that he heard, the long hissing of the carbolic engine. Then he was conscious of some movement among the dressers. Were there groans too breaking in upon him, and some other sound, some fluid sound, which was more dreadfully suggestive still? His mind would keep building up every step of the operation, and fancy made it more ghastly than fact could have been. His nerves tingled and quivered. Minute by minute the giddiness grew more marked, the numb, sickly feeling at his heart more distressing. And then suddenly, with a groan, his head pitching forward and his brow cracking sharply upon the narrow, wooden shelf in front of him, he lay in a dead faint.
When he came to himself he was lying in the empty theatre with his collar and shirt undone. The third year's man was dabbing a wet sponge over his face, and a couple of grinning dressers were looking on.
"All right," cried the novice, sitting up and rubbing his eyes; "I'm sorry to have made an ass of myself."
"Well, so I should think," said his companion. "What on earth did you faint about?"
"I couldn't help it. It was that operation."
"What operation?"
"Why, that cancer."
There was a pause, and then the three students burst out laughing.
"Why, you juggins," cried the senior man, "there never was an operation at all. They found the patient didn't stand the chloroform well, and so the whole thing was off. Archer has been giving us one of his racy lectures, and you fainted just in the middle of his favourite story."
X THE THIRD GENERATIONScudamore Lane, sloping down riverwards from just behind the Monument, lies at night in the shadow of two black and monstrous walls which loom high above the glimmer of the scattered gas-lamps. The footpaths are narrow, and the causeway is paved with rounded cobblestones so that the endless drays roar along it like so many breaking waves. A few old-fashioned houses lie scattered among the business premises, and in one of these—half-way down on the left-hand side—Dr. Horace Selby conducts his large practice. It is a singular street for so big a man, but a specialist who has a European reputation can afford to live where he likes. In his particular branch, too, patients do not always consider seclusion to be a disadvantage.
It was only ten o'clock. The dull roar of the traffic which converged all day upon London Bridge had died away now to a mere confused murmur. It was raining heavily, and the gas shone dimly through the streaked and dripping glass, throwing little yellow circles upon the glistening cobblestones. The air was full of the sounds of rain, the thin swish of its fall, the heavier drip from the eaves, and the swirl and gurgle down the two steep gutters and through the sewer grating. There was only one figure in the whole length of Scudamore Lane. It was that of a man, and it stood outside the door of Dr. Horace Selby.
He had just rung and was waiting for an answer. The fanlight beat full upon the gleaming shoulders of his waterproof and upon his upturned features. It was a wan, sensitive, clear-cut face, with some subtle, nameless peculiarity in its expression—something of the startled horse in the white-rimmed eye, something, too, of the helpless child in the drawn cheek and the weakening of the lower lip. The man-servant knew the stranger as a patient at a bare glance at those frightened eyes. Such a look had been seen at that door before.
"Is the doctor in?"
The man hesitated.
"He has had a few friends to dinner, sir. He does not like to be disturbed outside his usual hours, sir."
"Tell him that I must see him. Tell him that it is of the very first importance. Here is my card." He fumbled with his trembling fingers in trying to draw one from the case. "Sir Francis Norton is the name. Tell him that Sir Francis Norton of Deane Park must see him at once."
"Yes, sir." The butler closed his fingers upon the card and the half-sovereign which accompanied it. "Better hang your coat up here in the hall. It is very wet. Now, if you will wait here in the consulting-room I have no doubt that I shall be able to send the doctor in to you."
It was a large and lofty room in which the young baronet found himself. The carpet was so soft and thick that his feet made no sound as he walked across it. The two gas-jets were turned only half-way up, and the dim light with the faint aromatic smell which filled the air had a vaguely religious suggestion. He sat down in a shining leather arm-chair by the smouldering fire and looked gloomily about him. Two sides of the room were taken up with books, fat and sombre, with broad gold lettering upon their backs. Beside him was the high, old-fashioned mantelpiece of white marble, the top of it strewed with cotton wadding and bandages, graduated measures and little bottles. There was one with a broad neck, just above him, containing bluestone, and another narrower one with what looked like the ruins of a broken pipe stem, and "Caustic" outside upon a red label. Thermometers, hypodermic syringes, bistouries and spatulas were scattered thickly about, both on the mantelpiece and on the central table on either side of the sloping desk. On the same table to the right stood copies of the five books which Dr. Horace Selby had written upon the subject with which his name is peculiarly associated, while on the left, on the top of a red medical directory, lay a huge glass model of a human eye, the size of a turnip, which opened down the centre to expose the lens and double chamber within.
Sir Francis Norton had never been remarkable for his powers of observation, and yet he found himself watching these trifles with the keenest attention. Even the corrosion of the cork of an acid bottle caught his eye and he wondered that the doctor did not use glass stoppers. Tiny scratches where the light glinted off from the table, little stains upon the leather of the desk, chemical formulæ scribbled upon the labels of some of the phials—nothing was too slight to arrest his attention. And his sense of hearing was equally alert. The heavy ticking of the solemn black clock above the fireplace struck quite painfully upon his ears. Yet, in spite of it, and in spite also of the thick, old-fashioned, wooden partition walls, he could hear the voices of men talking in the next room and could even catch scraps of their conversation. "Second hand was bound to take it." "Why, you drew the last of them yourself." "How could I play the queen when I knew the ace was against me?" The phrases came in little spurts, falling back into the dull murmur of conversation. And then suddenly he heard a creaking of a door,
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