The Secret of Dr. Kildare E-Book

Max Brand

• Herausgeber: Max Brand
• Kategorie: Abenteuer, Thriller, Horror
• Sprache: Englisch

Veröffentlichungsjahr: 2016

Beschreibung

HOURS later, and every hour like the weighty length of a day, Kildare was saying: "Next, please!" when Mary Lamont answered: "That's the end of the line for today."
He shook his head at her impatiently. "There are twenty more people out there!" he declared.
"I've sent them away," she said.
"You sent them away?" exclaimed Kildare.
"I had orders from Doctor Gillespie."
"But a Gillespie day never stops—it's from noon to noon," protested Kildare.
"He won't let you keep those hours," said the girl. "He gave me express orders that the line is not to keep pressing in at you day and night."
Kildare dropped into a chair, unbuttoned his white jacket at the throat, and wiped away perspiration from around his eyes. Hospitals are always too hot. He merely said: "I suppose he's right. He's always right. I'd be a fool to try to imitate him. He goes in seven-league boots, and I'm only a measuring worm...I suppose he wants me in the laboratory."

Leseprobe

Max Brand

The Secret of Dr. Kildare

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Table of contents

CHAPTER ONE

CHAPTER TWO

CHAPTER THREE

CHAPTER FOUR

CHAPTER FIVE

CHAPTER SIX

CHAPTER SEVEN

CHAPTER EIGHT

CHAPTER NINE

CHAPTER TEN

CHAPTER ELEVEN

CHAPTER TWELVE

CHAPTER THIRTEEN

CHAPTER FOURTEEN

CHAPTER FIFTEEN

CHAPTER SIXTEEN

CHAPTER SEVENTEEN

CHAPTER EIGHTEEN

CHAPTER NINETEEN

CHAPTER ONE

THE patients who came from the ends of the earth to consult Dr. Leonard Gillespie had been drawn to him by his fame as a miracle-worker or sent by baffled physicians of every country. Now, for three days, they had been brought by old Conover, the negro who presided over the waiting-room, not into the stormy presence of the great man, but to the young intern, James Kildare. He was neither very big nor very noisy, and as a rule he failed to impress the people who had been drawn by a famous name; only a small minority saw in him that penetrating flash, that swiftly working instinct which seems almost foreknowledge and is characteristic of the born diagnostician. Kildare, accepting the great post almost guiltily, like a thief on a throne, nevertheless worked three days before he was completely stumped. Many a time when he had reached the end of his own trail of knowledge, he looked up in despair at the closely printed tomes which filled the walls of Gillespie's library, and as he stared, some page flickered in his memory, or the voice of Gillespie came back to hint at the clue to the mystery. So for three days he had not been guilty of a single gross error while the continued stream of feet came in over the blurred pattern of the rug where tens of thousands had stood before them. Instinct helped him through many a pinch. The great Gillespie himself used to say: "The mind comprises nine-tenths of our being, and therefore a doctor who isn't part faith-healer is no damned good. A doctor who lacks human understanding is like a coal miner without a lamp on his hat or a pick in his hand." Beyond a natural gift and the teaching of Gillespie, that human understanding helped Kildare through the first three days. Gillespie, in the meantime, was giving himself up to the work on his laboratory experiment. On the fourth day Kildare at last reached his impasse. He sat with the laboratory reports in his hand, sweating a little as he stared at the boy, but what he really saw was the mother in the background. The lad was twelve, neatly turned out from the shine of his shoes to the gloves in his hand. In spite of his worn, sallow face there was still a fire in him, gradually dying. When his courage failed, he would fail also. In comparison the mother was like a kitchen slavey sent out with the young master. Rain had shrunk her cheap jacket until the sleeves were inches above the wrists and the bottom of it flared out before it reached her hips. She had a round, common face. The pain she had endured gave her the only distinction. Long-continued trouble had tumbled in shadowy lines and hollows of anxiety. The silence of Kildare as he stared at her boy frightened her to the heart, but she tried to wheedle the bad moment away. "It's God's mercy that we've got big hospitals, doctor," she said. "Young or old, there ain't a chance that you could go wrong on a case with all them wheels turning and turning to set you right; not when you got a whole army to lend you a hand." Kildare tasted the bitter truth for a moment in his throat before he spoke it. "I'm afraid that I can't help you," he said. Something stirred, like a whisper of wind, in the corner of the room behind him. That would be Mary Lamont. She was an excellent nurse and steady as a clock in emergencies, but the hopeless cases broke her down. He could feel her now like an extra burden on his mind. Then something struck the floor with a soft shock. Mrs. Casey had dropped her handbag. The boy, stooping quickly, picked it up. He touched her with his hand. "Steady, dear!" he said, and his concern for himself was so much less than his trouble for her that the heart of Kildare gave a great stroke of pain. Mrs. Casey had created a masterpiece that was now about to be stolen from her and from the world. "He can't help me! He can't help me!" she said over and over two or three times, looking into the future and finding it a black emptiness. The boy put an arm around her and turned apologetically toward Kildare. "Shall we go now, sir?" he asked. "Yes," said Kildare crisply. Mary Lamont opened the exit door. She tried to make herself professionally matter-of-fact, but her voice was wobbly as she murmured: "This way, please." A girl as young as that was no good for this work, he decided. He liked having her around. She freshened the day, and she had a bedrock, honest faith in him that gave Kildare strength, but he would have to ask Gillespie for an older nurse. "Thank you, Doctor Kildare," the boy was saying as he went out. "Wait a minute," commanded Kildare. They turned back suddenly. It was still the woman who seemed to stand under the death sentence, not the boy. Mary Lamont watched her doctor with a foolish brightness of expectancy. He scowled at the three of them. "The other doctors—you mean that they're right?" Mrs. Casey was asking. "No. I think they're not right," said Kildare. He watched the hope spring up in their faces. "But I don't know where they're wrong." They were struck blank again. "Will you ask Doctor Gillespie if he'll make a special exception and see this patient?" he added to the nurse. She blessed him with her eyes and her smile as she hurried across the room, but when she came to the door of the great internist's inner office, she hesitated a moment to gather her courage before she went in. Kildare could hear the pleasant murmur of her voice, not the words; then came the roar of Gillespie, hoarse as the barking of a sea-lion. "I've told him before and I tell him again: I'll see nobody! There's one last thing I can give medicine, and I've got it now in the tips of my fingers. It's almost in my hand if I'm let alone to work at it. What do I care about one patient, when I'm thinking of the lives of ten thousand? Get out!" "Mother, let's go now. You heard him," said the boy. "Hush yourself, Michael," said Mrs. Casey. "We'll go when we're sent. Wait for the word!" Her fierce eyes dwelt upon Kildare as Mary Lamont came back into the room with her head bent so that they might not see the tears in her eyes. "Doctor Gillespie finds himself too occupied," she reported. Kildare sighed, shrugged his shoulders, and crossed the room in his turn. "I'll speak to him..." he said. The inner office was stacked with cages of white mice that looked like filing cabinets, each with a white label and a glittering little water-tube. The odour of small animal life in the cages tainted the air as a drop of slime taints drinking water. The diagnostician, who had turned his private sanctum into a menagerie, had two of the cages on the arms of his wheel chair. In triumph he laughed aloud to Kildare: "We're getting it, Jimmy! It's almost here! Look at this, will you?" Six little white mice lay dead in one cage; in the other five were full of scamper and haste and only one was lifeless. "Change the dosage a little and I think we've got it," said Gillespie. "There's the six of the control as dead as pins; and here's five out of six that the injection saved. Five out of six! What d'you think of it?" "I want to talk to you..." began Kildare. "I don't want chatter from you. I want work!" declared Gillespie. "If you'll talk mice and meningitis, all right. Otherwise I have no time. We're going to whip meningitis into a corner, young Doctor Kildare. We're going to make it afraid to show its face. D'you hear me? We might even wangle a mangy little bit of a half-baked reputation for you out of this experiment. What are you hanging your head about now?" His savage impatience made him jerk back his head. Brittle old muscles which failed to cushion the shock allowed a violent tremor to run down through his body. Kildare winced at the sight of it. "I want you to see a patient. I want five minutes of your time," said Kildare. Old Gillespie banged the top of a mouse cage with the flat of his hand, and the mice began to weave a white pattern on the floor of the cage as they raced around it in terror. "You don't want my time; you want my brain!" he shouted. "And you can't have it!" "He's a twelve-year-old boy," said Kildare steadily. "I don't give a damn if he's the prince of Siam or the emperor of Cochin-China!" cried Gillespie. "I won't see him." "His mother's a washwoman," said Kildare. "Let her keep to her tubs and her suds then." "And she's making the boy a gentleman." "We don't want gentlemen; we want hard men who can take a chisel edge." "They call it pernicious anaemia—the other doctors—and they're wrong." "I don't give a damn about anaemia and other doctors and their errors; a lot of ignorant fools. I'm going on with this experiment and nothing else. You hear me?..." "They call it anaemia, and they're wrong," repeated Kildare. "What do you think it is?" "I don't know. Here's the case history and the laboratory reports." "I'm not interested," said Gillespie, snatching the papers. "I'll have nothing to do with it...Why don't you think it's anaemia?" "The blood picture showed no macrocytes," said Kildare. "Then why the devil are you wasting my time?" demanded Gillespie. "Why don't you get him in here where I can lay eyes and hands on him?" Kildare hurried back to the other room. With a handkerchief he rubbed the wet from his forehead as he beckoned to the boy. "Doctor Gillespie will see you," he said. This new accession of hope was too much for Mrs. Casey. She sank into a chair and stared at the floor. Mary Lamont hurried toward her as Kildare ushered the boy into the presence of Gillespie, who was glowering at the laboratory reports. Without lifting his head he snapped: "Palpable spleen, Doctor Kildare?" "Yes, sir," said Kildare. "Make a fragility test?" "No, sir." "Why not?" "The fragility test isn't one of the regular routine." "That's one of the damnations of the world—routine, routine, routine. People want to live by instinct, not by brains. Is the human race going to become a lot of damned insects? Use the mind more and routine less. Have a fragility test made at once." "Yes, sir," said Kildare. "Young man," continued the internist, lifting his head and gathering the shag of his brows together, "do you ever have pains here—up on your left side?" "Yes, sir," said the boy. "You didn't tell me that," said Kildare. "I only have them now and then," declared young Casey. "When you have those pains, your skin is turning yellow, eh?" asked Gillespie. "Yes, sir," agreed the boy. "It's the dilating spleen," stated Gillespie. "I think this boy has haemolytic icterus, Jimmy. Have them get the spleen out of him and he'll be as fit as a fiddle again." He pointed a sudden finger at the Casey boy. "You hear me? You're going to be as right as a trivet inside two weeks. Get out of my sight and tell your mother the news...Stay here, Jimmy!" "Thank you, sir...thank you, Doctor Kildare," the boy was saying as he left the room. He hurried his thanks in his eagerness to bring the great news to his mother; Kildare closed the door slowly after him. "Are you going to break your fool heart because you missed one case in two hundred?" asked Gillespie, already at work on some Petri dishes that contained a reddish agar. "No, sir," said Kildare. "You are, though. Or why do you stand there with that dumb look on your face like a wet hen?" Kildare looked from the white hair of Gillespie, as wild as a windstorm, to the purple-blue beneath his wrinkled eyes. "I'll never learn half what you know," he said. "I'll get used to seeing that. But what I see right now is that you're burning yourself up with this experiment." "That's a lie and a loud one," answered Gillespie, dragging a loop of wire over the agar and commencing to transfer the colony of bacteria to three other dishes. "I never felt better in my life." "Why does your hand shake then?" asked Kildare. "None of your damned business. Leave me alone...till I need you, Jimmy. Will you?" "Yes, sir," answered Kildare, and went unwillingly from the room.

CHAPTER TWO

HOURS later, and every hour like the weighty length of a day, Kildare was saying: "Next, please!" when Mary Lamont answered: "That's the end of the line for today." He shook his head at her impatiently. "There are twenty more people out there!" he declared. "I've sent them away," she said. "You sent them away?" exclaimed Kildare. "I had orders from Doctor Gillespie." "But a Gillespie day never stops—it's from noon to noon," protested Kildare. "He won't let you keep those hours," said the girl. "He gave me express orders that the line is not to keep pressing in at you day and night." Kildare dropped into a chair, unbuttoned his white jacket at the throat, and wiped away perspiration from around his eyes. Hospitals are always too hot. He merely said: "I suppose he's right. He's always right. I'd be a fool to try to imitate him. He goes in seven-league boots, and I'm only a measuring worm...I suppose he wants me in the laboratory." "No. You're to take some time off," said Mary Lamont, watching his face. It was a familiar page to her now. "Time off?" he repeated. "That's right. Light work for the young horse. I'm damned tired of being young, aren't you?" She turned hastily to pick up a fallen report and hide her smile. Kildare was plucking off the long white coat in which he worked. He always managed to get it as wrinkled and stained as a butcher's apron before the day's end. "Little Michael Casey would be happy if you'd drop in to see him," she suggested. "The operation was perfect; and he's already two-thirds well. He's asking for you." "Tell him to save his wind; or let him thank Gillespie. But I'm glad he's doing well. Give them hope, and they're all giants. You notice that? Perhaps Gillespie will give him a word." "He wouldn't know how to talk to Doctor Gillespie; but they all know how to talk to you," she pointed out. "No matter how rough you are, they don't mind." She waited for an answer, curiously. "I'm one of them, and they know it," he said. "But they're out of the slums, and you're out of the country." "I'm born poor, and I'll die poor. They see that, and it's what matters." "Some day you may be a consultant at a thousand dollars a case," she suggested. "May I?" He smiled at this impossible future. "Well, anyway, money can't buy the big things. It can't buy happiness and things like that." "It can keep them all in damned bright repair, though." "You're feeling down." "Haven't I reasons for being down?" "Of course you haven't. There's not a man—there's hardly a man in the world who has your chance." "Good!" said Kildare, smiling wearily at her. "Go on and be all lighted up. It's easy on my eyes." "You're not really unhappy. You're only blue. And that will go away like a cold in the head. What could you complain of?" "Being broke—I'm tired of it. I'm sick of it. The kind of sickness that can't be cured except by a good third act—and I'm not able even to ask a girl to go to a show with me. Money? I'd like to bed myself down in the long green." "That's simply not true." "Don't act like a mother-in-law. Try to believe what I'm saying. I get twenty dollars a month. That's sixty-seven cents a day. If I go to Sullivan's Saloon and buy two or three beers, a pack of cigarettes, and a sandwich, I've burned up my whole income. Wait a minute." Under the troubled eyes of the nurse he took out a shallow handful of silver and of dollar bills. "Here's six bucks and a half. Mary, will you go to a show with me tonight?" "No. You see me every day. You need somebody new." "I don't want your advice. I want you. Come along, will you?" "Of course I will. I'd love it." "That's right. Pretend a little. Nine-tenths of any party is the pretending that goes into it." "Jimmy, don't be difficult. I really want to go." "You know what you're being?" "What?" "Bighearted," he said, and walked away from her. Over his shoulder he called: "See you in a half hour?" She had not moved from the spot where he left her. She was looking after him with worried eyes and forgot to answer his last question. When he got to his room, he found Tom Collins stretched out on one of the iron beds. He was so thin that he looked like a vacant suit of clothes with a head and hands stuck in the apertures. "How about a beer at Mike's?" asked Collins. "No." "How about two beers at Mike's?" "I'm taking a girl to a show." "You're what? What sort of a girl?" asked Collins. "One that likes to relax; that's why she puts up with me. Nobody tries, and so nobody gets tired." "Maybe you've got something—for an internist," said Collins. "Look out for that box on the floor..." But he had given the warning too late and Kildare caught his shoe on the rough edge of a flat packing box that projected from beneath his bed. The old leather tore like paper. The whole toe of the right shoe was left in tatters. Kildare, looking solemnly down, wriggled his stockinged toes. "Is that your only pair of shoes?" asked Collins. "It is," said Kildare, "and there goes my party for this evening." "Don't be a dope," said Collins. "I've got more cash here than I can use, and..." "Quit it, Tom," said Kildare. "But who brought this damned box?" "Old Creighton, the carpenter. He said that he couldn't pay you in cash so he brought you that." Kildare tore off the top layer of composition board, lifted the paper packing, and exposed a small model of the World's Fair, done with a cabinet-maker's most delicate miniature touch, from the needle-sharp trylon and perisphere to the amphitheatre on a blue sea of glass. "A waste of time," said Collins. "Of course," answered Kildare. "But that's why my family will like it." Heavy tape was holding his shoe together when he went down to Mary Lamont with the big, flat box under his arm. She looked like somebody's sister, not the probation nurse who had been working with him. It was the first time he had seen her out of uniform, and she took his breath. She had on a wine-coloured coat of a material as soft as camel's-hair, and a hat to match with a quill of yellow and orange stuck in a brim that furled up or down by surprise. Also she wore a scarf the colour of sunlight. "You're too expensive," said Kildare. "I couldn't take you even on trial. Put yourself back on the shelf, Mary...I mean, seriously: Look what's happened to my shoes, and now the only show I can take you to is a secondhand shop." She refused to stay behind in the hospital, however. The best of any party was simply to get out in the open, she said. So she walked over with him to the express office, where he sent off the Fair model to his mother in Dartford. Then they were in a cellar store buying for two dollars and eighty-five cents a pair of half-soled shoes that once had cost ten or twelve. "Now what? A moving picture?" he asked. "No. We can't talk in a moving picture." "We'll pick up a beer in Sullivan's Saloon then," suggested Kildare. But when he had her there in the back room he was worried. There were three mugs talking loudly at a corner table, and for the first time in all his hours at the old saloon, he noticed the sawdust on the floor. "Is it all right for you to be in this sort of a place?" he asked. "Of course it's all right," she said. "Men like to talk in dark corners." "There's no giggle and jitter about you," said Kildare. "That's one of the ways you're different...What'll you drink?" "Beer," said Mary Lamont. "You don't want beer. I can be a little more expensive than that." "I want beer," she insisted, "if it's on draught." "I'm going to hate the blighter who marries you and takes you away," said Kildare. "Hello, Mike. Two beers when you get a chance." "Okay," said Mike. He went over to the corner table and said grimly: "Why don't you guys pipe down and give the doc a chance to hear himself think?" "What doc?" one of them asked. "It's Kildare," said Mike. "Don't you know nothing?" "Is that him? I thought he'd be twice that size. Let's take these into the bar..." They went out. "Hi, doc. How's things?" they said. "Stay where you are," urged Kildare. "Ah-h-h, we know when a guy wants elbow room," said one of them, and winked at the intern. This remark tickled them all, and they went into the bar on a great blast of laughter. Mike came back with two wet glasses of beer. "You shouldn't have troubled those fellows," said Kildare. "Yeah, and why not?" asked Mike. "Why shouldn't you have your beer in peace, like usual?" He was rubbing off the table with a painful thoroughness, throwing side glances at the girl. "We used to see a lot more of you, doc," he complained. "But maybe you got better things to do with your time." "No, Mike. But I'm standing double duty now in the hospital." "He doesn't like me," said the girl as Mike left the room. "He thinks I'm a bad influence." "Mike? He likes everyone," said Kildare. Big Weyman, the ambulance driver, entered the room and lounged back toward the table of Kildare. "Mind if I ask you something, doc?" he was saying. "It's all right," broke in Mary Lamont. "It's only I, Weyman." The ambulance driver stopped short. "Yeah, what d'you think of that dumb Mike telling me the doc was in here with a—Excuse me, Miss Lamont." Weyman went out in haste. "Was he trying to take care of me?" asked Kildare. "Did Mike send for that gorilla of a Weyman because he thought..." He sat up straight in his chair and looked angrily at nothing in particular. "People are always going to try to take care of you," stated Mary Lamont. "Do you mind telling me why?" he asked politely. "Because you get absorbed in things and forget about yourself. Bulldog, bulldog...you're always finding a lost cause and locking your teeth on it. That's why I'm picking on you, Jimmy. I want to find out what hurt you so much today." "Gillespie," said Kildare. "Can't you see that he's burning his life out and pouring himself away working day and night on this meningitis experiment?" "Do you mean that he's in danger?" she asked. "Of course he is. Every old man is suffering from an incurable disease—I mean old age itself is a disease. There's my own father out there in the country in need of a sort of help that I can give him; but he's only an ordinary man. A Gillespie—why, every month or day that's whittled away from his life is a gift that's gone from the world." "Is that what upset you?" "Isn't it enough? I've got to find a way to make Gillespie slow up. How can I do it?" "I don't know," said the girl, "but I'm sure that you'll find a way, regardless of expense." "Why do you smile when you say that?" asked Kildare. "Because you're always getting ready to spend the last breath in your body on something or other." He sat back to consider this strange statement and fell into such a brown study over it that before he knew it both their glasses were empty.

CHAPTER THREE

MARTHA KILDARE wangled it SO that Beatrice Raymond came over to see the box opened when Stephen Kildare brought it home before lunch. Mrs. Kildare knew that Jimmy and Beatrice, without the slightest malice on either side, had turned their lives away from one another, and she was perfectly convinced that eventually she would be able to arrange a match between them; in the meantime she did what she could to keep them fresh in one another's memory. Jimmy's note read: "Dear Mother, I'm passing on to you a present given to me by a patient who knows that interns can't take money. Maybe you have room for it somewhere. Anyway, there are things like this going on in town, so why don't you come to look at them and let me see you at the same time?" That was all the note said.

"You see," said the mother, "he doesn't write letters. He doesn't know how to write letters."

Beatrice Raymond smiled at her. She said: "You don't have to explain him, Aunt Martha. You don't have to apologise either. I was reading in a book about young men the other day, and now I know all about them."

"Do you?" asked Martha Kildare, watching the smile of the girl.

"Yes. The book says that they're only half real."

"What's the other half composed of then?"

"Legend," said Beatrice.

"But what legend, my dear?"

"The legend of what they want to be or think they are."

"Did you read that or discover it for yourself?"

"I may have dreamed it," confessed Beatrice Raymond.

"And what do young girls do about them—supposing the girls care a rap?"

"Young girls are made up of equal parts of patience, stupidity, and hope, aren't they?" asked Beatrice Raymond.

"Well, that's what the poets used to say about them."

"Was it ever true?"

"No, thank God...Look, Beatrice!"

She had worked off the cover from the box and the Fair model sparkled under their eyes.

"Stephen!" called the doctor's wife. "Oh, Stephen! Come here!"

She hurried into the front room which had once been changed from a New England parlour sanctum into an office for young James Kildare before the old people knew how far away ambition was driving their son. Once altered, they never had been able to bring it back to the old semblance. They could not take down the diplomas from the wall or displace the big mahogany desk, and yet every memento of Jimmy gave them a sadder assurance that he never would come back to them again. They had glimpses from time to time, but his devotion was like that of a novice to some great and ascetic religious order. They felt about him equal parts of pride and grief.

Old Doctor Kildare was found by his wife studying a letter which he crunched almost guiltily in his hand and then tossed into the fire. It glanced back from an iron firedog and rolled on to the hearth again.

"Come see what Jimmy has sent me," she called to him, but when he came hurrying out she lingered for a moment to pick up that soiled and crumpled letter from the floor; but she did not open it until her husband had left the house to answer a patient's call. Then she took Beatrice Raymond into her confidence and smoothed the typewritten sheet of paper face down on the table.

"There's something in this that hurt the doctor," she said, "and he's trying to hide it from me. Beatrice, do you think it's wrong for me to look into it?"

"If I were you I wouldn't dare," said Beatrice. "But then, I'm not you."

Attacked in this unexpected manner by conscience, Mrs. Kildare looked down to the floor and tried to find a ready way out.

"There was such a look about him, Beatrice," she explained. "You take a glance at it, dear, and tell me if there's anything I need to know about poor Steve."

"We'll look together," said Beatrice. "That'll give him two people to blame." She turned the letter face up.

"It's from Doctor Carboys!" whispered Mrs. Kildare. "What has Steve been doing with that terrible man."

"But isn't Doctor Carboys a very fine physician?"

"He's one of those good men who never have anything but bad news...I can't make it out. You read it aloud, Beatrice."

So she read:

"Dear Steve, I have the complete laboratory reports now on the blood, urine, and nonprotein nitrogen. These are all within normal limits, I'm very glad to say. The electrocardiogram and the X-ray plate of the chest are not quite so favourable, however. I am sending them over to your office tomorrow."I have to consider your symptoms after eating, of a marked sense of fullness in the upper abdomen together with enduring substernal pain, some constriction about the chest, radiating pains down the inner side of the left arm, shortness of breath and an impending sense of death. In addition, as you know, in recent years you have had signs of renal changes, your heart has become somewhat enlarged to the left, and you become more and more easily fatigued."In considering these things, I must remember that you are not growing any younger and I've tried to take that into consideration, but these are the findings on the heart."The ECG report is as follows:Auricular rate...78Ventricular rate...78Rhythm regularVoltage variable"QRS excursion greatest in lead 1, upright in lead 1, diphasic in lead 2 and inverted in lead 3. Slight slurring is present. Lead 4 had a relatively small Q. PR interval is .20 seconds. T is upright in leads 1 and 2. ST interval is slightly above the base line in leads 1 and 2."The slurring and variable voltage indicates the presence of some myocardial damage, and this, in conjunction with the raised ST interval in leads 1 and 2 and in lead 4, the relatively small Q, probably indicates the presence of coronary changes. The inversion of the QRS complex in leads 2 and 3 indicates the presence of left axis deviation."In addition the chest plate shows, together with the enlargement of the heart to the left, elongation of the aortic arch with possible sclerotic plaques visible along the arch of the aorta."Now that I've given you the facts, you can interpret them yourself clearly enough. You hardly need to have me say in black and white that I believe you have had a coronary occlusion. You ought to go to bed and stay there for a long time. Bed rest for two or three months is my idea for you, and this should be followed by a complete change of occupation to remove all stress and strain. My dear Steve, it is a terribly unpleasant duty for me to say that you may live ten seconds or ten years, but the chances for the ten years are not so good. Tell me when I may come to see you, and we'll talk over all the details."Affectionately yours,"ARTHUR CARBOYS."

The scientific terminology had kept Beatrice stumbling until she came to the last paragraph, but this was expressed in such layman's language that its meaning was all too clear; her voice lowered as she proceeded with the reading. The thousand wrinkles of pain in the face of Mrs. Kildare made her look down, and she did not look up at once after reaching the signature, and she still was trying to draw words into her mind when she heard the steady, firm voice of Mrs. Kildare saying: "I suppose it's the end."

"What will you do?" asked Beatrice pitifully.

"Everyone manages to get along somehow. If we can't run, we can walk. If we can't walk, we can creep. If we can't creep, we can lie in bed and remember better days. But Jimmy must not know. Not a breath of it must come to him, or he'd throw up his career and come home to help."

"But what else is it right for him to do?" cried Beatrice Raymond. "You can't let him stay on in the city..."

"Why not?" asked the mother fiercely. "We've tried to help him forward. Are we going to hinder him now simply because we've lived too long? I'd rather we both dropped dead—now—this instant!"

CHAPTER FOUR

THE head of the hospital, Dr. Walter Carew, had only two facial expressions—one weary and one ferocious. This evening he looked merely weary as he regarded Kildare across the shimmer of his great desk. He kept his chin on his fist and his face inclined, which exaggerated the likeness between him and Cicero; it was a trick which he had used for so many years that he was unconscious of it now.

"How often have you been here on the carpet, Kildare?" he asked. "I mean, how often has your medical career faced a firing squad in this office?"

"Twice, sir," said Kildare.

"Twice—twice—" nodded Carew. "It seems more often than that. Most of our young men get out of the hospital before I have a chance to know them, and I suppose they thank God for it; but I've had occasion to know you, my friend."

This speech suggested no ready answer, so Kildare was silent. Carew went on with his reflections.

"A hospital is like a family of children, a preposterous, huge, sprawling, bawling family of brats, always out at the toe and the elbow, always with empty bellies, winter coming on and no coal in the cellar. For twenty-five years I've been growing more and more tired of dodging and stealing and fencing and fending for this damned institution. It's enough of a public hospital to make it subject to every twopenny politician in the town; and it's enough of a private hospital to send it begging to every rich man's table in hope of scraping together a few crumbs of charity. As sure as my name is Walter Carew, I've been a beggar. I wear my trousers out at the knee. If I'd said as many prayers for the good of my soul as I have for the sake of this place, I'd be too good for the earth; I'd be in heaven already."

He lifted his head and looked upon Kildare more wearily than ever. "Directly or indirectly, you've been a source of benefactions or a cause that has attracted them to this hospital directly or indirectly." He was repeating himself like an after-dinner speaker. Now, however, as he came to the point, he faltered a little. "Do you think I can steal you away from Gillespie for an evening, my lad?"

"Doctor Gillespie is in the middle of an experiment..."

"The meningitis affair. I know. I know."

"He seems to need me for one thing or another most of the time."

"I know that too. He sharpens the claws of his ugly nature on you; he wipes the boots of his bad temper on you. That's his greatest need of you, isn't it?"

Kildare, looking back through his memories of the storms which recently had been blowing about his devoted head, smiled a little.