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Chapter Five.
Need of a Surgeon

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As Neil Elthorne reached the spot where his father had fallen, the horse dashed off at full gallop across the park, followed by one of the grooms, who saw in it something of far greater consequence than his master, who lay perfectly motionless upon the grass.

“Any bones broken?” cried Sir Cheltnam. “Only a bit of a spill. Here, someone go for a doctor.”

No one heeded his words; but Alison and Beck watched Neil curiously as he was down on one knee making a hasty examination of the injured man.

“Oh, papa, papa!” cried Isabel. “Neil, Neil, is he dead?”

“Hush, my dear, be quiet.”

“Hadn’t you better send for a doctor?” cried Sir Cheltnam. “Nasty thing for a horse to roll across a man.”

“Be good enough to be silent, sir,” said Neil sharply. “Alison, make two of the men lift one of the light iron gates off its hinges. Isabel, my child, be a woman. Run to the house and make them bring down a mattress to lay upon the gate, and tell Aunt Anne to bring the brandy, some water, and a glass.”

“But, Neil, dear – ”

“Don’t stop to question. I know nothing yet.”

“But hadn’t you better send a groom at once for a doctor?”

“Confound it all, sir!” cried Beck in a low voice, “can’t you see that Mr Elthorne is in a skillful surgeon’s hands?”

Sir Cheltnam gave him an angry look, and turned his back, while Beck, in the matter of fact, cool fashion of a sailor in a time of emergency, bent down over Neil.

“Can I help you?” he said quietly.

“Eh? Thanks, no. I can do nothing till I get him to bed. Poor old dad!” he muttered to himself. “I little thought I was coming for this.”

He had placed the injured man’s head in an easy position, and in his cursory examination found that no limb was broken or joint dislocated; but Elthorne was perfectly insensible, and the young surgeon dreaded the crushing in of ribs and some internal injury.

Meantime the strong, hale, imperious man of a few minutes earlier lay there, breathing painfully, while those about him were too much occupied to notice the soft, dull sound of horse’s hoofs approaching fast.

Neil started as a shadow was thrown across him, and a sharp, metallic voice cried:

“Hallo! What’s the matter? Anyone hurt?”

“Yes; a bad fall,” said Neil coldly, as his eyes met those of the speaker, the elder of the two Lydons.

“Well, I couldn’t help it,” said the girl rather resentfully. “No fault of mine.”

“Poor old guardy!” cried her sister. “Don’t look like a ride to-day.”

“Not much,” said Saxa. “Did the horse throw him?”

“Fell with him,” said Sir Cheltnam.

“Looked it,” cried Saxa. “I told Dan here that I didn’t like the looks of the mount, but it was no use to tell the old man. He always would have his own way, eh, Dan?”

“Always,” assented her sister.

“Burwood,” cried Neil impatiently, “will you give me your help?”

“Certainly. What shall I do?”

“Take these ladies away somewhere; their talking disturbs the patient.”

“Well, I’m sure!” cried Saxa with a laugh full of annoyance. “But we will not trouble Sir Cheltnam; we know our way back.”

“Here’s someone else coming who will be more civil, perhaps,” said Dana to herself, as Isabel, followed by half the household, came hurrying back.

Alison was returning too, with some of the stablemen and gardeners bearing a light iron gate and the mattress, with the result that the sufferer was borne carefully back to the house.

“I say, Elthorne, though,” said Sir Cheltnam, as they followed behind; “no offence to your brother, who is, I dare say, clever enough, – I forgot that he was a doctor, – hadn’t you better send to the town for the best man they’ve got? I’m afraid your old gov’nor has come off badly.”

“Neil will know,” replied Alison. “He will do what is right.”

“Oh, very well; I only suggested; but I say, hadn’t you better make a bit of a clearance? So many people about must be bad for the patient.”

Alison looked at him curiously, but he said nothing, though the idea did occur to him that it would be satisfactory if his friend were to ride off in company with the Misses Lydon.

“How is he, Neil? What do you think of him?” said Alison, after quietly watching his brother for some time.

“Bad,” said Neil laconically. “I can say nothing yet for certain.”

“Will he die?”

“Please God, no; but the symptoms are serious.”

“Bones broken?”

“No; injury to the spine, I fear. I must have help and further advice.”

“I’ll send on to the town at once for Morrison.”

“No,” said Neil quietly. “This is not a case for a general practitioner. Get me a telegraph form, and have the message sent on at once.”

“Yes,” said Alison eagerly; “but tell me what you are going to do.”

“Send for Sir Denton Hayle.”

“Will he come?”

“If I ask him – yes.”

The message was written and sent off. The Lydons, after waiting till after noon, had shaken hands with the brothers, and said they were very sorry, and then accepted Sir Cheltnam’s escort home.

Neil, who had left his father’s side for a few minutes to say good-bye, heaved a sigh and turned to go back.

“They don’t seem very much broken-hearted about the poor old dad, Neil,” said Alison.

“No,” cried his brother, flashing out angrily. “I wonder sometimes whether – no, no, we can’t discuss that now, with him lying like that,” he added hastily, and he went back into the house to find that Beck still lingered.

Neil looked at him reproachfully and the young sailor caught his arm.

“I have not gone,” he said. “I’m staying in case I can be of any use.”

“Thanks,” said Neil shortly. Then a thought struck him, and he turned back. “Did you speak to my father?” he said.

Beck nodded.

“What did he say?”

“That it was impossible.”

Neil went hastily toward the room where his father had been carried, and found his sister listening by the door.

“You here, Isabel?” he said.

“Yes, dear,” she whispered in broken tones. “Let me go in and see poor papa now.”

“No, my child, not yet.”

“But, Neil, I am not a child now. You have let Aunt Anne be with him.”

“Well, she is older, and experienced, dear. Pray be patient. You will be helping me then.”

“Yes, Neil,” she said with a sigh, and she reached up and kissed him.

“That is my darling sister,” he said tenderly. “But, Neil, dear, one word – pray tell me the truth. Will papa get better?”

“Heaven only knows, dear,” he said solemnly. “He is very badly hurt.”

He passed through the door, and closed it after him almost without a sound, and then stopped to gaze on the scene before him, feeling a glow of warmth in his breast toward his Aunt, who, in their freedom from anxiety, had always seemed to him a weak, self-indulgent woman. But self was evidently forgotten now as she knelt beside her brother’s couch, holding one of his hands against her breast, and watching the pale, slightly drawn face as if her life depended upon her noting the slightest change.

“Has he moved, Aunt?” said Neil softly. She started violently.

“O Neil, dear!” she exclaimed, “I did not hear you. No, no, no,” she cried, with a burst of sobbing, “he’s dying! My poor brother! What shall I do?”

“Be patient and helpful, Aunt, dear. We must not think of our now sufferings now.”

“Yes, my dear, and I will, indeed I will. But, Neil, my love,” she whispered, as she caught his hand and held it in both hers; “don’t think me unkind. I know what a good, clever boy you are, but don’t you think you ought to send for a real doctor?”

Neil smiled sadly as he bent down and kissed the agitated woman, and thought of his diplomas, and the trust and faith of the eminent surgeon who had chosen him for assistant in the ward of the great London hospital.

“Yes, Aunt, dear,” he said quietly. “You are quite right. I have sent for Sir Denton.”

“Oh, that’s very good of you, my dear. You are so young; and I was afraid, dear, that you would be too proud to accept any help, and – ”

“Hist!” said Neil quickly; and he stepped to his father’s side, for he had seen a quick, trembling motion about the eyes, and the injured man began to mutter.

“Quite out of the question, my lad – I have made other arrangements for my child.”

He uttered a heavy sigh.

“Ride any horse – jumps well – you did not – ”

His eyes open and staring now, and fixed on his son.

“Neil!” he said aloud, “what’s the matter? Here, give me your hand.”

He tried to rise, and a spasm contracted his face as Neil watched him anxiously and saw a confirmation of his fears.

“I don’t understand.”

“Don’t try to move, father. You are a little hurt,” said Neil gravely. “Are you in much pain?”

“Pain? No,” said his father irritably. “Why don’t you both speak? What does it all mean?”

“Your horse fell, sir,” said Neil gently. “Lie quite still.”

“My horse fell? What horse fell? How long have I been here?”

“My dear father, you must try and be calm, please.”

“But I don’t understand,” he cried angrily. “You said my horse fell. I can’t remember.”

“But you will soon. Try and go to sleep.”

“Don’t be absurd, boy. Here, help me to get – ”

He did not finish his sentence but tried to raise himself and then lay perfectly still, with his jaw dropped, and a look of horror in his eyes.

“Neil – my boy,” he said piteously, “I can’t move. This sudden weakness – I – yes – I remember now. The Don fell with me. Quick – tell me – am I much hurt?”

“I hope not, sir. It was a bad fall, but there are no bones broken.”

“But – ”

He stopped, and looked wildly at his son.

“Father, you must try and be calm,” said Neil firmly.

“Ralph, dearest – pray – pray – be calm,” said Aunt Anne.

“Silence, woman!” he cried harshly; and the great drops of perspiration began to gather on his brow. “Yes,” he continued hoarsely, “I begin to remember clearly now. The brute fell and rolled over me. Here, Neil, you are a surgeon – tell me – not seriously hurt?”

“You are hurt, father, and it is absolutely necessary that you should be quite calm.”

“Calm, sir! How can I be calm? Do you take me for a child? Send for a proper doctor at once – a man who can understand, and who will tell me the truth.”

“I am telling you the truth, father. I repeat – it is absolutely necessary that you should lie still and try to be calm.”

“But – ”

He uttered that word angrily, and clutched at the side of the couch to try again and raise himself, but his arm fell nervelessly by his side, and he gave his son a piteous look.

“My back,” he groaned. “No feeling; Neil, my boy, you know and you will not speak. Don’t, don’t, tell me I am to be a cripple.”

“My dear father,” cried Neil huskily, as he grasped his hand, “I dare not tell you that, for I am not sure. I have sent up for Sir Denton, and he will, I know, come by the earliest possible train. I hope that my fears are wrong.”

“Then they are right,” said the sufferer with a groan. “I know now. Great Heavens!”

He closed his eyes, and lay perfectly still, but the dew upon his contracted face told plainly enough of the mental agony he suffered.

Aunt Anne drew back, and signed to Neil to come to her side.

“Speak to him,” she whispered. “Try and say something to comfort him, dear.”

“It would be folly,” replied Neil sadly, “and only increase his irritation.”

“Oh, but, my dear!” she whispered.

“Aunt, it was what I feared, and he has grasped the truth.”

“Neil!”

“Wait till Sir Denton comes, and let him decide.”

He went back to the side of the couch, and sat down to watch and wait, ready to try and alleviate pain, and wipe the drops of agony from the sufferer’s brow from time to time.

And so an hour passed without the patient once unclosing his eyes, but it was plain that he did not sleep; a sharp twitch across the face now and again eliciting a faint groan.

Aunt Anne had been out twice to speak to Isabel, who was weeping silently in the adjoining room.

And so the dreary day crept on with a strange silence pervading the place where all, as a rule, was bustle and activity. Alison softly paced the hall hour after hour, waiting patiently for news of which Aunt Anne was the bearer.

But she had little to communicate, and night was coming on fast when the sound of carriage wheels was heard, and a fly from the station drove up to the door, out of which stepped the famous London surgeon, who had arrived quite a couple of hours sooner than had been expected.

Neil hurried out, leaving Aunt Anne to take his place while he welcomed the visitor.

“Thank you,” he said simply, as he grasped the old man’s hand.

“I came down at once. How is he?”

Neil shook this head, and led the way at once into the room where Mr Elthorne lay with his eyes tightly closed; but he opened them at once as Sir Denton approached, showing that he had been keenly conscious of every sound.

Aunt Anne rose from his side, bent down again to kiss him, and then hurried out of the room to hide her tears, leaving the great surgeon to decide upon what her brother’s future was to be.

Isabel and Alison were outside, and the three waited together anxiously for the great man’s verdict, and all oppressed by the strange sensation produced by the sudden shock which had fallen upon the family. Everything seemed strange, and the very silence to be charged with portents.

Alison strode up and down the room, while his sister crouched by Aunt Anne’s side, holding her hands tightly, and starting at every sharp turn her brother made.

It seemed an age before they heard the opening of a door and steps in the hall; and as Isabel started up, listening excitedly, Neil appeared, looking white and anxious.

“Go to my father, Aunt,” he said, and then drew back to lead Sir Denton into a little room much affected by the young man, half study, half museum, where the surgeon sank into a chair and leaned back gazing at the worn, troubled face before him, as if waiting for his companion to speak.

“Well, sir?” he said at last, for Sir Denton remained silent.

“Well, Elthorne,” said Sir Denton gravely.

“Don’t trifle with me. I am in agony.”

“Naturally, my dear fellow, and I am not trifling with you. I only shrank from giving you pain.”

“Then you think – ” began Neil.

“No; I am sure, Elthorne. My dear boy, you have not worked with me for years without being able to come to a decision at once upon such a case as this. I can quite understand your feelings. In your horror and despair you mistrusted yourself, or tried to mistrust yourself, hoping, I presume, that you might be wrong, and sent at once for me. Is it not so?”

Neil bowed his head; and then quickly, as drowning men catch at straws, he said:

“But, Sir Denton, do you feel absolutely certain?”

“My dear Elthorne, would to Heaven I could say that there is a doubt. There is none. You know there is none.”

Neil uttered a low groan.

“It comes hard from one who feels toward you as I do, my dear brother,” said the old man gently; “but we doctors and surgeons can have no concealment from each other. Your examination must have shown you that the spine is hopelessly injured.”

“Yes, yes,” groaned Neil; “but I clung to the hope that I might be wrong. Then you can give me no hope?”

“Yes, I can do that. With careful nursing you may save his life, and he may have many years before him. There will be little physical suffering, and fortunately for him, being a wealthy man, he can palliate much of this by attendants and the many contrivances our mechanicians have invented for the benefit of the injured. It is a terrible case, but nothing compared to what it would be if some poor breadwinner had suddenly been stricken down – a case such as we have seen hundreds of times. Your father has everything to soften the hardship, and, above all, the love of his children.”

“Then you feel that nothing more can be done?”

“Frankly, nothing. It is the greatest kindness to tell you so, Elthorne. As you well know, the treatment is of the simplest. Time, and a thoroughly good, trustworthy nurse. There is the prescription that forty years of earnest study have taught me to offer you.”

“Yes,” said Neil, after a pause, “I felt all this – thanks to your teachings. Poor old father!” he continued as if to himself; “so full of vitality, so determined and energetic, so full of plans, and in an instant all at an end.”

“Oh, no,” said Sir Denton. “You must look at the brighter side of the accident, my dear fellow. He will – I am speaking plainly – he will be utterly paralysed in his lower limbs, but in all probability the mental faculties will be sharpened, and from what I have seen of your father I should say he will be more energetic and active than ever.”

“Thank you,” said Neil warmly; “thank you – ”

“Now go and break the bad news to your people at once, and all of you face the worst. You are spared a great deal. You know as well as I do that his accident might have meant a few hours’ hopeless struggle against death and then the end.”

“Yes, yes,” said Neil. “You are right, and I will try – we will all try – to face the trouble as we should. But you will stay the night and see him in the morning.”

“No, I can do no good. You will act in everything exactly as I should, and there are others waiting in agony for my return.”

“But – ”

“You know in your heart what I say is just, my dear Elthorne. Come, pupil, your old master trusts you,” said the surgeon, taking his hand. “Forget for the time being that the patient is a relative; sink everything in the scientific aspects of the case; do your duty, and trust yourself. Now, God bless you, and good-bye.”

He grasped the young surgeon’s hands warmly and turned to go, but stopped short.

“I shall get someone to come and lend me a hand, so that you can stay down here as long as is necessary, but you will be able to come up for a day or two at the end of a week. Of course the first thing is to send you down an efficient nurse. Everything will depend upon her, as you know.”

“Yes,” said Neil huskily, and he walked out into the hall.

“I will not ask to see your sister or your aunt, Elthorne. My kindest regards, and I hope to renew my friendship with them at some happier time.”

He stepped into the waiting fly and looked at his watch.

“Tell him to drive fast, and I shall just catch the last up-train. Good-bye.”

The wheels grated on the gravel drive, and the sounds were dying away as Neil turned to find that the drawing-room door had opened.

Isabel ran to him and threw her arms about his neck, trying vainly to speak, as he held her to his breast, while her eyes looked imploringly into his.

“What does he say, Neil?” said Alison huskily. “Tell us the worst.”

“The worst,” replied Neil gloomily.

“Then he will die?” cried Alison excitedly.

“No, no.”

“But he has gone so soon. Don’t keep it back, man. He said he could do nothing?”

“He said that with care our father will live, but – ”

He stopped short for a few moments and a sigh that was almost a groan escaped him.

“The poor old dad. Al,” he said softly, “I am afraid he will be a hopeless cripple if the knowledge of his state does not kill him right off.”

“What’s that? What’s the matter?” cried Alison sharply, as the door opened and the butler appeared. “We are engaged.”

“Beg pardon, sir,” said the man. “Mrs Barnett, sir, rang the bell. Master wants Mr Neil directly.”

“O Neil, he is worse,” sobbed Isabel; and, as her brother hurried out of the room and across the hall, she followed, and they all entered together, just as Aunt Anne was coming to summon them, her ruddy face looking blanched and strange in places, while her eyes were wide open and she seemed to have been scared.

“Pray come to him, my dear,” she whispered. “He frightens me.”

“What is that?” said Mr Elthorne sharply. “What is the meaning of that whispering? Am I to lie here without any attention because I have had a bit of a fall? Here, Neil, quick. It is disgraceful. Anne – Isabel – you can go. I want to talk to Neil.” Isabel crept deprecatingly to the speaker’s side and bent down to kiss him.

He responded to her kiss, and then seemed annoyed with himself, as if he considered his conduct weak.

“There, there,” he cried. “Don’t hang about me, my dear. You make me hot. There is nothing much the matter. Go and nurse up your aunt, and try to teach her to be sensible.”

“Oh, papa, dear!”

“Now, don’t you begin to be absurd too. I’m hurt and in pain. Let me ask you one question – Is it likely to do me good to have a foolish woman sitting close to me soaking her pocket handkerchief?”

“Ralph, dear, I was only sympathetic,” cried Aunt Anne.

“I don’t want sympathy,” cried Mr Elthorne. “I want help. I want you to go now. Shut the door after them, Alison. You can stop. Now,” he continued angrily, as soon as they were alone, and he fixed his eyes fiercely upon his elder son’s, “you chose to be a doctor, sir, and I gave way unwillingly. I studied no expense, and you have gone on studying up your profession. But, once for all, if I am to take any of your assistance, I warn you that I will have none of the tricks of your trade played upon me.”

“My dear father, pray be calm,” said Neil anxiously.

“Did you hear what I said, sir? Be calm! Am I not calm? There you are bringing out all your medical stock in trade – medical cant to bear.”

Neil looked at him anxiously, and saw that he was wild in his manner, and that there was a curiously excited glare in his eyes which troubled him a good deal, and affected his words as he replied.

“Now,” cried his father, “tell me at once, what did Sir Denton say?”

“That you must be kept perfectly quiet, sir, and be troubled by nothing exciting.”

“Why?” said Mr Elthorne sharply. “Did he say that my case was hopeless, and that I must die?”

“No; decidedly not. Nothing of the kind, sir. He told me that you only needed proper nursing to recover.”

“To recover my health?”

“Yes, sir.”

“And strength?” said Mr Elthorne, gazing at him searchingly.

Neil was silent.

“Why don’t you speak, boy?” said the old man sternly. “No; you need not speak. A man is a physician or a fool at forty. I am long past forty, and not quite a fool, boys, as you both know. He told you that I should be a hopeless cripple.”

“He told me, I repeat, that you must be kept perfectly quiet, father, and I must insist upon your now trying to help me by following out his wishes.”

“A cripple – a helpless cripple,” said the injured man, without paying the slightest heed to his son’s words, but speaking as if to someone he could see across the room. “I did not want telling that. A man knows. But what does it mean? Wreck? Utter helplessness? Being led about by the hand? No, no, no; not so bad as that. The brain is right. I am strong there. You boys are not going to usurp everything yet. Do you hear? I say you boys are – you boys – I say – the doctor – quick – the doctor – ah!”

His eyes glared wildly as the fit of excitement rapidly increased, till he almost raved like one in a fit of delirium, and every attempt to calm him by word or action on the part of his son only seemed to intensify his excitement, till a sudden spasm made his face twitch, and his head fell back with the angry light dying out of his eyes.

“Quick!” whispered Neil. “Run up to my room and bring down the little case on the drawers.”

He raised his father’s head as he spoke, and, after glancing at him in a frightened manner, Alison hurried out of the room.

An hour later Ralph Elthorne was lying perfectly insensible, with his son watching by his bedside. It was no new, thing to him this tending of a patient in a serious strait consequent upon an accident, but their relative positions robbed him of his customary sang-froid, and again and again he asked himself whether he had not done wrong in accepting so onerous a task, and whether Sir Denton had not placed too much confidence in his knowledge of the treatment such a case demanded. When such thoughts mastered him he was ready over and over again to send a fresh message to the great surgeon, and it was only by a strong effort that he mastered himself and maintained his calmness. For he knew in an ordinary way a doubt of his capacity would never enter his head; all he had to do, he told himself, was to strive as he would have striven for another.

“But he is my father,” he muttered, “and it is so hard to feel confidence when one knows that the patient mistrusts every word and act.”

Nurse Elisia

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