The Man from Archangel by Arthur Conan Doyle (books you need to read TXT) 📖

knee if his life was to be saved. The young lieutenant who was in charge of the craft searched among the dead doctor's effects and laid his hands upon some chloroform, a hip-joint knife, and a volume of Grey's Anatomy. He had the man laid by the steward upon the cabin table, and with a picture of the cross section of the thigh in front of him he began to take off the limb. Every now and then, referring to the diagram, he would say: 'Stand by with the lashings, steward. There's blood on the chart about here.' Then he would jab with his knife until he cut the artery, and he and his assistant would tie it up before they went any further. In this way they gradually whittled the leg off, and upon my word they made a very excellent job of it. The man is hopping about the Portsmouth Yard at this day.

"It's no joke when the doctor of one of these isolated gunboats himself falls ill," continues the surgeon after a pause. "You might think it easy for him to prescribe for himself, but this fever knocks you down like a club, and you haven't strength left to brush a mosquito off your face. I had a touch of it at Lagos, and I know what I am telling you. But there was a chum of mine who really had a curious experience. The whole crew gave him up, and, as they had never had a funeral aboard the ship, they began rehearsing the forms so as to be ready. They thought that he was unconscious, but he swears he could hear every word that passed. 'Corpse comin' up the 'atchway!' cried the cockney sergeant of Marines. 'Present harms!' He was so amused, and so indignant too, that he just made up his mind that he wouldn't be carried through that hatchway, and he wasn't, either."

"There's no need for fiction in medicine," remarks Foster, "for the facts will always beat anything you can fancy. But it has seemed to me sometimes that a curious paper might be read at some of these meetings about the uses of medicine in popular fiction."

"How?"

"Well, of what the folk die of, and what diseases are made most use of in novels. Some are worn to pieces, and others, which are equally common in real life, are never mentioned. Typhoid is fairly frequent, but scarlet fever is unknown. Heart disease is common, but then heart disease, as we know it, is usually the sequel of some foregoing disease, of which we never hear anything in the romance. Then there is the mysterious malady called brain fever, which always attacks the heroine after a crisis, but which is unknown under that name to the text books. People when they are over-excited in novels fall down in a fit. In a fairly large experience I have never known any one to do so in real life. The small complaints simply don't exist. Nobody ever gets shingles or quinsy, or mumps in a novel. All the diseases, too, belongs to the upper part of the body. The novelist never strikes below the belt."

"I'll tell you what, Foster," says the alienist, "there is a side of life which is too medical for the general public and too romantic for the professional journals, but which contains some of the richest human materials that a man could study. It's not a pleasant side, I am afraid, but if it is good enough for Providence to create, it is good enough for us to try and understand. It would deal with strange outbursts of savagery and vice in the lives of the best men, curious momentary weaknesses in the record of the sweetest women, known but to one or two, and inconceivable to the world around. It would deal, too, with the singular phenomena of waxing and of waning manhood, and would throw a light upon those actions which have cut short many an honoured career and sent a man to a prison when he should have been hurried to a consulting-room. Of all evils that may come upon the sons of men, God shield us principally from that one!"

"I had a case some little time ago which was out of the ordinary," says the surgeon. "There was a famous beauty in London Society—I mention no names—who used to be remarkable a few seasons ago for the very low dresses which she would wear. She had the whitest of skins, and most beautiful of shoulders, so it was no wonder. Then gradually the frilling at her neck lapped upwards and upwards, until last year she astonished every one by wearing quite a high collar at a time when it was completely out of fashion. Well, one day this very woman was shown into my consulting-room. When the footman was gone she suddenly tore off the upper part of her dress. 'For God's sake do something for me!' she cried. Then I saw what the trouble was. A rodent ulcer was eating its way upwards, coiling on in its serpiginous fashion until the end of it was flush with her collar. The red streak of its trail was lost below the line of her bust. Year by year it had ascended and she had heightened her dress to hide it, until now it was about to invade her face. She had been too proud to confess her trouble, even to a medical man."

"And did you stop it?"

"Well, with zinc chloride I did what I could. But it may break out again. She was one of those beautiful white-and-pink creatures who are rotten with struma. You may patch but you can't mend."

"Dear! dear! dear!" cries the general practitioner, with that kindly softening of the eyes which has endeared him to so many thousands. "I suppose we mustn't think ourselves wiser than Providence, but there are times when one feels that something is wrong in the scheme of things. I've seen some sad things in my life. Did I ever tell you that case where Nature divorced a most loving couple? He was a fine young fellow, an athlete and a gentleman, but he overdid athletics. You know how the force that controls us gives us a little tweak to remind us when we get off the beaten track. It may be a pinch on the great toe if we drink too much and work too little. Or it may be a tug on our nerves if we dissipate energy too much. With the athlete, of course, it's the heart or the lungs. He had bad phthisis and was sent to Davos. Well, as luck would have it, she developed rheumatic fever, which left her heart very much affected. Now, do you see the dreadful dilemma in which those poor people found themselves? When he came below 4,000 feet or so, his symptoms became terrible. She could come up about 2,500, and then her heart reached its limit. They had several interviews half-way down the valley, which left them nearly dead, and at last, the doctors had to absolutely forbid it. And so for four years they lived within three miles of each other and never met. Every morning he would go to a place which overlooked the chalet in which she lived and would wave a great white cloth and she answer from below. They could see each other quite plainly with their field glasses, and they might have been in different planets for all their chance of meeting."

"And one at last died," says the outsider.

"No, sir. I'm sorry not to be able to clinch the story, but the man recovered and is now a successful stockbroker in Drapers Gardens. The woman, too, is the mother of a considerable family. But what are you doing there?"

"Only taking a note or two of your talk."

The three medical men laugh as they walk towards their overcoats.

"Why, we've done nothing but talk shop," says the general practitioner. "What possible interest can the public take in that?"

XIII THE SURGEON TALKS

"Men die of the diseases which they have studied most," remarked the surgeon, snipping off the end of a cigar with all his professional neatness and finish. "It's as if the morbid condition was an evil creature which, when it found itself closely hunted, flew at the throat of its pursuer. If you worry the microbes too much they may worry you. I've seen cases of it, and not necessarily in microbic diseases either. There was, of course, the well-known instance of Liston and the aneurism; and a dozen others that I could mention. You couldn't have a clearer case than that of poor old Walker of St. Christopher's. Not heard of it? Well, of course, it was a little before your time, but I wonder that it should have been forgotten. You youngsters are so busy in keeping up to the day that you lose a good deal that is interesting of yesterday.

"Walker was one of the best men in Europe on nervous disease. You must have read his little book on sclerosis of the posterior columns. It's as interesting as a novel, and epoch-making in its way. He worked like a horse, did Walker—huge consulting practice—hours a day in the clinical wards—constant original investigations. And then he enjoyed himself also. 'De mortuis,' of course, but still it's an open secret among all who knew him. If he died at forty-five, he crammed eighty years into it. The marvel was that he could have held on so long at the pace at which he was going. But he took it beautifully when it came.

"I was his clinical assistant at the time. Walker was lecturing on locomotor ataxia to a wardful of youngsters. He was explaining that one of the early signs of the complaint was that the patient could not put his heels together with his eyes shut without staggering. As he spoke, he suited the action to the word. I don't suppose the boys noticed anything. I did, and so did he, though he finished his lecture without a sign.

"When it was over he came into my room and lit a cigarette.

"'Just run over my reflexes, Smith,' said he.

"There was hardly a trace of them left, I tapped away at his knee-tendon and might as well have tried to get a jerk out of that sofa-cushion. He stood, with his eyes shut again, and he swayed like a bush in the wind.

"'So,' said he, 'it was not intercostal neuralgia after all.'

"Then I knew that he had had the lightning pains, and that the case was complete. There was nothing to say, so I sat looking at him while he puffed and puffed at the cigarette. Here he was, a man in the prime of life, one of the handsomest men in London, with money, fame, social success, everything at his feet, and now, without a moment's warning, he was told that inevitable death lay before him, a death accompanied by more refined and lingering tortures than if he were bound upon a Red Indian stake. He sat in the middle of the blue cigarette cloud with his eyes cast down, and the slightest little tightening of his lips. Then he rose with a motion of his arms, as one who throws off old thoughts and enters upon a new course.

"'Better put this thing straight at once,' said he. 'I must make some fresh arrangements. May I use your paper and envelopes?'

"He settled himself at my desk and he wrote half a dozen letters. It is not a breach of confidence to say that they were not addressed to his professional brothers. Walker was a single man, which means that he was not restricted to a single woman. When he had finished, he walked out of that little room of mine, leaving every hope and ambition of his life behind him. And he might have had another year of ignorance and