St. Bernard's: The Romance of a Medical Student
CHAPTER I.
THE FIRST OF OCTOBER
“Homines ad deos nullâ re proprius accedunt quàm salutem hominibus dando.”
Having selected medicine as a profession, the usual day for a man to enter on a course of study at one of our great medical schools is the first of October. The almanack tells us this is the feast of St. Remigius, the day on which Cambridge term begins and pheasant shooting commences. Neither of these interesting facts, however, explains the opening of the medical schools on the day in question; nor is it explained by the circumstance that this period is the anniversary of the institution of the order of merit for Folly, created at Cleves in the year of our Lord 1381; nor by what good old Thomas Fuller tells us of the holding of Lawless Courts, or Curia de Domino Rege Dicta sine Lege on Kingshill at Rochford in Essex; though some non-medical antiquaries, holding the learned profession of medicine in low esteem, have pretended that a day sacred to folly and lawlessness is peculiarly appropriate for the commencement of the curriculum of a medical student. We will not, like the ancient philosopher of whom Montaigne speaks, seek for learned and obscure explanations when our serving maid can offer us a simple one, but will state at once that the medical schools open at this season of the year because the weather being now cool, corpses set apart for dissection keep well! Thus did scholastic speculation vanish before the timely discovery of the legend, Bill Stumps, his X mark. This day of high festival at all the hospitals to which medical schools are attached is celebrated in various ways. An inaugural address, given by one of the staff, has long been the custom at the most famous of these; and on such occasions the freshman is usually staggered by the picture of the awful responsibilities he has undertaken, and made aware that he has devoted his life and energies to the loftiest, noblest, and worst paid calling he could have possibly selected. He is assured that he will be a benefactor to humanity of the highest type, but must expect neither gratitude, wealth, nor elevation to the peerage; that although he will, if he join the Army Medical Service, be looked down upon as only a superior kind of camp follower; that, as Dr. Abernethy used to say, if he does not claim his fees “while the tears are about,” he stands a good chance of losing them – so prone is an ungrateful country and a forgetful client to ignore the doctor when the danger is over. Notwithstanding all these drawbacks, however, he is assured he will find in the commendation of his own conscience an ever-sufficient reward for his devotion to suffering humanity. All successful professional men talk more or less of this pessimistic cant, like the Chancery judge who addressed a batch of newly admitted barristers-at-law in these terms: “Gentlemen, I cannot congratulate you on the profession which you have chosen. It is one in which very few succeed, and most of those who succeed wish they had failed.” The fact is, with professions and business, as with wives, men get just as much success as they deserve. These sentiments produce on the newly entered pupils their profoundest effect, but they are totally lost on the older ones, who declare them all humbug, and only intended to gull the public who will read them in the daily papers. Many of the seats are always filled by medical men who were educated in the hospital and school attached, who like to hear these time-honoured sentiments, reminding them of the happy period when they entered their Alma Mater with an enthusiasm long since damped by contact with the harsh world without. After the address, the prizes won by the successful students are usually distributed, and the teaching staff dine together, and the students go off to make a night of it, and show their new companions a little life about town.
“The learn’d physician, skilled our wounds to heal,
Is more than armies to the public weal,”
On this particular first of October with which the present history is concerned, Harrowby Elsworth affiliated himself to the old and honoured medical school attached to St. Bernard’s Hospital, London – an hospital of high reputation, with a great and renowned school of medicine. He had distinguished himself at Oxford, and had selected his profession with the determination to do well in it, as he had done with all he had hitherto put his hand to.
He was a tall, slim fellow, standing six feet one in his stockings, so dark in the complexion that he might have passed for a native of Southern Europe. Although rather an Apollo amongst men, his graceful bearing and manly carriage were not the characteristics that gave him a passport at first hand to every one he met. It was the full, deep, earnest, clear, and honest eye, by which you could look into his soul. At a glance you took this in; there was no mistaking that, in the handsome young fellow who confronted you, there dwelt a spirit as brave, strong, and well braced as the frame that held it.
He had long since lost his mother – so long ago that he could but just recall her image as that of a tall, fair, delicate, blue-eyed woman, who had left her heart on his lips on the day she died.
His father was a retired Indian officer, who had seen much service, and had greatly distinguished himself in the Indian Mutiny. He had been severely wounded, and returned to England. Having recruited his health after several years’ stay in Cheltenham, he went back to the scenes of his former victories to occupy himself with investigations concerning the ancient literature of the Hindoos. He soon became so completely engrossed in this work, in which he hoped to cover himself with no less glory than in his campaigns, that he determined not to trouble himself with his native country or its affairs till he was able to announce to the learned societies of Europe the full fruition of his labours. He was a good man, and had been a kind and generous father, but became so enwrapped in his musty literature as to be practically dead to his duties to his only son, who, with all his kinsmen and friends of his fatherland, had become of very much less importance to him than the Sanskrit poem he had just discovered hidden in an image of a cross-legged Buddha serenely contemplating his epigastrium. So it having been finally settled that Harrowby was to be made a doctor, Major Elsworth arranged with his agents in England to pay the necessary fees, and settled on his son a sum of £300 a year for life, so that he might be free to pursue his own calling untroubled by the smaller anxieties of life till his profession should afford him a more ample subsistence. All these matters having been finally concluded, at the expense of much distraction from the Mahâbhârata research, the old gentleman felt disburdened of a long-standing load which had often impeded the even tenor of his work, and once more settled down to the classic heroes of Indian song and the legends of his mythic age. He felt that Harrowby was off his hands, and gave him very plainly to understand that, pending the completion of his great work on the Origin of the Mahâbhârata Poems, he must have no disturbing communications requiring any reply from him. Acting upon these hints, Harrowby very rarely troubled his father with any letters, and still more rarely had any replies to them. He made up his mind that when he had done all the work at the hospital he wanted to do, he would go out to his father, and spend a year or two with him before finally settling down to practice.
CHAPTER II.
THE SCHOOL OF ANATOMY
Foremost in the regal class Nature has broadly severed from her mass Of men…
Elsworth entered the profession of medicine with a large stock of a commodity just now rather out of fashion with our young men. This limp and degenerate age seems unable to supply our youth with backbone enough to make them enthusiasts about anything beyond dress, the Opera Comique, and the quality of their tobacco. They adopt a profession without at all intending it shall absorb them; they consider it a sign of weakness to show a consuming interest in great subjects, and their energies are frittered away on the most trivial concerns. How many men enter the Church, not as though Heaven-sent messengers, but as affording them a pleasant way of getting on in life! As for a message to mankind or a call from God, it would be too much in the way of the Methodists and Salvation Army people to be consistent with their notions of propriety. What they have to offer the world may be taken or left without interfering in the least with their peace of mind. Hence so many empty churches, while our courts and alleys are full of folk perishing for lack of knowledge which nobody is sufficiently interested to impart, except in a perfunctory manner. It may be all very well for good Mr. Spurgeon to be consumed with desire to save souls; that sort of thing may be consistent with life in