It was the first day of the winter
session, and the third year’s man was walking
with the first year’s man. Twelve o’clock
was just booming out from the Tron Church.
“Let me see,” said the
third year’s man. “You have never
seen an operation?”
“Never.”
“Then this way, please.
This is Rutherford’s historic bar. A glass
of sherry, please, for this gentleman. You are
rather sensitive, are you not?”
“My nerves are not very strong, I am afraid.”
“Hum! Another glass of
sherry for this gentleman. We are going to an
operation now, you know.”
The novice squared his shoulders and
made a gallant attempt to look unconcerned.
“Nothing very bad eh?”
“Well, yes pretty bad.”
“An an amputation?”
“No; it’s a bigger affair than that.”
“I think I think they must be expecting
me at home.”
“There’s no sense in funking.
If you don’t go to-day, you must to-morrow.
Better get it over at once. Feel pretty fit?”
“Oh, yes; all right!” The smile was not
a success.
“One more glass of sherry, then.
Now come on or we shall be late. I want you
to be well in front.”
“Surely that is not necessary.”
“Oh, it is far better!
What a drove of students! There are plenty of
new men among them. You can tell them easily
enough, can’t you? If they were going down
to be operated upon themselves, they could not look
whiter.”
“I don’t think I should look as white.”
“Well, I was just the same myself.
But the feeling soon wears off. You see a fellow
with a face like plaster, and before the week is out
he is eating his lunch in the dissecting rooms.
I’ll tell you all about the case when we get
to the theatre.”
The students were pouring down the
sloping street which led to the infirmary each
with his little sheaf of note-books in his hand.
There were pale, frightened lads, fresh from the
high schools, and callous old chronics, whose generation
had passed on and left them. They swept in an
unbroken, tumultuous stream from the university gate
to the hospital. The figures and gait of the
men were young, but there was little youth in most
of their faces. Some looked as if they ate too
little a few as if they drank too much.
Tall and short, tweed-coated and black, round-shouldered,
bespectacled, and slim, they crowded with clatter
of feet and rattle of sticks through the hospital gate.
Now and again they thickened into two lines, as the
carriage of a surgeon of the staff rolled over the
cobblestones between.
“There’s going to be a
crowd at Archer’s,” whispered the
senior man with suppressed excitement. “It
is grand to see him at work. I’ve seen
him jab all round the aorta until it made me jumpy
to watch him. This way, and mind the whitewash.”
They passed under an archway and down
a long, stone-flagged corridor, with drab-coloured
doors on either side, each marked with a number.
Some of them were ajar, and the novice glanced into
them with tingling nerves. He was reassured
to catch a glimpse of cheery fires, lines of white-counterpaned
beds, and a profusion of coloured texts upon the wall.
The corridor opened upon a small hall, with a fringe
of poorly clad people seated all round upon benches.
A young man, with a pair of scissors stuck like a
flower in his buttonhole and a note-book in his hand,
was passing from one to the other, whispering and writing.
“Anything good?” asked the third year’s
man.
“You should have been here yesterday,”
said the out-patient clerk, glancing up. “We
had a regular field day. A popliteal aneurism,
a Colles’ fracture, a spina bifida,
a tropical abscess, and an elephantiasis. How’s
that for a single haul?”
“I’m sorry I missed it.
But they’ll come again, I suppose. What’s
up with the old gentleman?”
A broken workman was sitting in the
shadow, rocking himself slowly to and fro, and groaning.
A woman beside him was trying to console him, patting
his shoulder with a hand which was spotted over with
curious little white blisters.
“It’s a fine carbuncle,”
said the clerk, with the air of a connoisseur who
describes his orchids to one who can appreciate them.
“It’s on his back and the passage is
draughty, so we must not look at it, must we, daddy?
Pemphigus,” he added carelessly, pointing to
the woman’s disfigured hands. “Would
you care to stop and take out a metacarpal?”
“No, thank you. We are
due at Archer’s. Come on!” and
they rejoined the throng which was hurrying to the
theatre of the famous surgeon.
The tiers of horseshoe benches rising
from the floor to the ceiling were already packed,
and the novice as he entered saw vague curving lines
of faces in front of him, and heard the deep buzz of
a hundred voices, and sounds of laughter from somewhere
up above him. His companion spied an opening
on the second bench, and they both squeezed into it.
“This is grand!” the senior
man whispered. “You’ll have a rare
view of it all.”
Only a single row of heads intervened
between them and the operating table. It was
of unpainted deal, plain, strong, and scrupulously
clean. A sheet of brown water-proofing covered
half of it, and beneath stood a large tin tray full
of sawdust. On the further side, in front of
the window, there was a board which was strewed with
glittering instruments forceps, tenacula,
saws, cánulas, and trocars. A line of knives,
with long, thin, delicate blades, lay at one side.
Two young men lounged in front of this, one threading
needles, the other doing something to a brass coffee-pot-like
thing which hissed out puffs of steam.
“That’s Peterson,”
whispered the senior, “the big, bald man in the
front row. He’s the skin-grafting man,
you know. And that’s Anthony Browne, who
took a larynx out successfully last winter. And
there’s Murphy, the pathologist, and Stoddart,
the eye-man. You’ll come to know them
all soon.”
“Who are the two men at the table?”
“Nobody dressers.
One has charge of the instruments and the other of
the puffing Billy. It’s Lister’s
antiseptic spray, you know, and Archer’s
one of the carbolic-acid men. Hayes is the leader
of the cleanliness-and-cold-water school, and they
all hate each other like poison.”
A flutter of interest passed through
the closely packed benches as a woman in petticoat
and bodice was led in by two nurses. A red woolen
shawl was draped over her head and round her neck.
The face which looked out from it was that of a woman
in the prime of her years, but drawn with suffering,
and of a peculiar beeswax tint. Her head drooped
as she walked, and one of the nurses, with her arm
round her waist, was whispering consolation in her
ear. She gave a quick side-glance at the instrument
table as she passed, but the nurses turned her away
from it.
“What ails her?” asked the novice.
“Cancer of the parotid.
It’s the devil of a case; extends right away
back behind the carotids. There’s hardly
a man but Archer would dare to follow it. Ah,
here he is himself!”
As he spoke, a small, brisk, iron-grey
man came striding into the room, rubbing his hands
together as he walked. He had a clean-shaven
face, of the naval officer type, with large, bright
eyes, and a firm, straight mouth. Behind him
came his big house-surgeon, with his gleaming pince-nez,
and a trail of dressers, who grouped themselves into
the corners of the room.
“Gentlemen,” cried the
surgeon in a voice as hard and brisk as his manner,
“we have here an interesting case of tumour of
the parotid, originally cartilaginous but now assuming
malignant characteristics, and therefore requiring
excision. On to the table, nurse! Thank
you! Chloroform, clerk! Thank you!
You can take the shawl off, nurse.”
The woman lay back upon the water-proofed
pillow, and her murderous tumour lay revealed.
In itself it was a pretty thing ivory white,
with a mesh of blue veins, and curving gently from
jaw to chest. But the lean, yellow face and
the stringy throat were in horrible contrast with
the plumpness and sleekness of this monstrous growth.
The surgeon placed a hand on each side of it and
pressed it slowly backwards and forwards.
“Adherent at one place, gentlemen,”
he cried. “The growth involves the carotids
and jugulars, and passes behind the ramus of the jaw,
whither we must be prepared to follow it. It
is impossible to say how deep our dissection may carry
us. Carbolic tray. Thank you! Dressings
of carbolic gauze, if you please! Push the chloroform,
Mr. Johnson. Have the small saw ready in case
it is necessary to remove the jaw.”
The patient was moaning gently under
the towel which had been placed over her face.
She tried to raise her arms and to draw up her knees,
but two dressers restrained her. The heavy air
was full of the penetrating smells of carbolic acid
and of chloroform. A muffled cry came from under
the towel, and then a snatch of a song, sung in a high,
quavering, monotonous voice:
“He says, says he,
If you fly with me
You’ll be mistress of the ice-cream
van.
You’ll be mistress of the ”
It mumbled off into a drone and stopped.
The surgeon came across, still rubbing his hands,
and spoke to an elderly man in front of the novice.
“Narrow squeak for the Government,” he
said.
“Oh, ten is enough.”
“They won’t have ten long.
They’d do better to resign before they are
driven to it.”
“Oh, I should fight it out.”
“What’s the use.
They can’t get past the committee even if they
got a vote in the House. I was talking to ”
“Patient’s ready, sir,” said the
dresser.
“Talking to McDonald but
I’ll tell you about it presently.”
He walked back to the patient, who was breathing
in long, heavy gasps. “I propose,”
said he, passing his hand over the tumour in an almost
caressing fashion, “to make a free incision over
the posterior border, and to take another forward
at right angles to the lower end of it. Might
I trouble you for a medium knife, Mr. Johnson?”
The novice, with eyes which were dilating
with horror, saw the surgeon pick up the long, gleaming
knife, dip it into a tin basin, and balance it in
his fingers as an artist might his brush. Then
he saw him pinch up the skin above the tumour with
his left hand. At the sight his nerves, which
had already been tried once or twice that day, gave
way utterly. His head swain round, and he felt
that in another instant he might faint. He dared
not look at the patient. He dug his thumbs into
his ears lest some scream should come to haunt him,
and he fixed his eyes rigidly upon the wooden ledge
in front of him. One glance, one cry, would,
he knew, break down the shred of self-possession which
he still retained. He tried to think of cricket,
of green fields and rippling water, of his sisters
at home of anything rather than of what
was going on so near him.
And yet somehow, even with his ears
stopped up, sounds seemed to penetrate to him and
to carry their own tale. He heard, or thought
that he heard, the long hissing of the carbolic engine.
Then he was conscious of some movement among the
dressers. Were there groans, too, breaking in
upon him, and some other sound, some fluid sound, which
was more dreadfully suggestive still? His mind
would keep building up every step of the operation,
and fancy made it more ghastly than fact could have
been. His nerves tingled and quivered.
Minute by minute the giddiness grew more marked, the
numb, sickly feeling at his heart more distressing.
And then suddenly, with a groan, his head pitching
forward, and his brow cracking sharply upon the narrow
wooden shelf in front of him, he lay in a dead faint.
When he came to himself, he was lying
in the empty theatre, with his collar and shirt undone.
The third year’s man was dabbing a wet sponge
over his face, and a couple of grinning dressers were
looking on.
“All right,” cried the
novice, sitting up and rubbing his eyes. “I’m
sorry to have made an ass of myself.”
“Well, so I should think,” said his companion.
“What on earth did you faint about?”
“I couldn’t help it. It was that
operation.”
“What operation?”
“Why, that cancer.”
There was a pause, and then the three
students burst out laughing. “Why, you
juggins!” cried the senior man, “there
never was an operation at all! They found the
patient didn’t stand the chloroform well, and
so the whole thing was off. Archer has been giving
us one of his racy lectures, and you fainted just
in the middle of his favourite story.”