Edward Willis. He was sorry that he had not done so before. For once in
a way the recommendations of Aunt Laura had been prophetically right.
His self-consciousness made it difficult for him to do so, for he felt
certain that this cold, calculating young man would see through him. For
two days he debated with himself on the various ways in which Mawne might
be approached without coming to any satisfactory conclusion. On the
third he was so lucky as to meet his victim on the Halesby train. Willis
did not seem in the least anxious to renew their acquaintance; and it was
at the expense of some awkwardness that Edwin managed to drag him into
conversation.
They talked a little about the war, which Willis seemed to view from a
remote and pessimistic angle. From that, by way of Mr. Willis’s
Ladysmith rumour, they passed on to a discussion of the dance. Edwin was
enthusiastic.
“I’m glad you enjoyed yourself,” said Willis. “I hate dancing.”
“I rather admired that Miss Powys,” said Edwin.
“Dorothy Powys? Yes, she’s a pretty girl, isn’t she?”
“Who is she?”
“Oh, she’s a niece of Lord Alfred Powys, one of our directors. Lives
with him, I believe. I don’t really know her.”
“Isn’t she staying with you?”
“Oh, no. . . . She only stayed at Mawne for the night of the dance. Her
uncle happened to be coming over for a directors’ meeting, and the
governor asked him to bring her along with him as there was a dance on.”
This was all very discouraging.
“Where do they live?” Edwin asked.
“Somewhere over in the Teme valley, I think. Lord Alfred’s a great
fisherman. He’s a nice chap.”
“And she lives with him?”
“Yes. . . . I think he’s sort of adopted her. But I understand she’s
going to India sometime next month.”
“India? What on earth is she going to India for?”
“Going to be married to some fellow in the Indian army. A major, I think
he is.”
“To be married—” said Edwin.
And the train pulled up at Mawne Hall.
IV
He took it very hardly. On the face of it, it seemed that her kiss had
been no more than a piece of mad, cynical trifling; but his respect for
himself—which was considerable, as became his years—would not allow him
to believe this. He decided, instead, that Dorothy Powys’s kiss had been
the symbol of a great and noble passion, fated, in the melancholy manner
of nearly every legendary lore, to frustration. He was convinced that
the unknown major in the Indian army would never be loved; that the
memory of that intense moment on Mr. Willis’s back stairs would haunt his
wife for ever, and temper with romance the vistas of an unhappy marriage.
The main result of the incident in Edwin’s case was a spate of passionate
but imitative verses, a new devotion to such music as repressed his
particular portion of _weltschmerz_, and an anxiety to confide the story,
with elaborations, to some sympathetic friend. He turned it on to W.G.
“Well, W.G., what do you think of it?” he asked, when he had finished.
W.G. sucked at his pipe and smiled good-humouredly.
“Better luck next time, old chap,” he said.
CHAPTER VI
THE DRESSER
I
IN the following June the second professional examination was held. On a
stifling morning, when the blue brick pavements of North Bromwich
reflected a torrid heat, and a warm wind, blowing like a sirocco from the
black desert outside, swept the streets with clouds of dust, Edwin,
Maskew, and W.G. waited in the cloakroom outside the Dean’s office to see
the results of the examination posted. Maskew was the only one of the
three who showed no signs of nervousness; for W.G. could never overcome
the difficulty of expressing his thoughts on paper, and Edwin had passed
ten minutes of purgatory with an outside examiner in the anatomy _viva_.
He knew, on the other hand, that his Physiology had been extraordinarily
good, and put his faith in the general impression of intelligence that he
hoped he had created.
The porter came out with the lists, and W.G., striding to meet his fate
like some Homeric hero, snatched the paper from his hands. He went very
white as he read it.
“Good God—” he said. “Well, I’m damned—”
“Rotten luck if you’re down, W.G.,” said Maskew sympathetically.
“Down? . . . I’m not down. I’m through.”
He still looked bewildered. Edwin took the paper from his trembling
hands. As he had expected Maskew was first, but he saw that he himself
was second on the list. Martin had ambled through respectively somewhere
about the middle. W.G. and Harrop were last and last but one. He pinned
the list on the notice-board. It was an exhilarating moment in which he
was conscious of the herculean, sweaty handgrip of W.G. who was
muttering: “Well, I’m damned if we don’t all deserve it.”
Talking and laughing together, they went out to lunch at Joey’s and
caught the next train down to Evesham, where the coolness of the glassy
Avon made the June heat more tolerable, and in the evening, blistered
with rowing and sunshine, they came back to North Bromwich, dined
together, and afterwards went to a music-hall. It was wonderful to Edwin
to see the physical elation of W.G. The big man wanted to dance like a
child, and it was with difficulty that Maskew restrained him from
smashing a plate-glass window in Sackville Row. “You’re a cold-blooded
swine, Maskew,” he said indignantly. “God, man, don’t you feel you want
to do something? You must let off steam in some way, and it’s just as
well to do it decently.”
Next morning the Dean sent a message to Edwin and Maskew, asking them to
call at his office during the morning. They went together, and were
received with his usual urbane politeness.
“Good-morning, Mr. Maskew . . . Mr. Ingleby. . . . You had better sit
down. I am very pleased to see your names at the top of the list. Yes . . .
very pleased. I’ve consulted Dr. Moon, and he approves your
appointment as prosectors. It is an office that you will be very wise to
undertake if you have any surgical ambitions, and I am very pleased to
offer it to you. Perhaps you will let me know to-morrow? Thank you,
gentlemen. . . . Good-morning.”
“Shall you take it?” said Edwin, as soon as they were outside.
“Of course I shall. I’m rather keen on Anatomy. It only means putting
one back a year, and it’s worth it a hundred times over, if one gets the
primary Fellowship. You’ll be a fool if you don’t do it. We should have
a topping time together. No lectures . . . just a year of research
work.”
“I shall have to think about it,” said Edwin.
It was the financial side of the question that had to be considered. To
add another year to a course that was already expensive in pursuit of an
elusive Fellowship of the Royal College of Surgeons: was it worth while?
To begin with, he might easily fail. The primary examination was
notoriously fluky, the results depending on the individual caprices and
preferences of examiners. Edwin knew very well that better men than
himself had failed in it. If, after draining his father’s pockets for
another year, he should be ploughed, the situation would be altogether
too pathetic.
Anything that affected his father’s purse seemed to Edwin, in those days,
a matter for delicacy and shame. He hated to receive money from him. It
was an acute embarrassment to see him write a cheque. He wrote slowly,
with a regular, formal hand, and all the time Edwin, watching him, would
think how many small, degrading sales of tooth paste and castor oil and
pennyworths of camphor had gone to the making of that tenuous
bank-account, and how easily and carelessly the painful accumulations
would be spent. He hated asking his father for money, and for this
reason had compelled himself to refrain from asking for the perfectly
reasonable and necessary allowance that he had been wanting to settle for
the last year.
And so he did not dare to tell his father that he had been offered the
prosectorship and the opportunity of taking the Fellowship. If he had
done so he was almost certain that Mr. Ingleby would have consented, and
his father’s sacrifice would have thrown such a weight of obligation on
him that life would not have been worth living. Indeed, if, in the end,
he should have failed, his shame would have been intolerable. These
reflections on the humility and penury of his father always plunged Edwin
into a debauch of sentiment in which he would return with the zeal of a
prodigal to the resolutions that he had made at the time of his mother’s
death. They filled him with a kind of protective fervour that might
easily have been mistaken for love, but was, in reality, an excuse for
its absence. Still, even if the sentiment harrowed, it consoled, and
Edwin was heroically elated by the performance of a sacrifice that he had
not been brave enough to refuse.
It pleased him also to find that W.G. was thankful for his decision.
“You see, it would have been rotten for me,” he said, “if you and Maskew
had both been left behind. When you’ve got into the habit of working
with a fellow in your first two years, it’s a bit of a break to have to
go on by yourself. Of course, I should never have the least earthly
chance of getting the Fellowship, and even if I had, I couldn’t afford to
waste a year over it. I’m damned glad you’re coming on with me,
Ingleby.”
The tribute was flattering. Edwin, always rather pathetically anxious
for friendship, was particularly pleased to have it offered so frankly by
a creature as unlike him in every way as W.G. There was something stable
and reliable about the big man’s simplicity. He felt that he would be as
loath to give offence to W.G. as to his father; and though he still felt
some indefinite hankerings after the atmosphere of culture that he would
have enjoyed in the society of Boyce, he couldn’t deny the fact that W.G.
was a sound and splendid fellow, and a good man to have by his side in an
emergency. Together they plunged into the new world of hospital life.
II
Two general hospitals supplied the clinical needs of the North Bromwich
Medical School. The older, from which the school had originated, was a
small institution, the Prince’s, with which Edwin had become acquainted
on the occasion of his first panto-night. It stood in the upper and
healthier part of the city, in the middle of the slums that lie upon the
fringe of the fashionable suburb of Alvaston: a solid building of early
Victorian red brick, with a stone portico facing upon a thoroughfare of
rather older houses that had once been reputable but had now degenerated
into theatrical lodging-houses.
The hospital itself was small enough to be homely, and W.G. and Edwin
soon became accustomed to its narrow entrance hall, and the lodge in
which porters, who already knew all that was to be known about the
reception of casualties, were housed.
Edwin would arrive at the hospital early in the morning, when no sign of
life was to be seen in the “professional” lodgings sleeping with drawn
blinds upon the other side of the road. At this time of the day the
hospital porch smelt clean and antiseptic, for the stream of stinking
humanity had not yet begun to trickle through. He would hang his coat in
the narrow passage that served for cloakroom and lounge with a cigarette
in his mouth before the glass-fronted notice-boards on which the lists of
operations for the day were exhibited, and exchange greetings with the
night porter departing in a state of drowsy ill-temper, or the day-porter
coming on duty with a military swagger and his grey hair plastered down
with vaseline, from the casualty department, and cold water.
Here, too, the members of the consulting staff would arrive in their
frock-coats and top-hats: great men, such as Lloyd Moore, the outstanding
surgical genius of the Midlands; old Beaton, the professor of surgery,
with his long, grey beard, and Hartley, the ophthalmologist, whose
reputation was European. These giants would pass on through the swinging
doors to their wards or consulting rooms, and on the very stroke of nine,
W.G., who was a bad riser, and always cut things fine, would plunge in,
carrying with him the strenuous atmosphere of a cold sponge and breezy
enthusiasm. Then the clock would strike nine, and they would pass on
together arm in arm, into the huge, airy waiting-hall with innumerable
benches set crosswise like the pews in a church; and, at the same moment,
the military porter, who had been marshalling the queue of out-patients,
would release them, and a bewildering crowd of poorly-clad human wreckage
would drift in behind them, settling patiently into the benches opposite
the door of the department from which they were seeking relief.
The work of Edwin and W.G. lay in the Casualty Department, a small room
full of pleasant morning light. On one side of it ran a long counter
with shelves for bottles, and drawers in which plasters, dressings, and
ointments were kept. On the other, half a dozen chairs were ranged for
the reception of patients. The medical staff consisted of four persons
only: two professionals, a young and enthusiastic surgeon named Mather
who held the post of Assistant Surgeon to Out-patients, and an elderly
sister who had been on the job for years, and two amateurs in the shape
of Edwin and W.G.
All of them were clothed in white overalls; for the work of the casualty
department was of a dirty nature, and these long garments also served as
some protection from the swarming parasites that lived upon the bodies of
their patients. Edwin, who suffered agonies of irritation from their
attacks, also armed himself with a glass-stoppered bottle of ether with
which he would drench the seat of irritation in the hopes of inflicting
death or at least unconsciousness upon his tormentors.
Then, one by one, the patients would file in, and plant themselves upon
the wooden chairs: old men whose skins were foul with the ravages of
eczema and dirt combined; women, exhausted in middle age by
child-bearing, and the accepted slavery of housework; sturdy mechanics
who had been the victims of some unavoidable accident; pale young women,
made anxious for their livelihood by illness that its conditions had
caused, and, more terrible than all, the steady stream of wan,
transparent children, the idols of maternal care, the victims of maternal
ignorance.
In the human wreckage of the casualty department there was no great
variety; but all of it was new to Edwin and W.G., and they threw
themselves into the labour with enthusiasm, working so hard from nine
o’clock till one, that their backs ached and they lost all sense of the
passage of time. Mather himself seemed to them a prodigy of skilfulness,
so swift in his decisions, so certain and adroit in the work of his
hands. Even the sister, whom Edwin had originally regarded as a mere
woman, aroused their admiration by the ease with which she worked and her
invincible good humour. Edwin found that she could teach him more than
his male superiority would ever have dreamed.
Little by little the astounding confusion of their work began to seem
more simple. Bandages, that had seemed condemned to unsightly ruckles,
or liable to fall unrolled upon the dirty floor, began to fold themselves
in symmetrical designs. Edwin and W.G. vied with one another in the
neatness of their dressings. The smell of the place, that had seemed at
first to fester beneath an unconvincing veil of carbolic and iodoform,
now seemed natural to their nostrils, even pleasant in its familiarity.
Edwin began to have time to look about him, to form individual
attachments to the patients who came there every day, to take a
particular interest in cases that he regarded as his own. Gradually,
from the mass of evil-smelling humanity, personalities began to emerge
and even intimacies that were flattering because they implied a trust in
his own imperfect skill.
He did not know the names of his patients any more than they knew his.
To him they were grouped under conventional generics: Daddy, Granny,
Tommy, Polly, and the like. To them he was always “Doctor”; but the
thing that made them human and lovable to him was the sense of their
dependence on him; and the preference for his attentions that was
sometimes timidly expressed, gave him a flush of gratification deeper
than any he had ever known. It pleased him to think that it was true
when his patients told him that he dressed them more gently than the
other workers in the casualty department. Such confidences almost
convinced him that he had found a vocation.
After lunch Edwin and W.G. would talk over their cases together in the
lounge of the Dousita. Maskew, who still met them every day at this
resort, found their conversation boring, and fell back more and more upon
the charms of Miss Wheeler, who did not seem to have varied by a single
hairpin since the day of their first acquaintance. And from the
discussion of their individual cases, W.G. would sometimes pass on to the
more general questions that their work aroused.
“This life’s worth living,” he would say. “When you first take up
medicine and spend a couple of years over learning the atomic weights of
heavy metals or dissecting the stomach of an earthworm, you begin to
wonder what the devil you’re getting at; by Gad, this hospital work opens
your eyes. You’re doing something practical. What’s more, you’re doing
a job that no professor of classics or stinks could touch, and you see
the actual results of your treatment on your patients.”
“Thank God, I’m not one of them, W.G.,” said Maskew morosely. “As a
matter of fact, it’s no more than when an electrical engineer finds a
short circuit and makes a new connection, or when a carpenter makes a job
of a rickety staircase.”
“That’s all you know about it, my friend,” said W.G. “In our job you’re
dealing with human life; you’re relieving physical pain—and sometimes you
get thanked for it, which is damned pleasant. And you’ve a
responsibility too. If you make a slip the poor devil you’re
experimenting on is going to suffer. You may even kill him. And the
extraordinary thing is that he trusts you . . .”
To Edwin also that was the most extraordinary thing, and, indeed, the
most pathetic. It showed him that the practice of medicine imposed an
actual moral discipline on those who followed it: an obligation of the
most meticulous honour and devotion. But if the discipline of practice
demanded much, it repaid a thousandfold. He had his reward not only in
the thanks of the scabrous old men whose varicose ulcers, or “bad legs,”
as they called them, he dressed, but in the rarer consciousness of actual
achievement which came to him more frequently as the scope of his work
extended.
One case in particular he always remembered, principally because it was
the first of the kind. She was a little Jewish tailoress who laboured at
piecework in some sweater’s den in the rookeries on the southern side of
the hospital. She was not beautiful. Her face had the peculiar ivory
pallor, and her whole body the unhealthy brittleness, of plants that have
sprouted in a cellar. But her voice was soft, and her hands, the
fingertips of which were made callous by the plucking of threads and
rough with innumerable needle pricks, were beautifully shaped. A week or
so before she had stabbed her left forefinger with an infected needle,
and lit a focus of suppuration in the tendon sheath. She had to live,
poor thing! and so, for a week she had worked in a state of agony, while
the tissues grew tense and shiny with compression, and the pain would not
let her sleep. At last, when she could work no longer, she had come to
the casualty department, nursing her poisoned hand in a bandana
handkerchief. She had not slept for four nights, and was very near to
tears.
Edwin, who saw that surgery was needed, showed the case to Mather. The
surgeon stripped the sleeve from her thin, transparent arm and showed him
the red lines by which the poison was tracking up the lymphatics towards
the glands of the axilla that stood like blockhouses in the way of
bacterial invasion.
“Why didn’t you come before?” he said, with a roughness that was not
unkind. How many times was Edwin to hear those very words!
“I couldn’t, doctor. There was my work—”
“There’d be no more work for you, my dear, if you went on much longer,”
said Mather: and then, to Edwin, “Yes . . . you’d better incise it at
once, I’m busy putting up a fracture. Straight down in the middle line.
Don’t be afraid of it.”
“Oh, you’re not going to cut me, doctor?” she said. “Not till to-morrow.
. . . Oh, please . . . when I’ve had a night’s sleep.”
He was very nervous. He assured her that he would give her no pain; but
while he left her to fetch the scalpel and the dressings he heard a queer
drumming noise and turned to see that it was made by the heels of his
patient trembling on the floor. He was nearly as tremulous himself.
“I promise you I won’t hurt you,” he said, and she returned him a painful
smile. It was a look he knew. “Just like the eyes of a dog,” W.G. had
said.
He sprayed the finger with ethyl chloride, that froze into a crust like
hoarfrost on the fingertip and blanched the skin that was already pale
with the pressure inside it. All the time the girl was making little
nervous movements, and sometimes her heels began to drum again until she
tucked them under the bar of her chair.
“I’m sorry, doctor, I can’t help it,” she said.
Then, with his scalpel, he made a clean longitudinal cut through the
tense skin down to the bone of the phalanx. She gave a start and
clutched his hand so that he nearly gave it up. “I’ve got to do it,” he
thought. “I must do it.” It was the first time that he had ever cut
with a knife into living flesh. A strange sensation. . . . But the bead
of matter that escaped showed him that he had got to the root of the
trouble, and the sight of it filled him with a new and curious
exultation.
It was a long business, for the neglected pressure had impaired the
vitality of the bone and the wound would not heal until the dead spicules
had been separated from the living tissue. Edwin dressed the finger
every morning. The patient would have been a poor subject at the best of
times, and he knew that the fact that she was now out of work probably
meant that she was starving. It would have been easy for him to tell her
that she must have plenty of nourishing food; but he knew well enough
that the words would have been no more than a mockery. In the hospital
wards, he reflected, she might have been well fed; but the wards at the
Prince’s were full of more serious cases who could not walk to the
hospital to receive their treatment. On occasions of this kind he wished
that he were a millionaire: an extravagant idea—for doctors are never
millionaires. He could only ram iron into her and dress her and try to
get her well so that she might travel back around the vicious circle to
the conditions that had been responsible for her illness. It seemed to
him that people who were not doctors could never really know anything
about life.
In a little while there were others, many of them, in whose cases he knew
that he had been privileged to effect some positive good: notably an old
woman, always dressed in black and loaded with crepe as though she were
attending her own funeral, who had fractured her wrist by slipping on an
icy pavement one evening when she was fetching her husband’s supper beer,
an office that she appeared far too ladylike ever to have performed. She
had put out her hand to save herself, and a Colles fracture of the ulna
and radius had been the result.
She called Edwin “My dear,” and the first thing that he noticed about her
was the amazing cleanliness of her withered skin. He remembered the
fortitude that she had shown when first he reduced the fracture; how her
bony fingers, on one of which was a wedding ring worn very thin, had
clasped his. For some curious reason he felt very tenderly towards her,
and when the bones were set and he had passed her on to the massage
department, he felt quite lost without her early “Good-morning!” That
was another strange thing about medical practice: the way in which people
with whom he was thrown into an intimate sympathy for a few days passed
completely and irrevocably out of his life.
W.G. and Edwin found their experience so intriguing that they took turns
to visit the casualty department in the afternoons when the work was
light, and the absence of Mather gave them a free hand in the performance
of minor surgery. At this time of the day the work of the department was
more suggestive of its name; for the people who came there were nearly
all the victims of sudden illness or accident that needed diagnosis and
immediate treatment. It pleased Edwin to deal with these off his own
bat, and he spent the long afternoons that were free from lectures in
suturing wounds, removing brass filings or specks of cinders from eyes,
extracting teeth, gaining confidence every day and suffering the mingled
emotions of pain, pity, and violent indignation. Not infrequently the
last . . . for he saw so much suffering that might easily have been
prevented but for the ignorance or callousness of humanity. These things
aroused his anger; but he soon realised that anger was the one emotion
that a doctor is most wise to suppress.
Sometimes a woman from one of the neighbouring slums would enter in a
state of hollow-eyed terror, carrying in her shawl a child that was
obviously dying from broncho-pneumonia.
“Why, in the name of Heaven, didn’t you come up before?” he would ask
indignantly.
“The neighbours said it was only the teething, doctor,” she would reply.
Edwin would try to suppress an inclination to damn the neighbours upside
down. “Surely you could see the child was ill?” he would say.
“Yes, doctor, but how could I get away? There’s seven of them, bless
their hearts, and me going with another, and the house looking like a
pigsty, and the master’s dinner to cook. I haven’t got no time to spare
for hospitals.”
And he knew that she spoke the truth, contenting himself, as he filled in
the form for admission to the children’s ward, with telling her that the
diet of bread-crusts soaked in beer, which she had been giving it, was
not ideal for a baby eight months old.
“Take the baby along to ward fourteen,” he would say, “they’ll do what
they can for it,” and be met, as likely as not, with a volume of tigerish
abuse from a wild-eyed woman who swore that if her baby was going to die
it wasn’t going to do so in any bloody hospital, was it, my pretty?—the
last words sinking to a maternal coo and being accompanied by a paroxysm
of kisses on the baby’s lips that were already blue for want of breath.
And then Edwin would control his indignation and resort to wheedling and
coaxing, feeling that if the baby were left to the mercies of maternal
instinct, he himself would be little better than a murderer.
Indeed, the responsibilities of his calling and its immense obligations
impressed themselves on him more deeply every day. He saw that this
profession of medicine was not to be taken lightly; that his work in it
would be useless, almost impious, if it were not religiously performed.
Even from the earliest ages this had been so. One day, idly reading a
back number of the _Lancet_, he came upon a historical article that
contained a translation of the Hippocratic oath, which had been
administered to all those who were initiated in the mysteries of medicine
two thousand years ago. It seemed to him that it might have been written
on the day that he read it. Thus it ran:—
“I swear by Apollo the Healer, and Æsculapius, and Hygieia, and
Panacea; and I call all Gods and Goddesses to witness, that I will,
according to my power and judgment, make good this oath and covenant
that I sign. I will use all ways of medical treatment that shall be
for the advantage of the sufferers, according to my power and
judgment, and will protect them from injury and injustice. Nor will
I give to any man, though I be asked to give it, any deadly drug, nor
will I consent that it should be given. But purely and holily I will
keep guard over my life and my art.
“And into whatever houses I enter, I will enter into them for the
benefit of the sufferers, departing from all wilful injustice and
destructiveness, and all lustful works, on bodies, male and female,
free and slaves. And whatever in practice I see or hear, or even
outside practice, which it is not right should be told abroad, I will
be silent, counting as unsaid what was said.
“Therefore to me, accomplishing this oath and not confounding it, may
there be enjoyment of life and art, being in good repute among all
men for ever and ever: but to me, transgressing and perjured, the
contrary.”
Fine reading, Edwin thought. . . . The only deity of whom he was not
quite certain was Panacea. Obviously the classical representative of
Mother Siegel. It seemed to him a pity that the modern student was not
bound by the formulæ of the Physician of Cos.
His three months in the casualty department passed away quickly, and in
the spring of the year he found himself attached as dresser to that
startling surgeon, Lloyd Moore. The appointment, as he soon realised,
was a privilege; for Lloyd Moore was the one man of unquestionable genius
in the North Bromwich Medical School. At first the experience was rather
alarming, for the vagaries of his chief, and, not least, his genial
vulgarity, seemed at first as though they were going to destroy the
pretty edifice of ideals that Edwin had constructed on the basis of the
Hippocratic oath and his experience in the casualty department. Lloyd
Moore, to begin with, was no respecter of persons, ancient or modern; his
wit was ruthless and occasionally bitter, as Edwin had reason to know;
his language, particularly in moments of stress, was unvarnished and
foul, even in the presence of women.
On the surface, indeed, he seemed a person whom Hippocrates would have
regarded as undignified and improper. Sometimes in the out-patient
department Edwin would blush for his chief’s violence and cruelty, but,
in the end, all these things were forgotten in the realisation that the
little man was a great surgical genius, to whom diagnosis was a matter of
inspired, unerring instinct, and practice a gift of the gods. Nor were
his virtues merely professional. L.M. (as he was always called) was a
man of the people, one who had fought his way inch by inch into the
honourable position that he held as the greatest of surgeons and the
wealthiest practitioner in the Midlands. The unpaid work of the hospital
absorbed him even to the neglect of private practice, and every doctor in
the district knew that he could count on the very best of the great man’s
skill for a nominal fee in any case of emergency. Far more than any
consultant in the Midlands, he was regarded as the general practitioner’s
friend, and, as a result of this confidence, all the most interesting
surgical material of the district found its way into his clinic.
In a little time Edwin became wholly subject to the spell of this amazing
personality, until it seemed strange to him that he could ever have
doubted the propriety of anything that L.M. said or did. He wondered
more and more at the man’s titanic energy, for Lloyd Moore was a little
fellow, so pale that he always looked as if he were fainting with
exhaustion. His patients also adored him, and more than once Edwin was
told in the wards by elderly female admirers that Mr. Lloyd Moore was the
very image of Jesus Christ.
In the days of the casualty department Edwin’s main concern had been with
the alleviation of immediate pain. The problem of the wards was graver,
being no less than the balance of life and death. In the achievements of
L.M.’s scalpel, he saw the highest attainment of which surgery was
capable. In a hundred cases offhand he could say to himself that but for
Lloyd Moore’s skill the patient would have died, and when he saw the
fragile figure of the surgeon with his pale face and burning eyes enter
the theatre, Edwin would think of him as a man worn thin by wrestling
with death . . . death in its most cruel and invincible moods.
But in the theatre, at the time of one of L.M.’s emergency operations,
there was no time for dreaming or for romantic speculation. An
atmosphere of materialism, of pure, sublimated action, filled the room as
surely as the sweet fumes of chloroform and ether. Everything about the
place was clean and bright and hard, from the frosted-glass of the roof
and the porcelain walls to the shining instruments that lay newly
sterilised in trays on the glass-topped tables. Even the theatre sister
in her white overall gave an impression of clean, bright hardness.
Indeed, in this white temple of sterility, everything was clean except
those parts of the patient’s body that the nurses in the wards had not
scrubbed with nail-brushes and shaved and painted with iodine, and the
language of L.M., whose physical lustrations had no effect whatever on
his vocabulary.
Even L.M.’s language was at times a relief, for it seemed to be the only
human thing that ever gained admission to the theatre, and the sister was
so inhuman as never to take the least notice of it. Not a smile, nor
even the least compression of the lips marked her appreciation or
disapproval of the surgeon’s sallies. Physically she was an extremely
attractive woman, with very beautiful eyes that were not without their
effect upon Edwin; but the influence of the place robbed her of any
sexual attributes; so that she became no more than a monosyllabic
automaton, intent, devoted, faultlessly prepared for any of the desperate
emergencies of surgery. From the first Edwin had noticed that the more
embarrassing physical details of the patients had no disturbing effect
upon her modesty. He soon saw that if she had permitted herself for one
moment to be a woman she could not have remained the wholly admirable
theatre-sister that she was. “But I can’t imagine,” he thought, “how any
man could marry a nurse—”
From such reflections he would be roused by the anæsthetist’s laconic
“Ready.” On one side of the operating table he would stand, and on the
other L.M. with the theatre-sister ready at his elbow. The surgeon would
pick up a scalpel carelessly, as a man picks up a pencil to write, and
then, apparently with as little thought, he would make a long, clean
incision through the skin and superficial fatty tissues of the abdomen,
putting his head on one side to look at it like an artist whose pencil
has described a beautiful curve. Then, sharply: “Swabs . . . Ingleby,
what the hell do you think you’re doing?” And Edwin would press a swab
of gauze to the incision to absorb the blood that escaped from the
subcutaneous veins.
“Right.”
Layer by layer the various planes of fascia, muscle, and peritoneum would
be opened and neatly laid aside, every one of them slipped in its own
pair of artery forceps. Then, from the gaping wound, that L.M. probed
with his thin finger, a sickening odour would rise . . . one that Edwin
never remembered apart from the other sickening smell of ether.
“Pus. . . I thought so,” L.M. would say. “The brute’s perforated, damn
him.” And Edwin knew that yet another creature had been snatched out of
the jaws of death.
In the hands of L.M. surgery seemed so simple. His scalpel—for he used
fewer instruments than any surgeon Edwin ever knew—was a part of him in
the same way as a perfect rider is part of his horse. There was never
any hesitation in his surgery, never any room for doubt; everything was
straightforward and self-evident from the first incision to the last
suture; and he was at his best when he threw into it a touch of bravura,
rejoicing in the amazing virtuosity of his own technique and playing, a
little, to the gallery.
“There you are,” he would say, “you see there’s nothing in it. Nothing
at all but a working knowledge of anatomy and a dollop of common-sense.
That’s all surgery. Why on earth should they pay me a hundred guineas
for doing a simple thing like that? There’s nothing in it, is there?”
Edwin knew that there was a great deal in it: genius, and more than
genius: a life of devotion to one end only; infinite physical strains;
cruel disappointments; harrowing mistakes. For even L.M. had made
mistakes in his time; and a doctor pays for his mistakes more heavily
than any other man.
Apart from the performance of emergency operations, that might take place
at any hour of the day or night, the surgeon only occupied his theatre on
three mornings in the week; and the greater part of Edwin’s time was
devoted to the work of the wards. Here he performed his proper function
as dresser, being, under the house-surgeon, responsible for the
after-treatment of the patients on whom L.M. had operated This business
kept his hands full. Nearly all the acute surgical cases needed dressing
daily, and some more than once a day. It was usual for the dresser to
leave the second dressing to be done by the house-surgeon on his evening
round, or by the sister of the ward, who would doubtless have performed
it, as well as either of them; but nothing could induce Edwin, in his
newest enthusiasm, to drop a case into which his teeth were fixed.
The morning visits were ceremonial. The great floors of the wards shone
like the faces of such patients as were fit to be scrubbed, with a soapy
flannel; the rows of beds were set with a mathematical correctness, the
sheets turned down at exactly the same level; the water in the jugs stood
hot, awaiting the dresser’s hands, his towel lay folded in the jug’s
mouth; a probationer, pink-faced and red-armed, stood waiting to do his
professional pleasure; morning sunlight flickered over the leaves of
aspidistras that flourished in pots on the central tables, and on the
trays of dressing instruments that were ready for his hand.
At ten o’clock precisely, Edwin, an older and more experienced Edwin
whose shaves were no longer a luxury, whose clothes no longer looked as
if he were in the act of growing out of them, and whose collars were
adorned by the very latest thing in ties, would enter the ward, roll up
his shirtsleeves, and be helped on with a white overall by the obedient
probationer—whose main function in life this office seemed to be—or
sometimes by the sister herself. The new Edwin, product of six months in
hospital, was no longer afraid of these attentions because they happened
to be performed by women. In a mild way he was even an amateur of the
physical points exhibited by the _genus_ probationer, and had arrived at
a touching intimacy with the sisters, who found in him a clean and
pleasant mannered youth, and on occasion hauled him out of the
difficulties into which his inexperience landed him. Thus attired, he
would begin his progress of the ward, followed, wherever he went, by the
females who had robed him, the junior pushing before her the wheeled
glass table on which the dressings and instruments were kept. For the
time being he was, or imagined himself to be, the most important person
in the ward, until, perhaps, the house-surgeon entered, and his
attendants forsook their allegiance and hastened to put themselves at the
service of this superior person.
In the duties of the wards Edwin became far more familiar with his cases
than in the casualty department. The work was less hurried, and the
patients themselves were less fully armed with the conventional social
gestures by which men and women protect and hide themselves. They lay in
bed helpless, dependent on the hospital staff for every necessity and
amusement; and the stress of physical pain, or the catastrophe of a major
operation had generally shaken from them the little superficialities that
they had gathered to themselves in the course of everyday life. Edwin
noticed that, even at their worst, the women were hardly ever too ill to
be a little concerned for their personal appearance, and, as they grew
better, the patients of both sexes would make an heroic attempt to appear
as they wished themselves to seem rather than as they were; but he
realised, none the less, that the doctor gets nearer to the bed-rock of
human personality than any other man who ministers to humanity. With
him, the person into whose hands their suffering bodies were committed in
an almost pitiful confidence, they were concerned to hide themselves far
less than with any other; and in this triumphant discovery Edwin
flattered himself that he was becoming richly learned in human nature.
He did not realise how little he had learned.
One thing, however, that these days taught him, he never lost in after
life: an intense appreciation of the inherent patience and nobility of
human beings, the precious ore that the fire of suffering revealed. Even
the worst of his patients—in North Bromwich as elsewhere disease is an
impartial enemy, falling on the virtuous and abandoned alike—revealed
such amazing possibilities of good. In these hospital wards the
fundamental gregarious instinct of mankind, with the unselfishness and
sympathy that go along with it, asserted itself. The common life of the
ward was happy, extraordinarily happy. Removed from the ordinary
responsibilities of wage-earning and competition, fed and housed and
tended without question, the patients lived together as happily as a
community of African savages, supported by the female labour of the
nursing staff, obedient to the unquestioned authority of the sister in
charge.
And in Edwin’s eyes these, too, were wonderful people. At first he had
taken them more or less for granted; but gradually he realised the
tremendous sacrifices that their life implied: the long hours: the
unceasing strain of keeping their temper: the clean, efficient
materialism for which they must have sacrificed so much of the obvious
beauty of life, committing themselves—for most of them were
middle-aged—to an abnegation of the privileges of marriage and motherhood
in a cloistral seclusion as complete as that imposed on the useless
devotee of some mystical religion. He took it for granted that the life
of a nun was useless to any one except herself. . . . Well, this was a
religion worth some sacrifice: the religion of humanity. They themselves
would only have called it a profession. At first it had seemed to him
that their interests were narrow and their lives, of necessity, mean. He
had been astonished at the small things that gave them pleasure: a bunch
of primroses from a grateful patient; a ride on the top of a bus; a word
of commendation from one of the consulting staff; a house-surgeon’s or
even a student’s compliment; and, above all, the passionate attachments
and enmities that made up the life of the nunnery in which they lived:
but in the end he began to sympathise with them in the humility of their
pleasures, to feel that anything might be forgiven to creatures who had
made so great a sacrifice. In a mild way he idealised them; and for this
reason they decided that he was “quite a nice boy.”
III
In the winter of his third year Edwin’s newly formulated enthusiasm for
humanity in the bulk suffered something of a check. The hospital
absorbed him so completely that in those days he saw very little of the
city, going to and from his lectures and his work in the Pathological
Laboratory at the University without taking any real share in the life of
North Bromwich, or being aware of the passions and interests that swayed
the city’s heart. Coming down from the hospital, one evening in
December, he suddenly became conscious of a constriction in the traffic
which grew more acute as it reached the narrows that debouch upon the
open space in front of the town hall; and while he was wondering what
could be the cause of this, a huge rumour of voices, not unlike that
which proceeds from a Midland football crowd when it disapproves of a
referee, but deeper and more malignant, reached his ears.
He wondered what was the matter, and since it looked as if the traffic
were now completely blocked on the main road, he cut down the quiet
street that faces the university buildings and overlooks the paved court
in which the statue of Sir Joseph Astill inappropriately dispenses water
to a big stone basin. Almost immediately he found himself upon the
fringes of an immense crowd over which the waves of threatening sound
that he had heard at a distance were moving like catspaws on a sullen
sea. The windows of the town-hall itself blazed with light, making the
outlines of the Corinthian pillars that surrounded it almost beautiful.
He edged his way into the black crowd. It was composed for the most part
of workers in iron and brass, and exhaled an odour of stale oil. In a
moment of relative silence he asked the man who stood in front of him, a
little mechanic who had not troubled to change the oily dungarees in
which he worked, what was the matter.
“It’s Lloyd George . . . the b—,” he said, and spat fiercely. Edwin was
not sure where he had heard the name before. He seemed to remember it as
that of a Welsh member of Parliament who had come into notoriety during
the debates on the South African War. He inquired what Lloyd George was
doing.
“Come to speak agen’ Joe,” said the mechanic savagely; and, as a wave of
sound that had started somewhere in the middle of the crowd came sweeping
towards them, he suddenly began to squeal hoarsely like a carnivorous
beast in a cage: a ridiculous noise, that seemed, nevertheless, to
express the feelings of the multitude. From scraps of conversation that
he heard beneath the crowd’s rumour, Edwin began to understand that this
beggarly Welshman, who had spent the last few years in vilifying the
workmen of North Bromwich generally, and their political idol in
particular, had actually dared to bring his dirty accusations to the
political heart of the city: the town-hall in which their favourite had
delivered his most important speeches; that, at this very moment, the
meeting which popular feeling had proscribed, was beginning behind the
Corinthian pillars, and that the just indignation of North Bromwich had
determined that he should not escape with his life.
It struck Edwin that whatever else the Welshman might be, he was
certainly not lacking in courage; but, for all that, he found it
difficult to prevent his own feelings in the matter from being swamped
and absorbed and swept away by the crowd’s vast, angry consciousness.
Almost in spite of himself, his heart palpitated with vehement malice
against the intruder. He felt that he would have experienced a brutal
satisfaction in seeing him torn limb from limb.
A yell of extraordinary savagery, in which he found it difficult not to
join, rose from the square.
The meeting, it seemed, had begun. Edwin saw members of the crowd
scattering in all directions. A cry of “stones!” was raised, and he saw
that men, women, and children were streaming towards an area of slum that
was being dismantled to make room for some monument of municipal
grandeur, returning with caps and hands and aprons full of stones and
broken brick. Soon the air was full of flying missiles, and though the
crash of glass could not be heard, ragged holes were torn in the frosted
glass of the town-hall windows.
A body of police, tremendous strapping fellows, marched by, followed by
impotent jeers and hooting, and planted themselves in front of all the
doors with truncheons drawn. Their presence seemed to enrage the crowd,
inflaming that suppressed hate of the forces of order that slumbers in
most men’s hearts. The volleys of stones increased as the supplies of
ammunition grew more plentiful. A little dark man with a red tie
monotonously shouting the words: “Free speech!” was caught up, and, as it
seemed to Edwin, trampled to death. Somewhere in the middle of the
struggling masses people began to sing the revivalist hymn: “Shall we
gather at the river?” It reached Edwin in an immense and gathering
volume, with words adapted for the occasion:—
“Shall we gather at the fountain,
The beautiful, the beautiful, the fountain?
We’ll drown Lloyd George in the fountain.
And he won’t come here any more.”
The very volume of sound was impressive and inspiring.
Suddenly the crowd was parted by the arrival of a new body. It was a
phalanx of university students who had dragged an immense beam of oak
from the debris of the dismantled slum and were hurling it forward as a
battering ram against one of the principal doors. Edwin could see
amongst them the towering shoulders of W.G., and the mouth of the elder
Wade, the hero of the hansom cab, wide open and yelling. It seemed as
though the savagery of the crowd had reached its height: they tore a way
through it, trampling the fallen as they went. And then the police, who
had been held in reserve, charged at right angles to them, hitting out
right and left with their loaded batons. The less courageous part of the
crowd tried to scatter. The wave of a stampede spread outwards till it
reached the edge on which Edwin was standing. He was thrown violently
from his feet into the chest of a stranger, who shouted, “Hallo,
Ingleby—” It was Matthew Boyce. “I think we’d better get out of this,”
he said.
The words seemed to pull Edwin back into sanity. Together they forced
their way into a street that was empty but for a stream of people
hurrying to the square with stones. They stood panting in the quiet.
“God . . . what animals men are!” said Boyce. “I suppose it was
something like this a hundred years ago, when they burned Priestley’s
house.”
“Yes, it’s pretty rotten,” said Edwin, “but didn’t you feel you wanted to
join in it?”
“Yes, that’s the amazing part of it,” said Boyce. “What’s happening to
you in these days? We seem to have lost sight of one another.”
They walked down to the station together. “It’s an extraordinary thing,
isn’t it?” said Edwin, “that ordinary peaceable men should go mad like
that?”
“They aren’t men,” said Boyce. “They’re a crowd.”
CHAPTER VII
THE CLERK
I
WITH this chance encounter, the friendship of Edwin and Matthew Boyce
really began; and during the fourth year, that now opened before him, the
figure of W.G., who had dominated his stage by sheer physical magnitude,
gradually receded. It was inevitable; for the atmosphere of the Boyces’
house at Alvaston, with its air of culture and refinement, was far more
in keeping with Edwin’s inclinations than the obtuse, if honest,
companionship of W.G. Edwin felt some misgivings for his desertion; but
Maskew, who had now brilliantly taken his Primary Fellowship, began his
hospital career and rejoined his old partner. So, seeing that the needs
of W.G. were provided for and his responsibilities of friendship at an
end, Edwin drifted into a happy intimacy with the poet’s son.
They were both so young as to be convinced that they were very old. The
world was theirs; for they were full of health and contentment and, at
present, so free from complication that they could enjoy to the full the
treasures of the past and shape the future into splendid dreams. In the
beginning they had found a field of common interest in great works of
literature; but these enthusiasms did not carry them very far, for the
appreciation of literary masterpieces is at its best a solitary pleasure
that is not increased by the joy of sharing. It was in the enjoyment of
music that their friendship found the most intense of its pleasures.
Edwin’s musical development had been slow. The first seeds had been
planted in his babyhood when, without understanding, he had listened to
his mother’s playing. The chapel services at St. Luke’s, made
interesting by the exotic harmonies of Dr. Downton, had nursed his
interest in the beauty of organised sound. The closed piano in his
mother’s drawing-room had been the symbol of an instinct temporarily
thwarted, and from this he had escaped by way of Aunt Laura’s late
Victorian ballads which had seemed to him very beautiful in their kind.
Luckily his mother’s library of music had been good if old-fashioned, and
when he amused himself, more or less indiscriminately, by trying to learn
the piano at home, he had been forced to do so by way of the sonatas of
Beethoven, Schubert, and Mozart, and the Wohltemperiertes Klavier of
Bach.
The emotional disturbance of his strange adventure with Dorothy Powys had
thrown him into an orgy of verse-making which produced such poor results
that he was forced to turn to the love-poetry of the Elizabethans and of
Shelley, which he embroidered with musical settings that gave him more
satisfaction. These attempts at song-writing pleased him for a time; but
it was not until he became friendly with Boyce that he began to realise
what music was. Not only were the Boyces the possessors of a grand-piano
on which his homely tinklings became magnificently amplified, but his
friend’s father, the poet, was intimately acquainted with the best of
modern music.
Boyce introduced Edwin to the great German song-writers from Schubert and
Schumann to Hugo Wolf, and laid the foundations of a feverish devotion to
Wagner, whom the friends approached perforce by way of Tannhäuser and
Lohengrin, the two operas that the Moody Manners company ventured to
present to provincial audiences. Edwin discovered that North Bromwich, a
city that takes its music as a boa-constrictor takes food, in the
triennial debauch of a festival and then goes to sleep again,
supported—or rather failed to support—a society for the performance of
orchestral music. The concerts were held fortnightly in the town-hall,
the windows of which had now been repaired, and to these concerts Edwin
and his friend went together, always sitting in the same two seats under
the gallery at the back of the hall. In this way they heard a great deal
of good music: the nine symphonies of Beethoven, with the Leeds Choir in
the last: the usual orchestral extracts from the Ring, the Meistersingers
Overture, and the Siegfried Idyll: the fourth, fifth, and sixth
symphonies of Tschaikovski: the tone-poems of Strauss, and a small
sprinkling of modern French music. These were ambrosial nights to which
they both looked forward, and Martin, who had developed an unexpected
inclination for music, sometimes went with them.
The concerts became the central incident in a kind of ritual. At seven
o’clock the two, or sometimes three, would meet in the grill room behind
the bar at Joey’s and consume a gross but splendid repast of tripe and
onions together with a pint or more of bitter Burton. All the best
music, they had decided, was German, and beer was the only drink on which
it could be fully appreciated, de Quincey’s preference for laudanum
notwithstanding. Pleasantly elated, they would cross the road to the
town-hall and take their familiar seats, pleased to recognise the people
who, like themselves, were regular attendants or subscribers to this
unfashionable function; and Boyce, who, by virtue of his distinguished
parentage, knew every one in North Bromwich who was interested in music,
would point out to them all the distinguished people who were present:
Oldham, the critic of the _Mail_, whom Arthur Boyce declared to be the
soundest living writer on musical subjects, and Marsden, who did the
musical criticism for the _Courier_. Matthew knew them both. Oldham, he
said, was a wonderful fellow, who wrote with a pen of vitriol that made
such short work of baser metals that the gold of beauty appeared brighter
for his writing. Oldham became Edwin’s prophet; but, on the whole, he
preferred the looks of Marsden.
“What is Marsden like?” he asked.
“Marsden? Oh, well, as a matter of fact, Marsden’s a bit of a gas bag.
The governor says that he always reminds him of an old hen. Didn’t you
notice him in Joey’s talking nineteen to the dozen to that queer fellow
with a face like a full moon who sits in front of us?”
The fellow with the face like a full-moon was only one of twenty or
thirty people with whom the friends experienced a sort of comradeship on
these nights. Perhaps the most wonderful time was the end of the concert
when they would walk out together into the spring night, parting at the
corner of the town-hall; and the memory of great musical moments would
accompany Edwin home through miles of darkling country, and even fill his
little room at Halesby with their remembered glory or wander through his
dreams.
His life at home was the least satisfactory part of these enchanted
years. There were moments, indeed, when it seemed as if the ideal
relationship with his father, that had been his early ambition, were
being realised. Sometimes, on a Sunday morning, they would walk round
the garden together in the sun, and Edwin would experience a return of
the passionate good-will and anxiety to please that had overwhelmed him
in the moment of their bereavement; but their two natures were radically
so different that such moments were rare, and, when they came, were
really more of an embarrassment than a pleasure.
He felt that, on his side at any rate, the relationship was artificial;
that, however unnatural it might seem, he really had to whip himself up
to a proper appreciation of his father’s virtues. A sense of veiled but
radical antagonism underlay all their dealings with each other; and at
times this hidden thing, that Edwin held in such dread, came so
perilously near to the surface as to threaten an open rupture.
The question of Edwin’s allowance created one of these dangerous
situations. Edwin knew that it was impossible for him to live the
ordinary life of a medical student in North Bromwich without one; but the
distaste for speaking of money matters, which arose from his delicate
appreciation of his father’s finances, had made it difficult to approach
the subject. At last he had screwed up his courage to the point of
making a very modest demand, and his father, instead of realising the
difficulty he had found in doing so, had hedged in a way that made Edwin
feel himself a hard and mercenary parasite.
“All right, father, we won’t say anything more about it,” he said,
comforting himself with the assurance that in a couple of years he would
be qualified and in a position to earn his own living and pay his way.
On the strength of this, and with his eyes wide open, he ran up a number
of small tailors’ bills in North Bromwich; and all would have been well
if Mr. Ingleby, in a fit of absent-mindedness, had not opened these
incriminating documents and leapt to the conclusion that his son was
going rapidly to the dogs. An unfortunate scene followed.
“I suppose you realise, Edwin,” he said, “that you are a minor, and that
while you are under age I am responsible for these bills?”
“I’ve not the least intention of letting you pay them,” said Edwin.
“I’m afraid I have no alternative. I want you to tell me truthfully if
there are any others.”
“Of course there are others. Please don’t bother about them. In a
little while I shall be able to pay them.”
“This is a great blow to me,” said Mr. Ingleby solemnly, overwhelming
Edwin with a picture of virtuous poverty staggering from a cowardly blow
in the dark; and the obvious distrust with which his father regarded him
made his position at home almost intolerable. It seemed to him that his
father now looked upon all his pleasures with suspicion; and, as a
natural result, he lived more than ever to himself, only returning to
Halesby late at night or at times when he knew that his father would be
busy in the shop. One circumstance came to bridge the gap between them,
a course of pharmacology that Edwin took early in his fourth year. He
was delighted to find a subject in which his father was more learned than
himself, and spent a number of hours that were almost happy in the shop
answering the questions that Mr. Ingleby put to him on pharmacopoeial
doses and searching the little nests of drawers for rare drugs to
identify in their raw state. But the pharmacology course was short, and
the subject that was so important in his father’s life was small and
unimportant in Edwin’s. In addition to which he could not help feeling a
sort of ethical prejudice against the complacency with which his father
discharged patent medicines that he knew to be worthless if not harmful.
Every circumstance tended to isolate him from the influences of Halesby.
His sudden attempt to be friendly with Edward Willis had withered under
the humiliating _dénouement_ of his adventure with Dorothy Powys; the new
fields of music that he explored with Matthew Boyce had made him
discontented with Aunt Laura’s ballads; the general air of elegance and
refinement with which he had become acquainted in one or two Alvaston
houses to which the Boyces had introduced him, made everything in
Halesby, even his own home, seem a little shabby and unsatisfactory.
North Bromwich, and his work there, claimed him more and more.
II
Even when his first enthusiasms and the inspiring generalisations that
arose from them were exhausted, he found that he could not escape from
the fascination of the studies which he now pursued, for the most part,
in the company of Matthew Boyce. His third year had not only introduced
him to the romance of surgery and the human interests of hospital life.
He had spent long hours in the pathological laboratory and had made
acquaintance with bacteriology, a science that was still in its infancy.
In this work he had shared a desk with Boyce, to whom it was particularly
attractive, and between them they had developed a bacteriological
technique rather above the average, taking an imaginative delight in the
isolation of the microscopic deadly forms of vegetable life that are
responsible for nearly all the physical sufferings of mankind. When they
looked together at the banded bacilli of tubercule, stained red with
carbolfuchsin, they saw more than a specimen under a coverglass: they saw
the chosen and bitter enemies of genius, the malignant, insensate spores
of lowest life that had banished Keats to fade in Rome, Shelley to drown
by Via Reggio, Stevenson to perish in Samoa: the blind instruments of
destruction that were even then draining the last strength from the
opium-sodden frame of the author of _The Hound of Heaven_. Here, in a
single test-tube, they could see enclosed enough of the organisms of
cholera to sweep all Asia with a wave of pestilence; here, stained with
Indian ink, the dreamy trypanosome that had wrapped the swarming shores
of the Nyanzas of dark Africa in the sleep of death.
Both of them were seized with a passionate fever for research, to rid
humanity of this insidious and appalling blight. Now, more than ever,
they felt the supreme responsibilities of their calling; and when, in
their fourth year, they passed on to their work in the medical wards, as
clerks to the senior physician at the Infirmary, and saw the effects of
bacterial havoc on the bodies of men and women, their enthusiasm rose to
a still higher pitch.
The canons of the new university decreed that students who had learnt
their surgery at one hospital should study medicine at the other. It was
something of a disappointment to Edwin to exchange the homely atmosphere
of Prince’s, where everything was familiar, for the colder and more
formal wards of the Infirmary. This hospital, which was nearly twice the
size of the other, was situated in the lower and less healthy part of the
city. At Prince’s there had been a way of escape westwards through the
pleasant suburban greens of Alvaston to the country and the hills. The
Infirmary, in its terra-cotta arrogance, had been set down in the heart
of unreclaimed slums, in such a way that its very magnificence and
efficiency were depressing by contrast. Edwin disliked the palatial
splendour of its shining wards which, for all their roominess, were full
of an air that suffocated; for the windows were never opened, and the
atmosphere that the patients breathed had been sucked into the place by
an immense system of forced ventilation, filtered until it seemed to have
lost all its nature, heated, and then propelled through innumerable
shafts into every corner of the building. In the basement of the
hospital the machine that was responsible for this circulation of heated
air made a melancholy groaning; and this sound made the whole structure
seem more like an artificial assembly of matter than a real hospital with
a personality and a soul.
It is possible that the teaching methods of the Infirmary were superior
to those of Prince’s; and the supporters of the institution prided
themselves on the fact that the nursing staff was drawn from a higher
social stratum; but for a long time Edwin felt considerably less at home
there than he had been at the older hospital. The ward work, however,
was even more fascinating, for the reason, no doubt, that his wonder was
now tempered with a higher degree of erudition.
He found his new chief an inspiring figure. In the first place, the fact
that he was a gentleman and a man of culture made him an effective
contrast to that dynamic but plebeian genius, L.M. He was a graduate of
one of the older universities, and though this counted for little in the
mind of Edwin, who now affected to despise the city of his broken dream,
it did lend an air of distinction to Sir Arthur Weldon’s discourses. He
had a quiet voice, an admirable manner with women patients or nurses, and
beautiful hands, on one of which he wore a signet ring embellished with
his crest and a motto which his presence merited: “In toto teres atque
rotundus.” The rotundity, it may be added, was so mild as to do no more
than accentuate the elegance of a gold and platinum watch-chain that he
wore. He was a great stickler for the traditions and dignity of his
profession, and no word that was not infallibly correct disturbed the
urbanity of his slow and polished periods. For this reason his tutorials
in the wards were models of academic dignity, and much frequented by
students who knew that he was far too anxious for the form of his
discourse to break its continuity by asking awkward questions. He
treated his clerks, and indeed every member of his classes, as if they
were gentlemen nurtured in the same fine atmosphere as himself. He
inspired confidence, and demanded nothing in return but correctness of
behaviour and speech.
All these things made it easy to work for him; and the fact that over and
above these social qualities he was a particularly sound physician, with
a reputation that was already more than provincial, made Edwin sensible
of the privilege of acting as his clerk.
His speciality was disease affecting the heart or lungs, and though his
wards at the infirmary were open to all sorts of general medical cases,
these two types of tragedy came most frequently under his care and
Edwin’s observation. Sir Arthur exacted from his clerks the preparation
of accurate and voluminous notes on all his cases, and Edwin spent many
hours in the wards extracting from his patients the details of family and
medical history and moulding them into a balanced and intelligible
report. The emotions that the study of the tubercle bacillus had aroused
in him in the laboratory were reinforced a hundred times in the wards
devoted to phthisical patients, too far advanced in dissolution for
sanatorium treatment, that were his chief’s especial care.
They were most of them creatures of intelligence and sensitiveness above
the average of the hospital patient; their eyes shone between their long
lashes with a light that may have been taken for that of inspiration in
those of dead poets; even in the later stages of the disease, when their
strength would hardly allow them to drag up their emaciated limbs in
their beds, and their bodies were wrung nightly with devastating sweats
or attacks of hæmorrhage that left them transparent and exhausted—even
then they were so ready to be cheerful and to let their imagination
blossom in vain hope, that Edwin found them the most pitiful of all his
patients. The _spes phthisica_ seemed to him the most pathetic as well
as the most merciful of illusions.
In this ward he became acquainted with one patient in particular, a boy,
the son of labouring parents whom heredity and circumstance alike had
marked down from the day of his birth to be a victim of the disease. His
mother and two sisters had died of it, and all his short life had been
spent in a labourer’s cottage made deadly by the family’s infection, at
the sunless bottom of a wet Welsh valley.
As a child he had been too delicate to enjoy the fresh air that he would
have breathed on the way to the village school. He had lived, as far as
Edwin could make out, in the single room in which his mother had lain
dying, and had learned to read and write at her side. Then she had died;
and as soon as he was old enough he had been sent out to work on the farm
where his father was employed, an occupation that might well have saved
him if the work and the exposure had not been too severe, or if he had
not returned at night to the infected hovel. As it was, in the rainy
autumn weather of the hills, he had caught a chill and sickened with
pleurisy, and thus the inevitable had happened.
He was only fifteen. Education had never come his way, and he had never
read any books but the Confessions of Maria Monk and the family Bible;
but whenever Edwin came to go over his chest and make the necessary
report of progress—fallacious word—upon his case sheets, he noticed that
the boy would hide a sheet of paper on which he had been writing. His
confidence was easily won, and without the least shame he showed Edwin
what he had been doing. He had spent his time in writing verses
composed, for the most part, in the jingling measures of Moody and
Sankey’s hymns. They were sprinkled with strange dialect words that
filled them with splashes of sombre colour; most of them were frankly
ungrammatical; but there were things in some of them that seemed to Edwin
to bear the same relation to poetry as the mountain tricklings of that
far hill country bore to the full stream of Severn. Their banalities,
faintly imitated from the banalities of the hymn book, were occasionally
relieved by phrases of pure beauty that caught the breath with surprise.
“Why do you do this?” Edwin asked, and when he had recovered from the
shyness and diffidence into which the question had cast him, the boy told
him that he wrote his verses because he couldn’t help it, because the
words became an obsession to him and would not let him sleep until they
were written down. The thin flame of creative aspiration showed itself
in other ways, in the patient’s vivid delight in colours and sounds, and
in the strange pictures, having no relation to nature, that he drew with
coloured chalks.
It seemed to Edwin that in this case the exhaustion of chronic disease
had revealed the existence, as it sometimes will, of a faint fire of
natural genius. “There, but for the spite of heaven,” he thought, “goes
John Keats,” and, with the feelings of an experimenter in explosives who
mixes strange reagents, he lent his patient a copy of the poet’s works.
The boy fell on them eagerly. He confessed that he did not understand
them; but he would read them all day, mispronouncing the words as the
classical student perhaps mispronounces those of the Greek poets, but
extracting from their sonorous beauty a curious and vivid sensual
satisfaction. A single line would sometimes throw him into a kind of
trance, and he would lean back in his bed with the book open on his chest
and his slender clubbed fingers clasped above it, repeating to himself
his own version of the words without any conception of their real
meaning. Sometimes a line would fill him with memories:—
“Deep in the shady sadness of a vale
Far sunken from the healthy breath of morn,
Far from the fiery moon, and eve’s one star . . .”
“That is like our home,” he would say.
The house-physician did not approve of these experiments. On principle
he would have disapproved of poetry, and in this case he considered the
reading of it unhealthy. As if there were any element of health in this
misfortune! . . . A few weeks later the patient had an attack of
hæmoptysis and died.
It was only in such cases of chronic illness that the question of the
patient’s intellectual state arose. Such speculations might mitigate the
fatigue of slow siege warfare that had only one end in view, but the
acute medical wards, and particularly those devoted to acute pneumonia,
were the scene of shorter and more desperate conflicts, grapplings with
death, in which the issue was doubtful and medicine could at least give
support, and sometimes turn the tide.
These were indeed terrible battles, in which devoted nursing counted for
much. To Edwin it was a sight more awe-inspiring than the quiet of
death, to watch a strong man stretched upon his back, breathing terribly
through the night-long struggles of pneumonia. In it he could see the
most tremendous expression of a man’s will to live, in the clenched
hands, in the neck, knotted and swollen with intolerable strain, in the
working of the muscles of the face and nose in their supreme thirst for
air. The sound of this breathing would fill the room that was otherwise
so silent that one could hear the soft hiss of the oxygen escaping from
its cylinder. The train of students that followed Sir Arthur round the
wards would stand waiting in the doorway, knowing that nothing was to be
seen, and the physician himself would step quietly to the square of red
screens and exchange a whisper with the sister who stood at the patient’s
bedside, her lips compressed as though their muscles were contracting in
sympathy with the other tortured muscles that she watched.
“Weill, how is he?” the physician would ask.
“I think he’s holding his own. No sleep.”
“That’ a pity. Well, persevere with the brandy and the warm oxygen.”
“Yes, sir.” Her tense lips scarcely moved.
And then Edwin’s chief, so quietly that the patient did not know what he
was doing, being indeed no more than a mass of labouring muscles bent on
life, would feel the temporal pulse in front of the ear with his firm
white finger.
“Not so bad, sister . . . not so bad.”
Then he would sweep away with the tails of his frock-coat swinging.
“Ingleby, did you notice anything about the patient’s hands?”
“His hands, sir?’
“Yes . . . his hands.”
“No, sir. Nothing, I’m afraid. I don’t think he was plucking the
bedclothes . . . carphology, do they call it?”
“You had better look the word up if you are not sure. No . . . it was a
finer movement. He was rolling his thumbs over the tips of his index
fingers, just like a man making pellets of bread at a dinner party.
There are men who do that. Remember it. It’s a bad sign in a case of
lobar pneumonia. Come along, gentlemen. The pneumococcus is a sporting
antagonist. Short and sweet. I’d as soon die of pneumonia as anything
and have a run for my money. That case has put up a good fight.”
That “case” . . . On the face of it the use of the word seemed to
justify the accusation of gross materialism that is so usually made
against the profession of medicine. The patient who lay there fighting
for his life was, in the physician’s eyes, a case, and not, as Edwin, who
had taken notes of his history in the earlier stages of the disease knew
him to be, a bricklayer’s labourer from Wolverbury with a wife and six
children, two of whom had died in infancy. He was a case: a human body,
the soulless body that Edwin had learned in detail through two years of
labour in the dissecting room, consisting of a heart hard-pressed, a
nervous system starved of oxygen and weakened by the virus of pneumonia,
and a pair of clogged lungs. This was the whole truth as far as it
concerned the physician. The calamity was a material calamity to be
fought with material weapons, and the state of his soul, or his relations
with his wife and the rest of the community in which he lived, only
mattered in so far as they affected his body and revealed him to have
been a clean-living and temperate man. For the rest he was a case; and
it were well for the physician to leave the _animula_, _vagula_,
_blandula_ to the poets. This was one of the hard lessons of medicine.
These were sombre things; but it must not be imagined that they reflected
the general tenor of hospital life. The Infirmary, indeed, was so vast
as to be microcosmic, and its loves, its jealousies, and its ambitions
combined to produce a broad effect of human comedy, not without tears,
but leavened by the rich, and often unprintable humour that flourished in
the out-patient department. Hospital politics, hospital scandals,
hospital romances, combined to make life a vivid and exciting experience.
In the toils of the last, spring found W.G. securely bound. Harrop, too,
had launched into a desperate affair with a probationer in the children’s
wards whom the matron promptly transferred to the infectious block and
perpetual quarantine. Edwin and Boyce escaped this epidemic of
tenderness that swept through the fourth year like measles. They were
far too absorbed in their own interests and discoveries to worry their
hearts about anything in a nurse’s cap and apron.
Spring passed in a swift vision of plum-blossom in the Boyce’s Alvaston
garden and two weeks of musical debauchery, one Wagnerian and the other
of Gilbert and Sullivan. Most of the time they were working at high
pressure; but a week before the beginning of the fourth examination,
Boyce proposed that they should cycle down together to the country house
that his father rented in Gloucestershire, and blow away the vapours of
forced ventilation with Cotswold air.
On the eve of an examination it seemed a daring but enthralling plan.
Edwin put the proposal before Mr. Ingleby, and was surprised to find that
he didn’t object. Indeed, it had seemed to Edwin for several months that
his father was curiously distrait and less interested than usual in his
work. This consent freed his conscience, and the two friends set off
together on a Saturday afternoon in the spirit of abandoned holiday that
is the highest privilege of youth. They had decided to take no medical
books with them. As far as they were concerned, the examination might go
hang; for a whole week they would live with no thought for the morrow,
taking long rides over the Cotswolds, lunching at village inns on bread
and cheese, returning at night to feasts of beans and bacon and libations
of Overton cider.
They started from the infirmary at half-past two, and had soon left the
dust and tram-lines of North Bromwich behind. The smooth, wide road that
they followed stretched in magnificent undulations over the heights of
the Midland plateau from which they could see the shapes of Uffdown and
Pen Beacon fading into the west under a pale, black-country sky. In
front of them southward the sky was blue.
“We’re in for ripping weather,” Boyce shouted as he rode ahead.
The weather didn’t really matter: they were in for a great adventure.
From the plateau they glided swiftly to the vale of Redditch, and when
they had left that sordid little town behind they climbed the backbone of
the Ridgway, where the road follows the thin crest of a line of small
hills and overlooks on either side two dreaming plains. In a blue haze
of summer these green dominions lay asleep, so richly scattered with dark
woodlands that no human habitation could be seen. They were as lonely as
the sky. Westward of Severn the Clees and Malverns towered over Wales;
but Boyce appeared to be more interested in certain lower wooded hills
upon the eastern side. He made Edwin the confidant of his latest
romance.
“She and I,” he said, “used to bicycle out from Alvaston in the cool of
the evening . . . about an hour and a half’s easy ride. It was early
last summer. Those woods are full of nightingales. We used to sit on a
gate and listen to them and ride home together in the dark. I can tell
you it was pretty wonderful.”
Of course it was wonderful. Everything must be wonderful in this
enchanted country. Riding along in the afternoon sunlight Edwin
constructed for himself just such another passionate adventure; and the
figure with which he shared these imaginary ecstasies was, for want of a
better, Dorothy Powys. While the dream nightingales were singing their
hardest and he was on the point of renewing that unforgettable kiss, they
came to a cottage half timbered and lost in clematis and honeysuckle
where a steep road fell on either side at right angles to the ridge.
“Right,” shouted Boyce, “we’ll take the road down through the Lenches.”
“What are the Lenches?” said Edwin, riding abreast.
“Villages. Five of them, I think. There’s Rous Lench and King’s Lench
and Abbot’s Lench, and two others. They’re a proper subject for a poem.”
“Right-o . . . let’s collaborate,” said Edwin. “How’s this for a
beginning?”
“As I was riding through the Lenches
I met three strapping country wenches.”
And laughing together, they constructed a series of frankly indecent
couplets, recording the voyager’s adventures with all three. It was a
matter of the most complete collaboration, for the friends supplied
alternate lines, outdoing one another in Rabelaisian extravagance.
Edwin, however, provided the final couplet, which, he declared, gave the
composition literary form:—
“Home to my vicarage I hasted
Feeling the day had not been wasted.”
“A parson of the type of Herrick,” said Boyce.
“Yes . . . but more serious.”
“That kind of affair is awfully serious . . . at the time.”
The gables of Evesham and its one tall tower swam in a golden dust. They
drank cider in the inn courtyard, purchased a couple of Bath chaps at a
grocer’s and crossed the Avon. Through an orchard country they rode in
that hour of evening when bird-song is most wistful. The sun went down
in a blaze of splendour behind Bredon Hill. The perfume of a beanfield
swept across the road.
“Good God, isn’t it good?” said Boyce. “We are nearly there.”
A village of Cotswold stone half hidden in blossoms of crimson rambler
received them. The gardens were full of sweet-williams, pale phloxes,
and tall hollyhocks. “Straight on,” Boyce called.
A sign-post pointed up the hill to Overton. They dismounted, and pushed
their bicycles up a steep lane in the twilight. Bats were flitting
everywhere, and a buff-coloured owl fluttered heavily between the
overarching elms. A faint tinkle of trickling water came to their ears.
“That is the sound of Overton,” said Boyce. “Slow water trickling in the
night.”
They slept together in the low-beamed room, so soundly that the sun was
high before they wakened next morning.
The week that now followed was the very crown of youth. The Boyce’s
summer house stood upon a patch of terraced ground, being the highest of
the three farms round which the hamlet of Overton clustered, and
overlooked the blossomy vale of Evesham bounded by the Cotswold
escarpment, blue and dappled with the shadows of cloud. “_Parva domus_:
_magna quies_,” read the motto that Matthew’s father, the poet, had
placed above the lintel of the door: “small house: great quietness”—and
indeed it seemed to Edwin that there could be no quieter place on earth.
He and Matthew would smoke their morning pipes together on a stone
terrace that bleached in the sun along the edge of a garden that the poet
had planted for perfume rather than for beauty of bloom. Here they would
sit, nursing books that were unread, until the spirit tempted them to set
out towards the blue escarpment, and, after a hard climb, lose themselves
in the trough of some deep billow of Cotswold and fall asleep on a bank
of waving grasses, or follow some runnel of the Leach or Windrush until
it joined the mother stream, where they would strip and float over the
shallows with the sun in their eyes, emerging covered with the tiny water
leeches that gave one of the rivers its name.
On the height of Cotswold they found an inn that was half farm,
possessing a barrel of cider that Edwin was almost ready to acknowledge
as the equal of that which he had drunk in Somerset; and, for further
attraction a huge yellow cat beneath the lazy stare of whose topaz eyes
Matthew sat worshipping. In the evening the air that moved over the
wolds grew cool and dry and more reviving than any juice of yellow
apples, and with their lungs full of it they would spin down the winding
hills into the plain, past many sweet-smelling villages and golden
manor-houses, reaching Overton about sunset, when the evening stocks,
that Mr. Boyce had planted along the approaches to his doorway, recovered
from their lank indolence and drenched the air with a scent that matched
the songs of nightingales.
There Mrs. Pratt, the wife of a neighbouring labourer, would have their
dinner ready: tender young beans and boiled bacon and crisp lettuce from
the garden that Matthew dressed according to the directions of his
epicurean father; and with their meal, and after, they would drink the
dry and bitter cider made at the middle farm from the apples of orchards
that now dreamed beneath them.
Then came music. The drawing-room piano stood by the open window, and a
soft movement of air disturbed the flames of the candles in silver
candlesticks that lighted the music stand. No other light was there; and
in the gloom beyond, Edwin, playing the tender songs of Grieg and
Schumann, and the prelude to Tristan, would see the long legs of Matthew
stretched dreaming on a sofa. The nights were so silent that it seemed a
pity to mar them with music; and for a long time Edwin would sit in
silence at the piano, while strong winged moths fluttered in out of the
darkness and circled round the candle’s flame. Last of all, before they
turned in, they would go for a slow walk over meadows cool in the
moonlight, listening to the silence—“Solemn midnight’s tingling
silentness,” Matthew quoted—or to the gentle creaking of the branches of
elms, now heavy with foliage, that embosomed their small house.
The last day of their holiday was wet; but that made no great difference
to them, for a succession of showers drew from the drenched garden a
perfume more intense. They spent the day in musical exploration, and
when the darkness came they sat together talking far into the night.
They talked of North Bromwich, for the ponderable influence of the morrow
had already invaded their quietude, and of their future work.
“In a year’s time,” said Edwin, “we shall be qualified.”
“What shall you do?”
“Oh, general practice, I suppose. That’s the easiest way to make a
living. It’s what most men do.”
“I don’t like the idea of it,” said Matthew. “It’s sordid,
unsatisfactory work. A hard living in which science stands no chance.
Selling bottles of medicine—quite harmless, of course, but unnecessary—to
people who don’t really need them. You have to do it to make a living.
If you don’t the other people cut you out.”
“I don’t think it’s as bad as that. There must be something
fundamentally good about medical practice. You are actually helping the
people who are genuinely ill.”
“That’s the ideal side of it. But there’s another. I don’t think I
shall risk it. If the governor can’t let me have enough money to wait
for consulting practice, I shall have a shot at one of the services. I
think the Indian Medical Service is the thing. Fairly good pay, a chance
of seeing the world, and a good sporting life.”
“India—?” Edwin had never thought of it. Sitting there in an English
dusk the idea appealed to him. Great rivers: burning plains under the
icy rampart of Himalaya: strange, dark religions. India. . . . Yes, it
sounded good. His imagination went a little farther ahead. A
hill-station according to Kipling, or perhaps a more solitary cantonment
in the plains where the commandant was a major in the Indian army and the
wife of the commandant, a girl whose name had once been Dorothy Powys.
And the major, of course, would succumb to some pernicious tropical
disease through which Edwin would nurse him devotedly; and when he was
dead and buried his beautiful wife would come to Edwin—the only other
Englishman in the station, and say: “I never really loved him. I never
really loved any one but you.” Altogether an extremely romantic
prospect. . . . Yes, the Indian Medical Service would do very well. . . .
The last night was more beautiful in its silence than any other. It had
been a wonderful week. There would never be another like it. The crown
of youth. And, as it came to pass, the end of youth as well.
III
It was late that night when Edwin reached home. After the huge openness
of the Cotswold expanses, the air of Halesby, lying deep in its valley,
seemed to him confined and oppressive, and to add to this impression
there was a sense of thunder in it. After supper his father went to his
writing desk and pulled out a sheaf of bluish, translucent papers which
he spread out on the table, and began to study intently. Edwin,
sprawling, tired and contented, in the corner, watched him lazily.
“Whatever have you got there, father?” he said.
“Plans . . . architect’s plans,” Mr. Ingleby replied nervously.
“Plans? What for? Surely you aren’t thinking of building a new house.”
“Well, not exactly. No . . . I am thinking of adding to this one.”
“But that would be an expensive job. Isn’t it big enough for us?”
“Yes. It’s big enough at present; but it may not be shortly.”
“What do you mean?”
Edwin laughed uneasily, for he could not understand this air of mystery.
Mr. Ingleby rose from his plans and cleared his throat. The little
lamp-lit room immediately became full of an atmosphere of suppressed
intensity, in which the tick of the clock could be heard as if it were
consciously calling attention to the importance of the moment.
“I mean. . . . As a matter of fact, I had intended telling you this
evening; but I found it difficult to do so, because . . . because I could
not be quite sure how you’d take it. It . . . it may come as a shock to
you. I am thinking of enlarging the house because I am proposing to be
married again.”
“Married? Good God!”
A feeling of inexplicable passion choked Edwin so that his voice did not
sound as if it were his own.
“Yes, I knew it would come as a surprise to you. Probably you’ll find it
difficult to understand my feelings. You mustn’t be hasty.’
“Good God!” Edwin’s amazement could find no other words.
“You are the first person I have told, Edwin. I’ve thought a good deal
about it . . . about you particularly, and I’ve quite satisfied myself
that I am not doing you any injustice. In another year I suppose you
will be going out into the world and leaving me. Don’t decide what you
think too hastily.”
He paused, but Edwin could not speak.
“If you’ll listen, I’ll tell you all about it. I think you will approve
of my choice. I’ll tell you—”
“For God’s sake, don’t. Not now—”
“Very well. As you wish.” Mr. Ingleby’s hands that held the architect’s
papers trembled. He smiled, kindly, but with a sort of bewilderment.
“As you wish,” he repeated.
And Edwin, feeling as if he would do something ridiculous and violent in
the stress of the curiously mingled emotions that possessed him, went
quickly to the door and ran upstairs to his room, where he flung himself
on his bed in the dark.
In a little while he found himself, ridiculously, sobbing. He could not
define the passionate mixture of resentment, jealousy, shame, and even
hatred, that overwhelmed him. He could not understand himself. A
psycho-analyst, no doubt would have found a name for his state of mind,
describing it as an “Œdipus complex”; but Edwin had never heard of
psycho-analysis, and only knew that his mind was ruthlessly torn by
passions beyond the control of reason. He made a valiant attempt to
think rationally. Primarily, he admitted, it wasn’t his business to
decide whether his father should marry again or remain a widower. His
father was a free agent with responsibilities towards Edwin that were
rapidly vanishing and would soon be ended. He couldn’t even suggest that
this new marriage would be the ruin of any vital comradeship between
them, for the hopes of this ideal state that he had once cherished, had
not been realised during the last few years. There was no reason why his
father’s marriage should affect him personally, or even financially, for
he had never reckoned on the least paternal support when once he should
be qualified. There was not even the least suggestion that his father
was physically unsuitable for the married state, for there was no reason
why he should not live for many years to come. There were actually valid
arguments, that Edwin could not dispute, in favour of the plan—such as
Mr. Ingleby’s loneliness, soon to be increased, and the discomfort that
he had suffered as an elderly widower at the hands of a series of
inefficient house-keepers. From every point of view the world would be
justified in concluding that he was doing the correct and obvious thing.
Why, then, should Edwin lie on his bed in the dark wetting his pillow
with tears, and sick with shame?
No reason could assuage his suffering. However calmly he tried to
consider the matter, the thought of his mother rose up in his mind; a
vision of her, beautiful and pathetic, and indefinitely wronged, came to
reinforce his indignation. He lit a candle and gazed for a long time at
her photograph, the one that he had always kept in his desk at St. Luke’s
and scarcely noticed for the last three years; and though he knew that
she was dead and presumably beyond the reach of any human passion, the
sight of her features filled him more than ever with this unconscionable
resentment so devastating in its intensity. The portrait took him back
to the tenderness that he remembered at the time of her death, and
particularly that strange moment when he and his father had knelt
together in the little room across the landing. The smell of Sanitas. . . .
And then he remembered another incident in the gloom of that brown room
at the Holloway on the windy crown of Mendip, whence he had seen all the
kingdoms of the earth. Thinking of this, he seemed to hear the voice of
a very old woman, who said, “The Inglebys are always very tender in
marriage. I’ve seen many of them that have lost their wives, and they
always marry again.” How could she have known? And then the thought of
a strange woman in the house, treading in the places where his mother’s
steps had once moved, swept him off his feet again.
“I could never stay here,” he thought. “I could never stay here. . . .
I should do something desperate and cruel and unreasonable. I couldn’t
help myself. I must go. It’s a pity . . . but I must go. I couldn’t
stay here. I simply couldn’t.”
With this determination in his mind, but without the least idea of the
way in which it might be realised, he arrived at a state of comparative
serenity, in which he could contemplate his mother’s photograph without
so much passionate resentment at the slur that was being laid on her
memory. Now he saw everything in terms of his new resolution. He saw,
pathetically, the little bed in which he had slept for so many years, the
shelves on which his favourite books were ranged, the piano and the
sheaves of his mother’s music that he had managed to install in his room:
all the small details that went together to create its atmosphere of
homeliness.
“How the devil shall I manage to leave them?” he thought. He went to the
window and saw, beyond the garden trees, the low line of those familiar
hills: the landscape that he had always delighted in as his own, and that
now was to be his no longer. He sighed, for to leave them seemed to him
impossible; they were so familiar, so much a definite part of his life.
A curious impulse seized him to creep downstairs and out of the house,
and visit the grave in the cemetery where his mother was laid; but he
restrained himself from this debauch of sentiment. “It will do no good,”
he thought. “It’s all over.” He even wondered if he might feel happier
if he went down to Aunt Laura’s house and confided in her: perhaps she
would understand. At least she was his mother’s sister and might be
conscious of the indignity; but when he had almost determined to do this,
he reflected that she and his uncle were probably in bed, and a ludicrous
picture of her putting her head out of the window to ask what was the
matter, with her hair in curling pins, restrained him. Besides, it would
be rather ridiculous to fall back upon the sympathies of a person whom he
had neglected for several years.
“No. . . . I must go on my own way,” he thought. “It’s a sort of break
in my life, just like the big break before. It’s got to be faced, and
it’s no good worrying about it.”
He suddenly remembered that in twelve hours’ time he would be sitting for
his fourth examination, and that it would be wise for him to get some
sleep; so he undressed and went to bed, wondering how many more times he
would undress in that little room and caring less than he would have
expected. He fell asleep soon, for he was thoroughly tired out, and
slept so soundly that he did not see his father enter the room a few
hours later. He came in softly, in his dressing-gown, carrying a candle,
and stooped above Edwin’s sleeping figure with troubled eyes.
CHAPTER VIII
LOWER SPARKDALE
I
NEXT day, in a fever of restlessness, Edwin essayed and passed his fourth
professional examination. He had expected to get a first-class in it,
but when he found himself near the bottom of the list in the
neighbourhood of W.G., he was not seriously disturbed. The subjects of
Forensic Medicine and Toxicology were unimportant, and now that his life
had taken this sudden change of direction, it did not much matter what
sort of a degree he took. His one concern was to get qualified and
licensed to earn his living on the bodies of his fellow-men as quickly as
possible.
Since his interview with his father, the determination to leave Halesby
had not faltered, although he had not then calculated the difficulties
that now faced him. To begin with, he had no money beyond a few pounds
that his mother had placed to his credit in the Post Office Savings Bank
in his childhood. Luckily his college and hospital fees had been paid in
advance, and he was only concerned with the actual cost of living and the
fees for the final examination. In some way or other he would have to
live for twelve months, and he smiled to himself to think that he was in
very much the same position as his father had occupied thirty years
before.
On the whole, he thought, his father must have had less cause for
anxiety, with Dr. Marshall’s two hundred pounds behind him and the humble
standards of a village boy in place of Edwin’s more elaborate traditions
of life. He felt that he needed the advice of a sound man with some
knowledge of the world. In an emergency of this kind Matthew Boyce could
offer him very little but sympathy, and so he turned naturally to the
counsels of that battered warrior, W.G., feeling, at the same time,
rather shabby in making use of a friend whom he had practically neglected
in the last two years.
W.G. providentially didn’t look at it in that light. He had always
regarded Edwin from a fatherly standpoint, and the mere fact that this
was a case of rebellion against domestic authority of the kind in which
he had been engaged since his childhood made him sympathetic, though he
didn’t, as Edwin saw to his despair, appreciate the delicacies of the
situation.
“I can quite see why you want to cut adrift,” he said. “It’s a feeling
that any one’s who’s dependent gets, if he has any guts in him; but I’m
damned if I see any cause or just impediment why these two persons
shouldn’t enter into holy matrimony.”
“I suppose it’s just rotten sentimentality. Still . . . I can’t help it.
There it is. It’s the idea of seeing another woman in my mother’s place.
I simply couldn’t stick it, W.G.”
“Well, old chap, I’m quite prepared to believe you know best. The thing
is, what are you going to do? You can’t live on nothing in this hard
world. You can share my bed for a week or two if you like. I’m sorry it
won’t be for longer; but marriage appears to be in the air. To tell you
the truth, I’m going to get married myself.”
“You married? . . . Good Lord! What on earth are you doing that for?”
“I don’t know. Force of circumstance, I suppose. It’s one of the things
that happens when you least expect it.”
“Do I know her, W.G.?”
“Oh, yes . . . you know her. It’s Sister Merrion in Number Twelve.”
There came to Edwin a vision of a tall, dark girl, with wavy brown hair
and Irish eyes, whom he couldn’t help remembering at the infirmary.
“I didn’t even know that you were friendly.”
“We weren’t until about three weeks ago. I happened to notice that she
was looking rather down in the mouth, and took her out to tea; and then
the poor girl broke down at the Dousita and told me all about her home
affairs. It’s the devil and all to see a pretty girl like that crying.
She’d been having a thin time of it at home with her father: a pretty
rotten sort of fellow, I gathered, and that seemed the only way out of
it. So we’re going to be married next month. A sort of fellow-feeling,
you know.”
“But . . . Good Lord . . . are you in love with her?”
“Of course I am, you old ass. I shouldn’t marry her if I wasn’t. It’ll
be a bit of a pinch till I’m qualified, though.”
“I say, I hope you’ll be happy.”
A sudden pang of something like envy overwhelmed Edwin. The picture of
settled peace, romantic love in a cottage, that W.G. was about to share
with the undeniably beautiful Sister Merrion struck him as an ideal
state.
“You’re a lucky devil, W.G.,” he said.
It seemed unreasonable that W.G. should devote himself to the smaller
problem of Edwin’s ways and means on the eve of such a momentous
adventure. It hardly seemed fair to bother him.
“We’re going into rooms in Alvaston at first,” he said. “It’ll be less
expensive than furnishing, and we don’t intend to indulge in a family for
the present. Meanwhile, if I were you, I should go and talk to the
manager at Edmondson’s. He may be able to put you on to something. Yes
. . . have a shot at him first, and mention my name, he’s a very decent
sort.”
Edwin laughed to himself. It seemed to him that he was in the grip of a
curiously ironical fate, for Edmondson’s was the identical firm of
wholesale druggists with whom his father had been employed on his first
arrival at North Bromwich. History was repeating itself in a way that
was proper to romance.
In the afternoon he went down to Edmondson’s and asked for the manager, a
vigorous person with shrewd eyes that he screwed up habitually whenever
he made a point in his conversation. He called Edwin “Doctor”: a form of
address that was flattering, until Edwin realised that it was no more
than a habit with him. “Ingleby,” he said; “let me see, I know the
name.”
“Probably you know my father. He’s in business at Halesby.”
“Ah, yes, of course . . . your father. Come along to my room, doctor,
and have a cigar.”
In this varnished chamber, decorated with a collection of barbarous
surgical instruments, survivals of the Middle Ages, Edwin unbosomed
himself. The manager listened in silence, screwing up his eyes from time
to time, to show that he was taking in Edwin’s story.
“Well,” he said at the end of it. “Do you want me to tell you what I
think of it, doctor? Candidly, you know.”
Edwin was only too anxious for another opinion.
“Well, I think you don’t know when you’re well off. To tell you the
truth, doctor, I think you’re a damned fool. That’s straight. See?”
“I’m not surprised,” said Edwin. “Still, I’ve made up my mind. I’m not
going to stay at home. I can’t do it, that’s all. I’m only wondering if
you can put me in the way of a job of some kind.”
“Well, doctor, that’s easier said than done. When you’re qualified,
it’ll be a different matter altogether. I think I can promise to keep
you in ‘locums’ at four or five guineas a week, as long as you like to
take them; but I can’t honestly say there’s anything for you at present.
It’s not like the old days when doctors were allowed to keep unqualified
assistants.”
“I’m through my fourth exam., you know. I could do dispensing.”
“Dispensing. . . . Yes, I hadn’t thought of that. Well, doctor, I’ll
see what I can do for you. You know what I think of it, don’t you? In
the meantime you’d better leave your address. No good writing to
Halesby, I suppose?”
Edwin gave him the address of W.G.’s diggings, and went off, hopelessly
discouraged, to find his friend. W.G., however, was at present far too
engrossed in the charms of Sister Merrion to be available. So Edwin went
on to the Boyce’s house in Alvaston, only to find that Matthew had cycled
down to Overton again with his father. It was impossible for him to
settle to any work; so he took an afternoon train to Halesby, at a time
when he knew his father would be busy at the shop, and collected the few
belongings that he felt he must take with him.
The atmosphere of the house was inexpressibly poignant. Within its
walls, he reflected, dwelt the ghost of all his childhood, and memories
of his mother, that had lain submerged in his consciousness for many
years, rose to meet him wherever he went. Well, he would never see the
place again. This exile, it pleased him to think, was his final
sacrifice to her memory. That was the best way in which he could express
it. At the worst, another voice whispered, it was an excess of mawkish
sentiment.
All through the afternoon, and particularly when he disinterred small
pieces of the lumber that he had collected in his schooldays, this sense
of a ghostly childhood haunted him. It followed him down the stairs into
the hall, where the grandfather clock ticked steadily as it had ticked
ever since he could remember, into the dead drawing-room, soon to be made
alive by the tastes of another feminine personality; on the lawn, where
the limes were shedding their sticky bloom; on the way to the station,
when he lugged his bag through the gnarled shadows of Mrs. Barrow’s
ancient garden, and caught a glimpse of the old lady’s kindly nodding
bonnet as she smiled at him from her place in the window, where she sat
hermetically sealed in an atmosphere of Victorian decay.
There were the reedy pools and Shenstone’s hanging woods, ghostly waters
and woodlands, never to be seen again. And there was the platform of
Halesby station, reeking of hot coal dust and ashes, and, from the
incoming train, a flux of shabby people, including the bank-clerk in
tennis flannels and the mysterious commercial traveller with the brown
leather bag, reading the _Pink ’Un_ as he walked. From this, through the
black-country’s familiar desert, the train carried him into the bitter
reality of North Bromwich. With something approaching the feelings of an
intruder he installed himself in W.G.’s diggings, and made a supper,
undeniably pleasant, of bread and cheese with a large bottle of W.G.’s
beer. The latter, which happened to be Astill’s XXXX, induced a mood of
tolerant sleepiness, and luckily prepared him to receive, at midnight or
thereabouts, the confidences of his friend on the subject of Sister
Merrion’s intellectual charms.
“You know, old chap, she’s different from me—reads poetry by the hour
when she’s in the bunk on night duty. Longfellow’s her favourite. A
long way above my head and all that; but it’s a wonderful thing, when you
come to think of it, to be married to an intellectual woman. . . .” So
the words poured into Edwin’s drowsy ears. He was far too sleepy to
smile, and, Longfellow apart, it did seem to him a comfortable and even
enviable thing to be the adored centre of the universe in the Irish eyes
of a tender creature with wavy brown hair and a painful domestic tragedy.
W.G. was still moralising on his past wickedness and the prospect of a
blameless future when Edwin fell asleep.
II
Next morning he was awakened by his friend, boisterous and ruddy from a
bath, performing a strange ritual of prostrations and contortions in
front of an open window discreetly veiled with fluttering butter-muslin.
Edwin lazily watched the sinuous play of muscles under the shaggy limbs
of W.G. through half-closed lids.
“You’d make a topping subject for dissection, W.G.,” he said.
“Hallo!” W.G. answered from between his legs. “You awake, you old
slacker? There’s a letter for you that came up with the tea. Tea’s
cold, by the way.”
“Thanks,” said Edwin, as W.G. skimmed the letter over to him. “Good
Lord, it’s from Edmondson’s.”
It was a note hastily scribbled advising Edwin to go at once and see Dr.
Altrincham-Harris at 563 Lower Sparkdale, North Bromwich, between nine
and ten a.m., or six and nine p.m., and signed by the manager who screwed
his eyes up.
“Five hundred and sixty-three, Lower Sparkdale,” Edwin groaned. “I say,
that sounds pretty bad. Altrincham-Harris is rather hot stuff for Lower
Sparkdale, isn’t it? Queer place for a double-barreler.”
“General practitioner,” said W.G., rubbing himself down with a pair of
flesh-gloves. “They all go in for hyphens. It impresses the
lower-middle classes. When I go into practice, my son, I shall be known
as Dr. William George-Brown, if I can afford the extra letters on a
plate.”
“Lower Sparkdale’s a pretty awful slum, isn’t it?”
“Never been there. It’s time you cleared off to the bathroom. You’ll
feel better when you’re awake.”
Edwin spent the morning in writing, and four times rewriting, a letter to
his father. It was a difficult job, for he felt that the reasons for his
departure could not be explained in words, and he was particularly
anxious to make it clear that it was purely a matter of temperament and
that he didn’t wish it to imply any criticism of Mr. Ingleby’s plans.
When he had finished it he found that it was far too late to visit the
surgery of Dr. Altrincham-Harris. He therefore waited till the evening,
and then took a steam-tram through a succession of sordid streets, past
the public abattoirs and the newly-opened Rowton House, to the level of
563 Lower Sparkdale.
The extreme end of that street was not as bad as he had imagined it might
be, for at this point the slum ended, resolving itself into the edge of a
growing suburb of red-brick. Number 563 was a corner house secretively
curtained with dirty muslin on flat brass rods. A shining plate revealed
the qualifications, such as they were, of C. Altrincham-Harris, Physician
and Surgeon, and as the front door seemed to have sunk into a state of
disuse, Edwin entered at another, marked “Surgery,” round which a number
of poorly-clad women, some of them carrying babies, were clustered.
Inside the door was a narrow waiting-room that concentrated into an
incredibly small number of cubic feet the characteristic odour of an
out-patient department. Every seat was occupied, and Edwin, deciding to
wait for his turn, stood listening to a varied recitation of medical
history that every patient seemed compelled by the surroundings to relate
to her neighbour. At the moment when he entered a very stout woman, who
had been drinking, had the ear of the company, talking loudly over the
shoulder of a pasty child whose neck was covered with the pin-points that
fleas make on an insensitive skin, and occasionally, in accessions of
tenderness, hugging it to her bosom.
“So I says to the inspector . . . yes, inspector, ’e ’ad the nerve to
call ’isself . . . says I, you can take your summonses to ’ell, I says.
I _love_ my children, I says. There’s more love for the little ’armless
things in my finger than there’ll ever be in your bloody body, I says.
And I caught ’er up and carried ’er straight along ’ere to the doctor.
Doctor ’Arris knows me, I says, and what’s more ’e shall ’ave a look at
Margaret’s ’ead with ’is own eyes. Shan’t ’e, my pretty?” The child
wriggled as she was clasped in another beery embrace.
A bell tingled inside. “Now we shall see,” said the lady determinedly
rising. “And ’ave a stifficate if it costs me two shillin’s.”
The room murmured low applause and sympathy, and she entered the surgery,
emerging, two minutes later, with the testimonial in her mouth.
“What did I tell yo’?” she said. “The doctor says there ain’t one. Not
_one_. It’s time these inspectors was done away with. I only ’ope ’e
will summons me. Good-night, all.”
She went out, hugging the child in both arms, and a pale woman,
respectably dressed, who had sat through her tirades in silence, took her
place in the doctor’s consulting room. Dr. Altrincham-Harris didn’t keep
her long. She came out, like the rest of them, after an interview that
lasted perhaps two minutes, carrying a bottle of medicine wrapped up in
one of the papers that are called comic. Again the bell rang.
“Good God,” Edwin thought, “and this is general practice!” It was
evident that he had entered a world in which the academic methods of
diagnosis and prescription with which he had been educated were not
followed. On the surface it was quite clear that the physician could not
have given an eighth part of the usual time or care to the consideration
of any single case. He remembered instances of hospital patients who had
affected to despise the perfunctoriness of the methods of the Prince’s
out-patient department, and had boasted that they would receive better
attention from the hands of a “private doctor.” He hoped to goodness
that none of these unfortunate people would drift into the hands of Dr.
Altrincham-Harris.
His own turn came, and relieved to be rid of the stink of the
waiting-room, he entered the surgery. Dr. Harris was sitting in an
attitude of impatience behind a desk littered with papers. He was a
little man, with grey, untidy hair and a drooping moustache. He held a
pencil in his hand, as if he were itching to dash off another
prescription, and an open drawer in the desk at his right hand was full
of small silver. When he saw that Edwin was better dressed than the
majority of his patients, his manner changed at once. “Please sit down,”
he said. “Now, what can I do for you?”
Edwin hesitated, for he found it difficult to begin. Dr. Harris
encouraged him with a wink, and a grip of his left arm.
“Now, my boy, you needn’t be frightened of me. You’ll find the doctor’s
your best friend. Had a bit of bad luck, eh? Well, you’re not the
first, and you won’t be the last.”
The wink was the most disgusting part of this performance, but Edwin,
quickly recovering his sense of humour, pulled out Edmondson’s letter and
handed it to the doctor.
“Well, now, why didn’t you say so at first,” said Dr. Harris, scratching
a bristly grey chin. “Yes . . . I did mention to their manager that I
was in want of some one to do a bit of rough dispensing and keep this
place tidy. You see I don’t live here. It’s what we call a lock-up, and
the work’s so pressing that I’ve really no time to do my own dispensing.
I suppose you hold the Apothecaries’ Hall Diploma—passed your exams and
that?”
“No . . . I’m a medical student. I took pharmacology in my last exam.
I’m in my final year.”
“Hm . . . I shouldn’t have thought it. You look very young. Final year
. . .” Then his eyes brightened. “Have you done your midwifery yet?”
“No, I shall do that later in the year.”
“That’s a pity . . . a pity. You could have been very useful to me in
that way, keeping cases going, you know, so that I could be in at the
finish. I could do twice the amount of midwifery that I do now if I had
some one to keep an eye on them. Before the General Medical Council did
away with unqualified assistants, I used to keep three of them: paid me
well, too. Now I’ve got to do everything myself. It’s a dog’s life, but
there’s money in it, I don’t mind telling you. Well, there’s no time to
waste. What do you want?”
“I want a place to live in and my keep, and just enough money to keep me
going till I’m qualified. That’s all. You’ll understand . . . I’m on my
own, and I’ve just about ten pounds to carry me over a year. I hope you
can give me a job.”
“I suppose you could take a hand with dressings and things like that?”
Edwin saw that the little man was out for bargaining, but as long as he
could feel that something was being settled he didn’t really mind.
“Yes . . . I can do anything you like to use me for in your surgery
hours. I can’t promise more. You see, I have to pass my final.”