Part 37
"It always clears the ground to be frank, I find," he said, smoothing out some creases in his ducks. "I don't require a consultation, Doctor Isaacson. I don't consider it a case that needs a consultation at present. Directly I do, I shall be glad to call you in."
Isaacson looked down at the rug beneath his chair.
"You consider Mr. Armine going on satisfactorily?" he asked, looking up.
"It's a severe case of sunstroke. It will take time and care. I have decided to stay aboard for a few days to devote myself entirely to it."
"Very good of you."
"I have no doubt whatever of very soon pulling my patient round."
"You don't see any complications in the case?"
"Complications?"
The tone was distinctly, almost alertly, hostile. But Isaacson reiterated coolly:
"Yes, complications. You are quite satisfied this is a case of sunstroke?"
"Quite."
The word came with a hard stroke, that was like the stroke of finality.
"Well, I'm not."
Doctor Hartley stared.
"I know you have come over with a view to a consultation," he said, stiffly. "But my patient has not demanded it, and as I think it entirely unnecessary, you will recognize that we need not pursue this conversation."
"You say the patient does not wish for my opinion on the case?" said Isaacson, allowing traces of surprise to escape him.
"I do. He is quite satisfied to leave it in my hands. He told me so this morning when I arrived."
"I am not reflecting for a moment on your capacity, Doctor Hartley. But, really, in complex cases, two opinions--"
"Who says the case is complex?"
"I do. I was extremely shocked at the appearance of Mr. Armine when I saw him last night. If you had ever known him in health, you would have been as shocked as I was. He was one of the most robust, the most brilliantly healthy, strong-looking men I have even seen."
As he spoke, Armine seemed to stand before Isaacson as he had been.
"The change in him, mind and body, is appalling," he concluded.
And there was in his voice an almost fearful sincerity.
Doctor Hartley fidgeted. He moved his hat, pulled down his ducks, dropped his cigarette on the rug, then rather hastily and awkwardly put it out with his foot. Sitting with his feet no longer cocked up but planted firmly on the rug, he said:
"Of course, an attack like this changes a man. What else could you expect? Really! What else could you expect? I noticed all that! That's why I am going to stay. Upon my word"--as he spoke he seemed to work himself into vexation--"upon my word, Doctor Isaacson, to hear you, anyone would suppose I had been making light of my patient's condition."
Isaacson was confronted with fluffy indignation.
"You'll be accusing me of professional incompetence next, I dare say," continued Doctor Hartley. "I have not told you before, but I'll tell you now, that I consider it a breach of the etiquette that governs our profession, your interfering with my patient."
"How interfering?"
"I hear you gave him something last night--something to make him sleep."
"I did."
"Well, it's had a very bad effect upon him."
"Is he worse to-day?"
Isaacson, unknown to himself, said it with an almost fierce emphasis. Doctor Hartley drew his lips tightly together.
"This is not a consultation," he said coldly.
"I ask as a friend of the patient's, not as a doctor."
"His night was not good."
He shut his lips tightly again. His face and his whole smartly-dressed body expressed a rather weak but very lively hostility.
"He's asleep now," he added.
"Asleep now?"
"Yes. He'll sleep for several hours. _I_ have put him to sleep."
Isaacson's body suddenly felt relaxed, as if all the muscles of it were loosened. For several hours his friend would sleep. For a moment he enjoyed a sense of fascinating relief. Then his consciousness of relief, awoke him to another and fuller consciousness of why this relief had come to him, of that which had preceded it, and given it its intensity.
He must take off the gloves.
"Look here, Doctor Hartley," he said. "I don't want to put you out. I am really not a vulgar, greedy doctor pushing myself into a case with which I have no concern, for some self-interested motive. I can assure you that I have more than enough to do with illness in London and should be thankful to escape from it here. I want a holiday."
"Take one, my dear Doctor Isaacson," remarked Doctor Hartley, imperturbably--"take one, and leave me to work."
"No. Professional etiquette or no professional etiquette, I can't take one while my friend is in such a condition of illness. I can't do that."
"I'm really afraid you'll have to, so far as this case is concerned. I'm an American, and I'm not going to be pushed away from a thing I've set my hand to--pushed away discourteously, and against the desires of those who have called me in. Never in the course of my professional experience has another physician butted in--yes, that's the expression for it: butted right in--without 'With' or 'By your leave,' as you have. It's simply not to be borne. And I'm not the man to bear what's not to be borne. Really, if one didn't know you to be a doctor, one would almost take you for a Bowery detective. Straight, now, one would!"
"Where's Mrs. Armine?" said Isaacson abruptly. "Is she asleep, too?"
"She is."
The languid impertinence of the voice goaded Isaacson. Scarcely ever, if ever, before had he felt such an almost physical longing for violence. But he did not lose his self-restraint, although he suffered bitterly in keeping it.
"Have you any idea how long she is going to sleep?"
"Some hours."
"What? Do you mean that you have put her to sleep, too?"
"I have ventured to do so. Her night had not been good."
Isaacson remembered the sounds that had come to him over the Nile.
"You have given her a sleeping draught?" he said.
"I have."
"But she was expecting me here. She was expecting me here for a consultation."
"I beg your pardon. You were good enough to say you meant to come. Mrs. Armine has been scrupulously delicate and courteous to me. That I know. You placed her in a very difficult position. She explained matters when I arrived."
She had "explained matters"! Isaacson felt rather as if he were fighting an enemy who had laid a mine to check or to destroy him, and had then retreated to a distance.
"Last night, Doctor Hartley," he said, very quietly and coldly, "Mr. Armine, in Mrs. Armine's presence, expressed a strong wish to put himself in my hands. I came here with not the least intention of being impolite, but since you have chosen to make things difficult for me I must speak out. Last night Mr. Armine said, 'I don't want anything more to do with Hartley. He knows nothing. I won't have him to-morrow.' Mrs. Armine was with us and heard these words."
A violent flush showed through the brown on the young man's face. His round eyes stared with an expression of crude amazement that was almost laughable.
"He--he said--" he began. Then abruptly, allowing an American drawl to appear in his voice, he said, "Pardon! But I don't believe it."
"It's quite true, nevertheless."
"I don't believe it. That's a fact. I've seen Mr. Armine, and he was most delighted to welcome me. He put himself entirely in my hands. He asked me to 'save' him."
Suddenly Isaacson felt a sickness at his heart.
"I must see him," he almost muttered.
"I won't have him disturbed," said Doctor Hartley, with now the transparently open enmity of a very conceited man who had been insulted. "As his physician I forbid you to disturb my patient."
The two men looked at one another in silence.
"After what occurred last night, and what has occurred here to-day, I cannot go without seeing either Mr. or Mrs. Armine," Isaacson said at last.
Was Nigel's weakness of mind, the sad product of his illness of body, to fight against his friend, to battle against his one chance of recovery? That would complicate matters. That--Isaacson clearly recognized it--would place him at so grave a disadvantage that it might render his position impossible. What had been the scene last night after he had left the _Loulia_? How had it affected the sick man? Again he seemed to hear that dreadful laughter, the cries that had followed upon it!
"If I am not to see Mr. Armine as a doctor, then I must ask to see him as a friend."
"For a day or two I shall not be able to give permission for any one to see him, except Mrs. Armine and myself, and of course his servant, Hamza."
Isaacson sent a sudden, piercing look, a look that was like something sharp that could cut deep into the soul, to the man who faced him. Just for a moment a suspicion besieged him, a suspicion hateful and surely absurd, yet--for are not all things possible in the cruel tangle of life?--that might be grounded on truth. Before that glance the young doctor moved, with a start of uneasiness, despite his self-possession.
"What--what d'you mean?" he almost stammered. "What d'you mean?" He felt mechanically at his tie. "I don't understand you," he said. Then, recovering himself, as the strangely fierce expression died away from the eyes which had learnt what they wanted to know, he added:
"I certainly shall not give permission for you to see Mr. Armine. You would disturb and upset him very much. He needs the greatest quiet and repose. The brain is a fearfully sensitive organ."
Now, suddenly, Isaacson felt as if he was with an obstinate boy, and any anger he had felt against his companion evaporated. Indeed, he was conscious of a strong sensation of pity, mingled with irony. For a moment he had wronged the young doctor by a doubt, and for that moment he had a wish to make some amends. The man's unconsciousness of it did not concern him. It was to himself really that the amends were due.
"Doctor Hartley," he said almost cordially, "I think we don't quite understand one another. Perhaps that is my fault. I oughtn't to have repeated Mr. Armine's words. They were spoken and meant. But a sick man speaks out of his sickness. We doctors realize that and don't take too much account of what he says. You are here, I am sure, with no desire but to cure my poor friend. I am here with the same desire. Why should we quarrel?"
"I have no wish whatever to quarrel. But I will not submit to a man butting in from outside and trying to oust me from a case of which I have been formally given the control."
"I don't wish to oust you. I only wish to be allowed to co-operate with you. I only wish to hear your exact opinion of the case and to be allowed to form and give you mine. Come, Doctor Hartley, it isn't as if I were a pushing, unknown man. In London I'm offered far more work than I can touch. It will do your medical reputation no harm to call me in, in consultation. Without undue conceit, I hope I can say that. And if--if you have got hold of the idea that I'm on the Nile to make money, disabuse your mind of it. This is a case in which a little bit of my own personal happiness is wrapped up. I've--I've a strong regard for this sick man. That's the truth of it."
Doctor Hartley looked at him, looked away, and looked at him again.
"I don't doubt your friendship for Mr. Armine," he said, at last, laying a faint stress upon the penultimate word.
"Will you let me discuss the case amicably with you? No formal consultation! Just let me hear your views fully, and mention anything that occurs to me."
"Occurs? But you haven't examined the patient. You haven't made any thorough examination, or entered into the circumstances of the case."
"No. But I've seen the patient."
"Only for a very few minutes, I understand. How can you have formed a definite opinion?"
"I did not say I had. But one or two things struck me."
Doctor Hartley stared with his handsome, round eyes.
"For instance, the patient's sallow colour, the patient's rheumatic pains, the patient's breath, and--did you happen to observe it? But no doubt you did!--the patient's dropped wrist."
The young doctor's face had become more serious. He looked much less conscious of himself at this moment.
"Dropped wrist!" he said.
"Yes."
"Of course! Muscular weakness brought on quite naturally by prolonged illness. The man has simply been knocked down by this touch of the sun. Travellers ought to be more careful than they are out here."
"I suppose you're aware that the patient has already lived and worked in Egypt for many months at a time. He has land in the Fayyum, and has been cultivating it himself. He's no novice in Egypt, no untried tourist. He's soaked in the sun without hurt by the month together."
"As much as that?" said Hartley.
"Isn't it rather odd that so early in the year as February he should be stricken down by the spring sunshine?"
"It is queer--yes, it is queer," assented the other.
He crossed one leg over the other and looked abstracted.
"I suppose Mr. Armine himself thought the illness was brought about by the sun?" said Isaacson, after a minute.
"Well--oh, from the first it was an understood thing that he'd got a touch of the sun. There's no doubt whatever about that. He went out at noon, and actually dug at Thebes without covering his head. Sheer madness! People saw him doing it."
"And it all came on after that?"
"Yes, the serious symptoms. Of course he wasn't in very good health to start with."
"No?"
"He'd been having dyspepsia. Caught a chill one evening bathing in the Nile--somewhere off Kous, I believe it was. That rendered him more susceptible than usual."
"Naturally. So that he was already unwell before he did that foolish thing at Thebes?"
"He was seedy, but not really ill."
"What a long talk you're having!" said a voice.
Both men started, and into Doctor Baring Hartley's face there came a look of painful self-consciousness, as of one unexpectedly detected in an unpardonable action. He sprang up.
Mrs. Armine was standing near the top of the companion.
XXXVII
She came towards them.
"You've made friends without any introduction?"
She had on a hat and veil, and carried a fan in her hand.
"How can you be awake and up? But it's impossible, after the veronal I gave you. And such a night as you had! You mustn't--"
Doctor Hartley, still looking dreadfully guilty, was beside her. His solicitude was feverish.
"Really, I can't permit--" he almost stammered.
She looked at him.
"Your voices woke me!"
He was silent. He stood like a man who had been struck.
"How d'you do, Doctor Isaacson? Please forgive me for saying it, but, considering you are two doctors discussing the case of a patient sleeping immediately beneath you, you are not too careful to moderate your voices. Another minute and my husband would have been awake. He was moving and murmuring as it was. As for me--well, you just simply woke me right up, so I thought I would come and join you, and see whether I could keep you quiet."
Her face looked ghastly beneath the veil. Her voice, though she kept it very low, sounded bitter and harsh with irony, and there was something almost venomous in her manner.
"The question is," she added, standing midway between Hartley and Isaacson, "whether my unfortunate husband is to have a little rest or not. When we tied up here we really thought we should be at peace, but it seems we were mistaken. At any rate, I hope the consultation is nearly done, for my head is simply splitting."
Doctor Hartley was scarlet. He shot a vicious glance at Isaacson.
"There has been no consultation, Mrs. Armine," he said.
His eyes implored her forgiveness. His whole body looked pathetic, begging, almost like a chastised dog's.
"No consultation? Then what's the good of all this talky-talky? Have you waked me up by discussing the weather and the temples? That's really too bad of you!"
Her face worked for a second or two. It was easy to see that she was scarcely mistress of herself.
"I think I shall pack you both off to see Edfou," she continued, violently beginning to use her fan. "You can chatter away there and make friends to your hearts' content, and there'll be only the guardian to hear you. Then poor Nigel can have his sleep out whatever happens to me."
Suddenly she gaped, and put up her fan to her mouth.
"Ah!" she said.
The exclamation was like something between a sigh and a sob. Immediately after she had uttered it she cleared her throat.
"I told Doctor Isaacson his coming here to-day was absolutely useless," began Doctor Hartley. "I told him no consultation was required. I begged him to leave the case in my hands. Over and over again I--"
"Oh, you don't know Doctor Isaacson if you think that a courteous request will have any effect upon him. If he wants to be in a thing, he will be in it, and nothing in heaven or earth will stop him. You forget his nationality."
She yawned again, and moved her shoulders.
"You are wronging me grossly, and you know it!" Isaacson said, in a very low voice.
He had laid his hat down on a little straw table. Now he took it up. What was the good of staying? How could a decent man stay? And yet the struggle within him was bitter. If he could only have been certain of this man Hartley, perhaps there would have been no struggle. He might have gone with an almost quiet heart. Or if he had been certain of something else, absolutely certain, he might have remained and acted, completely careless in his defiance of the woman who hated him. But though his instinct was alive, telling him things, whispering, whispering all the time; even though his observation had on the previous night begun to back up his instinct, saying, "Yes, you must be right! You are right!" yet he actually knew nothing. He knew nothing except that this young man, between whose hands lay Nigel's life, was under the spell of Mrs. Armine.
He took up his hat and held it tightly, crushing the soft brim between his fingers. Doctor Hartley was looking at him with the undisguised enmity of the egoist tricked. He had had time to find out that Isaacson had begun subtly to induce him to do what he had refused to do. If Mrs. Armine had not appeared unexpectedly, Nigel Armine's case would have been, perhaps, pretty thoroughly discussed by the two doctors.
"Pushing trickster!"
His round eyes said that with all the vindictiveness of injured conceit.
"You are wronging me!" repeated Isaacson--"wronging me shamefully!"
Was he going? Yes, he supposed so. Yet he did not go.
"It's not a question of wronging any one," she said. "Facts are facts."
Her face was ravaged with physical misery. There was a battle going on between the sleeping draught she had taken and her will to be sleepless. She moved her shoulders again, with a sort of shudder, sideways.
"Nigel doesn't want you," she said.
"How can you say that? It's not true."
"It is true. Isn't it, Doctor Hartley? Didn't my husband--"
She yawned again, and put down her hand on the back of a chair to which she held tightly. "Didn't he ask you to remain on board and look after the case?"
"Certainly!" cried the young man, eagerly drinking in her returning favour. "Certainly!"
"Didn't he ask you to 'save him,' as he called it, poor, dear fellow?"
"That was the very word!"
"And last night?" said Isaacson, fixing his eyes upon her.
"Last night you startled him to death, rushing in upon him without warning or preparation. Wasn't it a cruel, dangerous thing to do in his condition, Doctor Hartley?"
"Most cruel! Unpardonably so! If anything had occurred you ought to have been held responsible, Doctor Isaacson."
"And then whatever it was you gave him, you forced it on him. And he had a perfectly terrible night in consequence."
"Not in consequence of what I gave him!" Isaacson said.
"It must have been."
"It was certainly not."
"He never had such a night before--never, till you interfered with him, and interrupted Doctor Hartley's treatment."
"Disgraceful!" exclaimed the young doctor. "I never have heard of such conduct. If it were ever to be made public, your medical reputation would be ruined."
"And I shouldn't mind if it was, over that!" said Isaacson.
His fingers no longer crushed the brim of his hat, but held it gently.
"I shouldn't mind if it was. But I think if very great care is not taken with this case, it will not be my medical reputation that will be ruined over it."
As if mechanically Mrs. Armine pulled at the chair which she was holding. She drew it nearer her, and twisted it a little round.
"What do you mean?" said Doctor Hartley.
"Mr. Armine is a well-known man. Almost all the English travellers on the Nile, and most people of any importance in Cairo, know of his illness--have heard about his supposed sunstroke."
"Supposed!" interrupted the young doctor, indignantly. "Supposed!"
"All these people will know the name of the medical man in charge of the case--the medical man who declined a consultation."
"Will know?" said Hartley.
Under the attack of Isaacson's new manner his self-possession seemed slightly less assured.
"I shall be in Assouan and Cairo presently," said Isaacson.
Mrs. Armine yawned and pulled at the chair. Her face twitched under her veil. She looked almost terribly alive, as if indeed her mind were in a state of ferment. Yet there was in her aspect also a sort of half-submerged sluggishness. Despite her vindictive agitation, her purposeful venom, she seemed already partially bound by a cloud of sleep. That she had cast away her power to charm as useless was the greatest tribute that Isaacson had ever had paid to his seeing eyes.
"Really! What has that to do with me? Do you suppose I am attending this case surreptitiously?" said Hartley.
He forced a laugh.
"No; but I think it very possible that you may regret ever having had anything to do with it."
In spite of himself, the young doctor was impressed by this new manner of the older man. For a moment he was partially emancipated from Mrs. Armine. For a moment he was rather the rising, not yet risen, medical man than the fully risen young man in love with a fascinating woman. When he chose, Isaacson could hold almost anybody. That was part of the secret of his success as a doctor. He could make himself "believed in."
"Some mistakes ring through the world," Isaacson added quietly. "I should not care to be the doctor who made one of them."
Mrs. Armine, with a sharp movement, twisted the chair quite round, pulled at one side of her dress, and sat down.
"But surely--" Doctor Hartley began.
"This really is the most endless consultation over a case that ever was!" said Mrs. Armine.
She leaned her arms on the arms of the chair and let her hands hang down.