Middlemarch

Middlemarch - 52

CHAPTER XLIV.

I would not creep along the coast but steer
Out in mid-sea, by guidance of the stars.

When Dorothea, walking round the laurel-planted plots of the New Hospital with Lydgate, had learned from him that there were no signs of change in Mr. Casaubon’s bodily condition beyond the mental sign of anxiety to know the truth about his illness, she was silent for a few moments, wondering whether she had said or done anything to rouse this new anxiety. Lydgate, not willing to let slip an opportunity of furthering a favorite purpose, ventured to say—

“I don’t know whether your or Mr. Casaubon’s attention has been drawn to the needs of our New Hospital. Circumstances have made it seem rather egotistic in me to urge the subject; but that is not my fault: it is because there is a fight being made against it by the other medical men. I think you are generally interested in such things, for I remember that when I first had the pleasure of seeing you at Tipton Grange before your marriage, you were asking me some questions about the way in which the health of the poor was affected by their miserable housing.”

“Yes, indeed,” said Dorothea, brightening. “I shall be quite grateful to you if you will tell me how I can help to make things a little better. Everything of that sort has slipped away from me since I have been married. I mean,” she said, after a moment’s hesitation, “that the people in our village are tolerably comfortable, and my mind has been too much taken up for me to inquire further. But here—in such a place as Middlemarch—there must be a great deal to be done.”

“There is everything to be done,” said Lydgate, with abrupt energy. “And this Hospital is a capital piece of work, due entirely to Mr. Bulstrode’s exertions, and in a great degree to his money. But one man can’t do everything in a scheme of this sort. Of course he looked forward to help. And now there’s a mean, petty feud set up against the thing in the town, by certain persons who want to make it a failure.”

“What can be their reasons?” said Dorothea, with naive surprise.

“Chiefly Mr. Bulstrode’s unpopularity, to begin with. Half the town would almost take trouble for the sake of thwarting him. In this stupid world most people never consider that a thing is good to be done unless it is done by their own set. I had no connection with Bulstrode before I came here. I look at him quite impartially, and I see that he has some notions—that he has set things on foot—which I can turn to good public purpose. If a fair number of the better educated men went to work with the belief that their observations might contribute to the reform of medical doctrine and practice, we should soon see a change for the better. That’s my point of view. I hold that by refusing to work with Mr. Bulstrode I should be turning my back on an opportunity of making my profession more generally serviceable.”

“I quite agree with you,” said Dorothea, at once fascinated by the situation sketched in Lydgate’s words. “But what is there against Mr. Bulstrode? I know that my uncle is friendly with him.”

“People don’t like his religious tone,” said Lydgate, breaking off there.

“That is all the stronger reason for despising such an opposition,” said Dorothea, looking at the affairs of Middlemarch by the light of the great persecutions.

“To put the matter quite fairly, they have other objections to him:—he is masterful and rather unsociable, and he is concerned with trade, which has complaints of its own that I know nothing about. But what has that to do with the question whether it would not be a fine thing to establish here a more valuable hospital than any they have in the county? The immediate motive to the opposition, however, is the fact that Bulstrode has put the medical direction into my hands. Of course I am glad of that. It gives me an opportunity of doing some good work,—and I am aware that I have to justify his choice of me. But the consequence is, that the whole profession in Middlemarch have set themselves tooth and nail against the Hospital, and not only refuse to cooperate themselves, but try to blacken the whole affair and hinder subscriptions.”

“How very petty!” exclaimed Dorothea, indignantly.

“I suppose one must expect to fight one’s way: there is hardly anything to be done without it. And the ignorance of people about here is stupendous. I don’t lay claim to anything else than having used some opportunities which have not come within everybody’s reach; but there is no stifling the offence of being young, and a new-comer, and happening to know something more than the old inhabitants. Still, if I believe that I can set going a better method of treatment—if I believe that I can pursue certain observations and inquiries which may be a lasting benefit to medical practice, I should be a base truckler if I allowed any consideration of personal comfort to hinder me. And the course is all the clearer from there being no salary in question to put my persistence in an equivocal light.”

“I am glad you have told me this, Mr. Lydgate,” said Dorothea, cordially. “I feel sure I can help a little. I have some money, and don’t know what to do with it—that is often an uncomfortable thought to me. I am sure I can spare two hundred a-year for a grand purpose like this. How happy you must be, to know things that you feel sure will do great good! I wish I could awake with that knowledge every morning. There seems to be so much trouble taken that one can hardly see the good of!”

There was a melancholy cadence in Dorothea’s voice as she spoke these last words. But she presently added, more cheerfully, “Pray come to Lowick and tell us more of this. I will mention the subject to Mr. Casaubon. I must hasten home now.”

She did mention it that evening, and said that she should like to subscribe two hundred a-year—she had seven hundred a-year as the equivalent of her own fortune, settled on her at her marriage. Mr. Casaubon made no objection beyond a passing remark that the sum might be disproportionate in relation to other good objects, but when Dorothea in her ignorance resisted that suggestion, he acquiesced. He did not care himself about spending money, and was not reluctant to give it. If he ever felt keenly any question of money it was through the medium of another passion than the love of material property.

Dorothea told him that she had seen Lydgate, and recited the gist of her conversation with him about the Hospital. Mr. Casaubon did not question her further, but he felt sure that she had wished to know what had passed between Lydgate and himself. “She knows that I know,” said the ever-restless voice within; but that increase of tacit knowledge only thrust further off any confidence between them. He distrusted her affection; and what loneliness is more lonely than distrust?

CHAPTER XLV.

It is the humor of many heads to extol the days of their forefathers, and declaim against the wickedness of times present. Which notwithstanding they cannot handsomely do, without the borrowed help and satire of times past; condemning the vices of their own times, by the expressions of vices in times which they commend, which cannot but argue the community of vice in both. Horace, therefore, Juvenal, and Persius, were no prophets, although their lines did seem to indigitate and point at our times.—SIR THOMAS BROWNE: Pseudodoxia Epidemica.

That opposition to the New Fever Hospital which Lydgate had sketched to Dorothea was, like other oppositions, to be viewed in many different lights. He regarded it as a mixture of jealousy and dunderheaded prejudice. Mr. Bulstrode saw in it not only medical jealousy but a determination to thwart himself, prompted mainly by a hatred of that vital religion of which he had striven to be an effectual lay representative—a hatred which certainly found pretexts apart from religion such as were only too easy to find in the entanglements of human action. These might be called the ministerial views. But oppositions have the illimitable range of objections at command, which need never stop short at the boundary of knowledge, but can draw forever on the vasts of ignorance. What the opposition in Middlemarch said about the New Hospital and its administration had certainly a great deal of echo in it, for heaven has taken care that everybody shall not be an originator; but there were differences which represented every social shade between the polished moderation of Dr. Minchin and the trenchant assertion of Mrs. Dollop, the landlady of the Tankard in Slaughter Lane.

Mrs. Dollop became more and more convinced by her own asseveration, that Dr. Lydgate meant to let the people die in the Hospital, if not to poison them, for the sake of cutting them up without saying by your leave or with your leave; for it was a known “fac” that he had wanted to cut up Mrs. Goby, as respectable a woman as any in Parley Street, who had money in trust before her marriage—a poor tale for a doctor, who if he was good for anything should know what was the matter with you before you died, and not want to pry into your inside after you were gone. If that was not reason, Mrs. Dollop wished to know what was; but there was a prevalent feeling in her audience that her opinion was a bulwark, and that if it were overthrown there would be no limits to the cutting-up of bodies, as had been well seen in Burke and Hare with their pitch-plaisters—such a hanging business as that was not wanted in Middlemarch!

And let it not be supposed that opinion at the Tankard in Slaughter Lane was unimportant to the medical profession: that old authentic public-house—the original Tankard, known by the name of Dollop’s—was the resort of a great Benefit Club, which had some months before put to the vote whether its long-standing medical man, “Doctor Gambit,” should not be cashiered in favor of “this Doctor Lydgate,” who was capable of performing the most astonishing cures, and rescuing people altogether given up by other practitioners. But the balance had been turned against Lydgate by two members, who for some private reasons held that this power of resuscitating persons as good as dead was an equivocal recommendation, and might interfere with providential favors. In the course of the year, however, there had been a change in the public sentiment, of which the unanimity at Dollop’s was an index.

A good deal more than a year ago, before anything was known of Lydgate’s skill, the judgments on it had naturally been divided, depending on a sense of likelihood, situated perhaps in the pit of the stomach or in the pineal gland, and differing in its verdicts, but not the less valuable as a guide in the total deficit of evidence. Patients who had chronic diseases or whose lives had long been worn threadbare, like old Featherstone’s, had been at once inclined to try him; also, many who did not like paying their doctor’s bills, thought agreeably of opening an account with a new doctor and sending for him without stint if the children’s temper wanted a dose, occasions when the old practitioners were often crusty; and all persons thus inclined to employ Lydgate held it likely that he was clever. Some considered that he might do more than others “where there was liver;”—at least there would be no harm in getting a few bottles of “stuff” from him, since if these proved useless it would still be possible to return to the Purifying Pills, which kept you alive if they did not remove the yellowness. But these were people of minor importance. Good Middlemarch families were of course not going to change their doctor without reason shown; and everybody who had employed Mr. Peacock did not feel obliged to accept a new man merely in the character of his successor, objecting that he was “not likely to be equal to Peacock.”

But Lydgate had not been long in the town before there were particulars enough reported of him to breed much more specific expectations and to intensify differences into partisanship; some of the particulars being of that impressive order of which the significance is entirely hidden, like a statistical amount without a standard of comparison, but with a note of exclamation at the end. The cubic feet of oxygen yearly swallowed by a full-grown man—what a shudder they might have created in some Middlemarch circles! “Oxygen! nobody knows what that may be—is it any wonder the cholera has got to Dantzic? And yet there are people who say quarantine is no good!”

One of the facts quickly rumored was that Lydgate did not dispense drugs. This was offensive both to the physicians whose exclusive distinction seemed infringed on, and to the surgeon-apothecaries with whom he ranged himself; and only a little while before, they might have counted on having the law on their side against a man who without calling himself a London-made M.D. dared to ask for pay except as a charge on drugs. But Lydgate had not been experienced enough to foresee that his new course would be even more offensive to the laity; and to Mr. Mawmsey, an important grocer in the Top Market, who, though not one of his patients, questioned him in an affable manner on the subject, he was injudicious enough to give a hasty popular explanation of his reasons, pointing out to Mr. Mawmsey that it must lower the character of practitioners, and be a constant injury to the public, if their only mode of getting paid for their work was by their making out long bills for draughts, boluses, and mixtures.

“It is in that way that hard-working medical men may come to be almost as mischievous as quacks,” said Lydgate, rather thoughtlessly. “To get their own bread they must overdose the king’s lieges; and that’s a bad sort of treason, Mr. Mawmsey—undermines the constitution in a fatal way.”

Mr. Mawmsey was not only an overseer (it was about a question of outdoor pay that he was having an interview with Lydgate), he was also asthmatic and had an increasing family: thus, from a medical point of view, as well as from his own, he was an important man; indeed, an exceptional grocer, whose hair was arranged in a flame-like pyramid, and whose retail deference was of the cordial, encouraging kind—jocosely complimentary, and with a certain considerate abstinence from letting out the full force of his mind. It was Mr. Mawmsey’s friendly jocoseness in questioning him which had set the tone of Lydgate’s reply. But let the wise be warned against too great readiness at explanation: it multiplies the sources of mistake, lengthening the sum for reckoners sure to go wrong.

Lydgate smiled as he ended his speech, putting his foot into the stirrup, and Mr. Mawmsey laughed more than he would have done if he had known who the king’s lieges were, giving his “Good morning, sir, good-morning, sir,” with the air of one who saw everything clearly enough. But in truth his views were perturbed. For years he had been paying bills with strictly made items, so that for every half-crown and eighteen-pence he was certain something measurable had been delivered. He had done this with satisfaction, including it among his responsibilities as a husband and father, and regarding a longer bill than usual as a dignity worth mentioning. Moreover, in addition to the massive benefit of the drugs to “self and family,” he had enjoyed the pleasure of forming an acute judgment as to their immediate effects, so as to give an intelligent statement for the guidance of Mr. Gambit—a practitioner just a little lower in status than Wrench or Toller, and especially esteemed as an accoucheur, of whose ability Mr. Mawmsey had the poorest opinion on all other points, but in doctoring, he was wont to say in an undertone, he placed Gambit above any of them.

Here were deeper reasons than the superficial talk of a new man, which appeared still flimsier in the drawing-room over the shop, when they were recited to Mrs. Mawmsey, a woman accustomed to be made much of as a fertile mother,—generally under attendance more or less frequent from Mr. Gambit, and occasionally having attacks which required Dr. Minchin.

“Does this Mr. Lydgate mean to say there is no use in taking medicine?” said Mrs. Mawmsey, who was slightly given to drawling. “I should like him to tell me how I could bear up at Fair time, if I didn’t take strengthening medicine for a month beforehand. Think of what I have to provide for calling customers, my dear!”—here Mrs. Mawmsey turned to an intimate female friend who sat by—“a large veal pie—a stuffed fillet—a round of beef—ham, tongue, et cetera, et cetera! But what keeps me up best is the pink mixture, not the brown. I wonder, Mr. Mawmsey, with your experience, you could have patience to listen. I should have told him at once that I knew a little better than that.”

“No, no, no,” said Mr. Mawmsey; “I was not going to tell him my opinion. Hear everything and judge for yourself is my motto. But he didn’t know who he was talking to. I was not to be turned on his finger. People often pretend to tell me things, when they might as well say, ‘Mawmsey, you’re a fool.’ But I smile at it: I humor everybody’s weak place. If physic had done harm to self and family, I should have found it out by this time.”

The next day Mr. Gambit was told that Lydgate went about saying physic was of no use.

“Indeed!” said he, lifting his eyebrows with cautious surprise. (He was a stout husky man with a large ring on his fourth finger.) “How will he cure his patients, then?”

“That is what I say,” returned Mrs. Mawmsey, who habitually gave weight to her speech by loading her pronouns. “Does he suppose that people will pay him only to come and sit with them and go away again?”

Mrs. Mawmsey had had a great deal of sitting from Mr. Gambit, including very full accounts of his own habits of body and other affairs; but of course he knew there was no innuendo in her remark, since his spare time and personal narrative had never been charged for. So he replied, humorously—

“Well, Lydgate is a good-looking young fellow, you know.”

“Not one that I would employ,” said Mrs. Mawmsey. “Others may do as they please.”