.

beside him, there was a thin sound of disgust. “Oh, come on! Let’s get out of this. Why do you dirty your hands on scum like him?”

      The watchman bellowed, “Oh, I’m scum, am I? I’ll show you!”

      He collared Angus and slapped him.

      Under the sleepy street-lamp, Martin saw a man go mad. It was not the unfeeling Angus Duer who stared at the watchman; it was a killer, and his eyes were the terrible eyes of the killer, speaking to the least experienced a message of death. He gasped only, “He dared to touch me!” A pen-knife was somehow in his hands, he had leaped at the watchman, and he was busily and earnestly endeavoring to cut his throat.

      As Martin tried to hold them he heard the agitated pounding of a policeman’s night stick on the pavement. Martin was slim but he had pitched hay and strung telephone wire. He hit the watchman, judiciously, beside the left ear, snatched Angus’s wrist, and dragged him away. They ran up an alley, across a courtyard. They came to a thoroughfare as an owl trolley glowed and rattled round the corner; they ran beside it, swung up on the steps, and were safe.

      Angus stood on the back platform, sobbing. “My God, I wish I’d killed him! He laid his filthy hands on me! Martin! Hold me here on the car. I thought I’d got over that. Once when I was a kid I tried to kill a fellow — God, I wish I’d cut that filthy swine’s throat!”

      As the trolley came into the center of the city, Martin coaxed, “There’s an all-night lunch up Oberlin Avenue where we can get some white mule. Come on. It’ll straighten you up.”

      Angus was shaky and stumbling — Angus the punctilious. Martin led him into the lunch-room where, between catsup bottles, they had raw whisky in granite-like coffee cups. Angus leaned his head on his arm and sobbed, careless of stares, till he had drunk himself into obliteration, and Martin steered him home. Then to Martin, in his furnished room with Clif snoring, the evening became incredible and nothing more incredible than Angus Duer. “Well, he’ll be a good friend of mine now, for always. Fine!”

      Next morning, in the hall of the Anatomy Building, he saw Angus and rushed toward him. Angus snapped, “You were frightfully stewed last night, Arrowsmith. If you can’t handle your liquor better than that, you better cut it out entirely.”

      He walked on, clear-eyed, unruffled.

      Chapter 8

       Table of Contents

      And always Martin’s work went on — assisting Max Gottlieb, instructing bacteriological students, attending lectures and hospital demonstrations — sixteen merciless hours to the day. He stole occasional evenings for original research or for peering into the stirring worlds of French and German bacteriological publications; he went proudly now and then to Gottlieb’s cottage where, against rain-smeared brown wallpaper, were Blake drawings and a signed portrait of Koch. But the rest was nerve-gnawing.

      Neurology, O.B., internal medicine, physical diagnosis; always a few pages more than he could drudge through before he fell asleep at his rickety study-table.

      Memorizing of gynecology, of ophthalmology, till his mind was burnt raw.

      Droning afternoons of hospital demonstrations, among stumbling students barked at by tired clinical professors.

      The competitive exactions of surgery on dogs, in which Angus Duer lorded it with impatient perfection.

      Martin admired the professor of internal medicine, T. J. H. Silva, known as “Dad” Silva, who was also dean of the medical faculty. He was a round little man with a little crescent of mustache. Silva’s god was Sir William Osler, his religion was the art of sympathetic healing, and his patriotism was accurate physical diagnosis. He was a Doc Vickerson of Elk Mills, grown wiser and soberer and more sure. But Martin’s reverence for Dean Silva was counterbalanced by his detestation for Dr. Roscoe Geake, professor of otolaryngology.

      Roscoe Geake was a peddler. He would have done well with oil stock. As an otolaryngologist he believed that tonsils had been placed in the human organism for the purpose of providing specialists with closed motors. A physician who left the tonsils in any patient was, he felt, foully and ignorantly overlooking his future health and comfort — the physician’s future health and comfort. His earnest feeling regarding the nasal septum was that it never hurt any patient to have part of it removed, and if the most hopeful examination could find nothing the matter with the patient’s nose and throat except that he was smoking too much, still, in any case, the enforced rest after an operation was good for him. Geake denounced this cant about Letting Nature Alone. Why, the average well-to-do man appreciated attention! He really didn’t think much of his specialists unless he was operated on now and then — just a little and not very painfully. Geake had one classic annual address in which, winging far above otolaryngology, he evaluated all medicine, and explained to grateful healers like Irving Watters the method of getting suitable fees:

      “Knowledge is the greatest thing in the medical world but it’s no good whatever unless you can sell it, and to do this you must first impress your personality on the people who have the dollars. Whether a patient is a new or an old friend, you must always use salesmanship on him. Explain to him, also to his stricken and anxious family, the hard work and thought you are giving to his case, and so make him feel that the good you have done him, or intend to do him, is even greater than the fee you plan to charge. Then, when he gets your bill, he will not misunderstand or kick.”

      II

      There was, as yet, no vision in Martin of serene spaciousness of the mind. Beyond doubt he was a bustling young man, and rather shrill. He had no uplifted moments when he saw himself in relation to the whole world — if indeed he realized that there was a deal of the world besides himself. His friend Clif was boorish, his beloved Leora was rustic, however gallant she might be, and he himself wasted energy in hectic busyness and in astonishment at dullness. But if he had not ripened, yet he was close to earth, he did hate pretentiousness, he did use his hands, and he did seek iron actualities with a curiosity inextinguishable.

      And at infrequent times he perceived the comedy of life; relaxed for a gorgeous hour from the intensity wearing to his admirers. Such was the hour before Christmas vacation when Roscoe Geake rose to glory.

      It was announced in the Winnemac Daily News that Dr. Geake had been called from the chair of otolaryngology to the vice-presidency of the puissant New Idea Medical Instrument and Furniture Company of Jersey City. In celebration he gave a final address to the entire medical school on “The Art and Science of Furnishing the Doctor’s Office.”

      He was a neatly finished person, Geake, eye-glassed and enthusiastic and fond of people. He beamed on his loving students and cried:

      “Gentlemen, the trouble with too many doctors, even those splendid old pioneer war-horses who through mud and storm, through winter’s chill blast and August’s untempered heat, go bringing cheer and surcease from pain to the world’s humblest, yet even these old Nestors not so infrequently settle down in a rut and never shake themselves loose. Now that I am leaving this field where I have labored so long and happily, I want to ask every man jack of you to read, before you begin to practice medicine, not merely your Rosenau and Howell and Gray, but also, as a preparation for being that which all good citizens must be, namely, practical men, a most valuable little manual of modern psychology, ‘How to Put Pep in Salesmanship,’ by Grosvenor A. Bibby. For don’t forget, gentlemen, and this is my last message to you, the man worth while is not merely the man who takes things with a smile but also the man who’s trained in philosophy, practical philosophy, so that instead of day-dreaming and spending all his time talking about ‘ethics,’ splendid though they are, and ‘charity,’ glorious virtue though that be, yet he never forgets that unfortunately the world judges a man by the amount of good hard cash he can lay away. The graduates of the University of Hard Knocks judge a physician as they judge a business man, not merely by his alleged ‘high ideals’ but by the horsepower he puts into carrying them out — and making them pay! And from a scientific standpoint, don’t overlook the fact that