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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'
upstairs, 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 gla.s.s 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 n.o.body 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 s.h.i.+ver, 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."
Without noticing the implication contained in these remarks, I continued my consideration of the case.
"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-sh.e.l.l, 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.