The Dop Doctor Part 31

"By the Living Tinker, and that's the fourth! Where d'you think I'd give a cool fifty to be this minute? Not cooling my heels in a brick-paved pa.s.sage while a pack of doctors are swoppin' dog-Latin over the body of a moribund young parson, but on the roof of the Staff Quarters, lookin'

North, with my eyes glued to the binoculars and my ears p.r.i.c.ked for--you know what!"

Beauvayse groaned. "Isn't that what I'm suffering for? And the Chief must be ten times worse. How he keeps his countenance--demure as my grandmother's cat lappin' cream.... I say, the Transvaal Dutch; they call themselves the true Children of Israel, don't they? Well, which did Moses and his little gang come across first in the Desert, the Pillar of Cloud, or the Pillar of Fire, or a couple of railway-trucks containin' the raw material for a sky-journey, only waitin' till Brer' Boer plugs a bullet in among the dynamite? It makes me feel good all over, as the American women say, when I think of it." He smiled like a mischievous young archangel, masquerading in Service kit.

Within the room the fainting man was coming back to consciousness, his dry, rattling breaths bearing out Captain Bingo Wrynche's similitude regarding husks and shavings, rings of blue fire swimming before his darkened vision, and a dull roaring in his ears.... The Royal Army Medical Corps wrought over him; the nurse lent a deft helping hand; the Resident Surgeon talked eagerly to the Colonel; and he, lending ear, scarcely heard the reiterated, stereotyped parrot-phrases, so taken up was his attention with the man in shabby white drill clothes, who leaned over the foot of the bed, his square face set into an expressionless mask, his gentian-blue, oddly vivid eyes fixed upon the wasted, waxy-yellow face of the sick man, his head bent, as he listened with profound, absorbed attention to the husky, rattling, laboured breaths.

Suddenly he straightened himself and spoke, addressing himself to the Resident Surgeon.

"The patient has told us, sir, that he is suffering from tuberculous disease of the lungs. May I ask, was that the conclusion arrived at by a London consulting physician, and whether your own diagnosis has confirmed the a.s.sertion?"

The Resident Surgeon nodded with patronising indifference. He was not going to waste civilities upon this rowdy, drunken remittance-man, whom he had seen reeling through the streets of the stad as he went upon his own respectable way.

"_Phthisis pulmonalis._" He addressed his reply to the Chief. "And the process of lung-destruction is, as you will observe, sir, nearly complete."

He encountered from the Chief a look of cool displeasure that flushed him to the top of his k.n.o.bby forehead, and set him blinking nervously behind his big round spectacles.

"Dr. Saxham asked you, sir, unless I mistake, whether you had ascertained by your own diagnosis, the ..." Lady Hannah's words came back to him. He recalled the "bit of information wormed out of the nurse," and ended with "the presence of the bacillus?"

Saxham's blue eyes thrust their rapier-points at him, and then plunged into the oyster-like orbs behind the spectacles of the Resident Surgeon, who rapidly grew from scarlet to purple, and from purple to pale green.

Major Taggart and the Irishman exchanged a look of intelligence.

"Koch's bacillus, sir, were this a case of tuberculosis proper, would be present in the expectoration of the patient, and easy of demonstration under the microscope." Saxham's voice was cold as ice and cutting as tempered steel. "May we take it that you can personally testify to its presence here?" He pointed to the bed.

"And varra possibly," put in Taggart, "ye could submit a culture for present inspection? It would be gratifeeying to me and Captain McFadyen here, as weel as to our friend an' colleague Dr. Saxham, late of St.

Stephen's-in-the-West, London, to varrafy the correctness o' your diagnosis."

"And it would that!" the Irishman chimed in. "So trot out your bacillus, by all manner of means!"

The Resident Surgeon babbled something incoherent, and melted out of the room.

"Moppin' his head as he goes down the pa.s.sage," said McFadyen, coming back from the door.

"He'll no be in sic a sweatin' hurry to come back," p.r.o.nounced the canny Scot, shedding a wink from a dry, red-fringed eyelid. He produced from the roomy breast-pocket of his khaki Service jacket a rubber-tubed stethoscope, and put it silently into the hand Saxham had mechanically stretched out for it. Then he drew back, his eyes, like those of the other two spectators of the strange scene that was beginning, fixed upon the chief actor in it. One other, weak after his swoon as a new-born child, lay pa.s.sively, helplessly upon the bed.

Saxham, his square face stony and set, moved with a noiseless, feline, padding step towards the p.r.o.ne victim. A gleam of apprehension shot into Julius Fraithorn's great dark eyes, reopening now to consciousness. They fixed themselves, with an instinct born of that sudden thrill of fear, upon the lightly-closed right hand. Instantly comprehending, Saxham lifted the hand, showed that it held no instrument save the stethoscope, and dropped it again by his side, drawing nearer. Then the ma.s.sive, close-cropped black head sank to the level of Julius Fraithorn's breast, revealed in its ghastly, emaciated nakedness by the open nightshirt. The ma.s.sive shoulders bowed, the supple body curved, the keen ear joined itself to the heaving surface. In a moment more the agonising, hacking, rending cough came on. Julius battled for air. Raising him deftly and tenderly, Saxham signed to the nurse, who hurried to him, answering his low questions in whispers, giving aid where he indicated it required.

Steadily, patiently, the binaural stethoscope travelled over the lung area, gathering abnormal sounds, searching for silent s.p.a.ces, sucking evidence into the a.s.similative brain behind the eyes that saw nothing but the man upon the bed, the locked human casket housing the secret that was slowly, surely coming to light. In the fierce determination to gain it, he threw the stethoscope away, and glued his avid ear to the man again.

"Toch! but I wouldna' have missed this for a kittie o' Kruger sovereigns!"

the Chief Medical Officer whispered to his colleague from Meath. And McFadyen whispered back:

"Nor me, for your shoes. 'Ssh!"

Saxham was lifting up the great stooping shoulders, and beginning to speak in a voice totally different from that of the man known in Gueldersdorp as the Dop Doctor. Clear, ringing, concise, the sentences left his lips:

"Gentlemen, I invite your attention to a case of involuntary simulation of the symptoms distinguishing pulmonary tuberculosis by a patient suffering from a grave disease of totally different and possibly much less malignant character. Oblige me by stepping nearer!"

They crowded about the bed like eager students.

"In order to show what false conclusions loose modes of reasoning and the habitual reliance upon precedent may lead to, take the instance of the consulting physician to whom some years ago this young man, now barely thirty, and reduced, as you may see for yourselves, to the final extremity of physical decline, resorted."

"I would gie five shillin' if the man could hear his ain judgment!"

murmured the Chief Medical Officer; for he had gleaned from a whispered answer of Julius's the omnipotent name of Sir Jedbury Fargoe. "Toch!" He chuckled dryly. Saxham went on:

"The consulting patient suffers from cough, painful and racking, from impaired digestive power, from increasing debility, fever, and night-sweats. He visits the specialist, convinced that he is consumptive, he receives confirmation of his convictions, and you see him to-day presenting the appearance, and reproducing all the symptoms of a patient in consumption's final stage. Possibly the germs of tuberculosis may be dormant in his organisation, waiting the opportunity to develop into activity! Possibly--a very remote possibility--the disease may have already attacked some organ of his body! But--and upon this point I can take my stand with the confidence of absolute certainty--the lungs of this so-called pulmonary sufferer are absolutely sound!"

"My certie! Send I may live to foregather wi' Sir Jedbury Fargoe!" the Chief Medical Officer prayed inaudibly. "He will gang to the next International Consumption Congress wi' a smaller conceit of himsel', or my name's no Duncan Taggart!"

The lecturer, absorbed in his subject, lifted his hand to silence the murmur, and pursued:

"From what disease, then, is this man suffering? Logical and progressive conclusions drawn from experience, and based upon the local enlargement which the physicians previously consulted have apparently failed to perceive, lead me to diagnose the presence of a tumour in the mediastinum, extending its claws into the lungs, and seriously impeding their action and the action of the heart. An operation, serious and necessarily involving danger, is imperative. The growth may be benign or malignant; in the latter case I doubt whether the life of the patient is to be saved.

But in the former case he has good hopes. Understand, I speak with certainty. Upon the presence of the growth, simple or otherwise, I am ready to stake my credit, my good name, my professional reputation----"

Ah! It rushed upon Saxham with a sickening shock of recollection that he was bankrupt in these things, and shame and anger strove for the mastery in his face, and anguish wrung a sob from him, despite his iron composure.

He wrenched at the collar about his swelling throat, as he turned away blindly towards the window, seeing nothing, fighting desperately with the horrible despair that had gripped him, and the mad, wild frenzy of yearning for the old, glorious life of strenuous effort and conscious power. Lost! lost! all that had been won.

"I ... I had forgotten ...!" he muttered; and then a hard, vigorous hand found his and gripped it.

"Go on forgetting, Saxham!" said a voice in his ear--a voice he knew, instantly steadying--such virtue is there in honest, heartfelt, comprehending sympathy between man and his fellow-man--the spinning brain, and quieting the leaping pulses, and giving him back, as nothing else could have done, his lost self-control. "You have earned the right!"

"Man, you're a wonder!" groaned the enraptured Chief Medical Officer. He added, with a relapse into the national caution: "That is, ye will be if your prognosis proves correc'. But the Taggarts are a' of the canny breed of Doobtin' Tammas, an sae I'll just keep a calm sugh till I see what the knife lays bare."

"Use the knife now, sir. At once--without delay!"

It was the weak, m.u.f.fled voice of the patient on the bed. Saxham wheeled sharply about, and the stern blue eyes and the great l.u.s.trous pleading brown ones, looked into each other.

The pale Julius spoke again:

"I entreat you, Doctor!"

Saxham spoke in his curt way:

"You are aware that there is risk?"

Julius Fraithorn stretched out his transparent hands.

"What risk can there be to a man in my state? Look at these; and did I not hear you say ..."

"Whatever I may have said, sir, and however urgent I may admit the necessity for immediate operation, you must wait until to-morrow morning."

"I am fasting, sir, and fed. I received Holy Communion this morning, and have not yet breakfasted."

The return of the chart-nurse followed by a probationer carrying a laden tray provoked an exclamation from the little Irishman.

"Signs on it, the boy's as empty as a drum. The devil a wonder he went off like he did a bit back. And you can't deny him, Saxham?"

"I wad gie him the chance, Saxham"--this from Surgeon-Major Taggart--"in your place; and maybe I'm putting in six worrds for mysel' as well as half a dozen for the patient. For I have an auld bone to pyke wi' Sir Jedbury Fargoe, aboot a Regimental patient he slew for me, three years back, wi'

his jawbone of a Philistine a.s.s."