Round the Red Lamp: Being Facts and Fancies of Medical Life. Arthur Conan DoyleЧитать онлайн книгу.
to the ceiling were already packed, and the novice as he entered saw vague curving lines of faces in front of him, and heard the deep buzz of a hundred voices, and sounds of laughter from somewhere up above him. His companion spied an opening on the second bench, and they both squeezed into it.
"This is grand!" the senior man whispered. "You'll have a rare view of it all."
Only a single row of heads intervened between them and the operating table. It was of unpainted deal, plain, strong, and scrupulously clean. A sheet of brown water-proofing covered half of it, and beneath stood a large tin tray full of sawdust. On the further side, in front of the window, there was a board which was strewed with glittering instruments—forceps, tenacula, saws, canulas, and trocars. A line of knives, with long, thin, delicate blades, lay at one side. Two young men lounged in front of this, one threading needles, the other doing something to a brass coffee-pot-like thing which hissed out puffs of steam.
"That's Peterson," whispered the senior, "the big, bald man in the front row. He's the skin-grafting man, you know. And that's Anthony Browne, who took a larynx out successfully last winter. And there's Murphy, the pathologist, and Stoddart, the eye-man. You'll come to know them all soon."
"Who are the two men at the table?"
"Nobody—dressers. One has charge of the instruments and the other of the puffing Billy. It's Lister's antiseptic spray, you know, and Archer's one of the carbolic-acid men. Hayes is the leader of the cleanliness-and-cold-water school, and they all hate each other like poison."
A flutter of interest passed through the closely packed benches as a woman in petticoat and bodice was led in by two nurses. A red woolen shawl was draped over her head and round her neck. The face which looked out from it was that of a woman in the prime of her years, but drawn with suffering, and of a peculiar beeswax tint. Her head drooped as she walked, and one of the nurses, with her arm round her waist, was whispering consolation in her ear. She gave a quick side-glance at the instrument table as she passed, but the nurses turned her away from it.
"What ails her?" asked the novice.
"Cancer of the parotid. It's the devil of a case; extends right away back behind the carotids. There's hardly a man but Archer would dare to follow it. Ah, here he is himself!"
As he spoke, a small, brisk, iron-grey man came striding into the room, rubbing his hands together as he walked. He had a clean-shaven face, of the naval officer type, with large, bright eyes, and a firm, straight mouth. Behind him came his big house-surgeon, with his gleaming pince-nez, and a trail of dressers, who grouped themselves into the corners of the room.
"Gentlemen," cried the surgeon in a voice as hard and brisk as his manner, "we have here an interesting case of tumour of the parotid, originally cartilaginous but now assuming malignant characteristics, and therefore requiring excision. On to the table, nurse! Thank you! Chloroform, clerk! Thank you! You can take the shawl off, nurse."
The woman lay back upon the water-proofed pillow, and her murderous tumour lay revealed. In itself it was a pretty thing—ivory white, with a mesh of blue veins, and curving gently from jaw to chest. But the lean, yellow face and the stringy throat were in horrible contrast with the plumpness and sleekness of this monstrous growth. The surgeon placed a hand on each side of it and pressed it slowly backwards and forwards.
"Adherent at one place, gentlemen," he cried. "The growth involves the carotids and jugulars, and passes behind the ramus of the jaw, whither we must be prepared to follow it. It is impossible to say how deep our dissection may carry us. Carbolic tray. Thank you! Dressings of carbolic gauze, if you please! Push the chloroform, Mr. Johnson. Have the small saw ready in case it is necessary to remove the jaw."
The patient was moaning gently under the towel which had been placed over her face. She tried to raise her arms and to draw up her knees, but two dressers restrained her. The heavy air was full of the penetrating smells of carbolic acid and of chloroform. A muffled cry came from under the towel, and then a snatch of a song, sung in a high, quavering, monotonous voice:
"He says, says he,
If you fly with me
You'll be mistress of the ice-cream van.
You'll be mistress of the——"
It mumbled off into a drone and stopped. The surgeon came across, still rubbing his hands, and spoke to an elderly man in front of the novice.
"Narrow squeak for the Government," he said.
"Oh, ten is enough."
"They won't have ten long. They'd do better to resign before they are driven to it."
"Oh, I should fight it out."
"What's the use. They can't get past the committee even if they got a vote in the House. I was talking to——"
"Patient's ready, sir," said the dresser.
"Talking to McDonald—but I'll tell you about it presently." He walked back to the patient, who was breathing in long, heavy gasps. "I propose," said he, passing his hand over the tumour in an almost caressing fashion, "to make a free incision over the posterior border, and to take another forward at right angles to the lower end of it. Might I trouble you for a medium knife, Mr. Johnson?"
The novice, with eyes which were dilating with horror, saw the surgeon pick up the long, gleaming knife, dip it into a tin basin, and balance it in his fingers as an artist might his brush. Then he saw him pinch up the skin above the tumour with his left hand. At the sight his nerves, which had already been tried once or twice that day, gave way utterly. His head swain round, and he felt that in another instant he might faint. He dared not look at the patient. He dug his thumbs into his ears lest some scream should come to haunt him, and he fixed his eyes rigidly upon the wooden ledge in front of him. One glance, one cry, would, he knew, break down the shred of self-possession which he still retained. He tried to think of cricket, of green fields and rippling water, of his sisters at home—of anything rather than of what was going on so near him.
And yet somehow, even with his ears stopped up, sounds seemed to penetrate to him and to carry their own tale. He heard, or thought that he heard, the long hissing of the carbolic engine. Then he was conscious of some movement among the dressers. Were there groans, too, breaking in upon him, and some other sound, some fluid sound, which was more dreadfully suggestive still? His mind would keep building up every step of the operation, and fancy made it more ghastly than fact could have been. His nerves tingled and quivered. Minute by minute the giddiness grew more marked, the numb, sickly feeling at his heart more distressing. And then suddenly, with a groan, his head pitching forward, and his brow cracking sharply upon the narrow wooden shelf in front of him, he lay in a dead faint.
When he came to himself, he was lying in the empty theatre, with his collar and shirt undone. The third year's man was dabbing a wet sponge over his face, and a couple of grinning dressers were looking on.
"All right," cried the novice, sitting up and rubbing his eyes. "I'm sorry to have made an ass of myself."
"Well, so I should think," said his companion.
"What on earth did you faint about?"
"I couldn't help it. It was that operation."
"What operation?"
"Why, that cancer."
There was a pause, and then the three students burst out laughing. "Why, you juggins!" cried the senior man, "there never was an operation at all! They found the patient didn't stand the chloroform well, and so the whole thing was off. Archer has been giving us one of his racy lectures, and you fainted just in the middle of his favourite story."
A STRAGGLER OF '15.
It was a dull October morning, and heavy, rolling fog-wreaths lay low over the wet grey roofs of the Woolwich houses. Down in