Oswald Cray: A Novel

CHAPTER XIV.

Chapter 144,986 wordsPublic domain

A WHIM OF LADY OSWALD'S.

The medical body, as a whole, is differently estimated by the world. Some look down upon it, others look up to it; and their own position in the scale of society has no bearing or bias on the views of the estimators. It may be that a nobleman will bow to the worth and value of the physician, will regard him as a benefactor of mankind, exercising that calling of all others most important to the welfare of humanity; while a man very far down in the world's social ladder will despise the doctor wherever he sees him.

It is possible that each has in a degree cause for this, so far as he judges by his own experience. The one may have been brought in contact with that perfect surgeon--and there are many such--whose peculiar gifts for the calling were bestowed upon him by the Divine will; he with the lion's heart and woman's hand, whose success, born of patience, courage, judgment, experience, has become by God's blessing an assured fact. Men who have brought all the grand discoveries of earthly science to their aid and help in their study of the art; who have watched Nature day by day, and mastered her intricacies; who have, in fact, attained to that perfection in skill which induces the involuntary remark to break from us--We shall never see his fellow! Before such a man as this, as I look upon it, the world should bow. We have no benefactor like unto him. The highest honours of the land should be open to him; all that we can give of respect and admiration should be his.

But there is a reverse side to the picture. There is the man who has gone into the profession without aptitude for it, who has made it his, although positively incapable of properly learning it and exercising it. He may have acquired the right to use all the empty distinguishing letters attaching to it, and tack them after his name on all convenient occasions, inscribe them in staring characters on his very door-posts--M.D., M.R.C.S.--as many more as there may be to get; but, for all that, he is not capable of exercising the art. His whole career is one terrible mistake. He kills more patients than he cures; slaying them, drenching them to death, with that most pitiful and fatal of all weapons--ignorance. It may not be his fault, in one sense: he does his best: but he has embraced a calling for which nature did not fit him. He goes on in his career, it is true, and his poor patients suffer. More ignorant, of necessity, than he is--for in all that relates to the healing art, we are, take us as a whole, lamentably deficient--they can only blindly resign themselves to his hands, and when they find that there's no restored health for them, that they get worse rather than better, they blame the obstinacy of the malady, not the treatment. Upon his own mind, meanwhile, there rests an ever-perpetual sense of failure, irritating his temper, rendering his treatment experimental and uncertain. Some cannot see where the fault lies--have no conception that it is in their own incapacity. And if a man does see it, what then? He must go on and do his best; he must be a doctor always; it is his only means of living, and he is too old to take to another trade. Rely upon it there are more of these practitioners than the world suspects.

Such a man as the first was Dr. Davenal; such a man as the last was Mark Cray. But that Mark was so Dr. Davenal suspected not. Grave cases hitherto, during their short connection, had been treated by the doctor, and for ordinary ailments Mark did well enough. He could write a proper prescription when the liver was out of order, or bring a child through the measles; he could treat old ladies with fanciful ailments to the very acme of perfection. It is true Dr. Davenal had been once or twice rather surprised by downright wrong treatment on the part of Mark, but he had attributed it to inexperience.

When other doctors could not cure, people flew to Dr. Davenal; when there was a critical operation to be performed, involving life or death, Dr. Davenal was prayed to undertake it. His practice consequently was of wide extent; it was not confined to Hallingham and its vicinity, but extended occasionally to the confines of the county. It was not, therefore, surprising that on the morning following the accident Dr. Davenal found himself called out at an early hour to the country on a case of dangerous emergency. And the illness was at Thorndyke.

He responded at once to the call. Never a prompter man than Richard Davenal. Roger had learnt by example to be prompt also, and was ready with his carriage as soon as his master. The arrangements with regard to saving time were well organised at Dr. Davenal's. The bell, communicating from the house down the side-wall of the garden to the man's rooms near the stables was made the means of conveying different orders. If rung once, Roger was wanted indoors to receive his orders by word of mouth; if rung twice--and on those occasions they were always sharp, imperative peals--Roger knew that the carriage was wanted at once, with all the speed that he could get it round.

The calm peaceful quiet of the Sabbath morn was lying on the streets of Hallingham as the doctor was driven through them. The shops were all shut; some of the private houses were not yet opened--servants are apt to lie late on Sunday morning. As they passed the town-hall and the market-place, so void of life then, the church clocks struck eight, and the customary bells, giving token of the future services of the day, broke forth in the clear air.

"Stop at the Abbey, Roger," said the doctor, as they neared it.

The woman, Dorcas, was just opening the parlour shutters. She came to the door when she saw the carriage drawing up to it.

"I want to see your master, Dorcas. I suppose he's up."

"He is up and out, sir," was her reply. "He has been gone about five minutes."

This answer caused the doctor to pause. It should be explained that when the train of sufferers arrived at the station the previous night, Lady Oswald had elected to be accompanied to her home by Mark Cray, not by Dr. Davenal. Whether she was actuated by pure caprice; whether by a better motive--the belief that she was not hurt so much as some other of the sufferers, and that Dr. Davenal's skill would be more needed by them; or whether the recent sudden liking she had taken for Mr. Cray swayed her then, could not be told; never would be told. She seemed to be a little revived at the end of the journey, and she chose that Mark Cray should go home with her. Dr. Davenal had acquiesced, but he whispered a parting word to Mark. "If there is an injury, I suspect it will be found in the ribs, Mark. Look well to it. If you want me, I'm going on to the Infirmary, and shall be at home afterwards."

But, as it appeared, the doctor had not been wanted. At any rate, Mark Cray had not sent for him. And he had stopped now to hear, if he could, Mark's report.

An upper window opened, and Mrs. Cray, completely enveloped in a thick shawl, so that nothing could be seen of her but the tip of her nose, leaned out.

"Good-morning, Uncle Richard."

"Good-morning, my dear. I am glad to see you again. Can you come down for a minute?"

"No, I have not begun to dress. Did you want Mark? He has gone to Lady Oswald's."

"Ah, that's what I wish to ask about. Did you hear Mark say how she was?--whether there was any hurt?"

"He said there was not. But, for one thing, she kept fainting, and refused to be touched. At least, I think he said so, something of that; I was very sleepy when he got home; it was one o'clock. I am sure he said she was not hurt to speak of."

"That's all right then," said Dr. Davenal.

"You are out betimes, Uncle Richard," resumed Caroline. "Are you going far?"

"To Thorndyke. Tell your husband he must see my patients this morning; I shall not be back in time. Drive on, Roger."

"Very well," said Caroline. "Who's ill at Thorndyke?"

But Dr. Davenal's answer, if he gave one, was lost in the distance, and never reached Caroline's ear.

It was a singular coincidence--as was said by gossips afterwards--that one should be taken ill that day at Thorndyke and be in danger of death. It was not, however, one of the Oswald family, but a visitor of Sir Philip's, and it has nothing whatever to do with the story It need not have been mentioned, save to explain what took Dr. Davenal from Hallingham on that critical day.

Dr. Davenal found the patient alarmingly ill, in great need of medical help, and he had to remain at Thorndyke some hours. It was between two and three o'clock when he got back to Hallingham, and he ordered Roger to drive at once to the Infirmary.

The doctor went in and saw his patients. The poor man, Bigg, easier now than he had been the previous night, lay in a slumber: the rest were going on well. One woman had gone. An inmate of the wards for some weeks past, her case, a very painful one, had baffled all skill, all remedy; and she had gone to that better place where sickness and pain cannot enter. Dr. Davenal stood for some little time conversing with the house-surgeon, and then departed on foot to his home: he had dismissed his carriage when he entered the Infirmary.

As he was walking, he met an eager little fellow scuffling along, one who always walked very fast, with his head pushed out, as if he were in a desperate hurry. It was one of the Infirmary pupils, as they were called; young men gathering skill and experience to become in time surgeons themselves, who attended the Infirmary with their masters. This one, Julius Wild, a youth of eighteen, was more particularly attached to the service of Mr. Cray, went round the wards with him as his dresser, and suchlike. No sooner did he see Dr. Davenal than his pace increased to a run, and he came up breathless.

"Oh, if you please, sir, Mr. Cray has been looking for you everywhere"----

"I have been to Thorndyke," interrupted the doctor.

"Yes, sir, but he thought you must have come back, and he sent me to about twenty places to inquire. There's something wrong with Lady Oswald, sir, and he wants to see you about it."

"What is it that's wrong?"

"Mr. Cray didn't explain to me, sir; but he said something about an operation. She's hurt internally, sir, I think."

"Where is Mr. Cray? Do you know?"

"He is gone to your house, sir. Somebody told him, they saw your carriage going along, and Mr. Cray thought you might be at home. He"----

Dr. Davenal waited to hear no more. He made the best of his way towards home, but before he reached it he met Mark Cray.

There in the street, particulars were explained by Mr. Cray to Dr. Davenal, not altogether to the doctor's satisfaction. It appeared that Mark--very carelessly, but he excused himself on the plea of Lady Oswald's fractious refusal to be touched--had omitted to make a proper examination of her state on the previous night. The delay, though not fatal, was inexpedient, rendering the operation which must now be performed one of more difficulty than if it had been done at once; and Dr. Davenal spoke a few sharp words, the only sharp ones he had ever in his life spoken to Mark Cray.

"I told you it was my opinion there was some internal injury. You ought to have ascertained."

He turned his steps and proceeded at once and alone to the house of Lady Oswald. She was in a grievous state of suffering; and that she had not appeared so on the previous night could only be attributed to partial insensibility. Dr. Davenal examined into her hurts with his practised skill, his gentle fingers, and he imparted to her as soothingly as possible the fact that an operation was indispensable. "Not a very grave one," he said with a smile, intended to reassure. "Nothing formidable, like the taking off of an arm or a leg."

But Lady Oswald refused her consent; as fractiously and positively as she had the previous night refused to be touched. She would have no operation performed on her, she said, putting her to torture; they must cure her without it. Some time was lost in this unsatisfactory manner, and Mark Cray arrived while the contention was going on. Dr. Davenal was at length obliged to tell her a hard truth--that unless she submitted to it, her life must fall a sacrifice.

Then there came another phase of the obstinacy. When people are lying in the critical state that was Lady Oswald, hovering between life and death, it is surely unseemly to indulge in whims, in moods of childish caprice. If ever there is a time in the career of life that truth should reign preeminent, it is then: and these wilful caprices are born of a phase of feeling that surely cannot be called truth. Lady Oswald consented to the operation, but only on the condition that Mark Cray should perform it. What foolish caprice may have prompted this it is impossible to say. Mark had been talking to her, very much as he would talk to a child to induce it to have a tooth drawn or a cut finger dressed: protesting that it "would not hurt her to speak of," that it "would be over, so to say, in no time." Dr. Davenal, more honest, held his tongue upon those points: it would not be over in "no time," and he knew that it would hurt her very much indeed. This it may have been that caused the wretched whim to arise, that Mark Cray should be the acting surgeon. And she held to it.

It was necessary that she should be allowed some repose after the state of excitement to which she had put herself, and half-past five was the hour named. Dr. Davenal and Mark appointed to be with her then.

"Mark," asked the doctor, as they walked away together, "are you sure of yourself?"

Dr. Davenal had had no experience hitherto of Mark Cray's skill as a surgeon, except in common cases. All critical operations, both at the Infirmary and in private practice, the doctor took himself. Mark looked at the doctor in surprise as he heard the question.

"Sure! Why, of course I am. It's quite a simple thing, this."

"Simple enough where the hand is experienced and sure," remarked the doctor. "Not so simple where it is not."

"Of course I have not had your experience, Dr. Davenal; but I have had quite sufficient to ensure my accomplishing this, perhaps as skilfully as you could."

Mark spoke in a resentful tone; he did not like the reflection that he thought was cast upon him by the question. Dr. Davenal said no more. He supposed Mark _was_ sure of his hand's skill.

"I shall give her chloroform," resumed Mark.

"No!" burst forth Dr. Davenal. He could not have interrupted more impetuously had he been interposing to dash it from her lips. He believed that Lady Oswald would be a very unfit subject for chloroform; one of those few to whom it is not safe to administer it; and he explained this to Mark Cray.

Mark turned restive. Strange to say, he, who had hitherto been content to follow in the medical steps of Dr. Davenal, watching his treatment, pursuing the same, more as a pupil takes lessons of a master than as a man in practice for himself, seemed inclined to turn restive now. Did Mark Cray, because he had married the doctor's niece, had become connected with him by private ties, was now a more equal partner, fully recognised--did he deem it well to exercise that right of independence which we all love, for it is inherent in the hearts of the best of us, and to stand up for his own ways and his own will?

"I like chloroform," he said. "I consider it one of the most blessed inventions of the age."

"Undoubtedly; where it can be safely used."

"I have used it fifty times," rejoined Mark.

"I have used it fifty and fifty to that," said the doctor, good-humouredly. "But, Mark, I never used it in my life upon a doubtful subject, and I never will use it upon one."

"What do you call a doubtful subject?"

"What do I call a doubtful subject?" repeated the doctor. "You know as well as I. How many patients has chloroform killed? Upon certain natures"----

"Very few," interrupted Mark.

"Very few, as compared to the whole," acquiesced the doctor. "You may administer chloroform with perfect safety to ninety-nine patients, and you cannot to the hundredth. Upon certain natures, as I was about to observe, its effects may be fatal. And where there is this doubt, Mark, it should be acted upon."

"The cases are so rare."

"True. And the important thing for a medical man, in these cases, is to discern where chloroform may be given with safety and where it may not."

"It is impossible that he can do that with any certainty."

"Not at all," said Dr. Davenal. "I never knew my judgment fail. I believe it is a gift, this ability to distinguish the subtle difference in natures. Perhaps I may call it instinct, more than judgment, for I think it could not deceive or lead me to an erroneous decision."

"I am not sure that I understand you," said Mr. Cray. "My belief is, that I possess nothing of the sort. I think you must be talking of a species of second sight."

"Then, Mark," was the half-joking answer, "allow yourself to be guided by my 'second sight.' To speak seriously," the doctor continued, in a graver tone, "I know that there are many practitioners, clever men, who do not possess this peculiar insight into nature. It is a great gift for those who do. It can never be acquired by practice; it must be inherent"----

"I suppose you think I don't possess it," interrupted Mark.

"I don't think you do. But for one of us who possesses it, numbers don't; so it is no disparagement to you to say so. To return to the question: Lady Oswald, in my opinion, would prove an unsafe subject for chloroform."

"She will make so much of the pain."

"Better that she should make much of it--ay, and feel it--than that any risk should be run. I cannot allow chloroform to be given to Lady Oswald."

Mark Cray demurred: not outwardly, for he said not another word; but inwardly. He was of that class of men who disbelieve what they cannot see. Some of us will look into a man's face and read his character, read him for what he is, as surely and unerringly as we read the pages of a book; but others of us, who do not possess this gift, cannot believe that it exists, laugh at and ridicule the very idea of it. Just so was it with Mark Cray. That assertion of Dr. Davenal's, that some faculty or instinct within him enabled him to discern where chloroform might and might not be administered, was utterly scouted by Mark Cray. That subtle instinct into nature, that unerring, rapidly-formed judgment of a sick man's state, the mental grasping instantaneously of the disease and its remedy, Mark Cray possessed not. To the very end of his life he would never learn it. Dr. Davenal said that out of numbers of medical men only one would possess it, and he was right. How many do not possess it, and go on to their career's end unconscious of their deficiency, they themselves will never know. Mark could see no reason why Lady Oswald should not be eased of her pain by the aid of chloroform; he did not for a moment believe the doctor could; he regarded it as a crotchet, and a very foolish one. But he suffered the question to rest, and supposed he must bow to the decision of his senior partner.

"Shall I call for you, Mark?" asked the doctor, as they separated. "I shall go up in the carriage."

"O no, thank you. I'd as soon walk. You intend to be present?"

"Or course I shall be," replied the doctor. "Lady Oswald is my patient, in point of fact--not yours, Mark."

"Then I need not ask Berry. I thought of asking him to be present."

"You can do just as you please about that. If you like him to look on at you, you can have him. Twenty-five minutes after five, remember, punctual. You'll want the full daylight."

As they parted, a feeling was in Mark's heart that he would not have liked to confess to the other, and that perhaps he neither cared to encourage nor to dwell upon. He felt perfectly sure of his own skill; he was not nervous; nobody less so; and yet there was a half-reluctance in his mind to perform that operation in the presence of Dr. Davenal, the skilled and accomplished operator. Surely the reluctance could only spring from a latent doubt of whether he ought to make so sure of himself! A _latent_ doubt; one not suffered to appear down far in the depths of his heart it lay--so deep that perhaps Mark thought it was not there at all, that it was only fancy.

He had a great deal rather have had Berry with him--_that_ he acknowledged openly enough to himself. Surgeon Berry was a man of fair average skill, superior to Mark in experience, and he and Mark were great friends. Did Mark fear that the presence of the more finished and perfect surgeon, with his critical eye, his practised judgment, would render him nervous--as a candidate for the Civil Service examinations will break down, simply because those searching eyes are on him? No, Mark Cray feared nothing of the sort; and he could not have told, had he been pressed, why he would have preferred the absence of Dr. Davenal. He had looked on many a time at the doctor in such cases: but that was a different thing.

His thoughts were interrupted by Julius Wild. The young man accosted him to inquire if there were any orders--whether he should be wanted.

"Yes," said Mr. Cray. "Lady Oswald's case is fixed for this afternoon. You be up there with the dressings and things."

"Very well, sir," replied the young man, feeling some surprise; for he was not in the habit of attending privately with Dr. Davenal "Am I to go to Dr. Davenal's for them?"

"No. You can get them from the Infirmary."

"The Infirmary!" thought Julius Wild to himself. "Can _he_ be going to take the operation?"--for Mr. Cray's surgical apparatus was kept at the Infirmary. He did not ask: his professional master seemed unusually silent--not to say cross.

"What time?" he inquired of Mr. Cray.

"Be at Lady Oswald's a little before half-past----"

The blank above is put intentionally, for it cannot be told with certainty what hour was really said by Mr. Cray. In the discussions upon it that ensued afterwards, Julius Wild declared in the most positive manner that it was _six_. "A little before half-past six." Mr. Cray asserted, with equal pertinacity, that he had said five. "A little before half-past five." Which of the two was right it was impossible to ascertain. Mark Cray said he should not be likely to make the mistake: the time, half-past five, had been just fixed upon with Dr. Davenal, had been repeated by word of mouth, and he had never thought of the hour six at all. There was plausible reason in that, certainly. On the other hand, Julius Wild was known for a clear-headed, steady, accurate young man, and he protested he could stake his life upon his correctness in this instance. He said the thought crossed his mind, when Mr. Cray named it, that half-past six would be the dusk hour; and he rather wondered within himself that it should have been chosen.

However it may have been, the misapprehension did occur between them.

When Dr. Davenal entered his own home, dinner had been over some time. It was their custom to dine early on Sunday: and the general rule was, by Dr. Davenal's wish, never to keep meals waiting for him. Neal admitted him, and then came for orders. Should he bring up the dinner?

"Not the dinner," said Dr. Davenal; "just a bit of something upon a plate. I am not hungry: I had a late breakfast at Thorndyke. Has anybody been here for me?"

"No, sir. I think Mr. Cray took your patients. He has been here"----

"I know all about that," interrupted the doctor.

He passed Neal, and went on to the garden-parlour, a favourite room of his daughter's. She was there alone, seated before the open glass doors. How peaceful it all looked! The green lawn stretching out in front, the bright hues of the autumn flowers, the calm purity of the dark blue sky lying in the stillness of the Day of Rest. Sara Davenal had that good Book upon her lap: but she was not then reading it. She had closed it in deep thought. Her sweet face was turned upwards, her eyes were filled with tears from the intensity of her gaze; it seemed that she was looking for something in the autumn sky. The extreme calm, the aspect of peace, struck forcibly on the senses of Dr. Davenal, and he remembered it in the days to come. It was the last day of peace for him; it was the last day of peace for Sara; henceforth the world was to change for both of them. Ere the morrow's sun should rise, a great care, a great trouble, would be tugging at their heartstrings; a skeleton would be there to keep; a secret, that must be hidden for very safety's sake, would have taken up its abode there.

Dr. Davenal was upon her so quickly that she could not conceal her glistening eyes. She started up to welcome him, and laid down the book. Owing to that most attentive habit of Neal's, of being on the watch and opening the door before people could get to it, she had not heard him come home.

"O papa, is it you? You have been away a long while."

"Sit down," he said, pressing her into her chair again. "What's the grief, Sara?"

"No grief, papa. I was only thinking."

"What about? The accident last night?"

"O no, not that. I hear that everybody's going on quite well. I was thinking--I was wondering--somehow I often get thinking on these things on a Sunday, when I am sitting alone, and the sky seems so calm and near," she broke off.

"Well, what were you thinking?"

"I was wondering whether they who are gone can look down and see us--see me just as I sit here looking up--whether they can read my thoughts. We seem so divided, papa; you and I and Edward left; mamma and Richard, and the two little ones who were between me and Edward, gone."

"Divided for a short while only, child."

"Yes, I know. The only one I can remember well is Richard. I am beginning to lose almost all recollection of mamma. But Richard--papa, at times I seem to see him before me now!"

Dr. Davenal turned to the window and stood with his back to Sara, looking out. She repented having spoken of her brother; somehow the words had slipped out in the fulness of her thoughts. Rising, she stole her hand into Dr. Davenal's.

"I forgot, papa," she softly whispered.

"Forgot what, my child?" he asked. "Nay, it might be just as well if we all spoke more of Richard, instead of shunning his name. Silence will not bring him back to us."

"Ah no, it will not!"

"And when once griefs can be talked of, their sting becomes less poignant. Did the post bring any letters this morning?" the doctor added, after a pause.

"Not for you, papa. There was one--how could I forget to tell you?--there was one for me from Edward."

"And what does he say?"

"He has not been able to get leave yet. At least, from the tenor of his letter, I don't much think he has asked for it. He says there's a great deal to do; that the preparations are going on very quickly; but no orders have been received yet as to the day for embarking. As soon as they are issued he will let us know."

"But he means to come down?"

"O yes. He will be sure to come, he says, though it should be to arrive by one train and return by the next. He writes in great spirits, and asks me--in a joke you know, papa--if I will pack up my boxes and go out with him."

"He---- What is it, Neal! My dinner?"

"Yes, sir. It is served."