A Medical Document.

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"Good heavens!" cries the outsider. "My own lips tremble. I often slur my words. I believe I've got it myself."

Three little chuckles come from the front of the fire.

"There's the danger of a little medical knowledge to the layman."

"A great authority has said that every first year's student is suffering in silent agony from four diseases," remarks the surgeon. " One is heart disease, of course; another is cancer of the parotid. I forget the two other."

"Where does the parotid come in?"

"Oh, it's the last wisdom tooth coming through!"

"And what would be the end of that young farmer?" asks the outsider.

"Paresis of all the muscles, ending in fits, coma, and death. It may be a few months, it may be a year or two. He was a very strong young man and would take some killing."

"By-the-way," says the alienist, "did I ever tell you about the first certificate I signed? I came as near ruin then as a man could go."

"What was it, then?"

"I was in practice at the time. One morning a Mrs. Cooper called upon me and informed me that her husband had shown signs of delusions lately. They took the form of imagining that he had been in the army and had distinguished himself very much. As a matter of fact he was a lawyer and had never been out of England. Mrs. Cooper was of opinion that if I were to call it might alarm him, so it was agreed between us that she should send him up in the evening on some pretext to my consulting-room, which would give me the opportunity of having a chat with him and, if I were convinced of his insanity, of signing his certificate. Another doctor had already signed, so that it only needed my concurrence to have him placed under treatment. Well, Mr. Cooper arrived in the evening about half an hour before I had expected him, and consulted me as to some malarious symptoms from which he said that he suffered. According to his account he had just returned from the Abyssinian Campaign, and had been one of the first of the British forces to enter Magdala. No delusion could possibly be more marked, for he would talk of little else, so I filled in the papers without the slightest hesitation. When his wife arrived, after he had left, I put some questions to her to complete the form. `What is his age?' I asked. `Fifty,' said she. `Fifty!' I cried. `Why, the man I examined could not have been more than thirty! And so it came out that the real Mr. Cooper had never called upon me at all, but that by one of those coincidences which take a man's breath away another Cooper, who really was a very distinguished young officer of artillery, had come in to consult me. My pen was wet to sign the paper when I discovered it," says Dr. Manson, mopping his forehead.

"We were talking about nerve just now," observes the surgeon. "Just after my qualifying I served in the Navy for a time, as I think you know. I was on the flag-ship on the West African Station, and I remember a singular example of nerve which came to my notice at that time. One of our small gunboats had gone up the Calabar river, and while there the surgeon died of coast fever. On the same day a man's leg was broken by a spar falling upon it, and it became quite obvious that it must be taken off above the knee if his life was to be saved. The young lieutenant who was in charge of the craft searched among the dead doctor's effects and laid his hands upon some chloroform, a hip-joint knife, and a volume of Grey's Anatomy. He had the man laid by the steward upon the cabin table, and with a picture of a cross section of the thigh in front of him he began to take off the limb. Every now and then, referring to the diagram, he would say: `Stand by with the lashings, steward. There's blood on the chart about here.' Then he would jab with his knife until he cut the artery, and he and his assistant would tie it up before they went any further. In this way they gradually whittled the leg off, and upon my word they made a very excellent job of it. The man is hopping about the Portsmouth Hard at this day.