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"It's wonderful how bravely and cheerily a woman
can face a crushing blow. It is different with men.
A man can stand it without complaining, but it knocks
him dazed and silly all the same. But the woman does
not lose her wits any more than she does her courage.
Now, I had a case only a few weeks ago which would
show you what I mean. A gentleman consulted me about
his wife, a very beautiful woman. She had a small
tubercular nodule upon her upper arm, according to
him. He was sure that it was of no importance, but
he wanted to know whether Devonshire or the Riviera
would be the better for her. I examined her and found
a frightful sarcoma of the bone, hardly showing upon
the surface, but involving the shoulder-blade and
clavicle as well as the humerus. A more malignant
case I have never seen. I sent her out of the room
and I told him the truth. What did he do? Why, he
walked slowly round that room with his hands behind
his back, looking with the greatest interest at the
pictures. I can see him now, putting up his gold
pince-nez and staring at them with perfectly
vacant eyes, which told me that he saw neither them
nor the wall behind them. `Amputation of the arm?'
he asked at last. `And of the collar-bone and
shoulder-blade,' said I. `Quite so. The collar-bone
and shoulder-blade,' he repeated, still staring about
him with those lifeless eyes. It settled him. I
don't believe he'll ever be the same man again. But
the woman took it as bravely and brightly as could
be, and she has done very well since. The mischief
was so great that the arm snapped as we drew it from
the night-dress. No, I don't think that there will
be any return, and I have every hope of her recovery.
"The first patient is a thing which one remembers
all one's life. Mine was commonplace, and the
details are of no interest. I had a curious visitor,
however, during the first few months after my plate
went up. It was an elderly woman, richly dressed,
with a wickerwork picnic basket in her hand. This
she opened with the tears streaming down her face,
and out there waddled the fattest, ugliest, and
mangiest little pug dog that I have ever seen. `I
wish you to put him painlessly out of the world,
doctor,' she cried. `Quick, quick, or my resolution
may give way.' She flung herself down, with
hysterical sobs, upon the sofa. The less experienced
a doctor is, the higher are his notions of
professional dignity, as I need not remind you, my
young friend, so I was about to refuse the
commission with indignation, when I bethought me
that, quite apart from medicine, we were gentleman
and lady, and that she had asked me to do something
for her which was evidently of the greatest possible
importance in her eyes. I led off the poor little
doggie, therefore, and with the help of a saucerful
of milk and a few drops of prussic acid his exit was
as speedy and painless as could be desired. `Is it
over?' she cried as I entered. It was really tragic
to see how all the love which should have gone to
husband and children had, in default of them, been
centred upon this uncouth little animal. She left,
quite broken down, in her carriage, and it was only
after her departure that I saw an envelope sealed
with a large red seal, and lying upon the blotting
pad of my desk. Outside, in pencil, was written: `I
have no doubt that you would willingly have done this
without a fee, but I insist upon your acceptance of
the enclosed.' I opened it with some vague notions
of an eccentric millionaire and a fifty-pound note,
but all I found was a postal order for four and
sixpence. The whole incident struck me as so
whimsical that I laughed until I was tired. You'll
find there's so much tragedy in a doctor's life, my
boy, that he would not be able to stand it if it were
not for the strain of comedy which comes every now
and then to leaven it.
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