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The Secret of Dr. Kildare

Max Brand

CHAPTER ONE

THE patients who came from the ends of the earth to consult Dr. Leonard Gillespie had been drawn to him by his fame as a miracle-worker or sent by baffled physicians of every country. Now, for three days, they had been brought by old Conover, the negro who presided over the waiting-room, not into the stormy presence of the great man, but to the young intern, James Kildare. He was neither very big nor very noisy, and as a rule he failed to impress the people who had been drawn by a famous name; only a small minority saw in him that penetrating flash, that swiftly working instinct which seems almost foreknowledge and is characteristic of the born diagnostician. Kildare, accepting the great post almost guiltily, like a thief on a throne, nevertheless worked three days before he was completely stumped. Many a time when he had reached the end of his own trail of knowledge, he looked up in despair at the closely printed tomes which filled the walls of Gillespie’s library, and as he stared, some page flickered in his memory, or the voice of Gillespie came back to hint at the clue to the mystery. So for three days he had not been guilty of a single gross error while the continued stream of feet came in over the blurred pattern of the rug where tens of thousands had stood before them. Instinct helped him through many a pinch. The great Gillespie himself used to say: “The mind comprises nine-tenths of our being, and therefore a doctor who isn’t part faith-healer is no damned good. A doctor who lacks human understanding is like a coal miner without a lamp on his hat or a pick in his hand.” Beyond a natural gift and the teaching of Gillespie, that human understanding helped Kildare through the first three days. Gillespie, in the meantime, was giving himself up to the work on his laboratory experiment. On the fourth day Kildare at last reached his impasse.

He sat with the laboratory reports in his hand, sweating a little as he stared at the boy, but what he really saw was the mother in the background. The lad was twelve, neatly turned out from the shine of his shoes to the gloves in his hand. In spite of his worn, sallow face there was still a fire in him, gradually dying. When his courage failed, he would fail also. In comparison the mother was like a kitchen slavey sent out with the young master. Rain had shrunk her cheap jacket until the sleeves were inches above the wrists and the bottom of it flared out before it reached her hips. She had a round, common face. The pain she had endured gave her the only distinction. Long-continued trouble had tumbled in shadowy lines and hollows of anxiety. The silence of Kildare as he stared at her boy frightened her to the heart, but she tried to wheedle the bad moment away.

“It’s God’s mercy that we’ve got big hospitals, doctor,” she said. “Young or old, there ain’t a chance that you could go wrong on a case with all them wheels turning and turning to set you right; not when you got a whole army to lend you a hand.”

Kildare tasted the bitter truth for a moment in his throat before he spoke it.

“I’m afraid that I can’t help you,” he said.

Something stirred, like a whisper of wind, in the corner of the room behind him. That would be Mary Lamont. She was an excellent nurse and steady as a clock in emergencies, but the hopeless cases broke her down. He could feel her now like an extra burden on his mind. Then something struck the floor with a soft shock. Mrs. Casey had dropped her handbag. The boy, stooping quickly, picked it up. He touched her with his hand.

“Steady, dear!” he said, and his concern for himself was so much less than his trouble for her that the heart of Kildare gave a great stroke of pain. Mrs. Casey had created a masterpiece that was now about to be stolen from her and from the world.

“He can’t help me! He can’t help me!” she said over and over two or three times, looking into the future and finding it a black emptiness.

The boy put an arm around her and turned apologetically toward Kildare.

“Shall we go now, sir?” he asked.

“Yes,” said Kildare crisply.

Mary Lamont opened the exit door. She tried to make herself professionally matter-of-fact, but her voice was wobbly as she murmured: “This way, please.” A girl as young as that was no good for this work, he decided. He liked having her around. She freshened the day, and she had a bedrock, honest faith in him that gave Kildare strength, but he would have to ask Gillespie for an older nurse.

“Thank you, Doctor Kildare,” the boy was saying as he went out.

“Wait a minute,” commanded Kildare.

They turned back suddenly. It was still the woman who seemed to stand under the death sentence, not the boy. Mary Lamont watched her doctor with a foolish brightness of expectancy. He scowled at the three of them.

“The other doctors—you mean that they’re right?” Mrs. Casey was asking.

“No. I think they’re not right,” said Kildare. He watched the hope spring up in their faces. “But I don’t know where they’re wrong.” They were struck blank again. “Will you ask Doctor Gillespie if he’ll make a special exception and see this patient?” he added to the nurse.

She blessed him with her eyes and her smile as she hurried across the room, but when she came to the door of the great internist’s inner office, she hesitated a moment to gather her courage before she went in. Kildare could hear the pleasant murmur of her voice, not the words; then came the roar of Gillespie, hoarse as the barking of a sea-lion.

“I’ve told him before and I tell him again: I’ll see nobody! There’s one last thing I can give medicine, and I’ve got it now in the tips of my fingers. It’s almost in my hand if I’m let alone to work at it. What do I care about one patient, when I’m thinking of the lives of ten thousand? Get out!”

“Mother, let’s go now. You heard him,” said the boy.

“Hush yourself, Michael,” said Mrs. Casey. “We’ll go when we’re sent. Wait for the word!”

Her fierce eyes dwelt upon Kildare as Mary Lamont came back into the room with her head bent so that they might not see the tears in her eyes.

“Doctor Gillespie finds himself too occupied,” she reported.

Kildare sighed, shrugged his shoulders, and crossed the room in his turn. “I’ll speak to him…” he said.

The inner office was stacked with cages of white mice that looked like filing cabinets, each with a white label and a glittering little water-tube. The odour of small animal life in the cages tainted the air as a drop of slime taints drinking water. The diagnostician, who had turned his private sanctum into a menagerie, had two of the cages on the arms of his wheel chair. In triumph he laughed aloud to Kildare: “We’re getting it, Jimmy! It’s almost here! Look at this, will you?”

Six little white mice lay dead in one cage; in the other five were full of scamper and haste and only one was lifeless.

“Change the dosage a little and I think we’ve got it,” said Gillespie. “There’s the six of the control as dead as pins; and here’s five out of six that the injection saved. Five out of six! What d’you think of it?”

“I want to talk to you…” began Kildare.

“I don’t want chatter from you. I want work!” declared Gillespie. “If you’ll talk mice and meningitis, all right. Otherwise I have no time. We’re going to whip meningitis into a corner, young Doctor Kildare. We’re going to make it afraid to show its face. D’you hear me? We might even wangle a mangy little bit of a half-baked reputation for you out of this experiment. What are you hanging your head about now?”

His savage impatience made him jerk back his head. Brittle old muscles which failed to cushion the shock allowed a violent tremor to run down through his body. Kildare winced at the sight of it.