LITMIR.BIZ

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that their intuitions were opposed by others equally strong; each lady who saw medical truth in Wrench and “the strengthening treatment” regarding Toller and “the lowering system” as medical perdition. For the heroic times of copious bleeding and blistering had not yet departed, still less the times of thorough-going theory, when disease in general was called by some bad name, and treated accordingly without shilly-shally – as if, for example, it were to be called insurrection, which must not be fired on with blank-cartridge, but have its blood drawn at once. The strengtheners and the lowerers were all “clever” men in somebody’s opinion, which is really as much as can be said for any living talents. Nobody’s imagination had gone so far as to conjecture that Mr. Lydgate could know as much as Dr. Sprague and Dr. Minchin, the two physicians, who alone could offer any hope when danger was extreme, and when the smallest hope was worth a guinea. Still, I repeat, there was a general impression that Lydgate was something rather more uncommon than any general practitioner in Middlemarch. And this was true. He was but seven-and-twenty, an age at which many men are not quite common – at which they are hopeful of achievement, resolute in avoidance, thinking that Mammon shall never put a bit in their mouths and get astride their backs, but rather that Mammon, if they have anything to do with him, shall draw their chariot.

      He had been left an orphan when he was fresh from a public school. His father, a military man, had made but little provision for three children, and when the boy Tertius asked to have a medical education, it seemed easier to his guardians to grant his request by apprenticing him to a country practitioner than to make any objections on the score of family dignity. He was one of the rarer lads who early get a decided bent and make up their minds that there is something particular in life which they would like to do for its own sake, and not because their fathers did it. Most of us who turn to any subject with love remember some morning or evening hour when we got on a high stool to reach down an untried volume, or sat with parted lips listening to a new talker, or for very lack of books began to listen to the voices within, as the first traceable beginning of our love. Something of that sort happened to Lydgate. He was a quick fellow, and when hot from play, would toss himself in a corner, and in five minutes be deep in any sort of book that he could lay his hands on: if it were Rasselas or Gulliver, so much the better, but Bailey’s Dictionary would do, or the Bible with the Apocrypha in it. Something he must read, when he was not riding the pony, or running and hunting, or listening to the talk of men. All this was true of him at ten years of age; he had then read through “Chrysal, or the Adventures of a Guinea,” which was neither milk for babes, nor any chalky mixture meant to pass for milk, and it had already occurred to him that books were stuff, and that life was stupid. His school studies had not much modified that opinion, for though he “did” his classics and mathematics, he was not pre-eminent in them. It was said of him, that Lydgate could do anything he liked, but he had certainly not yet liked to do anything remarkable. He was a vigorous animal with a ready understanding, but no spark had yet kindled in him an intellectual passion; knowledge seemed to him a very superficial affair, easily mastered: judging from the conversation of his elders, he had apparently got already more than was necessary for mature life. Probably this was not an exceptional result of expensive teaching at that period of short-waisted coats, and other fashions which have not yet recurred. But, one vacation, a wet day sent him to the small home library to hunt once more for a book which might have some freshness for him: in vain! unless, indeed, he took down a dusty row of volumes with gray-paper backs and dingy labels – the volumes of an old Cyclopaedia which he had never disturbed. It would at least be a novelty to disturb them. They were on the highest shelf, and he stood on a chair to get them down. But he opened the volume which he first took from the shelf: somehow, one is apt to read in a makeshift attitude, just where it might seem inconvenient to do so. The page he opened on was under the head of Anatomy, and the first passage that drew his eyes was on the valves of the heart. He was not much acquainted with valves of any sort, but he knew that valvae were folding-doors, and through this crevice came a sudden light startling him with his first vivid notion of finely adjusted mechanism in the human frame. A liberal education had of course left him free to read the indecent passages in the school classics, but beyond a general sense of secrecy and obscenity in connection with his internal structure, had left his imagination quite unbiassed, so that for anything he knew his brains lay in small bags at his temples, and he had no more thought of representing to himself how his blood circulated than how paper served instead of gold. But the moment of vocation had come, and before he got down from his chair, the world was made new to him by a presentiment of endless processes filling the vast spaces planked out of his sight by that wordy ignorance which he had supposed to be knowledge. From that hour Lydgate felt the growth of an intellectual passion.

      We are not afraid of telling over and over again how a man comes to fall in love with a woman and be wedded to her, or else be fatally parted from her. Is it due to excess of poetry or of stupidity that we are never weary of describing what King James called a woman’s “makdom and her fairnesse,” never weary of listening to the twanging of the old Troubadour strings, and are comparatively uninterested in that other kind of “makdom and fairnesse” which must be wooed with industrious thought and patient renunciation of small desires? In the story of this passion, too, the development varies: sometimes it is the glorious marriage, sometimes frustration and final parting. And not seldom the catastrophe is bound up with the other passion, sung by the Troubadours. For in the multitude of middle-aged men who go about their vocations in a daily course determined for them much in the same way as the tie of their cravats, there is always a good number who once meant to shape their own deeds and alter the world a little. The story of their coming to be shapen after the average and fit to be packed by the gross, is hardly ever told even in their consciousness; for perhaps their ardor in generous unpaid toil cooled as imperceptibly as the ardor of other youthful loves, till one day their earlier self walked like a ghost in its old home and made the new furniture ghastly. Nothing in the world more subtle than the process of their gradual change! In the beginning they inhaled it unknowingly: you and I may have sent some of our breath towards infecting them, when we uttered our conforming falsities or drew our silly conclusions: or perhaps it came with the vibrations from a woman’s glance.

      Lydgate did not mean to be one of those failures, and there was the better hope of him because his scientific interest soon took the form of a professional enthusiasm: he had a youthful belief in his bread-winning work, not to be stifled by that initiation in makeshift called his ’prentice days; and he carried to his studies in London, Edinburgh, and Paris, the conviction that the medical profession as it might be was the finest in the world; presenting the most perfect interchange between science and art; offering the most direct alliance between intellectual conquest and the social good. Lydgate’s nature demanded this combination: he was an emotional creature, with a flesh-and-blood sense of fellowship which withstood all the abstractions of special study. He cared not only for “cases,” but for John and Elizabeth, especially Elizabeth.

      There was another attraction in his profession: it wanted reform, and gave a man an opportunity for some indignant resolve to reject its venal decorations and other humbug, and to be the possessor of genuine though undemanded qualifications. He went to study in Paris with the determination that when he came home again he would settle in some provincial town as a general practitioner, and resist the irrational severance between medical and surgical knowledge in the interest of his own scientific pursuits, as well as of the general advance: he would keep away from the range of London intrigues, jealousies, and social truckling, and win celebrity, however slowly, as Jenner had done, by the independent value of his work. For it must be remembered that this was a dark period; and in spite of venerable colleges which used great efforts to secure purity of knowledge by making it scarce, and to exclude error by a rigid exclusiveness in relation to fees and appointments, it happened that very ignorant young gentlemen were promoted in town, and many more got a legal right to practise over large areas in the country. Also, the high standard held up to the public mind by the College of Physicians, which gave its peculiar sanction to the expensive and highly rarefied medical instruction obtained by graduates of Oxford and Cambridge, did not hinder quackery from having an excellent time of it; for since professional practice chiefly consisted in giving a great many drugs, the public inferred that it might be better off with more drugs still, if they could only be got cheaply, and hence swallowed large cubic measures of physic prescribed by unscrupulous ignorance which had taken no degrees. Considering that statistics

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