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to respond。       Ask the surgeon for his best experiences and he may reply 

that he has seen little that is remarkable�察�or break away into the technical。 

But   catch   him   some   night   when   the   fire   has   spurted   up   and   his   pipe   is 

reeking�察�with a few of his brother practitioners for company and an artful 

question or allusion to set him going。            Then you will get some raw�察�green 

facts new plucked from the tree of life。 

     It   is   after   one of   the quarterly  dinners of   the   Midland   Branch   of the 

British Medical Association。           Twenty coffee cups�察�a dozer liqueur glasses�察�

and a solid bank of blue smoke which swirls slowly along the high�察�gilded 

ceiling   gives   a   hint   of   a   successful   gathering。   But   the   members   have 

shredded off to their homes。          The line of heavy�察�bulge´pocketed overcoats 

and    of   stethoscope´bearing        top  hats   is  gone    from    the  hotel   corridor。 

Round      the   fire  in  the   sitting´room     three   medicos      are  still  lingering�察�

however�察�all smoking and arguing�察�while a fourth�察�who is a mere layman 

and young at that�察�sits back at the table。            Under cover of an open journal 

he   is   writing   furiously   with   a   stylographic   pen�察  �asking   a   question   in   an 

innocent   voice   from   time   to   time   and   so   flickering   up   the   conversation 

whenever it shows a tendency to wane。 

     The three men are all of that staid middle age which begins early and 

lasts late in the profession。        They are none of them famous�察�yet each is of 

good repute�察�and a fair type of his particular branch。              The portly man with 

the   authoritative   manner   and   the   white�察  �vitriol   splash   upon   his   cheek   is 

Charley Manson�察�chief of the Wormley Asylum�察�and author of the brilliant 

monographObscure           Nervous      Lesions    in  the   Unmarried。       He    always 

wears     his  collar   high   like  that�察 �since   the   half´successful     attempt    of  a 

student   of   Revelations   to   cut   his   throat   with   a   splinter   of   glass。 The 



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second�察    �with   the  ruddy   face    and   the  merry    brown    eyes�察  �is  a  general 

practitioner�察�a man of vast experience�察�who�察�with his three assistants and 

his five horses�察�takes twenty´five hundred a year in half´crown visits and 

shilling   consultations   out   of   the   poorest   quarter   of   a   great   city。 That 

cheery face of Theodore Foster is seen at the side of a hundred sick´beds a 

day�察�and if he has one´third more names on his visiting list than in his cash 

book he always promises himself that he will get level some day when a 

millionaire with a chronic complaintthe ideal combinationshall seek his 

services。     The third�察�sitting on the right with his dress shoes shining on 

the top of the fender�察�is Hargrave�察�the rising surgeon。              His face has none 

of the broad humanity of Theodore Foster's�察�the eye is stern and critical�察�

the mouth straight and severe�察�but there is strength and decision in every 

line of it�察�and it is nerve rather than sympathy which the patient demands 

when he is bad enough to come to Hargrave's door。                   He calls himself a 

jawman ;a mere jawman; as he modestly puts it�察�but in point of fact he is 

too   young   and   too   poor   to   confine   himself   to   a   specialty�察  �and   there   is 

nothing surgical which Hargrave has not the skill and the audacity to do。 

     ;Before�察�after�察�and during�察─�murmurs the general practitioner in answer 

to some interpolation of the outsider's。           ;I assure you�察�Manson�察�one sees 

all sorts of evanescent forms of madness。; 

     ;Ah�察  �puerperal� ─  �throws   in   the   other�察  �knocking   the   curved   grey   ash 

from his cigar。      ;But you had some case in your mind�察�Foster。; 

     ;Well�察  �there   was   only   one   last   week   which   was   new   to   me。  I   had 

been engaged by some people of the name of Silcoe。                    When the trouble 

came round I went myself�察�for they would not hear of an assistant。                     The 

husband who was a policeman�察�was sitting at the head of the bed on the 

further side。     `This won't do��' said I。        `Oh yes�察�doctor�察�it must do��' said 

she。    `It's quite  irregular  and he   must   go��'  said   I。   `It's that or   nothing��' 

said she。     `I won't open my mouth or stir a finger the whole night��' said he。 

So it ended by my allowing him to remain�察�and there he sat for eight hours 

on end。     She was very good over the matter�察�but every now and again HE 

would fetch a hollow groan�察�and I noticed that he held his right hand just 

under the sheet all the time�察�where I had no doubt that it was clasped by 

her left。    When it was all happily over�察�I looked at him and his face was 



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the colour of this cigar ash�察�and his head had dropped on to the edge of the 

pillow。     Of course I thought he had fainted with emotion�察�and I was just 

telling myself what I thought of myself for having been such a fool as to 

let him stay there�察�when suddenly I saw that the sheet over his hand was 

all   soaked   with   blood�察  �I   whisked   it   down�察  �and    there   was   the   fellow's 

wrist   half   cut   through。    The   woman   had   one   bracelet   of   a   policeman's 

handcuff over her left wrist and the other round his right one。                  When she 

had   been   in   pain   she   had   twisted   with   all   her   strength   and   the   iron   had 

fairly eaten into the bone of the man's arm。             `Aye�察�doctor��' said she�察�when 

she saw I had noticed it。         `He's got to take his share as well as me。            Turn 

and turn��' said she。; 

     ;Don't   you   find   it   a   very   wearing   branch   of   the   profession�拭─  �asks 

Foster after a pause。 

     ;My dear fellow�察�it was the fear of it that drove me into lunacy work。; 

     ;Aye�察�and it has driven men into asylums who never found their way 

on to the medical staff。        I was a very shy fellow myself as a student�察�and I 

know what it means。; 

     ;No joke that in general practice�察─�says the alienist。 

     ;Well�察�you hear men talk about it as though it were�察�but I tell you it's 

much nearer tragedy。          Take some poor�察�raw�察 �young fellow who has just 

put   up   his   plate   in   a   strange   town。 He   has   found   it   a   trial   all   his   life�察�

perhaps�察    �to  talk   to  a  woman      about   lawn    tennis   and   church     services。 

When a young man IS shy he is shyer than any girl。                    Then down comes 

an anxious mother and consults him upon the most intimate family matters。 

`I shall never go to that doctor again��' says she afterwards。                 `His manner 

is so stiff and unsympathetic。'          Unsympathetic�         �Why�察�the poor lad was 

struck    dumb     and   paralysed。     I   have   known     general    practitioners    who 

were   so   shy  that   they   could   not   bring   themselves   to   ask   the   way   in   the 

street。    Fancy  what   sensitive  men   like   that   must   endure  before  they  get 

broken   in   to   medical   practice。    And   then   they   know   that   nothing   is   so 

catching   as   shyness�察  �and   that   if   they   do   not   keep   a   face   of   stone�察  �their 

patient will be covered with confusion。               And so they keep their face of 

stone�察�and earn the reputation perhaps of having a heart to correspond。                     I 

suppose nothing would shake YOUR nerve�察�Manson。; 



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     ;Well�察�when a man lives year in year out among a thousand lunatics�察�

with a fair sprinkling of homicidals among them�察�one's nerves either get 

set or shattered。      Mine are all right so far。; 

     ;I was frightened once�察─�says the surgeon。              ;It was when I was doing 

dispensary work。        One night I had a call from some very poor people�察�and 

gathered from the few words they said that their child was ill。                    When I 

entered the room I saw a small cradle in the corner。                 Raising the lamp I 

walked over and putting back the curtains I looked down at the baby。                        I 

tell   you   it   was sheer  Providence  that   I  didn't drop   that lamp   and set   the 

whole   place   alight。     The   head   on   the   pillow   turned   and   I   saw   a   face 

looking   up   at   me   which   seemed   to   me   to   have   more   malignancy   and 

wickedness than ever I had dreamed of in a nightmare。                    It was the flush 

of red over the cheekbones�察�and the brooding eyes full of loathing of me�察�

and of everything else�察�that impressed me。               I'll never forget my start as�察�

instead of the chubby face of an infant�察�my eyes fell upon this creature。                   I 

took   the   mother   into   the   next   room。   `What   is   it��'   I   asked。 `A  girl   of 

sixteen��' said she�察�and then throwing up her arms�察 �Oh�察�pray God she may 

be taken��'      The poor thing�察�though she spent her life in this little cradle�察�

had great�察�long�察�thin limbs which she curled up under her。                  I lost sight of 

the case and don't know what became of it�察�but I'll never forget the look in 

her eyes。; 

     ;That's creepy�察─�says Dr。 Foster。          ;But I think one of my experiences 

would run it close。        Shortly after I put up my plate I had a visit from a 

little   hunch´backed   woman   who   wished   me   to   come   and   attend   to   her 

sister in her trouble。       When I reached the house�察�which was a very poor 

one�察�I found two other little hunched´backed women�察�exactly like the first�察�

waiting for me in the sitting´room。           Not one of them said a word�察�but my 

companion took the lamp and walked upstairs with her two sisters behind 

her�察  �and   me   bringing   up   the   rear。 I   can   see   those   three   queer   shadows 

cast by the lamp upon the wall as clearly as I can see that tobacco pouch。 

In   the   room   above   was   the   fourth   sister�察  �a   remarkably   beautiful   girl   in 

evident   need   of   my   assistance。      There   was   no   wedding   ring   upon   her 

finger。     The   three   deformed   sisters   seated   themselves   round   the   room�察�

like   so   many   graven   images�察  �and   all   night   not   one   of   them   opened   her 



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