Round The Red Lamp. Arthur Conan Doyle
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Terrible enough at any time to the young professional man, but most of all to one who knows that the weeks, and even the days during which he can hold out are numbered. Economise as he would, the money would still slip away in the countless little claims which a man never understands until he lives under a rooftree of his own. Dr. Wilkinson could not deny, as he sat at his desk and looked at the little heap of silver and coppers, that his chances of being a successful practitioner in Sutton were rapidly vanishing away.
And yet it was a bustling, prosperous town, with so much money in it that it seemed strange that a man with a trained brain and dexterous fingers should be starved out of it for want of employment. At his desk, Dr. Horace Wilkinson could see the never-ending double current of people which ebbed and flowed in front of his window. It was a busy street, and the air was forever filled with the dull roar of life, the grinding of the wheels, and the patter of countless feet. Men, women, and children, thousands and thousands of them passed in the day, and yet each was hurrying on upon his own business, scarce glancing at the small brass plate, or wasting a thought upon the man who waited in the front room. And yet how many of them would obviously, glaringly have been the better for his professional assistance. Dyspeptic men, anemic women, blotched faces, bilious complexions – they flowed past him, they needing him, he needing them, and yet the remorseless bar of professional etiquette kept them forever apart. What could he do? Could he stand at his own front door, pluck the casual stranger by the sleeve, and whisper in his ear, "Sir, you will forgive me for remarking that you are suffering from a severe attack of acne rosacea, which makes you a peculiarly unpleasant object. Allow me to suggest that a small prescription containing arsenic, which will not cost you more than you often spend upon a single meal, will be very much to your advantage." Such an address would be a degradation to the high and lofty profession of Medicine, and there are no such sticklers for the ethics of that profession as some to whom she has been but a bitter and a grudging mother.
Dr. Horace Wilkinson was still looking moodily out of the window, when there came a sharp clang at the bell. Often it had rung, and with every ring his hopes had sprung up, only to dwindle away again, and change to leaden disappointment, as he faced some beggar or touting tradesman. But the doctor's spirit was young and elastic, and again, in spite of all experience, it responded to that exhilarating summons. He sprang to his feet, cast his eyes over the table, thrust out his medical books a little more prominently, and hurried to the door. A groan escaped him as he entered the hall. He could see through the half-glazed upper panels that a gypsy van, hung round with wicker tables and chairs, had halted before his door, and that a couple of the vagrants, with a baby, were waiting outside. He had learned by experience that it was better not even to parley with such people.
"I have nothing for you," said he, loosing the latch by an inch. "Go away!"
He closed the door, but the bell clanged once more. "Get away! Get away!" he cried impatiently, and walked back into his consulting-room. He had hardly seated himself when the bell went for the third time. In a towering passion he rushed back, flung open the door.
"What the —?"
"If you please, sir, we need a doctor."
In an instant he was rubbing his hands again with his blandest professional smile. These were patients, then, whom he had tried to hunt from his doorstep – the very first patients, whom he had waited for so impatiently. They did not look very promising. The man, a tall, lank-haired gypsy, had gone back to the horse's head. There remained a small, hard-faced woman with a great bruise all round her eye. She wore a yellow silk handkerchief round her head, and a baby, tucked in a red shawl, was pressed to her bosom.
"Pray step in, madam," said Dr. Horace Wilkinson, with his very best sympathetic manner. In this case, at least, there could be no mistake as to diagnosis. "If you will sit on this sofa, I shall very soon make you feel much more comfortable."
He poured a little water from his carafe into a saucer, made a compress of lint, fastened it over the injured eye, and secured the whole with a spica bandage, secundum artem.
"Thank ye kindly, sir," said the woman, when his work was finished; "that's nice and warm, and may God bless your honour. But it wasn't about my eye at all that I came to see a doctor."
"Not your eye?" Dr. Horace Wilkinson was beginning to be a little doubtful as to the advantages of quick diagnosis. It is an excellent thing to be able to surprise a patient, but hitherto it was always the patient who had surprised him.
"The baby's got the measles."
The mother parted the red shawl, and exhibited a little dark, black-eyed gypsy baby, whose swarthy face was all flushed and mottled with a dark-red rash. The child breathed with a rattling sound, and it looked up at the doctor with eyes which were heavy with want of sleep and crusted together at the lids.
"Hum! Yes. Measles, sure enough – and a smart attack."
"I just wanted you to see her, sir, so that you could signify."
"Could what?"
"Signify, if anything happened."
"Oh, I see – certify."
"And now that you've seen it, sir, I'll go on, for Reuben – that's my man – is in a hurry."
"But don't you want any medicine?"
"Oh, now you've seen it, it's all right. I'll let you know if anything happens."
"But you must have some medicine. The child is very ill." He descended into the little room which he had fitted as a surgery, and he made up a two– ounce bottle of cooling medicine. In such cities as Sutton there are few patients who can afford to pay a fee to both doctor and chemist, so that unless the physician is prepared to play the part of both he will have little chance of making a living at either.
"There is your medicine, madam. You will find the directions upon the bottle. Keep the child warm and give it a light diet."
"Thank you kindly, sir." She shouldered her baby and marched for the door.
"Excuse me, madam," said the doctor nervously. "Don't you think it too small a matter to make a bill of? Perhaps it would be better if we had a settlement at once."
The gypsy woman looked at him reproachfully out of her one uncovered eye.
"Are you going to charge me for that?" she asked. "How much, then?"
"Well, say half-a-crown." He mentioned the sum in a half-jesting way, as though it were too small to take serious notice of, but the gypsy woman raised quite a scream at the mention of it.
"'Arf-a-crown! for that?"
"Well, my good woman, why not go to the poor doctor if you cannot afford a fee?"
She fumbled in her pocket, craning awkwardly to keep her grip upon the baby.
"Here's sevenpence," she said at last, holding out a little pile of copper coins. "I'll give you that and a wicker footstool."
"But my fee is half-a-crown." The doctor's views of the glory of his profession cried out against this wretched haggling, and yet what was he to do? "Where am I to get 'arf-a-crown? It is well for gentlefolk like you who sit in your grand houses, and can eat and drink what you like, an' charge 'arf-a– crown for just saying as much as, ''Ow d'ye do?' We can't pick up' arf-crowns like that. What