A Country Doctor, Sarah Orne Jewett [great book club books .txt] 📗
- Author: Sarah Orne Jewett
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"But I shall never regret it," said Nan stoutly. "I don't believe I should ever be fit for anything else, and you know as well as I that I must have something to do. I used to wish over and over again that I was a boy, when I was a little thing down at the farm, and the only reason I had in the world was that I could be a doctor, like you."
"Better than that, I hope," said Dr. Leslie. "But you mustn't think it will be a short piece of work; it will take more patience than you are ready to give just now, and we will go on quietly and let it grow by the way, like your water-weed here. If you don't drive a little faster, Sister Willet may be gathered before we get to her;" and this being a somewhat unwise and hysterical patient, whose recovery was not in the least despaired of, Dr. Leslie and his young companion were heartlessly merry over her case.
The doctor had been unprepared for such an episode; outwardly, life had seemed to flow so easily from one set of circumstances to the next, and the changes had been so gradual and so natural. He had looked forward with such certainty to Nan's future, that it seemed strange that the formal acceptance of such an inevitable idea as her studying medicine should have troubled her so much.
Separated as he was from the groups of men and women who are responsible for what we call the opinion of society, and independent himself of any fettering conventionalities, he had grown careless of what anybody might say. He only hoped, since his ward had found her proper work, that she would hold to it, and of this he had little doubt. The girl herself quickly lost sight of the fancied difficulty of making the great decision, and, as is usually the case, saw all the first objections and hindrances fade away into a dim distance, and grow less and less noticeable. And more than that, it seemed to her as if she had taken every step of her life straight toward this choice of a profession. So many things she had never understood before, now became perfectly clear and evident proofs that, outside her own preferences and choices, a wise purpose had been at work with her and for her. So it all appeared more natural every day, and while she knew that the excitement and formality of the first very uncomfortable day or two had proved her freedom of choice, it seemed the more impossible that she should have shirked this great commission and trust for which nature had fitted her.
XIII A STRAIGHT COURSEThe next year or two was spent in quiet life at home. It was made evident that, beside her inclination and natural fitness for her chosen work, our student was also developing the other most important requisite, a capacity for hard study and patient continuance. There had been as little said as possible about the plan, but it was not long before the propriety of it became a favorite subject of discussion. It is quite unnecessary, perhaps, to state that everybody had his or her own opinion of the wisdom of such a course, and both Dr. Leslie and his ward suffered much reproach and questioning, as the comments ranged from indignation to amusement. But it was as true of Nan's calling, as of all others, that it would be her own failure to make it respected from which any just contempt might come, and she had thrown herself into her chosen career with such zeal, and pride, and affectionate desire to please her teacher, that the small public who had at first jeered or condemned her came at last to accepting the thing as inevitable and a matter of course, even if they did not actually approve. There was such a vigorous determination in the minds of the doctor and his pupil that Nan should not only be a doctor but a good one, that anything less than a decided fitness for the profession would have doomed them both to disappointment, even with such unwearied effort and painstaking. In the earlier years of his practice Dr. Leslie had been much sought as an instructor, but he had long since begun to deny the young men who had wished to be his students, though hardly one had ever gone from the neighborhood of Oldfields who did not owe much to him for his wise suggestions and practical help.
He patiently taught this eager young scholar day by day, and gave her, as fast as he could, the benefit of the wisdom which he had gained through faithful devotion to his business and the persistent study of many years. Nan followed step by step, and, while becoming more conscious of her own ignorance and of the uncertainties and the laws of the practice of medicine with every week's study, knew better and better that it is resource, and bravery, and being able to think for one's self, that make a physician worth anything. There must be an instinct that recognizes a disease and suggests its remedy, as much as an instinct that finds the right notes and harmonies for a composer of music, or the colors for a true artist's picture, or the results of figures for a mathematician. Men and women may learn these callings from others; may practice all the combinations until they can carry them through with a greater or less degree of unconsciousness of brain and fingers; but there is something needed beside even drill and experience; every student of medicine should be fitted by nature with a power of insight, a gift for his business, for knowing what is the right thing to do, and the right time and way to do it; must have this God-given power in his own nature of using and discovering the resources of medicine without constant reliance upon the books or the fashion. Some men use their ability for their own good and renown, and some think first of the good of others, and as the great poet tells the truths of God, and makes other souls wiser and stronger and fitter for action, so the great doctor works for the body's health, and tries to keep human beings free from the failures that come from neglect and ignorance, and ready to be the soul's instrument of action and service in this world. It is not to keep us from death, it is no superstitious avoidance of the next life, that should call loudest for the physician's skill; but the necessity of teaching and remedying the inferior bodies which have come to us through either our ancestors' foolishness or our own. So few people know even what true and complete physical life is, much less anything of the spiritual existence that is already possible, and so few listen to what the best doctors are trying their best to teach. While half-alive people think it no wrong to bring into the world human beings with even less vitality than themselves, and take no pains to keep the simplest laws of health, or to teach their children to do so, just so long there will be plenty of sorrow of an avoidable kind, and thousands of shipwrecked, and failing, and inadequate, and useless lives in the fullest sense of the word. How can those who preach to the soul hope to be heard by those who do not even make the best of their bodies? but alas, the convenience and easiness, or pleasure, of the present moment is allowed to become the cause of an endless series of terrible effects, which go down into the distance of the future, multiplying themselves a thousandfold.
The doctor told Nan many curious things as they drove about together: certain traits of certain families, and how the Dyers were of strong constitution, and lived to a great age in spite of severe illnesses and accidents and all manner of unfavorable conditions; while the Dunnells, who looked a great deal stronger, were sensitive, and deficient in vitality, so that an apparently slight attack of disease quickly proved fatal. And so Nan knew that one thing to be considered was the family, and another the individual variation, and she began to recognize the people who might be treated fearlessly, because they were safe to form a league with against any ailment, being responsive to medicines, and straightforward in their departure from or return to a state of health; others being treacherous and hard to control; full of surprises, and baffling a doctor with their feints and follies of symptoms; while all the time Death himself was making ready for a last, fatal siege; these all being the representatives of types which might be found everywhere. Often Dr. Leslie would be found eagerly praising some useful old-fashioned drugs which had been foolishly neglected by those who liked to experiment with newer remedies and be "up with the times," as they called their not very intelligent dependence upon the treatment in vogue at the moment among the younger men of certain cliques, to some of whom the brilliant operation was more important than its damaging result. There was, even in those days, a haphazard way of doctoring, in which the health of the patient was secondary to the promotion of new theories, and the young scholar who could write a puzzlingly technical paper too often outranked the old practitioner who conquered some malignant disorder single-handed, where even the malpractice of the patient and his friends had stood like a lion in the way.
But Dr. Leslie was always trying to get at the truth, and nobody recognized more clearly the service which the reverent and truly progressive younger men were rendering to the profession. He added many new publications to his subscription list, and gleaned here and there those notes which he knew would be helpful, and which were suited to the degree of knowledge which his apprentice had already gained. It is needless to say what pleasure it gave him, and what evening talks they had together; what histories of former victories and defeats and curious discoveries were combined, like a bit of novel-reading, with Nan's diligent devotion to her course of study. And presently the girl would take a step or two alone, and even make a visit by herself to see if anything chanced to be needed when a case was progressing favorably, and with the excuse of the doctor's business or over-fatigue. And the physicians of the neighboring towns, who came together occasionally for each other's assistance, most of whom had known Nan from her childhood, though at first they had shrunk from speaking of many details of their professional work in her hearing, and covered their meaning, like the ostriches' heads, in the sand of a Latin cognomen, were soon set at their ease by Nan's unconsciousness of either shamefacedness or disgust, and
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