In the course of his experience the medical man acquires probably a

more intimate knowledge of human nature than is attained by most. He

gains an undistorted insight into character. He witnesses the display

of elemental passions and emotions. He sees his subject, as it were,

unclothed and in the state of a primitive being. There is no camouflage

of feeling, no assumption of a part, no finesse. There is merely a

man or a woman faced by simple, rudimentary conditions. He notes how

they act under strain and stress, under the threat of danger or when

menaced by death. He observes their behaviour both during suffering and

after relief from pain, the manner in which they bear losses and alarms

and how they express the consciousness of joy. These are the common

emotional experiences of life, common alike to the caveman and the man

of the twentieth century. Among the matters of interest in this purview

is the comparative bearing of men and of women when subject to the

hand of the surgeon. As to which of the two makes the better patient

is a question that cannot be answered in a word. Speaking generally

women bear pain better than men. They endure a long illness better,

both physically and morally. They are more patient and submissive,

less defiant of fate and, I think I may add, more logical. There are

exceptions, of course, but then there are exceptions in all things.

Perhaps what the critic of gold calls the “acid test” is provided by

the test of an operation. Here is something very definite to be faced.

A man is usually credited with more courage than a woman. This is no

doubt a just estimate in situations of panic and violence where less

is expected of a woman; but in the cold, deliberate presence of an

operation she stands out well.

A display of courage in a man is instinctive, a feature of his

upbringing, a matter of tradition. With women is associated a rather

attractive element of timidity. It is considered to be a not indecorous

attribute of her sex. It is apt to be exaggerated and to become often

somewhat of a pose. A woman may be terrified at a mouse in her bedroom

and yet will view the entrance into that room of two white-clad

inquisitors—the anæsthetist and the surgeon—with composure. A woman

will frankly allow, under certain conditions, that she is “frightened

to death”; the man will not permit himself that expression, although he

is none the less alarmed. A woman seldom displays bravado; a man often

does. To sum up the matter—a woman before the tribunal of the operating

theatre is, in my experience, as courageous as a man, although she may

show less resolve in concealing her emotions.

In the determination to live, which plays no little part in the success

of a grave operation, a woman is, I think, the more resolute. Her

powers of endurance are often amazing. Life may hang by a thread,

but to that thread she will cling as if it were a straining rope. I

recall the case of a lady who had undergone an operation of unusual

duration and severity. She was a small, fragile woman, pale and

delicate-looking. The blow she had received would have felled a giant.

I stood by her bedside some hours after the operation. She was a mere

grey shadow of a woman in whom the signs of life seemed to be growing

fainter and fainter. The heat of the body was maintained by artificial

means. She was still pulseless and her breathing but a succession of

low sighs. She evidently read anxiety and alarm in the faces of those

around her, for, by a movement of her lips, she indicated that she

wished to speak to me. I bent down and heard in the faintest whisper

the words, “I am _not_ going to die.” She did not die; yet her recovery

was a thing incredible. Although twenty-eight years have elapsed since

that memorable occasion, I am happy to say that she is still alive and

well.

There are other traits in women that the surgeon comes upon which, if

not actually peculiar to their sex, are at least displayed by them in

the highest degree of perfection. Two of these characteristics—or it

may be that the two are one—are illustrated by the incidents which

follow.

The first episode may appear to be trivial, although an eminent

novelist to whom I told the story thought otherwise and included it,

much modified, in one of his books.

The subject was a woman nearing forty. She was plain to look at,

commonplace and totally uninteresting. Her husband was of the same

pattern and type, a type that embraces the majority of the people in

these islands. He was engaged in some humdrum business in the city of

London. His means were small and his life as monotonous as a downpour

of rain. The couple lived in a small red-brick house in the suburbs.

The house was one of twenty in a row. The twenty were all exactly

alike. Each was marked by a pathetic pretence to be “a place in the

country”; each was occupied by a family of a uniform and wearying

respectability. These houses were like a row of chubby inmates from an

institution, all wearing white cotton gloves and all dressed alike in

their best.

The street in which the houses stood was called “The Avenue,” and the

house occupied by the couple in question was named “The Limes.” It was

difficult to imagine that anything of real interest could ever occur in

“The Avenue.” It was impossible to associate that decorous road with a

murder or even a burglary, much less with an elopement. The only event

that had disturbed its peace for long was an occasion when the husband

of one of the respected residents had returned home at night in a state

of noisy intoxication. For months afterwards the dwellers in “The

Avenue,” as they passed that house, looked at it askance. It may be

said, in brief, that all the villas were “genteel” and that all those

who lived in them were “worthy.”

The plain lady of whom I am speaking had no children. She had been

happy in a stagnant, unambitious way. Everything went well with her and

her household, until one horrifying day when it was discovered that

she had developed a malignant tumour of the breast. The growth was

operated upon by a competent surgeon, and for a while the spectre was

banished. The event, of course, greatly troubled her; but it caused

even more anxiety to her husband. The two were very deeply attached.

Having few outside interests or diversions, their pleasure in life was

bound up with themselves and their small home.

The husband was a nervous and imaginative man. He brooded over the

calamity that had befallen his cherished mate. He was haunted by the

dread that the horrid thing would come back again. When he was busy at

his office he forgot it, and when he was at home and with a wife who

seemed in such beaming health it left his mind. In his leisure moments,

however, in his journeyings to London and back and in sleepless hours

of the night, the terror would come upon him again. It followed him

like a shadow.

Time passed; the overhanging cloud became less black and a hope arose

that it would fade away altogether. This, however, was not to be. The

patient began to be aware of changes at the site of the operation.

Unpleasant nodules appeared. They grew and grew and every day looked

angrier and more vicious. She had little doubt that “it”—the awful

unmentionable thing—had come back. She dared not tell her husband. He

was happy again; the look of anxiety had left his face and everything

was as it had been. To save him from distress she kept the dread secret

and, although the loathsome thing was gnawing at her vitals, she smiled

and maintained her wonted cheerfulness when he and she were together.

She kept the secret too long. In time she began to look ill, to become

pallid and feeble and very thin. She struggled on and laughed and joked

as in the old days. Her husband was soon aware that something was

amiss. Although he dared not express the thought, a presentiment arose

in his mind that the thing of terror was coming back. He suggested that

she should see her surgeon again, but she pooh-poohed the idea. “Why

should a healthy woman see a surgeon?” At last her husband, gravely

alarmed, insisted, and she did as he wished.

The surgeon, of course, saw the position at a glance. The disease

had returned, and during the long weeks of concealment had made such

progress that any operation or indeed any curative measure was entirely

out of the question. Should he tell her? If he told her what would be

gained thereby? Nothing could be done to hinder the progress of the

malady. To tell her would be to plunge her and her husband into the

direst distress. The worry that would be occasioned could only do her

harm. Her days were numbered; why not make what remained of her life as

free from unhappiness as possible? It was sheer cruelty to tell her.

Influenced by these humane arguments he assured her it was all right,

patted her on the back and told her to run away home.

For a while both she and her husband were content. She was ready to

believe that she had deceived herself and regretted the anxiety she had

occasioned; but the unfortunate man did not remain long at ease. His

wife was getting weaker and weaker. He wondered why. The surgeon said

she was all right; she herself maintained that she was well, but why

was she changing so quickly? The doubt and the uncertainty troubled

both of them; so it was resolved that a second opinion should be

obtained, with the result that she came to see me in London.

A mere glimpse was enough to reveal the condition of affairs. The case

was absolutely hopeless as her surgeon, in a letter, had already told

me. I was wondering how I should put the matter to her but she made

the decision herself. She begged me to tell her the absolute truth.

She was not afraid to hear it. She had plans to make. She had already

more than a suspicion in her mind and for every reason she must know,

honestly and openly, the real state of affairs. I felt that matters

were too far gone to justify any further concealment. I told her. She

asked if any treatment was possible. I was obliged to answer “No.” She

asked if she would live six months and again I was compelled to answer

“No.”

What happened when she left my house I learned later. It was on a

Saturday morning in June that she came to see me. For her husband

Saturday was a half-holiday and a day that he looked forward to with

eager anticipation. So anxious was he as to my verdict that he had not

gone to his business on this particular day. He had not the courage to

accompany his wife to London and, indeed, she had begged him not to be

present at the consultation. He had seen his wife into the train and

spent the rest of the morning wandering listlessly about, traversing

every street, road and lane in the neighbourhood in a condition of

misery and apprehension.

He knew by what train she would return, but he had not the courage to

meet it. He would know the verdict as she stepped out of the carriage

and as he caught a glimpse of her face. The platform would be crowded

with City friends of his, and whatever the news—good or bad—he felt

that he would be unable to control himself.

He resolved to wait for her at the top of “The Avenue,” a quiet and

secluded road. He could not, however, stand still. He continued to

roam about aimlessly. He tried to distract his thoughts. He counted

the railings on one side of a street, assuring himself that if the

last railing proved to be an even number his wife would be all right.

It proved to be uneven. He jingled the coins in his pocket and decided

that if the first coin he drew out came up “Heads,” it would be a sign

that his wife was well. It came up “Heads.” Once he found that he had

wandered some way from “The Avenue” and was seized by the panic that he

would not get back there in time. He ran back all the way to find, when

he drew up, breathless, that he had still twenty-five minutes to wait.

He thought the train would never arrive. It seemed hours and hours

late. He looked at his watch a dozen times. At last he heard the train

rumble in and pull up at the station. The moment had come. He paced the

road to and fro like a caged beast. He opened his coat the better to

breathe. He took off his hat to wipe his streaming forehead. He watched

the corner at which she would appear. She came suddenly in sight. He

saw that she was skipping along, that she was waving her hand and that

her face was beaming with smiles. As she approached she called out, “It

is all right!”

He rushed to her, she told me, with a yell, threw his arms round her

and hugged her until she thought she would have fainted. On the way to

the house he almost danced round her. He waved his hat to everybody he

saw and, on entering the house, shook the astonished maid-servant so

violently by the hand that she thought he was mad.

That afternoon he enjoyed himself as he had never done before. The

cloud was removed, his world was a blaze of sunshine again, his wife

was saved. She took him to the golf links and went round with him as

he played, although she was so weak she could hardly crawl along. His

game was a series of ridiculous antics. He used the handle of his club

on the tee, did his putting with a driver and finished up by giving the

caddie half a sovereign. In the evening his wife hurriedly invited a

few of his choicest friends to supper. It was such a supper as never

was known in “The Avenue” either before or since. He laughed and joked,

was generally uproarious, and finished by proposing the health of his

wife in a rapturous speech. It was the day of his life.

Next morning she told him the truth.

I asked her why she had not told him at once. She replied, “It was his

half-holiday and I wished to give him just one more happy day.”

The second episode belongs to the days of my youth when I was a

house-surgeon. The affair was known in the hospital as “The Lamp Murder

Case.” It concerned a family of three—husband, wife and grown-up

daughter. They lived in an ill-smelling slum in the most abject quarter

of Whitechapel. The conditions under which this family existed were

very evil, although not exceptional in the dark places of any town.

The husband was just a drunken loafer, vicious and brutal, and in

his most fitting place when he was lying in the filth of the gutter.

He had probably never done a day’s work in his life. He lived on the

earnings of his wife and daughter. They were seamstresses and those

were the doleful days of “The Song of the Shirt.” As the girl was

delicate most of the work fell upon the mother. This wretched woman

toiled day by day, from year’s end to year’s end, to keep this unholy

family together. She had neither rest nor relaxation, never a gleam of

joy nor a respite from unhappiness. The money gained by fifteen hours’

continuous work with her needle might vanish in one uproarious drinking

bout. Her husband beat her and kicked her as the fancy pleased him. He

did not disable her, since he must have money for drink and she alone

could provide it. She could work just as well with a black eye and a

bruised body as without those marks of her lord’s pleasure.

As she had to work late at night she kept a lamp for her table. One

evening the sodden brute, as he staggered into the room, said that he

also must have a lamp, must have a lamp of his own. What he wanted it

for did not matter. He would have it. He was, as a rule, too muddled to

read even if he had ever learnt to read. Possibly he wanted the lamp

to curse by. Anyhow, if she did not get him a lamp to-morrow he would

“give her hell,” and the poor woman had already seen enough of hell.

Next day she bought a lamp, lit it and placed it on the table with some

hope no doubt in her heart that it would please him and bring a ray of

peace.

He came home at night not only drunk but quarrelsome. The two lamps

were shining together on the table. The room was quite bright and,

indeed, almost cheerful; but the spectacle drove him to fury. He cursed

the shrinking, tired woman. He cursed the room. He cursed the lamp.

It was not the kind of lamp he wanted. It was not so good as her lamp

and it was like her meanness to get it. As she stood up to show him how

nice a lamp it really was he hit her in the face with such violence

that he knocked her into a corner of the room. She was wedged in and

unable to rise. He then took up his lamp and, with a yell of profanity,

threw it at her as she lay on the ground. At once her apron and cotton

dress were ablaze and, as she lay there burning and screaming for

mercy, he hurled the other lamp at her.

The place was now lit only by the horrible, dancing flames that rose

from the burning woman. The daughter was hiding in terror in the

adjoining room. The partition which separated it from her mother’s

was so thin that she had heard everything that passed. She rushed

in and endeavoured to quench the flames; but streams of burning oil

were trickling all over the floor, while the saturated clothes on

her mother’s body flared like a wick. Her father was rolling about,

laughing. He might have been a demon out of the Pit. Neighbours poured

in and, by means of snatched-up fragments of carpet, bits of sacking

and odd clothes, the fire was smothered; but it was too late.

There followed a period of commotion. A crowd gathered in the dingy

lane with faces upturned to the window from the broken panes of which

smoke was escaping. People pressed up the stair, now thick with the

smell of paraffin and of burning flesh. The room, utterly wrecked,

was in darkness, but by the light of an unsteady candle stuck in a

bottle the body of the woman, moaning with pain, was dragged out.

An improvised stretcher was obtained and on it the poor seamstress,

wrapped up in a dirty quilt, was marched off to the hospital, followed

by a mob. The police had appeared early on the scene and, acting on the

evidence of the daughter, had arrested the now terrified drunkard.

When the woman reached the hospital she was still alive but in acute

suffering. She was taken into the female accident ward and placed on a

bed in a corner by the door. The hour was very late and the ward had

been long closed down for the night. It was almost in darkness. The gas

jets were lowered and the little light they shed fell upon the white

figures of alarmed patients sitting up in bed to watch this sudden

company with something dreadful on a stretcher.

A screen was drawn round the burnt woman’s bed, and in this little

enclosure, full of shadow, a strange and moving spectacle came to

pass. The miserable patient was burned to death. Her clothes were

reduced to a dark, adhesive crust. In the layers of cinder that marked

the front of her dress I noticed two needles that had evidently

been stuck there when she ceased her work. Her face was hideously

disfigured, the eyes closed, the lips swollen and bladder-like and the

cheeks charred in patches to a shiny brown. All her hair was burnt off

and was represented by a little greasy ash on the pillow, her eyebrows

were streaks of black, while her eyelashes were marked by a line of

charcoal at the edge of the lids. She might have been burnt at the

stake at Smithfield.

As she was sinking it was necessary that her dying depositions should

be taken. For this purpose a magistrate was summoned. With him came

two policemen, supporting between them the shaking form of the now

partly-sobered husband. The scene was one of the most memorable I have

witnessed. I can still see the darkened ward, the whispering patients

sitting bolt upright in their nightdresses, the darker corner behind

the screen, lit only by the light of a hand lamp, the motionless

figure, the tray of dressings no longer needed, the half-emptied

feeding-cup. I can recall too the ward cat, rudely disturbed, stalking

away with a leisurely air of cynical unconcern.

The patient’s face was in shadow, the nurse and I stood on one side of

the bed, the magistrate was seated on the other. At the foot of the

bed were the two policemen and the prisoner. The man—who was in the

full light of the lamp—was a disgustful object. He could barely stand;

his knees shook under him; his hair was wild; his eyes blood-shot; his

face bloated and bestial. From time to time he blubbered hysterically,

rocking to and fro. Whenever he looked at his wife he blubbered and

seemed in a daze until a tug at his arm by the policeman woke him up.

The magistrate called upon me to inform the woman that she was dying. I

did so. She nodded. The magistrate then said to her—having warned her

of the import of her evidence—“Tell me how this happened.” She replied,

as clearly as her swollen lips would allow, “It was a pure accident.”

These were the last words she uttered, for she soon became unconscious

and in a little while was dead. She died with a lie on her lips to

save the life of the brute who had murdered her, who had burned her

alive. She had lied and yet her words expressed a dominating truth.

They expressed her faithfulness to the man who had called her wife,

her forgiveness for his deeds of fiendish cruelty and a mercy so

magnificent as to be almost divine.

VI

A SEA LOVER

The man I would tell about was a mining engineer some forty and odd

years of age. Most of his active life had been spent in Africa whence

he had returned home to England with some gnawing illness and with the

shadow of death upon him. He was tall and gaunt. The tropical sun had

tanned his face an unwholesome brown, while the fever-laden wind of the

swamp had blanched the colour from his hair. He was a tired-looking man

who gave one the idea that he had been long sleepless. He was taciturn,

for he had lived much alone and, but for a sister, had no relatives

and few friends. For many years he had wandered to and fro surveying

and prospecting, and when he turned to look back upon the trail of his

life there was little to see but the ever-stretching track, the file of

black porters, the solitary camp.

The one thing that struck me most about him was his love of the sea.

If he was ill, he said, it must be by the sea. It was a boyish love

evidently which had never died out of his heart. It seemed to be his

sole fondness and the only thing of which he spoke tenderly.

He was born, I found, at Salcombe, in Devonshire. At that place, as

many know, the sea rushes in between two headlands and, pouring over

rocky terraces and around sandy bays, flows by the little town and

thence away up the estuary. At the last it creeps tamely among meadows

and cornfields to the tottering quay at the foot of Kingsbridge.

On the estuary he had spent his early days, and here he and a boy

after his own heart had made gracious acquaintance with the sea. When

school was done the boys were ever busy among the creeks, playing at

smugglers or at treasure seekers so long as the light lasted. Or they

hung about the wharf, among the boats and the picturesque litter of the

sea, where they recalled in ineffable colours the tales of pirates and

the Spanish Main which they had read by the winter fire. The reality

of the visions was made keener when they strutted about the deck of

the poor semi-domestic coaling brig which leaned wearily against the

harbour side or climbed over the bulwarks of the old schooner, which

had been wrecked on the beach before they were born, with all the dash

of buccaneers.

In their hearts they were both resolved to “follow the sea” but fate

turned their footsteps elsewhere, for one became a mining engineer in

the colonies and the other a clerk in a stockbroker’s office in London.

In spite of years of uncongenial work and of circumstances which took

them far beyond the paradise of tides and salt winds the two boys, as

men, ever kept green the memory of the romance-abounding sea. He who

was to be a clerk became a pale-faced man who wore spectacles and whose

back was bent from much stooping over books. I can think of him at his

desk in the City on some day in June, gazing through a dingy window

at a palisade of walls and roofs. The clerk’s pen is still, for the

light on the chimney-pots has changed to a flood of sun upon the Devon

cliffs, and the noise of the streets to the sound of waves tumbling

among rocks or bubbling over pebbles. There are sea-gulls in the air,

while far away a grey barque is blown along before the freshening

breeze and the only roofs in view belong to the white cottages about

the beach. Then comes the ring of a telephone bell and the dream

vanishes.

The Elephant Man and Other Reminiscences · 第 4 / 9 段