Round The Red Lamp

"Not your eye?" Dr. Horace Wilkinson was beginning to be a little doubtful as to the advantages of quick diagnosis. It is an excellent thing to be able to surprise a patient, but hitherto it was always the patient who had surprised him.

"The baby's got the measles."

The mother parted the red shawl, and exhibited a little dark, black-eyed gypsy baby, whose swarthy face was all flushed and mottled with a dark-red rash. The child breathed with a rattling sound, and it looked up at the doctor with eyes which were heavy with want of sleep and crusted together at the lids.

"Hum! Yes. Measles, sure enough – and a smart attack."

"I just wanted you to see her, sir, so that you could signify."

"Could what?"

"Signify, if anything happened."

"Oh, I see – certify."

"And now that you've seen it, sir, I'll go on, for Reuben – that's my man – is in a hurry."

"But don't you want any medicine?"

"Oh, now you've seen it, it's all right. I'll let you know if anything happens."

"But you must have some medicine. The child is very ill." He descended into the little room which he had fitted as a surgery, and he made up a two– ounce bottle of cooling medicine. In such cities as Sutton there are few patients who can afford to pay a fee to both doctor and chemist, so that unless the physician is prepared to play the part of both he will have little chance of making a living at either.

"There is your medicine, madam. You will find the directions upon the bottle. Keep the child warm and give it a light diet."

"Thank you kindly, sir." She shouldered her baby and marched for the door.

"Excuse me, madam," said the doctor nervously. "Don't you think it too small a matter to make a bill of? Perhaps it would be better if we had a settlement at once."

The gypsy woman looked at him reproachfully out of her one uncovered eye.

"Are you going to charge me for that?" she asked. "How much, then?"

"Well, say half-a-crown." He mentioned the sum in a half-jesting way, as though it were too small to take serious notice of, but the gypsy woman raised quite a scream at the mention of it.

"'Arf-a-crown! for that?"

"Well, my good woman, why not go to the poor doctor if you cannot afford a fee?"

She fumbled in her pocket, craning awkwardly to keep her grip upon the baby.

"Here's sevenpence," she said at last, holding out a little pile of copper coins. "I'll give you that and a wicker footstool."

"But my fee is half-a-crown." The doctor's views of the glory of his profession cried out against this wretched haggling, and yet what was he to do? "Where am I to get 'arf-a-crown? It is well for gentlefolk like you who sit in your grand houses, and can eat and drink what you like, an' charge 'arf-a– crown for just saying as much as, ''Ow d'ye do?' We can't pick up' arf-crowns like that. What we gets we earns 'ard. This sevenpence is just all I've got. You told me to feed the child light. She must feed light, for what she's to have is more than I know."

Whilst the woman had been speaking, Dr. Horace Wilkinson's eyes had wandered to the tiny heap of money upon the table, which represented all that separated him from absolute starvation, and he chuckled to himself at the grim joke that he should appear to this poor woman to be a being living in the lap of luxury. Then he picked up the odd coppers, leaving only the two half-crowns upon the table.

"Here you are," he said brusquely. "Never mind the fee, and take these coppers. They may be of some use to you. Good-bye!" He bowed her out, and closed the door behind her. After all she was the thin edge of the wedge. These wandering people have great powers of recommendation. All large practices have been built up from such foundations. The hangers-on to the kitchen recommend to the kitchen, they to the drawing-room, and so it spreads. At least he could say now that he had had a patient.

He went into the back room and lit the spirit– kettle to boil the water for his tea, laughing the while at the recollection of his recent interview. If all patients were like this one it could easily be reckoned how many it would take to ruin him completely. Putting aside the dirt upon his carpet and the loss of time, there were twopence gone upon the bandage, fourpence or more upon the medicine, to say nothing of phial, cork, label, and paper. Then he had given her five pence, so that his first patient had absorbed altogether not less than one sixth of his available capital. If five more were to come he would be a broken man. He sat down upon the portmanteau and shook with laughter at the thought, while he measured out his one spoonful and a half of tea at one shilling eightpence into the brown earthenware teapot. Suddenly, however, the laugh faded from his face, and he cocked his ear towards the door, standing listening with a slanting head and a sidelong eye. There had been a rasping of wheels against the curb, the sound of steps outside, and then a loud peal at the bell. With his teaspoon in his hand he peeped round the corner and saw with amazement that a carriage and pair were waiting outside, and that a powdered footman was standing at the door. The spoon tinkled down upon the floor, and he stood gazing in bewilderment. Then, pulling himself together, he threw open the door.

"Young man," said the flunky, "tell your master, Dr. Wilkinson, that he is wanted just as quick as ever he can come to Lady Millbank, at the Towers. He is to come this very instant. We'd take him with us, but we have to go back to see if Dr. Mason is home yet. Just you stir your stumps and give him the message."

The footman nodded and was off in an instant, while the coachman lashed his horses and the carriage flew down the street.

Here was a new development. Dr. Horace Wilkinson stood at his door and tried to think it all out. Lady Millbank, of the Towers! People of wealth and position, no doubt. And a serious case, or why this haste and summoning of two doctors? But, then, why in the name of all that is wonderful should he be sent for?

He was obscure, unknown, without influence. There must be some mistake. Yes, that must be the true explanation; or was it possible that some one was attempting a cruel hoax upon him? At any rate, it was too positive a message to be disregarded. He must set off at once and settle the matter one way or the other.

But he had one source of information. At the corner of the street was a small shop where one of the oldest inhabitants dispensed newspapers and gossip. He could get information there if anywhere. He put on his well-brushed top hat, secreted instruments and bandages in all his pockets, and without waiting for his tea closed up his establishment and started off upon his adventure.

The stationer at the corner was a human directory to every one and everything in Sutton, so that he soon had all the information which he wanted. Sir John Millbank was very well known in the town, it seemed. He was a merchant prince, an exporter of pens, three times mayor, and reported to be fully worth two millions sterling.

The Towers was his palatial seat, just outside the city. His wife had been an invalid for some years, and was growing worse. So far the whole thing seemed to be genuine enough. By some amazing chance these people really had sent for him.

And then another doubt assailed him, and he turned back into the shop.

"I am your neighbour, Dr. Horace Wilkinson," said he. "Is there any other medical man of that name in the town?"

No, the stationer was quite positive that there was not.

That was final, then. A great good fortune had come in his way, and he must take prompt advantage of it. He called a cab and drove furiously to the Towers, with his brain in a whirl, giddy with hope and delight at one moment, and sickened with fears and doubts at the next lest the case should in some way be beyond his powers, or lest he should find at some critical moment that he was without the instrument or appliance that was needed. Every strange and outre case of which he had ever heard or read came back into his mind, and long before he reached the Towers he had worked himself into a positive conviction that he would be instantly required to do a trephining at the least.

The Towers was a very large house, standing back amid trees, at the head of a winding drive. As he drove up the doctor sprang out, paid away half his worldly assets as a fare, and followed a stately footman who, having taken his name, led him through the oak-panelled, stained-glass hall, gorgeous with deers' heads and ancient armour, and ushered him into a large sitting-room beyond. A very irritable– looking, acid-faced man was seated in an armchair by the fireplace, while two young ladies in white were standing together in the bow window at the further end.

"Hullo! hullo! hullo! What's this – heh?" cried the irritable man. "Are you Dr. Wilkinson? Eh?"

"Yes, sir, I am Dr. Wilkinson."

"Really, now. You seem very young – much younger than I expected. Well, well, well, Mason's old, and yet he don't seem to know much about it. I suppose we must try the other end now. You're the Wilkinson who wrote something about the lungs? Heh?"

Here was a light! The only two letters which the doctor had ever written to The Lancet – modest little letters thrust away in a back column among the wrangles about medical ethics and the inquiries as to how much it took to keep a horse in the country – had been upon pulmonary disease. They had not been wasted, then. Some eye had picked them out and marked the name of the writer. Who could say that work was ever wasted, or that merit did not promptly meet with its reward?

"Yes, I have written on the subject."

"Ha! Well, then, where's Mason?"

"I have not the pleasure of his acquaintance."

"No? – that's queer too. He knows you and thinks a lot of your opinion. You're a stranger in the town, are you not?"

"Yes, I have only been here a very short time."

"That was what Mason said. He didn't give me the address. Said he would call on you and bring you, but when the wife got worse of course I inquired for you and sent for you direct. I sent for Mason, too, but he was out. However, we can't wait for him, so just run away upstairs and do what you can."

"Well, I am placed in a rather delicate position," said Dr. Horace Wilkinson, with some hesitation. "I am here, as I understand, to meet my colleague, Dr. Mason, in consultation. It would, perhaps, hardly be correct for me to see the patient in his absence. I think that I would rather wait."

"Would you, by Jove! Do you think I'll let my wife get worse while the doctor is coolly kicking his heels in the room below? No, sir, I am a plain man, and I tell you that you will either go up or go out."