Mrs. Larcher having just become charitably concerned about alarming symptoms in her charwoman, when Dr. Minchin called, asked him to see her then and there, and to give her a certificate for the Infirmary; whereupon after examination he wrote a statement of the case as one of tumor, and recommended the bearer Nancy Nash as an out-patient. Nancy, calling at home on her way to the Infirmary, allowed the stay maker and his wife, in whose attic she lodged, to read Dr. Minchin’s paper, and by this means became a subject of compassionate conversation in the neighboring shops of Churchyard Lane as being afflicted with a tumor at first declared to be as large and hard as a duck’s egg, but later in the day to be about the size of “your fist.” Most hearers agreed that it would have to be cut out, but one had known of oil and another of “squitchineal” as adequate to soften and reduce any lump in the body when taken enough of into the inside—the oil by gradually “soopling,” the squitchineal by eating away.
Meanwhile when Nancy presented herself at the Infirmary, it happened to be one of Lydgate’s days there. After questioning and examining her, Lydgate said to the house-surgeon in an undertone, “It’s not tumor: it’s cramp.” He ordered her a blister and some steel mixture, and told her to go home and rest, giving her at the same time a note to Mrs. Larcher, who, she said, was her best employer, to testify that she was in need of good food.
But by-and-by Nancy, in her attic, became portentously worse, the supposed tumor having indeed given way to the blister, but only wandered to another region with angrier pain. The staymaker’s wife went to fetch Lydgate, and he continued for a fortnight to attend Nancy in her own home, until under his treatment she got quite well and went to work again. But the case continued to be described as one of tumor in Churchyard Lane and other streets—nay, by Mrs. Larcher also; for when Lydgate’s remarkable cure was mentioned to Dr. Minchin, he naturally did not like to say, “The case was not one of tumor, and I was mistaken in describing it as such,” but answered, “Indeed! ah! I saw it was a surgical case, not of a fatal kind.” He had been inwardly annoyed, however, when he had asked at the Infirmary about the woman he had recommended two days before, to hear from the house-surgeon, a youngster who was not sorry to vex Minchin with impunity, exactly what had occurred: he privately pronounced that it was indecent in a general practitioner to contradict a physician’s diagnosis in that open manner, and afterwards agreed with Wrench that Lydgate was disagreeably inattentive to etiquette. Lydgate did not make the affair a ground for valuing himself or (very particularly) despising Minchin, such rectification of misjudgments often happening among men of equal qualifications. But report took up this amazing case of tumor, not clearly distinguished from cancer, and considered the more awful for being of the wandering sort; till much prejudice against Lydgate’s method as to drugs was overcome by the proof of his marvellous skill in the speedy restoration of Nancy Nash after she had been rolling and rolling in agonies from the presence of a tumor both hard and obstinate, but nevertheless compelled to yield.
How could Lydgate help himself? It is offensive to tell a lady when she is expressing her amazement at your skill, that she is altogether mistaken and rather foolish in her amazement. And to have entered into the nature of diseases would only have added to his breaches of medical propriety. Thus he had to wince under a promise of success given by that ignorant praise which misses every valid quality.
In the case of a more conspicuous patient, Mr. Borthrop Trumbull, Lydgate was conscious of having shown himself something better than an every-day doctor, though here too it was an equivocal advantage that he won. The eloquent auctioneer was seized with pneumonia, and having been a patient of Mr. Peacock’s, sent for Lydgate, whom he had expressed his intention to patronize. Mr Trumbull was a robust man, a good subject for trying the expectant theory upon—watching the course of an interesting disease when left as much as possible to itself, so that the stages might be noted for future guidance; and from the air with which he described his sensations Lydgate surmised that he would like to be taken into his medical man’s confidence, and be represented as a partner in his own cure. The auctioneer heard, without much surprise, that his was a constitution which (always with due watching) might be left to itself, so as to offer a beautiful example of a disease with all its phases seen in clear delineation, and that he probably had the rare strength of mind voluntarily to become the test of a rational procedure, and thus make the disorder of his pulmonary functions a general benefit to society.
Mr. Trumbull acquiesced at once, and entered strongly into the view that an illness of his was no ordinary occasion for medical science.
“Never fear, sir; you are not speaking to one who is altogether ignorant of the vis medicatrix,” said he, with his usual superiority of expression, made rather pathetic by difficulty of breathing. And he went without shrinking through his abstinence from drugs, much sustained by application of the thermometer which implied the importance of his temperature, by the sense that he furnished objects for the microscope, and by learning many new words which seemed suited to the dignity of his secretions. For Lydgate was acute enough to indulge him with a little technical talk.
It may be imagined that Mr. Trumbull rose from his couch with a disposition to speak of an illness in which he had manifested the strength of his mind as well as constitution; and he was not backward in awarding credit to the medical man who had discerned the quality of patient he had to deal with. The auctioneer was not an ungenerous man, and liked to give others their due, feeling that he could afford it. He had caught the words “expectant method,” and rang chimes on this and other learned phrases to accompany the assurance that Lydgate “knew a thing or two more than the rest of the doctors—was far better versed in the secrets of his profession than the majority of his compeers.”
This had happened before the affair of Fred Vincy’s illness had given to Mr. Wrench’s enmity towards Lydgate more definite personal ground. The new-comer already threatened to be a nuisance in the shape of rivalry, and was certainly a nuisance in the shape of practical criticism or reflections on his hard-driven elders, who had had something else to do than to busy themselves with untried notions. His practice had spread in one or two quarters, and from the first the report of his high family had led to his being pretty generally invited, so that the other medical men had to meet him at dinner in the best houses; and having to meet a man whom you dislike is not observed always to end in a mutual attachment. There was hardly ever so much unanimity among them as in the opinion that Lydgate was an arrogant young fellow, and yet ready for the sake of ultimately predominating to show a crawling subservience to Bulstrode. That Mr. Farebrother, whose name was a chief flag of the anti-Bulstrode party, always defended Lydgate and made a friend of him, was referred to Farebrother’s unaccountable way of fighting on both sides.
Here was plenty of preparation for the outburst of professional disgust at the announcement of the laws Mr. Bulstrode was laying down for the direction of the New Hospital, which were the more exasperating because there was no present possibility of interfering with his will and pleasure, everybody except Lord Medlicote having refused help towards the building, on the ground that they preferred giving to the Old Infirmary. Mr. Bulstrode met all the expenses, and had ceased to be sorry that he was purchasing the right to carry out his notions of improvement without hindrance from prejudiced coadjutors; but he had had to spend large sums, and the building had lingered. Caleb Garth had undertaken it, had failed during its progress, and before the interior fittings were begun had retired from the management of the business; and when referring to the Hospital he often said that however Bulstrode might ring if you tried him, he liked good solid carpentry and masonry, and had a notion both of drains and chimneys. In fact, the Hospital had become an object of intense interest to Bulstrode, and he would willingly have continued to spare a large yearly sum that he might rule it dictatorially without any Board; but he had another favorite object
