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“Ah, puerperal!” throws in the other, knocking the curved grey ash from his cigar. “But you had some case in your mind, Foster.”

“Well, there was only one last week which was new to me. I had been engaged by some people of the name of Silcoe. When the trouble came round I went myself, for they would not hear of an assistant. The husband who was a policeman, was sitting at the head of the bed on the further side. ‘This won’t do,’ said I. ‘Oh yes, doctor, it must do,’ said she. ‘It’s quite irregular and he must go,’ said I. ‘It’s that or nothing,’ said she. ‘I won’t open my mouth or stir a finger the whole night,’ said he. So it ended by my allowing him to remain, and there he sat for eight hours on end. She was very good over the matter, but every now and again HE would fetch a hollow groan, and I noticed that he held his right hand just under the sheet all the time, where I had no doubt that it was clasped by her left. When it was all happily over, I looked at him and his face was the colour of this cigar ash, and his head had dropped on to the edge of the pillow. Of course I thought he had fainted with emotion, and I was just telling myself what I thought of myself for having been such a fool as to let him stay there, when suddenly I saw that the sheet over his hand was all soaked with blood; I whisked it down, and there was the fellow’s wrist half cut through. The woman had one bracelet of a policeman’s handcuff over her left wrist and the other round his right one. When she had been in pain she had twisted with all her strength and the iron had fairly eaten into the bone of the man’s arm. ‘Aye, doctor,’ said she, when she saw I had noticed it. ‘He’s got to take his share as well as me. Turn and turn,’ said she.”

“Don’t you find it a very wearing branch of the profession?” asks Foster after a pause.

“My dear fellow, it was the fear of it that drove me into lunacy work.”

“Aye, and it has driven men into asylums who never found their way on to the medical staff. I was a very shy fellow myself as a student, and I know what it means.”

“No joke that in general practice,” says the alienist.

“Well, you hear men talk about it as though it were, but I tell you it’s much nearer tragedy. Take some poor, raw, young fellow who has just put up his plate in a strange town. He has found it a trial all his life, perhaps, to talk to a woman about lawn tennis and church services. When a young man IS shy he is shyer than any girl. Then down comes an anxious mother and consults him upon the most intimate family matters. ‘I shall never go to that doctor again,’ says she afterwards. ‘His manner is so stiff and unsympathetic.’ Unsympathetic! Why, the poor lad was struck dumb and paralysed. I have known general practitioners who were so shy that they could not bring themselves to ask the way in the street. Fancy what sensitive men like that must endure before they get broken in to medical practice. And then they know that nothing is so catching as shyness, and that if they do not keep a face of stone, their patient will be covered with confusion. And so they keep their face of stone, and earn the reputation perhaps of having a heart to correspond. I suppose nothing would shake YOUR nerve, Manson.”