During the winter in which I reached my twenty fifth year I lived with my mother's brother, Dr. Alfred Morris, in Warburton, a small country town, and I was there beginning the practice of medicine. I had been graduated in the spring, and my uncle earnestly advised me to come to him and act as his assistant, which advice, considering the fact that he was an elderly man, and that I might hope to succeed him in his excellent practice, was considered good advice by myself and my family.
At this time I practised very little, but learned a great deal, for as I often accompanied my uncle on his professional visits, I could not have taken a better postgraduate course.I had an invitation to spend the Christmas of that year with the Collingwoods, who had opened their country house, about twelve miles from Warburton, for the entertainment of a holiday house party. I had gladly accepted the invitation, and on the day before Christmas I went to the livery stable in the village to hire a horse and sleigh for the trip. At the stable I met Uncle Beamish, who had also come to hire a conveyance.
"Uncle Beamish," as he was generally called in the village, although I am sure he had no nephews or nieces in the place, was an elderly man who had retired from some business, I know not what, and was apparently quite able to live upon whatever income he had. He was a good man, rather illiterate, but very shrewd. Generous in good works, I do not think he was fond of giving away money, but his services were at the call of all who needed them.
I liked Uncle Beamish very much, for he was not only a good story-teller, but he was willing to listen to my stories, and when I found he wanted to hire a horse and sleigh to go to the house of his married sister, with whom he intended to spend Christmas, and that his sister lived on Upper Hill turnpike, on which road the Collingwood house was situated, I proposed that we should hire a sleigh together.
"That will suit me," said Uncle Beamish. "There couldn't have been a better fit if I had been measured for it. Less than half a mile after you turn into the turnpike, you pass my sister's house. Then you can drop me and go on to the Collingwoods', which I should say isn't more than three miles further."
The arrangement was made, a horse and sleigh ordered, and early in the afternoon we started from Warburton.The sleighing was good, but the same could not be said of the horse. He was a big roan, powerful and steady, but entirely too deliberate in action. Uncle Beamish, however, was quite satisfied with him.
"What you want when you are goin' to take a journey with a horse," said he, "is stayin' power. Your fast trotter is all very well for a mile or two, but if I have got to go into the country in winter, give me a horse like this."
"Now," said I, giving the roan a useless cut, "what we ought to have is a fast horse, so that we may get there before there is a storm."
"No, doctor, you're wrong," said Uncle Beamish. "What we want is a strong horse that will take us there whether it storms or not, and we have got him. And who cares for a little snow that won't hurt nobody?"
I did not care for snow, and we turned up our collars and went as merrily as people can go to the music of slowly jingling sleigh-bells.The snow began to fall rapidly, and, what was worse, the wind blew directly in our faces, so that sometimes my eyes were so plastered up with snowflakes that I could scarcely see how to drive. I never knew snow to fall with such violence. The roadway in front of us, as far as I could see it, was soon one unbroken stretch of white from fence to fence.
"This is the big storm of the season," said Uncle Beamish, "and it is a good thing we started in time, for if the wind keeps blowin', this road will be pretty hard to travel in a couple of hours."
In about half an hour the wind lulled a little and I could get a better view of our surroundings, although I could not see very far through the swiftly descending snow."I was thinkin'," said Uncle Beamish, "that it might be a good idee, when we get to Crocker's place, to stop a little, and let you warm your fingers and nose. Crocker's is ruther more than half-way to the pike."
"Oh, I do not want to stop anywhere," I replied quickly. "I am all right."Nothing was said for some time, and then Uncle Beamish remarked:
"I don't want to stop any more than you do, but it does seem strange that we ain't passed Crocker's yit. We could hardly miss his house, it is so close to the road. This horse is slow, but I tell you one thing, doctor, he's improvin'. He is goin' better than he did. That's the way with this kind. It takes them a good while to get warmed up, but they keep on gettin' fresher instead of tireder."
The big roan was going better, but still we did not reach Crocker's, which disappointed Uncle Beamish, who wanted to be assured that the greater part of his journey was over. "We must have passed it," he said, "when the snow was so blindin'."I did not wish to discourage him by saying that I did not think we had yet reached Crocker's, but I believed I had a much better appreciation of our horse's slowness than he had.
Again the wind began to blow in our faces, and the snow fell faster, but the violence of the storm seemed to encourage our horse, for his pace was now greatly increased."That's the sort of beast to have," exclaimed Uncle Beamish, spluttering as the snow blew in his mouth. "He is gettin' his spirits up just when they are most wanted. We must have passed Crocker's a good while ago, and it can't be long before we get to the pike. And it's time we was there, for it's darkenin'."
On and on we went, but still we did not reach the pike. We had lost a great deal of time during the first part of the journey, and although the horse was travelling so much better now, his pace was below the average of good roadsters.
"When we get to the pike," said Uncle Beamish, "you can't miss it, for this road doesn't cross it. All you've got to do is to turn to the left, and in ten minutes you will see the lights in my sister's house. And I'll tell you, doctor, if you would like to stop there for the night, she'd be mighty glad to have you."
"Much obliged," replied I, "but I shall go on. It's not late yet, and I can reach the Collingwoods' in good time."We now drove on in silence, our horse actually arching his neck as he thumped through the snow. Drifts had begun to form across the road, but through these he bravely plunged.
"Stayin' power is what we want, doctor!" exclaimed Uncle Beamish. "Where would your fast trotter be in drifts like these, I'd like to know? We got the right horse when we got this one, but I wish we had been goin' this fast all the time."
It grew darker and darker, but at last we saw, not far in front of us, a light."That beats me," said Uncle Beamish. "I don't remember no other house so near the road. It can't be we ain't passed Crocker's yit! If we ain't got no further than that, I'm in favor of stoppin'. I'm not afraid of a snow-storm, but I ain't a fool nuther, and if we haven't got further than Crocker's it will be foolhardy to try to push on through the dark and these big drifts, which will be gettin' bigger."
I did not give it up so easily. I greatly wished to` reach my destination that night. But there were three wills in the party, and one of them belonged to the horse. Before I had any idea of such a thing, the animal made a sudden turn,--too sudden for safety,--passed through a wide gateway, and after a few rapid bounds which, to my surprise, I could not restrain, he stopped suddenly.
"Hello!" exclaimed Uncle Beamish, peering forward, "here's a barn door." And he immediately began to throw off the far robe that covered our knees.
"I'm goin' to open the barn door and let the horse go in," said he. "He seems to want to. I don't know whether this is Crocker's barn or not. It don't look like it, but I may be mistaken. Anyway, we will let the horse in, and then go to the house. This ain't no night to be travellin' any further, doctor, and that is the long and the short of it. If the people here ain't Crockers, I guess they are Christians!"
I had not much time to consider the situation, for while he had been speaking, Uncle Beamish had waded through the snow, and finding the barn door unfastened, had slid it to one side. Instantly the horse entered the dark barn, fortunately finding nothing in his way.
"Now," said Uncle Beamish, "if we can get somethin' to tie him with, so that he don't do no mischief, we can leave him here and go up to the house." I carried a pocket lantern, and quickly lighted it. "By George!" said Uncle Beamish, as I held up the lantern, "this ain't much of a barn--it's no more than a wagon- house. It ain't Crocker's--but no matter; we'll go up to the house. Here is a hitchin'-rope."
We fastened the horse, threw a robe over him, shut the barn door behind us, and slowly made our way to the back of the house, in which there was a lighted window. Mounting a little portico, we reached a door, and were about to knock when it was opened for us. A woman, plainly a servant, stood in a kitchen, light and warm.
"Come right in," she said. "I heard your bells. Did you put your horse in the barn?""Yes," said Uncle Beamish, "and now we would like to see--"
"All right," interrupted the woman, moving toward an inner door. "Just wait here for a minute. I'm going up to tell her."
"I don't know this place," said Uncle Beamish, as we stood by the kitchen stove, "but I expect it belongs to a widow woman."
"What makes you think that?" I asked.
"'Cause she said she was goin' to tell HER. If there had been a man in the house, she would have gone to tell HIM."
In a few moments the woman returned.
"She says you are to take off your wet things and then go into the sitting-room. She'll be down in a minute."
I looked at Uncle Beamish, thinking it was his right to make explanations, but, giving me a little wink, he began to take off his overcoat. It was plain to perceive that Uncle Beamish desired to assume that a place of refuge would be offered us.
"It's all that," said she. "You may hang your coats over them chairs. It won't matter if they do drip on this bare floor.
Now, then, come right into the sitting-room."
In spite of my disappointment, I was glad to be in a warm house, and hoped we might be able to stay there. I could hear the storm beating furiously against the window-panes behind the drawn shades. There was a stove in the sitting-room, and a large lamp.
"Sit down," said the woman. "She will be here in a minute.""It strikes me," said Uncle Beamish, when we were left alone, "that somebody is expected in this house, most likely to spend Christmas, and that we are mistook for them, whoever they are."
"I have the same idea," I replied, "and we must explain as soon as possible.""Of course we will do that," said he, "but I can tell you one thing: whoever is expected ain't comin', for he can't get here. But we've got to stay here tonight, no matter who comes or doesn't come, and we've got to be keerful in speakin' to the woman of the house. If she is one kind of a person, we can offer to pay for lodgin's and horse-feed; but if she is another kind, we must steer clear of mentionin' pay, for it will make her angry. You had better leave the explainin' business to me."
I was about to reply that I was more than willing to do so when the door opened and a person entered--evidently the mistress of the house. She was tall and thin, past middle age, and plainly dressed. Her pale countenance wore a defiant look, and behind her spectacles blazed a pair of dark eyes, which, after an instant's survey of her visitors, were fixed steadily upon me. She made but a step into the room, and stood holding the door. We both rose from our chairs.
"You can sit down again," she said sharply to me. "I don't want you. Now, sir," she continued, turning to Uncle Beamish, "please come with me."Uncle Beamish gave a glance of surprise at me, but he immediately followed the old lady out of the room, and the door was closed behind them.
For ten minutes, at least, I sat quietly waiting to see what would happen next--very much surprised at the remark that had been made to me, and wondering at Uncle Beamish's protracted absence. Suddenly he entered the room and closed the door.
"Here's a go!" said he, slapping his leg, but very gently. "We're mistook the worst kind. We're mistook for doctors." "That is only half a mistake," said I. "What is the matter, and what can I do?"
"Nothin'," said he, quickly,--"that is, nothin' your own self. Just the minute she got me outside that door she began pitchin' into you. `I suppose that's young Dr. Glover,' said she. I told her it was, and then she went on to say, givin' me no chance to explain nothin', that she didn't want to have anything to do with you; that she thought it was a shame to turn people's houses into paupers' hospitals for the purpose of teachin' medical students; that she had heard of you, and what she had heard she hadn't liked. All this time she kept goin' up- stairs, and I follerin' her, and the fust thing I knowed she opened a door and went into a room, and I went in after her, and there, in a bed, was a patient of some kind. I was took back dreadful, for the state of the case came to me like a flash.
Your uncle had been sent for, and I was mistook for him. Now, what to say was a puzzle to me, and I began to think pretty fast.It was an awkward business to have to explain things to that sharp-set old woman. The fact is, I didn't know how to begin, and was a good deal afraid, besides, but she didn't give me no time for considerin'. `I think it's her brain,' said she, `but perhaps you'll know better. Catherine, uncover your head!' And with that the patient turned over a little and uncovered her head, which she had had the sheet over. It was a young woman, and she gave me a good look, but she didn't say nothin'. Now I WAS in a state of mind."
"Of course you must have been," I answered. "Why didn't you tell her that you were not a doctor, but that I was. It would have been easy enough to explain matters. She might have thought my uncle could not come and he had sent me, and that you had come along for company. The patient ought to be attended to without delay."
"She's got to be-attended to," said Uncle Beamish, "or else there will be a row and we'll have to travel--storm or no storm. But if you had heard what that old woman said about young doctors, and you in particular, you would know that you wasn't goin' to have anything to do with this case--at least, you wouldn't show in it. But I've got no more time for talkin'. I came down here on business. When the old lady said, `Catherine, hold out your hand!' and she held it out, I had nothin' to do but step up and feel her pulse. I know how to do that, for I have done a lot of nussin' in my life. And then it seemed nat'ral to ask her to put out her tongue, and when she did it I gave a look at it and nodded my head. `Do you think it is her brain?' said the old woman, half whisperin'. `Can't say anything about that yit,' said I. `I must go down-stairs and get the medicine-case. The fust thing to do is to give her a draught, and I will bring it up to her as soon as it is mixed.' You have got a pocket medicine-case with you, haven't you?"
"Oh, yes," said I. "It is in my overcoat."
"I knowed it," said Uncle Beamish. "An old doctor might go visitin' without his medicine-case, but a young one would be sure to take it along, no matter where he was goin'. Now you get it, please, quick."
"My notion is," said he, when I returned from the kitchen with the case, "that you mix somethin' that might soothe her a little, if she has got anything the matter with her brain, and which won't hurt her if she hasn't. And then, when I take it up to her, you tell me what symptoms to look for. I can do it--I have spent nights lookin' for symptoms. Then, when I come down and report, you might send her up somethin' that would keep her from gettin' any wuss till the doctor can come in the mornin', for he ain't comin' here to-night."
"A very good plan," said I. "Now, what can I give her? What is the patient's age?""Oh, her age don't matter much," said Uncle Beamish, impatiently. "She may be twenty, more or less, and any mild stuff will do to begin with."
"I will give her some sweet spirits of nitre," said I, taking out a little vial. "Will you ask the servant for a glass of water and a teaspoon?"
"Now," said I, when I had quickly prepared the mixture, "she can have a teaspoonful of this, and another in ten minutes, and then we will see whether we will go on with it or not."
"And what am I to look for?" said he."In the first place," said I, producing a clinical thermometer, "you must take her temperature. You know how to do that?"
"Oh, yes," said he. "I have done it hundreds of times. She must hold it in her mouth five minutes."
"Yes, and while you are waiting," I continued, "you must try to find out, in the first place, if there are, or have been, any signs of delirium. You might ask the old lady, and besides, you may be able to judge for yourself."
"I can do that," said he. "I have seen lots of it.""Then, again," said I, "you must observe whether or not her pupils are dilated. You might also inquire whether there had been any partial paralysis or numbness in any part of the body. These things must be looked for in brain trouble. Then you can come down, ostensibly to prepare another prescription, and when you have reported, I have no doubt I can give you something which will modify, or I should say--"
"Hold her where she is till mornin'," said Uncle Beamish. "That's what you mean. Be quick. Give me that thermometer and the tumbler, and when I come down again, I reckon you can fit her out with a prescription just as good as anybody."
He hurried away, and I sat down to consider. I was full of ambition, full of enthusiasm for the practice of my profession. I would have been willing to pay largely for the privilege of undertaking an important case by myself, in which it would depend upon me whether or not I should call in a consulting brother. So far, in the cases I had undertaken, a consulting brother had always called himself in--that is, I had practised in hospitals or with my uncle. Perhaps it might be found necessary, notwithstanding all that had been said against me, that I should go up to take charge of this case. I wished I had not forgotten to ask the old man how he had found the tongue and pulse.
In less than a quarter of an hour Uncle Beamish returned."Well," said I, quickly, "what are the symptoms?"
"I'll give them to you," said he, taking his seat. "I'm not in such a hurry now, because I told the old woman I would like to wait a little and see how that fust medicine acted. The patient spoke to me this time. When I took the thermometer out of her mouth she says, `You are comin' up ag'in, doctor?' speakin' low and quickish, as if she wanted nobody but me to hear."
"But how about the symptoms?" said I, impatiently."Well," he answered, "in the fust place her temperature is ninety-eight and a half, and that's about nat'ral, I take it."
"Yes," I said, "but you didn't tell me about her tongue and pulse."
"There wasn't nothin' remarkable about them," said he.
"All of which means," I remarked, "that there is no fever. But that is not at all a necessary accompaniment of brain derangements. How about the dilatation of her pupils?"
"There isn't none," said Uncle Beamish; "they are ruther squinched up, if anything. And as to delirium, I couldn't see no signs of it, and when I asked the old lady about the numbness, she said she didn't believe there had been any."
"No tendency to shiver, no disposition to stretch?""No," said the old man, "no chance for quinine."
"The trouble is," said I, standing before the stove and fixing my mind upon the case with earnest intensity, "that there are so few symptoms in brain derangement. If I could only get hold of something tangible--"
"If I was you," interrupted Uncle Beamish, "I wouldn't try to get hold of nothin'. I would just give her somethin' to keep her where she is till mornin'. If you can do that, I'll guarantee that any good doctor can take her up and go on with her to- morrow."
"If I could get a drop of her blood," said I.
"No, no!" exclaimed Uncle Beamish, "I'm not goin' to do anything of that sort. What in the name of common sense would you do with her blood?"
"I would examine it microscopically," I said. "I might find out all I want to know."
Uncle Beamish did not sympathize with this method of diagnosis.
"If you did find out there was the wrong kind of germs, you couldn't do anything with them to-night, and it would just worry you," said the old man. "I believe that nature will get along fust-rate without any help, at least till mornin'. But you've got to give her some medicine--not so much for her good as for our good. If she's not treated we're bounced. Can't you give her somethin' that would do anybody good, no matter what's the matter with 'em? If it was the spring of the year I would say sarsaparilla. If you could mix her up somethin' and put into it some of them benevolent microbes the doctors talk about, it would be a good deed to do to anybody."
"The benign bacilli," said I. "Unfortunately I haven't any of them with me.""And if you had," he remarked, "I'd be in favor of givin' 'em to the old woman. I take it they would do, her more good than anybody else. Come along now, doctor; it is about time for me to go up-stairs and see how the other stuff acted--not on the patient, I don't mean, but on the old woman. The fact is, you know, it's her we're dosin'."
"Not at all," said I, speaking a little severely. "I am trying to do my very best for the patient, but I fear I cannot do it without seeing her. Don't you think that if you told the old lady how absolutely necessary--"
"Don't say anything more about that!" exclaimed Uncle Beamish. "I hoped I wouldn't have to mention it, but she told me ag'in that she would never have one of those unfledged medical students, just out of the egg-shell, experimentin' on any of her family, and from what she said about you in particular, I should say she considered you as a medical chick without even down on you."
"What can she know of me?" I asked indignantly. "Give it up," said he. "Can't guess it. But that ain't the p'int. The p'int is, what are you goin' to give her? When I was young the doctors used to say, When you are in doubt, give calomel--as if you were playin' trumps."
"Nonsense, nonsense," said I, my eyes earnestly fixed upon my open medical case."I suppose a mustard-plaster on the back of her neck--"
"Wouldn't do at all," I interrupted. "Wait a minute, now-- yes--I know what I will do: I will give her sodium bromide--ten grains."
"`Which will hit if it's a deer and miss if it's a calf' as the hunter said?" inquired Uncle Beamish.
"It will certainly not injure her," said I, "and I am quite sure it will be a positive advantage. If there has been cerebral disturbance, which has subsided temporarily, it will assist her to tide over the interim before its recurrence."
"All right," said Uncle Beamish, "give it to me, and I'll be off. It's time I showed up ag'in."He did not stay up-stairs very long this time.
"No symptoms yit, but the patient looked at me as if she wanted to say somethin'; but she didn't git no chance, for the old lady set herself down as if she was planted in a gardenbed and intended to stay there. But the patient took the medicine as mild as a lamb."
"That is very good," said I. "It may be that she appreciates the seriousness of her ewe better than we do.""I should say she wants to git well," he replied. "She looks like that sort of a person to me. The old woman said she thought we would have to stay awhile till the storm slackened, and I said, yes, indeed, and there wasn't any chance of its slackenin' to-night; besides, I wanted to see the patient before bedtime."
At this moment the door opened and the servant-woman came in."She says you are to have supper, and it will be ready in about half an hour. One of you had better go out and attend to your horse, for the man is not coming back to-night."
"I will go to the barn," said I, rising. Uncle Beamish also rose and said he would go with me.
"I guess you can find some hay and oats," said the woman, as we were putting on our coats and overshoes in the kitchen, "and here's a lantern. We don't keep no horse now, but there's feed left."
As we pushed through the deep snow into the barn, Uncle Beamish said:
"Perhaps we got off the road," said I.
"That may be," said he, as we entered the barn. "It's a straight road from Warburton to the pike near my sister's house, but there's two other roads that branch off to the right and strike the pike further off to the east. Perhaps we got on one of them in all that darkness and perplexin' whiteness, when it wasn't easy to see whether we were keepin' a straight road or not."
The horse neighed as we approached with a light."I would not be at all surprised," said I, "if this horse had once belonged here and that was the reason why, as soon as he got a chance, he turned and made straight for his old home."
"That isn't unlikely," said Uncle Beamish, "and that's the reason we did not pass Crocker's. But here we are, wherever it is, and here we've got to stay till mornin'."We found hay and oats and a pump in the corner of the wagon- house, and having put the horse in the stall and made him as comfortable as possible with some old blankets, we returned to the house, bringing our valises with us.
Our supper was served in the sitting-room because there was a good fire there, and the servant told us we would have to eat by ourselves, as "she" was not coming down."We'll excuse her," said Uncle Beamish, with an alacrity of expression that might have caused suspicion.
We had a good supper, and were then shown a room on the first floor on the other side of the hall, where the servant said we were to sleep.
We sat by the stove awhile, waiting for developments, but as Uncle Beamish's bedtime was rapidly approaching, he sent word to the sick-chamber that he was coming up for his final visit.
This time he stayed up-stairs but a few minutes."She's fast asleep," said he, "and the old woman says she'll call me if I'm needed in the night, and you'll have to jump up sharp and overhaul that medicine-case if that happens."
The next morning, and very early in the morning, I was awaked by Uncle Beamish, who stood at my side.
"Look here," said he, "I've been outside. It's stopped snowin' and it's clearin' off. I've been to the barn and I've fed the horse, and I tell you what I'm in favor of doin'. There's nobody up yit, and I don't want to stay here and make no explanations to that old woman. I don't fancy gittin' into rows on Christmas mornin'. We've done all the good we can here, and the best thing we can do now is to git away before anybody is up, and leave a note sayin' that we've got to go on without losin' time, and that we will send another doctor as soon as possible. My sister's doctor don't live fur away from her, and I know she will be willin' to send for him. Then our duty will be done, and what the old woman thinks of us won't make no, difference to nobody."
"That plan suits me," said I, rising. "I don't want to stay here, and as I am not to be allowed to see the patient, there is no reason why I should stay. What we have done will more than pay for our supper and lodgings, so that our consciences are clear."
"But you must write a note," said Uncle Beamish. "Got any paper?"I tore a leaf from my note-book, and went to the window, where it was barely light enough for me to see how to write.
"Make it short," said the old man. "I'm awful fidgety to git off."
I made it very short, and then,