sister-in-law, Lady Gorran, and found she had the biggest sac I ever
saw: it held about two ounces. Well, Mrs. Foljambe had the right
spirit--the genuine hygienic instinct. She couldnt stand her
sister-in-law being a clean, sound woman, and she simply a whited
sepulchre. So she insisted on my operating on her, too. And by George,
sir, she hadnt any sac at all. Not a trace! Not a rudiment!! I was so
taken aback--so interested, that I forgot to take the sponges out, and
was stitching them up inside her when the nurse missed them. Somehow,
I'd made sure she'd have an exceptionally large one. [He sits down on
the couch, squaring his shoulders and shooting his hands out of his
cuffs as he sets his knuckles akimbo].
EMMY [looking in] Sir Ralph Bloomfield Bonington.
A long and expectant pause follows this announcement. All look to the
door; but there is no Sir Ralph.
RIDGEON [at last] Were is he?
EMMY [looking back] Drat him, I thought he was following me. He's stayed
down to talk to that lady.
RIDGEON [exploding] I told you to tell that lady--[Emmy vanishes].
WALPOLE [jumping up again] Oh, by the way, Ridgeon, that reminds me. Ive
been talking to that poor girl. It's her husband; and she thinks it's
a case of consumption: the usual wrong diagnosis: these damned general
practitioners ought never to be allowed to touch a patient except under
the orders of a consultant. She's been describing his symptoms to me;
and the case is as plain as a pikestaff: bad blood-poisoning. Now she's
poor. She cant afford to have him operated on. Well, you send him to me:
I'll do it for nothing. Theres room for him in my nursing home. I'll put
him straight, and feed him up and make him happy. I like making people
happy. [He goes to the chair near the window].
EMMY [looking in] Here he is.
Sir Ralph Bloomfield Bonington wafts himself into the room. He is a tall
man, with a head like a tall and slender egg. He has been in his time a
slender man; but now, in his sixth decade, his waistcoat has filled out
somewhat. His fair eyebrows arch good-naturedly and uncritically. He
has a most musical voice; his speech is a perpetual anthem; and he never
tires of the sound of it. He radiates an enormous self-satisfaction,
cheering, reassuring, healing by the mere incompatibility of disease or
anxiety with his welcome presence. Even broken bones, it is said, have
been known to unite at the sound of his voice: he is a born healer, as
independent of mere treatment and skill as any Christian scientist. When
he expands into oratory or scientific exposition, he is as energetic as
Walpole; but it is with a bland, voluminous, atmospheric energy,
which envelops its subject and its audience, and makes interruption or
inattention impossible, and imposes veneration and credulity on all but
the strongest minds. He is known in the medical world as B. B.; and the
envy roused by his success in practice is softened by the conviction
that he is, scientifically considered, a colossal humbug: the fact
being that, though he knows just as much (and just as little) as his
contemporaries, the qualifications that pass muster in common men reveal
their weakness when hung on his egregious personality.
B. B. Aha! Sir Colenso. Sir Colenso, eh? Welcome to the order of
knighthood.
RIDGEON [shaking hands] Thank you, B. B.
B. B. What! Sir Patrick! And how are we to-day? a little chilly? a
little stiff? but hale and still the cleverest of us all. [Sir Patrick
grunts]. What! Walpole! the absent-minded beggar: eh?
WALPOLE. What does that mean?
B. B. Have you forgotten the lovely opera singer I sent you to have that
growth taken off her vocal cords?
WALPOLE [springing to his feet] Great heavens, man, you dont mean to say
you sent her for a throat operation!
B. B. [archly] Aha! Ha ha! Aha! [trilling like a lark as he shakes his
finger at Walpole]. You removed her nuciform sac. Well, well! force of
habit! force of habit! Never mind, ne-e-e-ver mind. She got back her
voice after it, and thinks you the greatest surgeon alive; and so you
are, so you are, so you are.
WALPOLE [in a tragic whisper, intensely serious] Blood-poisoning. I see.
I see. [He sits down again].
SIR PATRICK. And how is a certain distinguished family getting on under
your care, Sir Ralph?
B. B. Our friend Ridgeon will be gratified to hear that I have tried his
opsonin treatment on little Prince Henry with complete success.
RIDGEON [startled and anxious] But how--
B. B. [continuing] I suspected typhoid: the head gardener's boy had
it; so I just called at St Anne's one day and got a tube of your very
excellent serum. You were out, unfortunately.
RIDGEON. I hope they explained to you carefully--
B. B. [waving away the absurd suggestion] Lord bless you, my dear
fellow, I didnt need any explanations. I'd left my wife in the carriage
at the door; and I'd no time to be taught my business by your young
chaps. I know all about it. Ive handled these anti-toxins ever since
they first came out.
RIDGEON. But theyre not anti-toxins; and theyre dangerous unless you use
them at the right time.
B. B. Of course they are. Everything is dangerous unless you take it at
the right time. An apple at breakfast does you good: an apple at bedtime
upsets you for a week. There are only two rules for anti-toxins. First,
dont be afraid of them: second, inject them a quarter of an hour before
meals, three times a day.
RIDGEON [appalled] Great heavens, B. B., no, no, no.
B. B. [sweeping on irresistibly] Yes, yes, yes, Colly. The proof of the
pudding is in the eating, you know. It was an immense success. It acted
like magic on the little prince. Up went his temperature; off to bed I
packed him; and in a week he was all right again, and absolutely immune
from typhoid for the rest of his life. The family were very nice about
it: their gratitude was quite touching; but I said they owed it all to
you, Ridgeon; and I am glad to think that your knighthood is the result.
RIDGEON. I am deeply obliged to you. [Overcome, he sits down on the
chair near the couch].
B. B. Not at all, not at all. Your own merit. Come! come! come! dont
give way.
RIDGEON. It's nothing. I was a little giddy just now. Overwork, I
suppose.
WALPOLE. Blood-poisoning.
B. B. Overwork! Theres no such thing. I do the work of ten men. Am I
giddy? No. NO. If youre not well, you have a disease. It may be a slight
one; but it's a disease. And what is a disease? The lodgment in the
system of a pathogenic germ, and the multiplication of that germ. What
is the remedy? A very simple one. Find the germ and kill it.
SIR PATRICK. Suppose theres no germ?
B. B. Impossible, Sir Patrick: there must be a germ: else how could the
patient be ill?
SIR PATRICK. Can you shew me the germ of overwork?
B. B. No; but why? Why? Because, my dear Sir Patrick, though the germ
is there, it's invisible. Nature has given it no danger signal for us.
These germs--these bacilli--are translucent bodies, like glass, like
water. To make them visible you must stain them. Well, my dear Paddy, do
what you will, some of them wont stain. They wont take cochineal: they
wont take methylene blue; they wont take gentian violet: they wont take
any coloring matter. Consequently, though we know, as scientific
men, that they exist, we cannot see them. But can you disprove their
existence? Can you conceive the disease existing without them? Can you,
for instance, shew me a case of diphtheria without the bacillus?
SIR PATRICK. No; but I'll shew you the same bacillus, without the
disease, in your own throat.
B. B. No, not the same, Sir Patrick. It is an entirely different
bacillus; only the two are, unfortunately, so exactly alike that you
cannot see the difference. You must understand, my dear Sir Patrick,
that every one of these interesting little creatures has an imitator.
Just as men imitate each other, germs imitate each other. There is the
genuine diphtheria bacillus discovered by Loeffler; and there is the
pseudo-bacillus, exactly like it, which you could find, as you say, in
my own throat.
SIR PATRICK. And how do you tell one from the other?
B. B. Well, obviously, if the bacillus is the genuine Loeffler, you have
diphtheria; and if it's the pseudobacillus, youre quite well. Nothing
simpler. Science is always simple and always profound. It is only
the half-truths that are dangerous. Ignorant faddists pick up some
superficial information about germs; and they write to the papers and
try to discredit science. They dupe and mislead many honest and worthy
people. But science has a perfect answer to them on every point.
A little learning is a dangerous thing;
Drink deep; or taste not the Pierian spring.
I mean no disrespect to your generation, Sir Patrick: some of you old
stagers did marvels through sheer professional intuition and clinical
experience; but when I think of the average men of your day, ignorantly
bleeding and cupping and purging, and scattering germs over their
patients from their clothes and instruments, and contrast all that with
the scientific certainty and simplicity of my treatment of the little
prince the other day, I cant help being proud of my own generation:
the men who were trained on the germ theory, the veterans of the great
struggle over Evolution in the seventies. We may have our faults; but at
least we are men of science. That is why I am taking up your treatment,
Ridgeon, and pushing it. It's scientific. [He sits down on the chair
near the couch].
EMMY [at the door, announcing] Dr Blenkinsop.
Dr Blenkinsop is a very different case from the others. He is clearly
not a prosperous man. He is flabby and shabby, cheaply fed and cheaply
clothed. He has the lines made by a conscience between his eyes, and
the lines made by continual money worries all over his face, cut all the
deeper as he has seen better days, and hails his well-to-do colleagues
as their contemporary and old hospital friend, though even in this he
has to struggle with the diffidence of poverty and relegation to the
poorer middle class.
RIDGEON. How are you, Blenkinsop?
BLENKINSOP. Ive come to offer my humble congratulations. Oh dear! all
the great guns are before me.
B. B. [patronizing, but charming] How d'ye do Blenkinsop? How d'ye do?
BLENKINSOP. And Sir Patrick, too [Sir Patrick grunts].
RIDGEON. Youve met Walpole, of course?
WALPOLE. How d'ye do?
BLENKINSOP. It's the first time Ive had that honor. In my poor little
practice there are no chances of meeting you great men. I know nobody
but the St Anne's men of my own day. [To Ridgeon] And so youre Sir
Colenso. How does it feel?
RIDGEON. Foolish at first. Dont take any notice of it.
BLENKINSOP. I'm ashamed to say I havnt a notion what your great
discovery is; but I congratulate you all the same for the sake of old
times.
B. B. [shocked] But, my dear Blenkinsop, you used to be rather keen on
science.
BLENKINSOP. Ah, I used to be a lot of things. I used to have two or
three decent suits of clothes, and flannels to go up the river on
Sundays. Look at me now: this is my best; and it must last till
Christmas. What can I do? Ive never opened a book since I was qualified
thirty years ago. I used to read the medical papers at first; but you
know how soon a man drops that; besides, I cant afford them; and
what are they after all but trade papers, full of advertisements? Ive
forgotten all my science: whats the use of my pretending I havnt? But
I have great experience: clinical experience; and bedside experience is
the main thing, isn't it?
B. B. No doubt; always provided, mind you, that you have a sound
scientific theory to correlate your observations at the bedside. Mere
experience by itself is nothing. If I take my dog to the bedside with
me, he sees what I see. But he learns nothing from it. Why? Because he's
not a scientific dog.
WALPOLE. It amuses me to hear you physicians and general practitioners
talking about clinical experience. What do you see at the bedside but
the outside of the patient? Well: it isnt his outside thats wrong,
except perhaps in skin cases. What you want is a daily familiarity with
people's insides; and that you can only get at the operating table. I
know what I'm talking about: Ive been a surgeon and a consultant for
twenty years; and Ive never known a general practitioner right in his
diagnosis yet. Bring them a perfectly simple case; and they diagnose
cancer, and arthritis, and appendicitis, and every other itis, when
any really experienced surgeon can see that it's a plain case of
blood-poisoning.
BLENKINSOP. Ah, it's easy for you gentlemen to talk; but what would you
say if you had my practice? Except for the workmen's clubs, my patients
are all clerks and shopmen. They darent be ill: they cant afford it. And
when they break down, what can I do for them? You can send your people
to St Moritz or to Egypt, or recommend horse exercise or motoring or
champagne jelly or complete change and rest for six months. I might as
well order my people a slice of the moon. And the worst of it is, I'm
too poor to keep well myself on the cooking I have to put up with.
Ive such a wretched digestion; and I look it. How am I to inspire
confidence? [He sits disconsolately on the couch].
RIDGEON [restlessly] Dont, Blenkinsop: its too painful. The most tragic
thing in the world is a sick doctor.
WALPOLE. Yes, by George: its like a bald-headed man trying to sell a
hair restorer. Thank God I'm a surgeon!
B. B. [sunnily] I am never sick. Never had a day's illness in my life.
Thats what enables me to sympathize with my patients.
WALPOLE [interested] What! youre never ill?
B. B. Never.
WALPOLE. Thats interesting. I believe you have no nuciform sac. If you
ever do feel at all queer, I should very much like to have a look.
B. B. Thank you, my dear fellow; but I'm too busy just now.
RIDGEON. I was just telling them when you came in, Blenkinsop, that I