The Secret of Dr. Kildare
The Secret of Dr. KildareCHAPTER ONECHAPTER TWOCHAPTER THREECHAPTER FOURCHAPTER FIVECHAPTER SIXCHAPTER SEVENCHAPTER EIGHTCHAPTER NINECHAPTER TENCHAPTER ELEVENCHAPTER TWELVECHAPTER THIRTEENCHAPTER FOURTEENCHAPTER FIFTEENCHAPTER SIXTEENCHAPTER SEVENTEENCHAPTER EIGHTEENCHAPTER NINETEENCopyright
The Secret of Dr. Kildare
Max Brand
CHAPTER ONE
THE patients who came from the ends of the earth to consult Dr.
Leonard Gillespie had been drawn to him by his fame as a
miracle-worker or sent by baffled physicians of every country. Now,
for three days, they had been brought by old Conover, the negro who
presided over the waiting-room, not into the stormy presence of the
great man, but to the young intern, James Kildare. He was neither
very big nor very noisy, and as a rule he failed to impress the
people who had been drawn by a famous name; only a small minority
saw in him that penetrating flash, that swiftly working instinct
which seems almost foreknowledge and is characteristic of the born
diagnostician. Kildare, accepting the great post almost guiltily,
like a thief on a throne, nevertheless worked three days before he
was completely stumped. Many a time when he had reached the end of
his own trail of knowledge, he looked up in despair at the closely
printed tomes which filled the walls of Gillespie's library, and as
he stared, some page flickered in his memory, or the voice of
Gillespie came back to hint at the clue to the mystery. So for
three days he had not been guilty of a single gross error while the
continued stream of feet came in over the blurred pattern of the
rug where tens of thousands had stood before them. Instinct helped
him through many a pinch. The great Gillespie himself used to say:
"The mind comprises nine-tenths of our being, and therefore a
doctor who isn't part faith-healer is no damned good. A doctor who
lacks human understanding is like a coal miner without a lamp on
his hat or a pick in his hand." Beyond a natural gift and the
teaching of Gillespie, that human understanding helped Kildare
through the first three days. Gillespie, in the meantime, was
giving himself up to the work on his laboratory experiment. On the
fourth day Kildare at last reached his impasse.
He sat with the laboratory reports in his hand, sweating a little
as he stared at the boy, but what he really saw was the mother in
the background. The lad was twelve, neatly turned out from the
shine of his shoes to the gloves in his hand. In spite of his worn,
sallow face there was still a fire in him, gradually dying. When
his courage failed, he would fail also. In comparison the mother
was like a kitchen slavey sent out with the young master. Rain had
shrunk her cheap jacket until the sleeves were inches above the
wrists and the bottom of it flared out before it reached her hips.
She had a round, common face. The pain she had endured gave her the
only distinction. Long-continued trouble had tumbled in shadowy
lines and hollows of anxiety. The silence of Kildare as he stared
at her boy frightened her to the heart, but she tried to wheedle
the bad moment away.
"It's God's mercy that we've got big hospitals,
doctor," she said. "Young or old, there ain't a chance that you
could go wrong on a case with all them wheels turning and turning
to set you right; not when you got a whole army to lend you a
hand."
Kildare tasted the bitter truth for a moment in his throat before
he spoke it.
"I'm afraid that I can't help you," he said.
Something stirred, like a whisper of wind, in the corner of the
room behind him. That would be Mary Lamont. She was an excellent
nurse and steady as a clock in emergencies, but the hopeless cases
broke her down. He could feel her now like an extra burden on his
mind. Then something struck the floor with a soft shock. Mrs. Casey
had dropped her handbag. The boy, stooping quickly, picked it up.
He touched her with his hand.
"Steady, dear!" he said, and his concern for himself was so much
less than his trouble for her that the heart of Kildare gave a
great stroke of pain. Mrs. Casey had created a masterpiece that was
now about to be stolen from her and from the world.
"He can't help me! He can't help me!" she said over and over two or
three times, looking into the future and finding it a black
emptiness.
The boy put an arm around her and turned apologetically toward
Kildare.
"Shall we go now, sir?" he asked.
"Yes," said Kildare crisply.
Mary Lamont opened the exit door. She tried to make herself
professionally matter-of-fact, but her voice was wobbly as she
murmured: "This way, please." A girl as young as that was no good
for this work, he decided. He liked having her around. She
freshened the day, and she had a bedrock, honest faith in him that
gave Kildare strength, but he would have to ask Gillespie for an
older nurse.
"Thank you, Doctor Kildare," the boy was saying as he went
out.
"Wait a minute," commanded Kildare.
They turned back suddenly. It was still the woman who seemed to
stand under the death sentence, not the boy. Mary Lamont watched
her doctor with a foolish brightness of expectancy. He scowled at
the three of them.
"The other doctors—you mean that they're right?" Mrs. Casey was
asking.
"No. I think they're not right," said Kildare. He watched the hope
spring up in their faces. "But I don't know where they're wrong."
They were struck blank again. "Will you ask Doctor Gillespie if
he'll make a special exception and see this patient?" he added to
the nurse.
She blessed him with her eyes and her smile as she hurried across
the room, but when she came to the door of the great internist's
inner office, she hesitated a moment to gather her courage before
she went in. Kildare could hear the pleasant murmur of her voice,
not the words; then came the roar of Gillespie, hoarse as the
barking of a sea-lion.
"I've told him before and I tell him again: I'll
see nobody! There's one last thing I can give
medicine, and I've got it now in the tips of my fingers. It's
almost in my hand if I'm let alone to work at it. What do I care
about one patient, when I'm thinking of the lives of ten thousand?
Get out!"
"Mother, let's go now. You heard him," said the boy.
"Hush yourself, Michael," said Mrs. Casey. "We'll go when we're
sent. Wait for the word!"
Her fierce eyes dwelt upon Kildare as Mary Lamont came back into
the room with her head bent so that they might not see the tears in
her eyes.
"Doctor Gillespie finds himself too occupied," she reported.
Kildare sighed, shrugged his shoulders, and crossed the room in his
turn. "I'll speak to him..." he said.
The inner office was stacked with cages of white mice that looked
like filing cabinets, each with a white label and a glittering
little water-tube. The odour of small animal life in the cages
tainted the air as a drop of slime taints drinking water. The
diagnostician, who had turned his private sanctum into a menagerie,
had two of the cages on the arms of his wheel chair. In triumph he
laughed aloud to Kildare: "We're getting it, Jimmy! It's almost
here! Look at this, will you?"
Six little white mice lay dead in one cage; in the other five were
full of scamper and haste and only one was lifeless.
"Change the dosage a little and I think we've got it," said
Gillespie. "There's the six of the control as dead as pins; and
here's five out of six that the injection saved. Five out of six!
What d'you think of it?"
"I want to talk to you..." began Kildare.
"I don't want chatter from you. I want work!" declared Gillespie.
"If you'll talk mice and meningitis, all right. Otherwise I have no
time. We're going to whip meningitis into a corner, young Doctor
Kildare. We're going to make it afraid to show its face. D'you hear
me? We might even wangle a mangy little bit of a half-baked
reputation for you out of this experiment. What
are you hanging your head about now?"
His savage impatience made him jerk back his head. Brittle old
muscles which failed to cushion the shock allowed a violent tremor
to run down through his body. Kildare winced at the sight of
it.
"I want you to see a patient. I want five minutes of your time,"
said Kildare.
Old Gillespie banged the top of a mouse cage with the flat of his
hand, and the mice began to weave a white pattern on the floor of
the cage as they raced around it in terror.
"You don't want my time; you want my brain!" he shouted. "And you
can't have it!"
"He's a twelve-year-old boy," said Kildare steadily.
"I don't give a damn if he's the prince of Siam or the emperor of
Cochin-China!" cried Gillespie. "I won't see him."
"His mother's a washwoman," said Kildare.
"Let her keep to her tubs and her suds then."
"And she's making the boy a gentleman."
"We don't want gentlemen; we want hard men who can take a chisel
edge."
"They call it pernicious anaemia—the other doctors—and they're
wrong."
"I don't give a damn about anaemia and other doctors and their
errors; a lot of ignorant fools. I'm going on with this experiment
and nothing else. You hear me?..."
"They call it anaemia, and they're wrong," repeated Kildare.
"What do you think it is?"
"I don't know. Here's the case history and the laboratory
reports."
"I'm not interested," said Gillespie, snatching the papers. "I'll
have nothing to do with it...Why don't you think it's
anaemia?"
"The blood picture showed no macrocytes," said Kildare.
"Then why the devil are you wasting my time?" demanded Gillespie.
"Why don't you get him in here where I can lay eyes and hands on
him?"
Kildare hurried back to the other room. With a handkerchief he
rubbed the wet from his forehead as he beckoned to the boy. "Doctor
Gillespie will see you," he said. This new
accession of hope was too much for Mrs. Casey. She sank into a
chair and stared at the floor. Mary Lamont hurried toward her as
Kildare ushered the boy into the presence of Gillespie, who was
glowering at the laboratory reports.
Without lifting his head he snapped: "Palpable spleen, Doctor
Kildare?"
"Yes, sir," said Kildare.
"Make a fragility test?"
"No, sir."
"Why not?"
"The fragility test isn't one of the regular routine."
"That's one of the damnations of the world—routine, routine,
routine. People want to live by instinct, not by brains. Is the
human race going to become a lot of damned insects? Use the mind
more and routine less. Have a fragility test made at once."
"Yes, sir," said Kildare.
"Young man," continued the internist, lifting his head and
gathering the shag of his brows together, "do you ever have pains
here—up on your left side?"
"Yes, sir," said the boy.
"You didn't tell me that," said Kildare.
"I only have them now and then," declared young Casey.
"When you have those pains, your skin is turning yellow, eh?" asked
Gillespie.
"Yes, sir," agreed the boy.
"It's the dilating spleen," stated Gillespie. "I think this boy has
haemolytic icterus, Jimmy. Have them get the spleen out of him and
he'll be as fit as a fiddle again." He pointed a sudden finger at
the Casey boy. "You hear me? You're going to be as right as a
trivet inside two weeks. Get out of my sight and tell your mother
the news...Stay here, Jimmy!"
"Thank you, sir...thank you, Doctor Kildare," the boy was saying as
he left the room. He hurried his thanks in his eagerness to bring
the great news to his mother; Kildare closed the door slowly after
him.
"Are you going to break your fool heart because you missed one case
in two hundred?" asked Gillespie, already at work on some Petri
dishes that contained a reddish agar.
"No, sir," said Kildare.
"You are, though. Or why do you stand there with that dumb look on
your face like a wet hen?"
Kildare looked from the white hair of Gillespie, as wild as a
windstorm, to the purple-blue beneath his wrinkled eyes. "I'll
never learn half what you know," he said. "I'll get used to seeing
that. But what I see right now is that you're burning yourself up
with this experiment."
"That's a lie and a loud one," answered Gillespie, dragging a loop
of wire over the agar and commencing to transfer the colony of
bacteria to three other dishes. "I never felt better in my
life."
"Why does your hand shake then?" asked Kildare.
"None of your damned business. Leave me alone...till I need you,
Jimmy. Will you?"
"Yes, sir," answered Kildare, and went unwillingly from the
room.
CHAPTER TWO
HOURS later, and every hour like the weighty length of a day,
Kildare was saying: "Next, please!" when Mary Lamont answered:
"That's the end of the line for today."
He shook his head at her impatiently. "There are twenty more people
out there!" he declared.
"I've sent them away," she said.
"You sent them away?" exclaimed Kildare.
"I had orders from Doctor Gillespie."
"But a Gillespie day never stops—it's from noon to noon," protested
Kildare.
"He won't let you keep those hours," said the girl. "He gave me
express orders that the line is not to keep pressing in at you day
and night."
Kildare dropped into a chair, unbuttoned his white jacket at the
throat, and wiped away perspiration from around his eyes. Hospitals
are always too hot. He merely said: "I suppose he's right. He's
always right. I'd be a fool to try to imitate him. He goes in
seven-league boots, and I'm only a measuring worm...I suppose he
wants me in the laboratory."
"No. You're to take some time off," said Mary Lamont, watching his
face. It was a familiar page to her now.
"Time off?" he repeated. "That's right. Light work for the young
horse. I'm damned tired of being young, aren't you?"
She turned hastily to pick up a fallen report and hide her smile.
Kildare was plucking off the long white coat in which he worked. He
always managed to get it as wrinkled and stained as a butcher's
apron before the day's end.
"Little Michael Casey would be happy if you'd drop in to see him,"
she suggested. "The operation was perfect; and he's already
two-thirds well. He's asking for you."
"Tell him to save his wind; or let him thank Gillespie. But I'm
glad he's doing well. Give them hope, and they're all giants. You
notice that? Perhaps Gillespie will give him a word."
"He wouldn't know how to talk to Doctor Gillespie; but they all
know how to talk to you," she pointed out. "No matter how rough you
are, they don't mind." She waited for an answer, curiously.
"I'm one of them, and they know it," he said.
"But they're out of the slums, and you're out of the
country."
"I'm born poor, and I'll die poor. They see that, and it's what
matters."
"Some day you may be a consultant at a thousand dollars a case,"
she suggested.
"May I?" He smiled at this impossible future.
"Well, anyway, money can't buy the big things. It can't buy
happiness and things like that."
"It can keep them all in damned bright repair, though."
"You're feeling down."
"Haven't I reasons for being down?"
"Of course you haven't. There's not a man—there's hardly a man in
the world who has your chance."
"Good!" said Kildare, smiling wearily at her. "Go on and be all
lighted up. It's easy on my eyes."
"You're not really unhappy. You're only blue. And that will go away
like a cold in the head. What could you complain of?"
"Being broke—I'm tired of it. I'm sick of it. The kind of sickness
that can't be cured except by a good third act—and I'm not able
even to ask a girl to go to a show with me. Money? I'd like to bed
myself down in the long green."
"That's simply not true."
"Don't act like a mother-in-law. Try to believe what I'm saying. I
get twenty dollars a month. That's sixty-seven cents a day. If I go
to Sullivan's Saloon and buy two or three beers, a pack of
cigarettes, and a sandwich, I've burned up my whole income. Wait a
minute."
Under the troubled eyes of the nurse he took out a shallow handful
of silver and of dollar bills.
"Here's six bucks and a half. Mary, will you go to a show with me
tonight?"
"No. You see me every day. You need somebody new."
"I don't want your advice. I want you. Come along,
will you?"
"Of course I will. I'd love it."
"That's right. Pretend a little. Nine-tenths of any party is the
pretending that goes into it."
"Jimmy, don't be difficult. I really want to
go."
"You know what you're being?"
"What?"
"Bighearted," he said, and walked away from her. Over his shoulder
he called: "See you in a half hour?"
She had not moved from the spot where he left her. She was looking
after him with worried eyes and forgot to answer his last
question.
When he got to his room, he found Tom Collins stretched out on one
of the iron beds. He was so thin that he looked like a vacant suit
of clothes with a head and hands stuck in the apertures.
"How about a beer at Mike's?" asked Collins.
"No."
"How about two beers at Mike's?"
"I'm taking a girl to a show."
"You're what? What sort of a girl?" asked Collins.
"One that likes to relax; that's why she puts up with me. Nobody
tries, and so nobody gets tired."
"Maybe you've got something—for an internist," said Collins. "Look
out for that box on the floor..."
But he had given the warning too late and Kildare caught his shoe
on the rough edge of a flat packing box that projected from beneath
his bed. The old leather tore like paper. The whole toe of the
right shoe was left in tatters. Kildare, looking solemnly down,
wriggled his stockinged toes.
"Is that your only pair of shoes?" asked Collins.
"It is," said Kildare, "and there goes my party for this
evening."
"Don't be a dope," said Collins. "I've got more cash here than I
can use, and..."
"Quit it, Tom," said Kildare. "But who brought this damned
box?"
"Old Creighton, the carpenter. He said that he couldn't pay you in
cash so he brought you that."
Kildare tore off the top layer of composition board, lifted the
paper packing, and exposed a small model of the World's Fair, done
with a cabinet-maker's most delicate miniature touch, from the
needle-sharp trylon and perisphere to the amphitheatre on a blue
sea of glass.
"A waste of time," said Collins.
"Of course," answered Kildare. "But that's why my family will like
it."
Heavy tape was holding his shoe together when he went down to Mary
Lamont with the big, flat box under his arm. She looked like
somebody's sister, not the probation nurse who had been working
with him. It was the first time he had seen her out of uniform, and
she took his breath. She had on a wine-coloured coat of a material
as soft as camel's-hair, and a hat to match with a quill of yellow
and orange stuck in a brim that furled up or down by surprise. Also
she wore a scarf the colour of sunlight.
"You're too expensive," said Kildare. "I couldn't take you even on
trial. Put yourself back on the shelf, Mary...I mean, seriously:
Look what's happened to my shoes, and now the only show I can take
you to is a secondhand shop."
She refused to stay behind in the hospital, however. The best of
any party was simply to get out in the open, she said. So she
walked over with him to the express office, where he sent off the
Fair model to his mother in Dartford. Then they were in a cellar
store buying for two dollars and eighty-five cents a pair of
half-soled shoes that once had cost ten or twelve.
"Now what? A moving picture?" he asked.
"No. We can't talk in a moving picture."
"We'll pick up a beer in Sullivan's Saloon then," suggested
Kildare. But when he had her there in the back room he was worried.
There were three mugs talking loudly at a corner table, and for the
first time in all his hours at the old saloon, he noticed the
sawdust on the floor.
"Is it all right for you to be in this sort of a place?" he
asked.
"Of course it's all right," she said. "Men like to talk in dark
corners."
"There's no giggle and jitter about you," said Kildare. "That's one
of the ways you're different...What'll you drink?"
"Beer," said Mary Lamont.
"You don't want beer. I can be a little more expensive than
that."
"I want beer," she insisted, "if it's on draught."
"I'm going to hate the blighter who marries you and takes you
away," said Kildare. "Hello, Mike. Two beers when you get a
chance."
"Okay," said Mike. He went over to the corner table and said
grimly: "Why don't you guys pipe down and give the doc a chance to
hear himself think?"
"What doc?" one of them asked.
"It's Kildare," said Mike. "Don't you know nothing?"
"Is that him? I thought he'd be twice that size. Let's take these
into the bar..."
They went out. "Hi, doc. How's things?" they said.
"Stay where you are," urged Kildare.
"Ah-h-h, we know when a guy wants elbow room," said one of them,
and winked at the intern. This remark tickled them all, and they
went into the bar on a great blast of laughter.
Mike came back with two wet glasses of beer.
"You shouldn't have troubled those fellows," said Kildare.
"Yeah, and why not?" asked Mike. "Why shouldn't you have your beer
in peace, like usual?"
He was rubbing off the table with a painful thoroughness, throwing
side glances at the girl.
"We used to see a lot more of you, doc," he complained. "But maybe
you got better things to do with your time."
"No, Mike. But I'm standing double duty now in the hospital."
"He doesn't like me," said the girl as Mike left the room. "He
thinks I'm a bad influence."
"Mike? He likes everyone," said Kildare.
Big Weyman, the ambulance driver, entered the room and lounged back
toward the table of Kildare.
"Mind if I ask you something, doc?" he was saying.
"It's all right," broke in Mary Lamont. "It's only I,
Weyman."
The ambulance driver stopped short.
"Yeah, what d'you think of that dumb Mike telling me the doc was in
here with a—Excuse me, Miss Lamont." Weyman went out in
haste.
"Was he trying to take care of me?" asked Kildare. "Did Mike send
for that gorilla of a Weyman because he thought..."
He sat up straight in his chair and looked angrily at nothing in
particular.
"People are always going to try to take care of you," stated Mary
Lamont.
"Do you mind telling me why?" he asked politely.
"Because you get absorbed in things and forget about yourself.
Bulldog, bulldog...you're always finding a lost cause and locking
your teeth on it. That's why I'm picking on you, Jimmy. I want to
find out what hurt you so much today."
"Gillespie," said Kildare. "Can't you see that he's burning his
life out and pouring himself away working day and night on this
meningitis experiment?"
"Do you mean that he's in danger?" she
asked.
"Of course he is. Every old man is suffering from an incurable
disease—I mean old age itself is a disease. There's my own father
out there in the country in need of a sort of help that I can give
him; but he's only an ordinary man. A Gillespie—why, every month or
day that's whittled away from his life is a gift that's gone from
the world."
"Is that what upset you?"
"Isn't it enough? I've got to find a way to make Gillespie slow up.
How can I do it?"
"I don't know," said the girl, "but I'm sure that you'll find a
way, regardless of expense."
"Why do you smile when you say that?" asked Kildare.
"Because you're always getting ready to spend the last breath in
your body on something or other."
He sat back to consider this strange statement and fell into such a
brown study over it that before he knew it both their glasses were
empty.
CHAPTER THREE
MARTHA KILDARE wangled it SO that Beatrice Raymond came over
to see the box opened when Stephen Kildare brought it home before
lunch. Mrs. Kildare knew that Jimmy and Beatrice, without the
slightest malice on either side, had turned their lives away from
one another, and she was perfectly convinced that eventually she
would be able to arrange a match between them; in the meantime she
did what she could to keep them fresh in one another's memory.
Jimmy's note read: "Dear Mother, I'm passing on to you a present
given to me by a patient who knows that interns can't take money.
Maybe you have room for it somewhere. Anyway, there are things like
this going on in town, so why don't you come to look at them and
let me see you at the same time?" That was all the note
said.
"You see," said the mother, "he doesn't write letters. He
doesn't know how to write letters."
Beatrice Raymond smiled at her. She said: "You don't have to
explain him, Aunt Martha. You don't have to apologise either. I was
reading in a book about young men the other day, and now I know all
about them."
"Do you?" asked Martha Kildare, watching the smile of the
girl.
"Yes. The book says that they're only half real."
"What's the other half composed of then?"
"Legend," said Beatrice.
"But what legend, my dear?"
"The legend of what they want to be or think they
are."
"Did you read that or discover it for yourself?"
"I may have dreamed it," confessed Beatrice Raymond.
"And what do young girls do about them—supposing the girls
care a rap?"
"Young girls are made up of equal parts of patience,
stupidity, and hope, aren't they?" asked Beatrice Raymond.
"Well, that's what the poets used to say about them."
"Was it ever true?"
"No, thank God...Look, Beatrice!"
She had worked off the cover from the box and the Fair model
sparkled under their eyes.
"Stephen!" called the doctor's wife. "Oh, Stephen! Come
here!"
She hurried into the front room which had once been changed
from a New England parlour sanctum into an office for young James
Kildare before the old people knew how far away ambition was
driving their son. Once altered, they never had been able to bring
it back to the old semblance. They could not take down the diplomas
from the wall or displace the big mahogany desk, and yet every
memento of Jimmy gave them a sadder assurance that he never would
come back to them again. They had glimpses from time to time, but
his devotion was like that of a novice to some great and ascetic
religious order. They felt about him equal parts of pride and
grief.