You remember that we (Paul and I) had just engaged a certain Miss Williams to come and keep house for us. I felt that on the bas.e.m.e.nt-lodger principle I had not control enough; so we now entered upon a more business-like arrangement, by which a sum (though, alas! an absurdly small one) was to be paid her for her services. I would it had been ten times as much, for a better and a more loyal servant man never had. Our fortunes seemed to turn from the hour that she re-entered the house.
Slowly, week by week, and month by month, the practice began to spread and to strengthen. There were spells when never a ring came to the bell, and it seemed as though all our labour had gone for nothing--but then would come other days when eight and ten names would appear in my ledger. Where did it come from you will ask. Some from old Whitehall and his circle of Bohemians. Some from accident cases. Some from new comers to the town who drifted to me. Some from people whom I met first in other capacities. An insurance superintendent gave me a few cases to examine, and that was a very great help. Above all, I learned a fact which I would whisper in the ear of every other man who starts, as I have done, a stranger among strangers. Do not think that practice will come to you. You must go to it. You may sit upon your consulting room chair until it breaks under you, but without purchase or partnership you will make little or no progress. The way to do it is to go out, to mix everywhere with men, to let them know you. You will come back many a time and be told by a reproachful housekeeper that some one has been for you in your absence. Never mind! Go out again. A noisy smoking concert where you will meet eighty men is better for you than the patient or two whom you might have seen at home. It took me some time to realise, but I speak now as one who knows.
But--there is a great big "but" in the case. You must ride yourself on the curb the whole time. Unless you are sure--absolutely sure--that you can do this, you are far best at home. You must never for one instant forget yourself. You must remember what your object is in being there.
You must inspire respect. Be friendly, genial, convivial--what you will--but preserve the tone and bearing of a gentleman. If you can make yourself respected and liked you will find every club and society that you join a fresh introduction to practice. But beware of drink! Above everything, beware of drink! The company that you are in may condone it in each other, but never in the man who wishes them to commit their lives to his safe keeping. A slip is fatal--a half slip perilous. Make your rule of life and go by it, in spite of challenge or coaxers. It will be remembered in your favour next morning.
And of course I do not mean merely festive societies. Literary, debating, political, social, athletic, every one of them is a tool to your hands. But you must show them what a good man you are. You must throw yourself into each with energy and conviction. You will soon find yourself on the committee--possibly the secretary, or even in the presidential chair. Do not grudge labour where the return may be remote and indirect. Those are the rungs up which one climbs.
That was how, when I had gained some sort of opening, I set to work to enlarge it. I joined this. I joined that. I pushed in every direction.
I took up athletics again much to the advantage of my health, and found that the practice benefited as well as I. My cricket form for the season has been fair, with an average of about 20 with the bat and 9 with the ball.
It must be allowed, however, that this system of sallying out for my patients and leaving my consulting room empty might be less successful if it were not for my treasure of a housekeeper. She is a marvel of discretion, and the way in which she perjures her soul for the sake of the practice is a constant weight upon my conscience. She is a tall, thin woman, with a grave face and an impressive manner. Her standard fiction, implied rather than said (with an air as if it were so universally known that it would be absurd to put it into words) is, that I am so pressed by the needs of my enormous practice, that any one wishing to consult me must make their appointment very exactly and a long time in advance.
"Dear me, now!" she says to some applicant. "He"s been hurried off again.
If you"d been here half-an-hour ago he might have given you a minute.
I never saw such a thing" (confidentially). "Between you and me I don"t think he can last at it long. He"s bound to break down. But come in, and I"ll do all I can for you."
Then, having carefully fastened the patient up in the consulting room, she goes to little Paul.
"Run round to the bowling green, Master Paul," says she. "You"ll find the doctor there, I think. Just tell him that a patient is waiting for him."
She seems in these interviews to inspire them with a kind of hushed feeling of awe, as if they had found their way into some holy of holies.
My own actual appearance is quite an anti-climax after the introduction by Miss Williams.
Another of her devices is to make appointments with an extreme precision as to time, I being at the moment worked to death (at a cricket match).
"Let us see!" says she, looking at the slate. "He will be clear at seven minutes past eight this evening. Yes, he could just manage it then. He has no one at all from seven past to the quarter past"--and so at the appointed hour I have my patient precipitating himself into my room with the demeanour of the man who charges in for his bowl of hot soup at a railway station. If he knew that he is probably the only patient who has opened my door that evening he would not be in such a hurry--or think so much of my advice.
One curious patient has come my way who has been of great service to me.
She is a stately looking widow, Turner by name, the most depressingly respectable figure, as of Mrs. Grundy"s older and less frivolous sister.
She lives in a tiny house, with one small servant to scale. Well, every two months or so she quite suddenly goes on a mad drink, which lasts for about a week. It ends as abruptly as it begins, but while it is on the neighbours know it. She shrieks, yells, sings, chivies the servant, and skims plates out of the window at the pa.s.sers-by. Of course, it is really not funny, but pathetic and deplorable--all the same, it is hard to keep from laughing at the absurd contrast between her actions and her appearance. I was called in by accident in the first instance; but I speedily acquired some control over her, so that now the neighbours send for me the moment the crockery begins to come through the window. She has a fair competence, so that her little vagaries are a help to me with my rent. She has, too, a number of curious jugs, statues, and pictures, a selection of which she presents to me in the course of each of her attacks, insisting upon my carrying them away then and there; so that I stagger out of the house like one of Napoleon"s generals coming out of Italy. There is a good deal of method in the old lady, however, and on her recovery she invariably sends round a porter, with a polite note to say that she would be very glad to have her pictures back again.
And now I have worked my way to the point where I can show you what I mean when I talk about fate. The medical pract.i.tioner who lives next me--Porter is his name--is a kindly sort of man, and knowing that I have had a long uphill fight, he has several times put things in my way.
One day about three weeks ago he came into my consulting room after breakfast.
"Could you come with me to a consultation?" he asked.
"With pleasure."
"I have my carriage outside."
He told me something of the case as we went. It was a young fellow, an only son, who had been suffering from nervous symptoms for some time, and lately from considerable pain in his head. "His people are living with a patient of mine, General Wainwright," said Porter. "He didn"t like the symptoms, and thought he would have a second opinion."
We came to the house, a great big one, in its own grounds, and had a preliminary talk with the dark-faced, white-haired Indian soldier who owns it. He was explaining the responsibility that he felt, the patient being his nephew, when a lady entered the room. "This is my sister, Mrs.
La Force," said he, "the mother of the gentleman whom you are going to see."
I recognised her instantly. I had met her before and under curious circ.u.mstances. (Dr. Stark Munro here proceeds to narrate again how he had met the La Forces, having evidently forgotten that he had already done so in Letter VI.) When she was introduced I could see that she had not a.s.sociated me with the young doctor in the train. I don"t wonder, for I have started a beard, in the hope of making myself look a little older. She was naturally all anxiety about her son, and we went up with her (Porter and I) to have a look at him. Poor fellow! he seemed peakier and more sallow than when I had seen him last. We held our consultation, came to an agreement about the chronic nature of his complaint, and finally departed without my reminding Mrs. La Force of our previous meeting.
Well, there the matter might have ended; but about three days afterwards who should be shown into my consulting room but Mrs. La Force and her daughter. I thought the latter looked twice at me, when her mother introduced her, as if she had some recollection of my face; but she evidently could not recall where she had seen it, and I said nothing to help her. They both seemed to be much distressed in mind--indeed, the tears were br.i.m.m.i.n.g over from the girl"s eyes, and her lip was quivering.
"We have come to you, Doctor Munro, in the greatest distress," said Mrs.
La Force; "we should be very glad of your advice."
"You place me in rather a difficult position, Mrs. La Force," said I.
"The fact is, that I look upon you as Dr. Porter"s patients, and it is a breach of etiquette upon my part to hold any communication with you except through him."
"It was he who sent us here," said she.
"Oh, that alters the matter entirely."
"He said he could do nothing to help us, and that perhaps you could."
"Pray let me know what you wish done."
She set out valorously to explain; but the effort of putting her troubles into words seemed to bring them more home to her, and she suddenly blurred over and became inarticulate. Her daughter bent towards her, and kissed her with the prettiest little spasm of love and pity.
"I will tell you about it, doctor," said she. "Poor mother is almost worn out. Fred--my brother, that is to say, is worse. He has become noisy, and will not be quiet."
"And my brother, the general," continued Mrs. La Force, "naturally did not expect this when he kindly offered us a home, and, being a nervous man, it is very trying to him. In fact, it cannot go on. He says so himself."
"But what is mother to do?" cried the girl, taking up the tale again.
"No hotel or lodging-house would take us in while poor Fred is like that. And we have not the heart to send him to an asylum. Uncle will not have us any longer, and we have nowhere to go to." Her grey eyes tried to look brave, but her mouth would go down at the corners.
I rose and walked up and down the room, trying to think it all out.
"What I wanted to ask you," said Mrs. La Force, "was whether perhaps you knew some doctor or some private establishment which took in such cases--so that we could see Fred every day or so. The only thing is that he must be taken at once, for really my brother has reached the end of his patience."
I rang the bell for my housekeeper.
"Miss Williams," said I, "do you think we can furnish a bedroom by to-night, so as to take in a gentleman who is ill?"
Never have I so admired that wonderful woman"s self-command.
"Why, easily, sir, if the patients will only let me alone. But with that bell going thirty times an hour, it"s hard to say what you are going to do."
This with her funny manner set the ladies laughing, and the whole business seemed lighter and easier. I promised to have the room ready by eight o"clock. Mrs. La Force arranged to bring her son round at that hour, and both ladies thanked me a very great deal more than I deserved; for after all it was a business matter, and a resident patient was the very thing that I needed. I was able to a.s.sure Mrs. La Force that I had had a similar case under my charge before--meaning, of course, poor "Jimmy," the son of Lord Saltire. Miss Williams escorted them to the door, and took occasion to whisper to them that it was wonderful how I got through with it, and that I was within sight of my carriage.
It was a short notice, but we got everything ready by the hour. Carpet, bed, suite, curtains--all came together, and were fixed in their places by the united efforts of Miss Williams, Paul, and myself. Sharp at eight a cab arrived, and Fred was conducted by me into his bedroom. The moment I looked at him I could see that he was much worse than when I saw him with Dr. Porter. The chronic brain trouble had taken a sudden acute turn.
His eyes were wild, his cheeks flushed, his lips drawn slightly away from his teeth. His temperature was 102 deg., and he muttered to himself continually, and paid no attention to my questions. It was evident to me at a glance that the responsibility which I had taken upon myself was to be no light one.
However, we could but do our best. I undressed him and got him safely to bed, while Miss Williams prepared some arrowroot for his supper. He would eat nothing, however, but seemed more disposed to dose, so having seen him settle down we left him. His room was the one next to mine, and as the wall was thin, I could hear the least movement. Two or three times he muttered and groaned, but finally he became quiet, and I was able to drop to sleep.
At three in the morning, I was awakened by a dreadful crash. Bounding out of bed I rushed into the other room. Poor Fred was standing in his long gown, a pathetic little figure in the grey light of the dawning day. He had pulled over his washing-stand (with what object only his bemuddled mind could say), and the whole place was a mora.s.s of water with islands of broken crockery. I picked him up and put him back into his bed again--his body glowing through his night-dress, and his eyes staring wildly about him. It was evidently impossible to leave him, and so I spent the rest of the night nodding and shivering in the armchair.
No, it was certainly not a sinecure that I had undertaken.
In the morning I went round to Mrs. La Force and gave her a bulletin.
Her brother had recovered his serenity now that the patient had left.
He had the Victoria Cross it seems, and was one of the desperate little garrison who held Lucknow in that h.e.l.l-whirl of a mutiny. And now the sudden opening of a door sets him shaking, and a dropped tongs gives him palpitations. Are we not the strangest kind of beings?