Arthur Conan Doyle

Round the Red Lamp: Being Facts and Fancies of Medical Life


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Dr. Winter, whom we had asked out of courtesy to be present, introduced into the wound a finger which seemed to our excited senses to be about nine inches long, and hooked out the stone at the end of it. "It's always well to bring one in your waistcoat-pocket," said he with a chuckle, "but I suppose you youngsters are above all that."

      We made him president of our branch of the British Medical Association, but he resigned after the first meeting. "The young men are too much for me," he said. "I don't understand what they are talking about." Yet his patients do very well. He has the healing touch—that magnetic thing which defies explanation or analysis, but which is a very evident fact none the less. His mere presence leaves the patient with more hopefulness and vitality. The sight of disease affects him as dust does a careful housewife. It makes him angry and impatient. "Tut, tut, this will never do!" he cries, as he takes over a new case. He would shoo Death out of the room as though he were an intrusive hen. But when the intruder refuses to be dislodged, when the blood moves more slowly and the eyes grow dimmer, then it is that Dr. Winter is of more avail than all the drugs in his surgery. Dying folk cling to his hand as if the presence of his bulk and vigour gives them more courage to face the change; and that kindly, windbeaten face has been the last earthly impression which many a sufferer has carried into the unknown.

      When Dr. Patterson and I—both of us young, energetic, and up-to-date—settled in the district, we were most cordially received by the old doctor, who would have been only too happy to be relieved of some of his patients. The patients themselves, however, followed their own inclinations—which is a reprehensible way that patients have—so that we remained neglected, with our modern instruments and our latest alkaloids, while he was serving out senna and calomel to all the countryside. We both of us loved the old fellow, but at the same time, in the privacy of our own intimate conversations, we could not help commenting upon this deplorable lack of judgment. "It's all very well for the poorer people," said Patterson. "But after all the educated classes have a right to expect that their medical man will know the difference between a mitral murmur and a bronchitic rale. It's the judicial frame of mind, not the sympathetic, which is the essential one."

      I thoroughly agreed with Patterson in what he said. It happened, however, that very shortly afterwards the epidemic of influenza broke out, and we were all worked to death. One morning I met Patterson on my round, and found him looking rather pale and fagged out. He made the same remark about me. I was, in fact, feeling far from well, and I lay upon the sofa all the afternoon with a splitting headache and pains in every joint. As evening closed in, I could no longer disguise the fact that the scourge was upon me, and I felt that I should have medical advice without delay. It was of Patterson, naturally, that I thought, but somehow the idea of him had suddenly become repugnant to me. I thought of his cold, critical attitude, of his endless questions, of his tests and his tappings. I wanted something more soothing—something more genial.

      "Mrs. Hudson," said I to my housekeeper, "would you kindly run along to old Dr. Winter and tell him that I should be obliged to him if he would step round?"

      She was back with an answer presently. "Dr. Winter will come round in an hour or so, sir; but he has just been called in to attend Dr. Patterson."

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      It was the first day of the winter session, and the third year's man was walking with the first year's man. Twelve o'clock was just booming out from the Tron Church.

      "Let me see," said the third year's man. "You have never seen an operation?"

      "Never."

      "Then this way, please. This is Rutherford's historic bar. A glass of sherry, please, for this gentleman. You are rather sensitive, are you not?"

      "My nerves are not very strong, I am afraid."

      "Hum! Another glass of sherry for this gentleman. We are going to an operation now, you know."

      The novice squared his shoulders and made a gallant attempt to look unconcerned.

      "Nothing very bad—eh?"

      "Well, yes—pretty bad."

      "An—an amputation?"

      "No; it's a bigger affair than that."

      "I think—I think they must be expecting me at home."

      "There's no sense in funking. If you don't go to-day, you must to-morrow. Better get it over at once. Feel pretty fit?"

      "Oh, yes; all right!" The smile was not a success.

      "One more glass of sherry, then. Now come on or we shall be late. I want you to be well in front."

      "Surely that is not necessary."

      "Oh, it is far better! What a drove of students! There are plenty of new men among them. You can tell them easily enough, can't you? If they were going down to be operated upon themselves, they could not look whiter."

      "I don't think I should look as white."

      "Well, I was just the same myself. But the feeling soon wears off. You see a fellow with a face like plaster, and before the week is out he is eating his lunch in the dissecting rooms. I'll tell you all about the case when we get to the theatre."

      The students were pouring down the sloping street which led to the infirmary—each with his little sheaf of note-books in his hand. There were pale, frightened lads, fresh from the high schools, and callous old chronics, whose generation had passed on and left them. They swept in an unbroken, tumultuous stream from the university gate to the hospital. The figures and gait of the men were young, but there was little youth in most of their faces. Some looked as if they ate too little—a few as if they drank too much. Tall and short, tweed-coated and black, round-shouldered, bespectacled, and slim, they crowded with clatter of feet and rattle of sticks through the hospital gate. Now and again they thickened into two lines, as the carriage of a surgeon of the staff rolled over the cobblestones between.

      "There's going to be a crowd at Archer's," whispered the senior man with suppressed excitement. "It is grand to see him at work. I've seen him jab all round the aorta until it made me jumpy to watch him. This way, and mind the whitewash."

      They passed under an archway and down a long, stone-flagged corridor, with drab-coloured doors on either side, each marked with a number. Some of them were ajar, and the novice glanced into them with tingling nerves. He was reassured to catch a glimpse of cheery fires, lines of white-counterpaned beds, and a profusion of coloured texts upon the wall. The corridor opened upon a small hall, with a fringe of poorly clad people seated all round upon benches. A young man, with a pair of scissors stuck like a flower in his buttonhole and a note-book in his hand, was passing from one to the other, whispering and writing.

      "Anything good?" asked the third year's man.

      "You should have been here yesterday," said the out-patient clerk, glancing up. "We had a regular field day. A popliteal aneurism, a Colles' fracture, a spina bifida, a tropical abscess, and an elephantiasis. How's that for a single haul?"

      "I'm sorry I missed it. But they'll come again, I suppose. What's up with the old gentleman?"

      A broken workman was sitting in the shadow, rocking himself slowly to and fro, and groaning. A woman beside him was trying to console him, patting his shoulder with a hand which was spotted over with curious little white blisters.

      "It's a fine carbuncle," said the clerk, with the air of a connoisseur who describes his orchids to one who can appreciate them. "It's on his back and the passage is draughty, so we must not look at it, must we, daddy? Pemphigus," he added carelessly, pointing to the woman's disfigured hands. "Would you care to stop and take out a metacarpal?"

      "No, thank you. We are due at Archer's. Come on!" and they rejoined the throng which was hurrying to the theatre of the famous surgeon.

      The tiers of horseshoe benches