MY PATIENT WHO NEVER PAYS--MYSELF.

I finish the transcription of my notes with something of regret, for the

task has taken me back through many pleasant chapters of my own life,

and to days when I too had my adventures and fights with the dark shadow

casting his own shadow--the shadow of a shade across those whom he was

marking for his own. It has brought up those stern struggles where it

has been an uphill fight for days and days, striving hard, and rejoicing

over every inch that has been gained--inches perhaps lost the next hour,

when one has seen, in spite of every effort and the aid of all that

could be brought to bear from the well-earned knowledge of others, a

patient gradually slipping from one's grasp, and stood gazing helplessly

and wondering what to do.

This has often been my fate, and with a feeling of being humbled, I have

thought how little we know even now of the secrets of nature, and how

powerless a doctor is at times. But even then, when a case has seemed

hopeless, a sudden flash or flicker of the expiring flame has renewed

hope, and cautiously, and with endless care lest the effort to relieve

should result in extinguishing the faint dying light, one has tried

again to feed the lamp with oil, the tiniest portion at a time, perhaps

feeling a kind of awe as the result has been watched for, and the faint

spark has seemed to have been driven forth. Then the flickering has

begun once more, grown stronger, sunk, risen, sunk lower--lower,

darkness has fallen in the room, and one's heart has sunk in unison with

the dying flame--dying? No: that next flash has been more lasting. It

was brighter, too. There can be no doubt now. Pour in more oil with

tender hand; feed the flickering flame; watch it night and day; no care

can be too great; for the enemy is ever on the watch, and a moment's

want of attention may result in the undoing of all that has been done.

And when at last the lamp of life burns more strongly and the dark shade

has fled--vanquished, driven away, there is a triumph, a joy

indescribable, which rewards surgeons, or the learned in medicine, alone

more than pecuniary recompense or notoriety can compass.

Nothing can be more sad than the feelings engendered when, in spite of

all, one's efforts have been in vain; but nothing, on the other hand,

can be more purely delightful than the looks of satisfaction and relief

in the eyes of wives, parents, children--all by whom the invalid is held

dear. If ever gratitude is shown it is then; and the doctor goes away

feeling that he has not lived quite in vain.

A hundred pleasant recollections--ay, and a hundred sad ones--have been

evoked during the writing out of those notes; while, in turn, my old

patients have stood before me, and I have felt the strong, earnest grip

of their hands with that heart-felt earnest "Thank you, doctor!" which

has meant so much. As I said at the commencement of these pages, I

believe in, and esteem the sturdy working man, and for a patient I would

wish for none better, on account of his genuine trust and faith in him

who is working for his cure. I said, too, that I had once felt a strong

desire to become an army surgeon, for the sake of the experience it

would give me; but I think I have shown that amongst the privates of the

vast army of work-a-day toilers, there is practice sufficient to satisfy

the most exacting; and though the surgeon may not have to deal with

sword-cut, bayonet, and bullet wound, there is enough work for busy hand

and brain at home in his noble profession, whose mission it is to

relieve the sick and wounded in the great battle of life.

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The End.

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