Speaking of Operations | Page 5

Irvin S. Cobb
it is a recognized fact that germs abhor orderliness and straight lines they now go elsewhere to reside, and the doctor may still retain his traditional aspect and yet be practically germproof. Doctor X was trimmed in accordance with the ethics of the newer school. He had trellis whiskers. So I went to see him at his offices in a fashionable district, on an expensive side street.
Before reaching him I passed through the hands of a maid and a nurse, each of whom spoke to me in a low, sorrowful tone of voice, which seemed to indicate that there was very little hope.
I reached an inner room where Doctor X was. He looked me over, while I described for him as best I could what seemed to be the matter with me, and asked me a number of intimate questions touching on the lives, works, characters and peculiarities of my ancestors; after which he made me stand up in front of him and take my coat off, and he punched me hither and yon with his forefinger. He also knocked repeatedly on my breastbone with his knuckles, and each time, on doing this, would apply his ear to my chest and listen intently for a spell, afterward shaking his head in a disappointed way. Apparently there was nobody at home. For quite a time he kept on knocking, but without getting any response.
He then took my temperature and fifteen dollars, and said it was an interesting case--not unusual exactly, but interesting--and that it called for an operation.
From the way my heart and other organs jumped inside of me at that statement I knew at once that, no matter what he may have thought, the premises were not unoccupied. Naturally I inquired how soon he meant to operate. Personally I trusted there was no hurry about it. I was perfectly willing to wait for several years, if necessary. He smiled at my ignorance.
"I never operate," he said; "operating is entirely out of my line. I am a diagnostician."
He was, too--I give him full credit for that. He was a good, keen, close diagnostician. How did he know I had only fifteen dollars on me? You did not have to tell this man what you had, or how much. He knew without being told.
I asked whether he was acquainted with Doctor Y--Y being a person whom I had met casually at a club to which I belong. Oh, yes, he said, he knew Doctor Y. Y was a clever man, X said--very, very clever; but Y specialized in the eyes, the ears, the nose and the throat. I gathered from what Doctor X said that any time Doctor Y ventured below the thorax he was out of bounds and liable to be penalized; and that if by any chance he strayed down as far as the lungs he would call for help and back out as rapidly as possible.
This was news to me. It would appear that these up-to-date practitioners just go ahead and divide you up and partition you out among themselves without saying anything to you about it. Your torso belongs to one man and your legs are the exclusive property of his brother practitioner down on the next block, and so on. You may belong to as many as half a dozen specialists, most of whom, very possibly, are total strangers to you, and yet never know a thing about it yourself.
It has rather the air of trespass--nay, more than that, it bears some of the aspects of unlawful entry--but I suppose it is legal. Certainly, judging by what I am able to learn, the system is being carried on generally. So it must be ethical. Anything doctors do in a mass is ethical. Almost anything they do singly and on individual responsibility is unethical. Being ethical among doctors is practically the same thing as being a Democrat in Texas or a Presbyterian in Scotland.
"Y will never do for you," said Doctor X, when I had rallied somewhat from the shock of these disclosures. "I would suggest that you go to Doctor Z, at such-and-such an address. You are exactly in Z's line. I'll let him know that you are coming and when, and I'll send him down my diagnosis."
So that same afternoon, the appointment having been made by telephone, I went, full of quavery emotions, to Doctor Z's place. As soon as I was inside his outer hallway, I realized that I was nearing the presence of one highly distinguished in his profession.
A pussy-footed male attendant, in a livery that made him look like a cross between a headwaiter and an undertaker's assistant, escorted me through an anteroom into a reception-room, where a considerable number of well-dressed men and women were sitting about in strained attitudes, pretending to
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