Chapter 55

PHILIP'S ideas of the life of medical students, like those of the public at large, were founded on the pictures which Charles Dickens drew in the middle of the nineteenth century. He Soon discovered that Bob Sawyer, if he ever existed, was no longer at all like the medical student of the present.

It is a mixed lot which enters upon the medical profession, and naturally there are some who are lazy and reckless. They think it is an easy life, idle away a couple of years; and then, because their funds come to an end or because angry parents refuse any longer to support them, drift away from the hospital. Others find the examinations too hard for them; one failure after another robs them of their nerve; and, panic-stricken, they forget as soon as they come into the forbidding buildings of the Conjoint Board the knowledge which before they had so pat. They remain year after year, objects of good-humoured scorn to younger men: some of them crawl through the examination of the Apothecaries Hall; others become non-qualified assistants, a precarious position in which they are at the mercy of their employer; their lot is poverty, drunkenness, and Heaven only knows their end. But for the most part medical students are industrious young men of the middle-class with a sufficient allowance to live in the respectable fashion they have been used to; many are the sons of doctors who have already something of the professional manner; their career is mapped out: as soon as they are qualified they propose to apply for a hospital appointment, after holding which (and perhaps a trip to the Far East as a ship's doctor), they will join their father and spend the rest of their days in a country practice. One or two are marked out as exceptionally brilliant: they will take the various prizes and scholarships which are open each year to the deserving, get one appointment after another at the hospital, go on the staff, take a consulting-room in Harley Street, and, specialising in one subject or another, become prosperous, eminent, and titled.

The medical profession is the only one which a man may enter at any age with some chance of making a living. Among the men of Philip's year were three or four who were past their first youth: one had been in the Navy, from which according to report he had been dismissed for drunkenness; he was a man of thirty, with a red face, a brusque manner, and a loud voice. Another was a married man with two children, who had lost money through a defaulting solicitor; he had a bowed look as if the world were too much for him; he went about his work silently, and it was plain that he found it difficult at his age to commit facts to memory. His mind worked slowly. His effort at application was painful to see.

Philip made himself at home in his tiny rooms. He arranged his books and hung on the walls such pictures and sketches as he possessed. Above him, on the drawing-room floor, lived a fifth-year man called Griffiths; but Philip saw little of him, partly because he was occupied chiefly in the wards and partly because he had been to Oxford. Such of the students as had been to a university kept a good deal together: they used a variety of means natural to the young in order to impress upon the less fortunate a proper sense of their inferiority; the rest of the students found their Olympian serenity rather hard to bear. Griffiths was a tall fellow, with a quantity of curly red hair and blue eyes, a white skin and a very red mouth; he was one of those fortunate people whom everybody liked, for he had high spirits and a constant gaiety. He strummed a little on the piano and sang comic songs with gusto; and evening after evening, while Philip was reading in his solitary room, he heard the shouts and the uproarious laughter of Griffiths' friends above him. He thought of those delightful evenings in Paris when they would sit in the studio, Lawson and he, Flanagan and Clutton, and talk of art and morals, the love-affairs of the present, and the fame of the future. He felt sick at heart. He found that it was easy to make a heroic gesture, but hard to abide by its results. The worst of it was that the work seemed to him very tedious. He had got out of the habit of being asked questions by demonstrators. His attention wandered at lectures. Anatomy was a dreary science, a mere matter of learning by heart an enormous number of facts; dissection bored him; he did not see the use of dissecting out laboriously nerves and arteries when with much less trouble you could see in the diagrams of a book or in the specimens of the pathological museum exactly where they were.

He made friends by chance, but not intimate friends, for he seemed to have nothing in particular to say to his companions. When he tried to interest himself in their concerns, he felt that they found him patronising. He was not of those who can talk of what moves them without caring whether it bores or not the people they talk to. One man, hearing that he had studied art in Paris, and fancying himself on his taste, tried to discuss art with him; but Philip was impatient of views which did not agree with his own; and, finding


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