Page:Maugham - Of Human Bondage, 1915.djvu/433

 At half past one the house-physician came in, rang the bell, and told the porter to send in the old patients. There were always a good many of these, and it was necessary to get through as many of them as possible before Dr. Tyrell came at two. The H.P. with whom Philip came in contact was a dapper little man, excessively conscious of his importance: he treated the clerks with condescension and patently resented the familiarity of older students who had been his contemporaries and did not use him with the respect he felt his present position demanded. He set about the cases. A clerk helped him. The patients streamed in. The men came first. Chronic bronchitis, "a nasty 'acking cough," was what they chiefly suffered from; one went to the H.P. and the other to the clerk, handing in their letters: if they were going on well the words Rep 14 were written on them, and they went to the dispensary with their bottles or gallipots in order to have medicine given them for fourteen days more. Some old stagers held back so that they might be seen by the physician himself, but they seldom succeeded in this; and only three or four, whose condition seemed to demand his attention, were kept.

Dr. Tyrell came in with quick movements and a breezy manner. He reminded one slightly of a clown leaping into the arena of a circus with the cry: Here we are again. His air seemed to indicate: What's all this nonsense about being ill? I'll soon put that right. He took his seat, asked if there were any old patients for him to see, rapidly passed them in review, looking at them with shrewd eyes as he discussed their symptoms, cracked a joke (at which all the clerks laughed heartily) with the H.P., who laughed heartily too but with an air as if he thought it was rather impudent for the clerks to laugh, remarked that it was a fine day or a hot one, and rang the bell for the porter to show in the new patients.

They came in one by one and walked up to the table at which sat Dr. Tyrell. They were old men and young men and middle-aged men, mostly of the labouring class, dock labourers, draymen, factory hands, barmen; but some, neatly dressed, were of a station which was obviously superior, shop-assistants, clerks, and the like. Dr. Tyrell looked at these with suspicion. Sometimes they put on shabby clothes in order to pretend they were poor; but he had a keen eye to prevent what he regarded as fraud and sometimes refused to see people who, he thought, could well pay for medical attendance. Women were the worst offenders and they managed the thing more clumsily. They would wear a cloak and a skirt