The house, a large square brick one, standing in its own grounds, is built on a small hill in an oasis of green fields. Beyond this, however, on every side the veil of smoke hangs over the country, with the mine pumps and the chimneys bristling out of it. It would be a dreadful place for an idle man: but we are all so busy that we have hardly time to think whether there's a view or not.
Day and night we are at work; and yet the three months have been very pleasant ones to look back upon.
I'll give you an idea of what a day's work is like. We breakfast about nine o'clock, and immediately afterwards the morning patients begin to drop in. Many of them are very poor people, belonging to the colliery clubs, the principle of which is, that the members pay a little over a halfpenny a week all the year round, well or ill, in return for which they get medicine and attendance free. "Not much of a catch for the doctors," you would say, but it is astonishing what competition there is among them to get the appointment. You see it is a certainty for one thing, and it leads indirectly to other little extras. Besides, it amounts up surprisingly. I have no doubt that Horton has five or six hundred a year from his clubs alone. On the other hand, you can imagine that club patients, since they pay the same in any case, don't let their ailments go very far before they are round in the consulting room.
Well, then, by half-past nine we are in full blast. Horton is seeing the better patients in the consulting room, I am interviewing the poorer ones in the waiting room, and McCarthy, the Irishman, making up prescriptions as hard as he can tear. By the club rules, patients are bound to find their own bottles and corks.
They generally remember the bottle, but always forget the cork. "Ye must pay a pinny or ilse put your forefinger in," says McCarthy. They have an idea that all the strength of the medicine goes if the bottle is open, so they trot off with their fingers stuck in the necks. They have the most singular notions about medicines. "It's that strong that a spoon will stand oop in't!" is one man's description. Above all, they love to have two bottles, one with a solution of citric acid, and the other with carbonate of soda. When the mixture begins to fizz, they realise that there is indeed a science of medicine.
This sort of work, with vaccinations, bandagings, and minor surgery, takes us to nearly eleven o'clock, when we assemble in Horton's room to make out the list. All the names of patients under treatment are pinned upon a big board. We sit round with note books open, and distribute those who must be seen between us. By the time this is done and the horses in, it is half-past eleven. Then away we all FLY upon our several tasks: Horton in a carriage and pair to see the employers; I in a dog cart to see the employed; and McCarthy on his good Irish legs to see those chronic cases to which a qualified man can do no good, and an unqualified no harm.
Well, we all work back again by two o'clock, when we find dinner waiting for us. We may or may not have finished our rounds. If not away we go again. If we have, Horton dictates his prescriptions, and strides off to bed with his black clay pipe in his mouth. He is the most abandoned smoker I have ever met with, collecting the dottles of his pipes in the evening, and smoking them the next morning before breakfast in the stable yard. When he has departed for his nap, McCarthy and I get to work on the medicine. There are, perhaps, fifty bottles to put up, with pills, ointment, etc. It is quite half- past four before we have them all laid out on the shelf addressed to the respective invalids. Then we have an hour or so of quiet, when we smoke or read, or box with the coachman in the harness room. After tea the evening's work commences. From six to nine people are coming in for their medicine, or fresh patients wishing advice. When these are settled we have to see again any very grave cases which may be on the list; and so, about ten o'clock, we may hope to have another smoke, and perhaps a game of cards.