f the state, for which they paid out of the rates, and took
the attendance they received as a right they could claim. They imagined
the physician who gave them his time was heavily paid.
Dr. Tyrell gave each of his clerks a case to examine. The clerk took the
patient into one of the inner rooms; they were smaller, and each had a
couch in it covered with black horse-hair: he asked his patient a variety
of questions, examined his lungs, his heart, and his liver, made notes of
fact on the hospital letter, formed in his own mind some idea of the
diagnosis, and then waited for Dr. Tyrell to come in. This he did,
followed by a small crowd of students, when he had finished the men, and
the clerk read out what he had learned. The physician asked him one or two
questions, and examined the patient himself. If there was anything
interesting to hear students applied their stethoscope: you would see a
man with two or three to the chest, and two perhaps to his back, while
others waited impatiently to listen. The patient stood among them a little
embarrassed, but not altogether displeased to find himself the centre of
attention: he listened confusedly while Dr. Tyrell discoursed glibly on
the case. Two or three students listened again to recognise the murmur or
the crepitation which the physician described, and then the man was told
to put on his clothes.
When the various cases had been examined Dr. Tyrell went back into the
large room and sat down again at his desk. He asked any student who
happened to be standing near him what he would prescribe for a patient he
had just seen. The student mentioned one or two drugs.
"Would you?" said Dr. Tyrell. "Well, that's original at all events. I
don't think we'll be rash."
This always made the students laugh, and with a twinkle of amusement at
his own bright humour the physician prescribed some other drug than that
which the student had suggested. When there were two cases of exactly the
same sort and the student proposed the treatment which the physician had
ordered for the first, Dr. Tyrell exercised considerable ingenuity in
thinking of something else. Sometimes, knowing that in the dispensary they
were worked off their legs and preferred to give the medicines which they
had all ready, the good hospital mixtures which had been found by the
experience of years to answer their purpose so well, he amused himself by
writing an elaborate prescription.
"We'll give the dispenser something
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