A Labrador Doctor Part 4

Sir Stephen Mackenzie, who operated on the Emperor Frederick, was another excellent teacher under whom we had the good fortune to study.

Indeed, whatever could be said against the teaching of our college, in this much more important field of learning, the London Hospital was most signally fortunate, and, moreover, was famed not only in London, but all the world over. Our "walking cla.s.s" used to number men from the United States to Australia, insomuch that the crowds became so large that the teachers could not get room to pa.s.s along. It was this fact which led to the practice, now almost universal, of carrying the patient in his bed with a nurse in attendance into the theatre for observation as more comfortable and profitable for all concerned.

On changing over to the surgical side in the hospital, we were employed in a very similar manner, only we were called "dressers," and under the house surgeon had all the care of a number of surgical patients. My good fortune now brought me under the chieftaincy of Sir Frederick Treves, the doyen of teachers. His great message was self-reliance. He taught dogmatically as one having authority, and always insisted that we should make up our minds, have a clear idea of what we were doing, and then do it. His ritual was always thought out, no detail being omitted, and each person had exactly his share of work and his share of responsibility. It used greatly to impress patients, and he never underestimated the psychical value of having their complete confidence. Thus, on one occasion asking a dresser for his diagnosis, the student replied:

"It might be a fracture, sir, or it might be only sprained."

"The patient is not interested to know that it might be measles, or it might be toothache. The patient wants to know what is the matter, and it is your business to tell it to him or he will go to a quack who will inform him at once."

All his teachings were, like Mark Twain's, enhanced by such over-emphasis or exaggeration. He could make an article in the "British Medical Journal" on Cholecystenterostomy amusing to a general reader, and make an ordinary remark as cutting as an amputation knife.

He never permitted laxity of any kind in personal appearance or dress, or any imposing on the patients. His habit of saying openly exactly what he meant made many people fear, as much as they respected, him.

However, he was always, in spite of it, the most popular of all the chiefs because he was so worth while.

One incident recurs to my mind which I must recount as an example when psychology failed. A Whitechapel "lady," suffering with a very violent form of delirium tremens, was lying screeching in a strait-jacket on the cushioned floor of the padded room. With the usual huge queue of students following, he had gone in to see her, as I had been unable to get the results desired with a reasonable quant.i.ty of sedatives and soporifics. It was a very rare occasion, for cases which did not involve active surgery he left strictly alone. After giving a talk on psychical influence he had the jacket removed as "a relic of barbarism," and in a very impressive way looking into her glaring eyes and shaking his forefinger at her, he said: "Now, you are comfortable, my good woman, and will sleep. You will make no more disturbance whatever." There was an unusual silence. The woman remained absolutely pa.s.sive, and we all turned to follow the chief out. Suddenly the "lady" called out, "Hi, hi,"--and some perverse spirit induced Sir Frederick to return. Looking back with defiant eyes she screamed out, "You! You with a faice! You do think yerself ---- ---- clever, don't yer?" The strange situation was only relieved by his bursting into a genuine fit of laughter.

Among other celebrated men who were admired and revered was Mr. Harry Fenwick on the surgical side, for whom I had the honour of ill.u.s.trating in colours his prize Jacksonian essay. Any talent for sketching, especially in colours, is of great value to the student of medicine. Once you have sketched a case from nature, with the object of showing the peculiarity of the abnormality, it remains permanently in your mind. Besides this, it forces you to note small differences; in other words, it teaches you to "obsairve." Thus, in the skin department I was sent to reproduce a case of anthrax of the neck, a rare disease in England, though all men handling raw hides are liable to contract it. The area had to be immediately excised; yet one never could forget the picture on one's mind. On another occasion a case of genuine leprosy was brought in, with all the dreadful signs of the disease. The macula rash was entirely unique so far as I knew, but a sketch greatly helped to fix it on one's memory. The poor patient proved to be one of the men who was handling the meat in London's greatest market at Smithfield. A tremendous hue and cry spread over London when somehow the news got into the paper, and vegetarianism received a temporary boost which in my opinion it still badly needs for the benefit of the popular welfare.

Among the prophets of that day certainly should be numbered another of our teachers, Dr. Sutton, an author, and very much of a personality.

For while being one of the consulting physicians of the largest of London hospitals, he was naturally scientific and strictly professional. He was very far, however, from being the conventionalist of those days, and the younger students used to look greatly askance at him. His message always was: "Drugs are very little use whatever.

Nature is the source of healing. Give her a chance." Thus, a careful history would be read over to him; all the certain signs of typhoid would be noted--and his comment almost always was: "This case won't benefit by drugs. We will have the bed wheeled out into the sunshine."

The next case would be acute lobar pneumonia and the same treatment would be adopted. "This patient needs air, gentlemen. We must wheel him out into the sunshine"--and so on. How near we are coming to his teaching in these days is already impressing itself upon our minds.

Unfortunately the fact that the doctors realize that medicines are not so potent as our forbears thought has not left the public with the increased confidence in the profession which the infinitely more rational treatment of to-day justifies, and valuable time is wasted and fatal delays incurred, by a return of the more impressionable public to quacks with high-sounding t.i.tles, or to cults where faith is almost credulity.

Truly one has lived through wonderful days in the history of the healing art. The first operations which I saw performed at our hospitals were before Lord Lister's teaching was practised; though even in my boyhood I remember getting leave to run up from Marlborough to London to see my brother, on whom Sir Joseph Lister had operated for osteomyelitis of the leg. Our most famous surgeon in 1880 was Sir Walter Rivington; and to-day there rises in memory the picture of him removing a leg at the thigh, clad in a blood-stained, black velvet coat, and without any attempt at or idea of asepsis. The main thing was speed, although the patient was under ether, and in quickly turning round the tip of the sword-like amputation knife, he made a gash in the patient's other leg. The whole thing seemed horrible enough to us students, but the surgeon smiled, saying, "Fortunately it is of no importance, gentlemen. The man will not live."

The day came when every one worked under clouds of carbolic steam which fizzed and spouted from large bra.s.s boilers over everything; and then the time when every one was criticizing the new, young surgeon, Treves, who was daring to discard it, and getting as good results by scrupulous cleanliness. His aphorism was, "Gentlemen, the secret of surgery is the nailbrush." Now with blood examinations, germ cultures, sera tests, X-rays, and a hundred added improvements, one can say to a fisherman in far-off Labrador arriving on a mail steamer, and to whom every hour lost in the fishing season spells calamity, "Yes, brother, you can be operated on and the wound will be healed and you will be ready to go back by the next steamer, unless some utterly unforeseen circ.u.mstance arises."

The fallibility of diagnosis was at this very impressionable time fixed upon my mind--a fact that has since served me in good stead. For what can be more reactionary in human life than the man who thinks he knows it all, whether it be in science, philosophy, or religion?

During my Christmas vacation I was asked to go north and visit my father's brother, a well-known captain in Her Majesty's Navy, who was also an inventor in gun machinery and sighting apparatus, and who had been appointed the naval head of Lord Armstrong's great works at Yarrow-on-the-Tyne. All that I was told was that he had been taken with such severe pains in the back that he needed some one with him, and my new-fledged dignity of "walking the hospitals" was supposed to qualify me especially for the post. Already my uncle had seen many doctors in London and had been ordered to the Continent for rest.

After some months, not a bit improved, he had again returned to London. This time the doctor told his wife that it was a mental trouble, and that he should be sent to an asylum. This she most indignantly denied, and yet desired my company as the only medical Grenfell, who at such a crisis could stay in the house without being looked upon as a warder or keeper. Meantime they had consulted Sir C.P., who had told my uncle that he had an aneurism of his aorta, and that he must be prepared to have it break and kill him any minute. His preparations were accordingly all made, and personally I fully antic.i.p.ated that he would fall dead before I left. He put up a wonderful fight against excruciating pain, of which I was frequently a witness. But the days went by and nothing happened, so I returned to town and another young doctor took my place. He also got tired of waiting and suggested it might be some spinal trouble. He induced them once more to visit London and see Sir Victor Horsley, whose work on the brains of animals and men had marked an epoch in our knowledge of the central nervous system. Some new symptoms had now supervened, and the famous neurologist at once diagnosed a tumour in the spinal ca.n.a.l.

Such a case had never previously been operated on successfully, but there was no alternative. The operation was brilliantly performed and a wonderful success obtained. The case was quoted in the next edition of our surgical textbooks.

A little later my father's health began to fail in London, the worries and troubles of a clergyman's work among the poor creatures who were constantly pa.s.sing under his care utterly overwhelming him. We had agreed that a long change of thought was necessary and he and I started for a fishing and sight-seeing tour in Norway. Our steamer was to sail from the Tyne, and we went up to Newcastle to catch it. There some evil fiend persuaded my father to go and consult a doctor about his illness, for Newcastle has produced some well-known names in medicine. Thus, while I waited at the hotel to start, my father became persuaded that he had some occult disease of the liver, and must remain in Newcastle for treatment. I, however, happened to be treasurer of the voyage, and for the first time a.s.serting my professional powers, insisted that I was family physician for the time, and turned up in the evening with all our round-trip tickets and reservations taken and paid for. In the morning I had the trunks packed and conveyed aboard, and we sailed together for one of the most enjoyable holidays I ever spent. We travelled much afoot and in the little native carriages called "stolkjaerre," just jogging along, staying anywhere, fishing in streams, and living an open-air life which the increasing flood of tourists in after years have made much less possible. We both came back fitter in body and soul for our winter's work.

My father's death a year later made a great difference to me, my mother removing to live with my grandmother at Hampstead, it being too lonely and not safe for her to live alone in East London. Twice our house had been broken into by burglars, though both times fruitlessly.

The second occasion was in open daylight during the hour of evening service on a Sunday. Only a couple of maids would have been in the house had I not been suffering from two black eyes contracted during the Sat.u.r.day's football game. Though I had accompanied the others out, decidedly my appearance might have led to misinterpretations in church, and I had returned unnoticed. The men escaped by some method which they had discovered of scaling a high fence, but I was close behind following them through the window by which they had entered.

Shortly afterward I happened to be giving evidence at the Old Bailey on one of the many cases of a.s.sault and even murder where the victims were brought into hospital as patients. London was ringing with the tale of a barefaced murder at Murray Hill in North London, where an exceedingly clever piece of detective work, an old lantern discovered in a p.a.w.nbroker's shop in Whitechapel--miles away from the scene of the crime--was the means of bringing to trial four of the most rascally looking villains I ever saw. The trial preceded ours and we had to witness it. One of the gang had turned "Queen's evidence" to save his own neck. So great was the hatred of the others for him and the desire for revenge that even in the court they were hand-cuffed and in separate stands. Fresh from my own little fracas I learned what a fool I had been, for in this case also the deed was done in open daylight, and the lawn had tight wires stretched across it. The young son, giving chase as I did, had been tripped up and shot through his abdomen for his pains. He had, however, crawled back, made his will, and was subsequently only saved by a big operation. He looked in terrible shape when giving evidence at the trial.

The giving of expert evidence on such occasions was the only opportunity which the young sawbones had of earning money. True we only got a guinea a day and expenses, but there were no other movie shows in those days, and we learned a lot about medical jurisprudence, a subject which always greatly interested me. It was no uncommon sight either at the "London" or the "Poplar," at both of which I did interne work, to see a policeman always sitting behind the screen at the foot of the patient's bed. One man, quite a nice fellow when not occupied in crime, had when furiously drunk killed his wife and cut his own throat. By the curious custom of society all the skill and money that the hospital could offer to save a most valuable life was as usual devoted to restoring this man to health. He was weaned slowly back from the grave by special nurses and treatment, till it began to dawn upon him that he might have to stand his trial. He would ask me if I thought he would have to undergo a long term, for he had not been conscious of what he was doing. As he grew better, and the policeman arrived to watch him, he decided that it would probably be quite a long time. He had a little place of his own somewhere, and he used to have chickens and other presents sent up to fellow patients, and would have done so to the nurses, only they could not receive them. I was not personally present at his trial, but I felt really sorry to hear that they hanged him.

Many of these poor fellows were only prevented from ending their own lives by our using extreme care. The case of one wretched man, driven to desperation, I still remember. "Patient male; age forty-five; domestic trouble--fired revolver into his mouth. Finding no phenomena of interest develop, fired a second chamber into his right ear. Still no symptoms worthy of notice. Patient threw away pistol and walked to hospital." Both bullets had lodged in the thick parts of his skull, and doing no damage were left there. A subsequent note read: "Patient to-day tried to cut his throat with a dinner-knife which he had hidden in his bed. Patient met with no success." Another of my cases which interested me considerably was that of a professional burglar who had been operated upon in almost every part of the kingdom, and was inclined to be communicative, as the job which had brought him to hospital had cost him a broken spine. Very little hope was held out to him that he would ever walk again. He was clear of murder, for he said it was never his practice to carry firearms, being a nervous man and apt to use them if he had them and got alarmed when busy burglaring. He relied chiefly on his extraordinary agility and steady head to escape. His only yarn, however, was his last. He and a friend had been detailed by the gang to the job of plundering one of a row of houses. The plans of the house and of the enterprise were all in order, but some unexpected alarm was given and he fled upstairs, climbed through a skylight onto the roof, and ran along the gables of the tiles, not far ahead of the police, who were armed and firing at him. He could easily have gotten away, as he could run along the coping of the brick parapet without turning a hair, but he was brought up by a narrow side street on which he had not counted, not having antic.i.p.ated, like cats, a battle on the tiles. It was only some twelve or fifteen feet across the gap, and the landing on the other side was a flat roof. Taking it all at a rush he cleared the street successfully, but the flat roof, black with ages of soot, proved to be a gla.s.s skylight, and he entered a house in a way new even to him. His falling on a stone floor many feet below accounted for his "unfortunate accident"! After many months in bed, the man took an unexpected turn, his back mended, and with only a slight leg paralysis he was able to return to the outside world. His long suffering and incarceration in hospital were accepted by the law as his punishment, and he a.s.sured me by all that he held sacred that he intended to retire into private life. Oddly enough, however, while on another case, I saw him again in the prisoner's dock and at once went over and spoke to him.

"Drink this time, Doctor," he said. "I was down on my luck and the barkeeper went out and left his till open. I climbed over and got the cash, but there was so little s.p.a.ce between the bar and the wall that with my stiff back I couldn't for the life of me get back. I was jammed like a stopper in a bottle."

Among many interesting experiences, one especially I shall never forget. Like the others, it occurred during my service for Sir Frederick Treves as house-surgeon, and I believe he told the story. A very badly burned woman had been brought into hospital. Her dress had somehow got soaked in paraffin and had then taken fire. Her terribly extensive burns left no hope whatever of her recovery, and only the conventions of society kept us from giving the poor creature the relief of euthanasia, or some cup of laudanum negus. But the law was interested. A magistrate was brought to the bedside and the husband sent for. The nature of the evidence, the meaning of an oath, the importance of the poor creature acknowledging that her words were spoken "in hopeless fear of immediate death," were all duly impressed upon what remained of her mind. The police then brought in the savage, degraded-looking husband, and made him stand between two policemen at the foot of the bed, facing his mangled wife. The magistrate, after preliminary questions, asked her to make her dying statement as to how she came by her death. There was a terrible moment of silence. It seemed as if her spirit were no longer able to respond to the stimuli of life on earth. Then a sudden rebound appeared to take place, her eyes lit up with a flash of light, and even endeavouring to raise her piteous body, she said, "It was an accident, Judge. I upset the lamp myself, so help me G.o.d"; and just for one moment her eyes met those of her miserable husband. It was the last time she spoke.

Tragedy and comedy ran hand in hand even in this work. St. Patrick's Day always made the hospital busy, just as Christmas was the season for burned children. Beer in an East London "pub" was generally served in pewter pots, as they were not easily broken. A common head injury was a circular scalp cut made by the heavy bottom rim, a wound which bled horribly. A woman was brought in on one St. Patrick's Day, her scalp turned forward over her face and her long hair a ma.s.s of clotted blood from such a stroke, made while she was on the ground. When the necessary readjustments had been made and she was leaving hospital cured, we asked her what had been the cause of the trouble. "'Twas just an accidint, yer know. Sure, me an' another loidy was just havin'

a few words."

On another occasion late at night, we were called out of bed by a cantankerous, half-drunken fellow whom the night porter could not pacify. "I'm a regular subscriber to this hospital, and I have never had my dues yet," he kept protesting. A new drug to produce immediate vomiting had just been put on the market, and as it was exactly the treatment he required, we gave him an injection. To our dismay, though the medicine is in common use to-day, either the poison which he had been drinking or the drug itself caused a collapse followed by head symptoms. He was admitted, his head shaved and icebags applied, with the result that next day he was quite well again. But when he left he had, instead of a superabundance of curly, auburn hair, a polished white k.n.o.b oiled and shining like a State House at night. We debated whether his subscription would be as regular in future, though he professed to be profoundly grateful.

I have digressed, but the intimacy which grew up between some of my patients and myself seemed worth while recounting, for they showed me what I never in any other way could have understood about the seamy side of life in great cities, of its terrible tragedies and pathos, of how much good there is in the worst, and how much need of courage, and what vast opportunities lie before those who accept the service of man as their service to G.o.d. It proved to me how infinitely more needed are unselfish deeds than orthodox words, and how much the churches must learn from the Labour Party, the Socialist Party, the Trades-Union, before tens of thousands of our fellow beings, with all their hopes and fears, loves and aspirations, have a fair chance to make good. I learned also to hate the liquor traffic with a loathing of my soul. I met peers of the realm honoured with t.i.tles because they had grown rich on the degradation of my friends. I saw lives d.a.m.ned, cruelties of every kind perpetrated, jails and hospitals filled, misery, want, starvation, murder, all caused by men who fattened off the profits and posed as gentlemen and great people. I have seen men's mouths closed whose business in life it was to speak out against this accursed trade. I have seen men driven from the profession of priests of G.o.d, making the Church a stench in the nostrils of men who knew values just as well as those trained in the universities do, all through alcohol, alcohol, alcohol. This awful war has been dragging its weary course for over four years now, and yet England has not tackled this curse which is throttling her. We sing "G.o.d save the King," and pretend to believe in the prayer, and yet we will not face this glaring demon in our midst. Words may clothe ideas, but it takes deeds to realize them.

My parents having gone, it became necessary for me to find lodgings--which I did, "unfurnished," in the house of a Portuguese widow. Her husband, who had a good family name, had gone down in the world, and had disappeared with another "lady." The eldest son, a mathematical genius, had been able to pay his way through Cambridge University by the scholarships and prizes which he had won. One beautiful little dark-eyed daughter of seven was playing in a West End Theatre as the dormouse in "Alice in Wonderland." She was second fiddle to Alice herself, also, and could sing all her songs. Her pay was some five pounds a week, poor enough for the attraction she proved, but more than all the rest of the family put together earned.

At that time I never went to theatres. Acquaintances had persuaded me that so many of the girls were ruined on the stage that for a man taking any interest in Christian work whatever, it was wrong to attend. Moreover, among my acquaintances there were not a few theatre fans, and I had nothing in common with them. The "dormouse," however, used to come up and say her parts for my benefit, and that of occasional friends, and was so modest and winsome, and her earnings so invaluable to the family, that I entirely altered my opinion. Then and there I came to the conclusion that the drama was an essential part of art, and that those who were trying to elevate and cleanse it, like Sir Henry Irving, whose son I had met at Marlborough, must have the support of a public who demanded clean plays and good conditions both in front and behind the screen. When I came to London my father had asked me not to go to anything but Shakespearian or equally well-recognized plays until I was twenty-one. Only once did I enter a music hall and I had plenty to satisfy me in a very few minutes.

Vaudevilles are better than in those days. The censor does good work, but it is still the demand which creates the supply, and whatever improvement has occurred has been largely due to the taste of the patrons. Medical students need all the open air they can get in order to keep body and soul fit, and our contempt for the theatre fan was justifiable.

My new lodgings being close to Victoria Park afforded the opportunity for training if one were unconventional. To practise throwing the sixteen-pound hammer requires rough ground and plenty of s.p.a.ce, and as I was scheduled for that at the inter-hospital sports, it was necessary to work when not too many disinterested parties were around.

Even an East-Ender's skull is not hammer-proof, as I had seen when a poor woman was brought into hospital with five circular holes in her head, the result of blows inflicted by her husband with a hammer. The only excuse which the ruffian offered for the murder was that she had forgotten to wake him, he had been late, and lost his job.

A number of the boys in my cla.s.s were learning to swim. There was only one bathing lake and once the waters were troubled we drew the line at going in to give lessons. So we used to meet at the gate at the hour of opening in the morning, and thus be going back before most folks were moving. Nor did we always wait for the park keeper, but often scaled the gates and so obtained an even more exclusive dip. Many an evening we would also "flannel," and train round and round the park, or Hackney Common, to improve one's wind before some big event. For diet at that time I used oatmeal, milk, and eggs, and very little or no meat. It was cheaper and seemed to give me more endurance; and the real value of money was dawning on me.

Victoria Park is one of those open forums where every man with a sore spot goes out to air his grievance. On Sundays there were little groups around the trees where orators debated on everything from a patent medicine to the nature of G.o.d. Charles Bradlaugh and Mrs.

Annie Besant were a.s.sociated together in iconoclastic efforts against orthodox religion, and there was so much truth in some of their contentions that they were making no little disturbance. Hanging on their skirts were a whole crowd of ignorant, dogmatic atheists, who published a paper called "The Freethinker," which, while it was a villainous and contemptible rag, appealed to the pa.s.sions and prejudices of the partially educated. To answer the specious arguments of their propaganda an a.s.sociation known as the Christian Evidence Society used to send out lecturers. One of them became quite famous for his clever arguments and answers, his ready wit, and really extensive reading. He was an Antiguan, a black man named Edwards, and had been a sailor before the mast. I met him at the parish house of an Episcopal clergyman of a near-by church, who, under the caption of Christian socialism, ran all kinds of social agencies that really found their way to the hearts of the people. His messages were so much more in deeds than in words that he greatly appealed to me, and I transferred my allegiance to his church, which was always well filled.

I particularly remember among his efforts the weekly parish dance. My religious acquaintances were apt to cla.s.s all such simple amus.e.m.e.nts in a sort of general category as "works of the Devil," and turn deaf ears to every invitation to point out any evil results, being satisfied with their own statement that it was the "thin edge of the wedge." This good man, however, was very obviously driving a wedge into the hearts of many of his poor neighbours who in those days found no opportunity for relief in innocent pleasures from the sordid round of life in the drab purlieus of Bethnal Green. This clergyman was a forerunner of his neighbour, the famous Samuel Barnett of Mile End, who thought out, started, and for many years presided over Toynbee House, the first big university settlement in East London. His workers preached their gospel through phrases and creeds which they accepted with mental reservations, but just exactly in such ways as they believed in absolutely. At first it used to send a shiver down my spine to find a church worker who didn't believe in the Creed, and stumbled over all our fundamentals. At first it amazed me that such men would pay their own expenses to live in a place like Whitechapel, only to work on drain committees, as delinquent landlord mentors, or just to give special educational chances to promising minds, or physical training to unfit bodies. Yet one saw in their efforts undeniable messages of real love. Personally I could only occasionally run up there to meet friends in residence or attend an art exhibition, but they taught me many lessons.

Exactly opposite the hospital was Oxford House, only two minutes distant, which combined definite doctrinal religion with social work.

Being an Oxford effort it had great attractions for me. Moreover, right alongside it in the middle of a disused sugar refinery I had hired the yard, converted it into a couple of lawn-tennis courts, and ran a small club. There I first met the famous Dr. Hensley Henson, now Bishop of Hereford, and also the present Bishop of London, Dr.

Winnington-Ingram--a good all-round athlete. He used to visit in our wards, and as we had a couple of fives courts, a game which takes little tune and gives much exercise, we used to have an afternoon off together, once a week, when he came over to hospital. Neither of these splendid men were dignitaries in those days, or I am afraid they would have found us medicals much more stand-offish. I may as well admit that we had not then learned to have any respect for bishops or church magnates generally. We liked both of these men because they were unconventional and good sports, and especially in that they were not afraid to tackle the atheist's propaganda in the open. I have seen Dr.

Henson in Whitechapel debating alone against a hall full of opponents and with a fairness and infinite restraint, convincing those open to reason that they were mistaken. Moreover, I have seen Dr. Ingram doing just the same thing standing on a stone in the open park. It may all sound very silly when one knows that by human minds, or to the human mind, the Infinite can never be demonstrated as a mathematical proposition. But the point was that these clergy were proving that they were real men--men who had courage as well as faith, who believed in themselves and their message, who deserved the living which they were supposed to make out of orthodoxy. This the audience knew was more than could be said of many of the opponents. Christ himself showed his superb manhood in just such speaking out.

Indelibly impressed on my mind still is an occasion when one of the most blatant and vicious of these opponents of religion fell ill. A Salvation Army la.s.s found him deserted and in poverty, nursed and looked after him and eventually made a new man of him.

Far and away the most popular of the Park speakers was the Antiguan.

His arguments were so clever it was obvious that he was well and widely read. His absolute understanding of the crowd and his witty repartee used frequently to cause his opponents to lose their tempers, and that was always their undoing. The crowd as a rule was very fair and could easily distinguish arguments from abuse. Thus, on one Sunday the debate was as to whether nature was G.o.d. The atheist representative was a very loud-voiced demagogue, who when angry betrayed his Hibernian origin very markedly. Having been completely worsted and the laugh turned against him by a clever correction of some one's, he used the few minutes given him to reply in violent abuse, ending up that "ladies and gentlemen did not come out on holidays to spend their time being taught English by a d.a.m.ned n.i.g.g.e.r."

"Sir," Edwards answered from the crowd, "I am a British subject, born on the island of Antigua, and as much an Englishman as any Irishman in the country."

Edwards possessed an inexhaustible stock of good-humour and his laugh could be heard halfway across the Park. As soon as his turn came to mount the stone, he got the crowd so good-natured that they became angry at the interruptions of the enemy, and when some one suggested that if nature were that man's G.o.d, the near-by duckpond was the natural place for him, there was a rush for him, and for several subsequent Sundays he was not in evidence. Edwards was a poor man, his small salary and incessant generosity left him nothing for holidays, and he was killing himself with overwork. So we asked him to join us in the new house which we were fitting up in Palestine Place. He most gladly did so and added enormously to our fun. Unfortunately tuberculosis long ago got its grip upon him, and removed a valuable life from East London.

It was a queer little beehive in which we lived in those days, and a more cosmopolitan crowd could hardly have been found: one young doctor who has since made his name and fortune in Australia; another in whose rooms were nearly a hundred cups for prowess in nearly every form of athletics, and who also has "made good" in professional life, besides several others who for shorter or longer periods were allotted rooms in our house. Among the more unusual was the "C.M.," a Brahmin from India, a priest in his youth, who had been brought back to England by some society to be educated in medical missionary work, but whom for some reason they had dropped. For a short time a clever young Russian of Hebrew extraction who was studying for the Church helped to render our common-room social engagements almost international affairs.

As I write this I am at Charleston, South Carolina, and I see how hard it will be for an American to understand the possibility of such a motley a.s.sembly being reasonable or even proper. It seems to me down here that there must have been odd feelings sometimes in those days. I can only say, however, that I never personally even thought of it.

East London is so democratic that one's standards are simply those of the value of the man's soul as we saw it. If he had been yellow with pink stripes it honestly would not have mattered one iota to most of us.

It so happened that there was at that time in hospital under my care a patient known as "the elephant man." He had been starring under that t.i.tle in a cheap vaudeville, had been seen by some of the students, and invited over to be shown to and studied by our best physicians.

The poor fellow was really exceedingly sensitive about his most extraordinary appearance. The disease was called "leontiasis," and consisted of an enormous over-development of bone and skin on one side. His head and face were so deformed as really to resemble a big animal's head with a trunk. My arms would not reach around his hat. A special room in a yard was allotted to him, and several famous people came to see him--among them Queen Alexandra, then the Princess of Wales, who afterward sent him an autographed photograph of herself.

He kept it in his room, which was known as the "elephant house," and it always suggested beauty and the beast. Only at night could the man venture out of doors, and it was no unusual thing in the dusk of nightfall to meet him walking up and down in the little courtyard. He used to talk freely of how he would look in a huge bottle of alcohol--an end to which in his imagination he was fated to come. He was of a very cheerful disposition and pathetically proud of his left side which was normal. Very suddenly one day he died--the reason a.s.signed being that his head fell forward and choked him, being too heavy for him to lift up.

In 1886 I pa.s.sed my examinations and duly became a member of the College of Physicians and of the Royal College of Surgeons of England; and sought some field for change and rest, where also I could use my newly acquired license to my own, if to no one else's, benefit. Among the patients who came to the London Hospital, there were now and again fishermen from the large fishing fleets of the North Sea. They lived out, as it were, on floating villages, sending their fish to market every day by fast cutters. Every two or three months, as their turn came round, a vessel would leave for the home port on the east coast, being permitted, or supposed to be permitted, a day at home for each full week at sea. As the fleets kept the sea summer and winter and the boats were small, not averaging over sixty tons, it was a hazardous calling. The North Sea is nowhere deeper than thirty fathoms, much of it being under twenty, and in some places only five. Indeed, it is a recently sunken and still sinking portion of Europe, so much so that the coasts on both sides are constantly receding, and when Heligoland was handed over by the English to the Kaiser, it was said that he would have to keep jacking it up or soon there would be none left.

Shallow waters exposed to the fierce gales which sweep the German Ocean make deep and dangerous seas, which readily break and wash the decks of craft with low freeboard, such as the North Sea vessels are obliged to have in order to get boats in and out to ferry their fish to the cutter.

There being no skilled aid at hand, the quickest way to get help used to be to send an injured man to market with the fish. Often it was a long journey of many days, simple fractures became compound, and limbs and faculties were often thus lost. It so happened that Sir Frederick Treves had himself a love for navigating in small sailing craft. He had made it a practice to cross the English Channel to Calais in a sailing lugger every Boxing Day--that is, the day after Christmas. He was especially interested in those "that go down to the sea in ships"

and had recently made a trip among the fishing fleets. He told me that a small body of men, interested in the religious and social welfare of the deep-sea fishermen, had chartered a small fishing smack, sent her out among the fishermen to hold religious services of a simple, unconventional type, in order to afford the men an alternative to the grog vessels when fishing was slack, and to carry first aid, the skipper of the vessel being taught ambulance work. They wanted, however, very much to get a young doctor to go out, who cared also for the spiritual side of the work, to see if they could use the additional attraction of proper medical aid to gain the men's sympathies. His advice to me was to go and have a look at it. "If you go in January you will see some fine seascapes, anyhow. Don't go in summer when all of the old ladies go for a rest."

I therefore applied to go out the following January, and that fall, while working near the Great London docks, I used often to look at the tall East Indiamen, thinking that I soon should be aboard just such a vessel in the North Sea. It was dark and raining when my train ran into Yarmouth, and a dripping, stout fisherman in a blue uniform met me at that then unattractive and ill-lighted terminus. He had brought a forlorn "growler" or four-wheeled cab. Climbing in we drove a mile or more along a deserted road, and drew up at last apparently at the back of beyond.