Rich, after this, assisted in several important operations in which the two doctors were engaged. He likewise, when he could do it and not interfere7 with his school, opened sores, administered medicines, let blood, and dressed wounds, at the request of Dr. Ryan, who lost no opportunity of bringing[Pg 232] him forward, and became more and more attached to him every day.
When bones were to be set, Dr. Ryan, if the fracture was in any respect a bad one, sent for Dr. Slaughter8; but, as his own practice was large, often relinquished9 the subsequent care of the fracture to Rich, and paid him for it. In this manner, and by rigid10 economy, he was enabled to lay by a considerable sum, besides purchasing some necessary instruments and books.
The good doctor was well aware that whenever he left the care of a patient to Rich, whether it was a case of disease, or a wound, or broken bone, that he practised a treatment quite different from the established method; but as the patients generally did well, he made no troublesome inquiries11, and even turned a deaf ear to the hints of Dr. Slaughter in respect to innovations upon the good old substantial practice.
It was very hot weather, the middle of August, and a lad of seventeen received a terrible cut in his thigh12, by coming too near his father while he was mowing13 oats. Dr. Ryan was away from home, attending the funeral of a near relative in a distant town; the family instantly sent for Rich. The wound, fortunately, was worse in appearance than reality, as no artery15 was severed16, though the gash17 presented a most formidable appearance to inexperienced persons, and the parents were very much alarmed.
[Pg 233]
Rich quieted their fears, stopped the bleeding, cleansed18, bound up, and dressed the wound. It was several days before the doctor returned. The first time he rode out to visit his patients, he encountered on the road an old acquaintance, but by no means a favorite of his, Miss Nelly Buckminster. Miss Nelly was a spinster, lived by herself in a small house left to her by her parents, and gained a livelihood19 by taking in spinning, weaving, and plain sewing; occasionally kept house for anybody who could endure her tongue, for she was an inveterate20 talker, and held very decided21 opinions upon all subjects. In other respects she was an excellent housekeeper22, neat, industrious23, economical, and an excellent cook.
Miss Nelly was very religious, exceedingly so; but her piety24 was of the vociferous25, rather than of the introspective cast. She was the recipient26 of many presents. Some gave her because they thought her a very good though rather peculiar27 woman, some because they were afraid of her tongue, others because they knew she would tell of it from Dan to Beersheba. We think it must have been the reasons assigned that influenced so many persons to make presents to Nelly, because there was not the least satisfaction to be derived28 from the act itself, as Nelly, in expressing her gratitude29 and sense of obligation—which she never failed to do—always ignored second causes, and paid her respects to the Most High.
[Pg 234]
This might have been—undoubtedly was—good theology, but it was of the nutmeg-grater variety, and altogether corrosive30 in both quality and operation; for when persons bestow31 gifts, influenced by the purest motives32, some manifestation33 of gratitude is pleasant, and generally expected; but no person ever received any from Nelly; her gratitude was ever directed over the heads of the instrumentalities to the efficient cause, which was not merely sound doctrine34 and conservative, but did away at once with all troublesome sense of obligation or return in kind.
Squire35 Dresser once sent her by the hand of his son a bushel of Indian meal. Henry knocked at the door, and gave her the bag of meal, saying,—
"Miss Buckminster, here is a bushel of flour my father sent you, and he'll call some time when he's going by to mill, and get the bag."
"No thanks to Squire Dresser; thanks to the Lord; 'twas the Lord sent it, and not the squire."
Henry had made the interview as brief as possible, in order to escape an exhortation36 on the subject of personal piety, that Nelly was in the habit of administering to him whenever he came to her house of an errand, and which altogether failed of producing any good impression, because he did not like her, and by reason of the snappish way in which she flung it at him.
Finding he had in his haste made a mistake, he went back and said,—
[Pg 235]
"Miss Buckminster, I made a mistake. 'Tis Indian and not wheat meal that father sent you."
"Indian! I should like to know what he sent Indian for!"
This curt37 reply made a good deal of sport among the neighbors.
"I don't believe the Lord will send her anything again very soon," said Squire Dresser.
"The old proverb is, 'Never look a gift horse in the mouth;' but she presumes to find fault with the gifts of the Lord, tells what he should send and what not."
Dr. Ryan, who dearly loved good living, tempted38 by her unrivalled skill as a cook, and confiding39 in his good temper and the soundness of his nerves, once employed Nelly to keep house for him. She was possessed40 of a very vivid imagination, and in the habit of cautioning people against doing things they never entertained the thought of doing.
It was cold, sharp weather, and the doctor had a small dog that was very fond of stretching out on the hearth41 before the andirons. One day the doctor came in, chilled from a long ride and stood warming himself; the dog lay stretched at full length between him and the fire.
"There! you'll kick that dog into the fire—I know you will!" screamed Nelly.
"So I will, then," said the doctor, and kicked him under the forestick.
[Pg 236]
Nelly never cautioned the doctor any more.
In some respects it was difficult to reconcile her professions with her practice: for instance, she always said in the prayer-meeting that it was a great cross for her to rise and speak; whereas it was the settled opinion of all who knew her that it would be a much greater cross for her to hold her tongue, and Captain Motley said,—
"If you nailed her down to the bench with ten-penny nails, she'd rise and take it up with her."
She always disliked people whom everybody else loved and respected, called it man-worship, therefore didn't like Rich, couldn't bear him. Dr. Ryan said, it was a good thing for Richardson; he ought to have one ill-wisher, to take the curse off.
"Doctor, good mornin'."
"Good morning, Nelly."
"Doctor, you never should ought to step your two feet out of this village. Dreadful works, dreadful, since you've been away. Doctor, what do you think this wicked world is comin' to? Errors in doctrine, new lights rampaging round, turnin' things upside down; errors in doctorin,' as though folks couldn't die fast enough themselves. Destruction to soul and body both."
"I expect it is coming to an end, Nelly."
"When, doctor? Any ways soon? 'Cause we ought to be on our watch guards, a girdin' up our loins and preparin'."
[Pg 237]
"O, no; I guess 'twill outlast43 you and me, and a good many other people. But what is the trouble now?"
"Trouble enough. Do you know, David Ryan, what a viper44 yer a nourishin' in yer buzom? Do you know it, David Ryan? 'Cause if you don't, it's high time you did. Do you know what that young snipper-snapper of a Richardson is, that's allowed for to lead the singin' in the Lord's house? The gals45 is all taken with his good looks, and the men with his 'ily tongue. But I tell you he's a—"
Here Nelly thrust her tongue into her cheek, and looked unutterable things.
"I know he's a young man of true piety, most affectionate disposition46, and remarkable47 ability, and I won't hear a word said against him by you or anybody else."
"Jist like Deacon Starkweather; he's deceived yer both, pulled the wool over both yer eyes. I tell you he's a—"
"A what? Come, out with it. I don't like this stabbing in the dark. Speak out."
"He's a new light, a pestilent, pizen, new light," shouted Nelly, with an emphasis she expected would throw the doctor from his horse. But he stood the shock unmoved, and merely laughed.
"It's no laughin' matter. There's John Tukey's boy cut hisself awful with a scythe48, and that [Pg 238]snipper-snapper, don't you think, did it up in cold water, nothin' else, instead of wrappin' it up in new rum, or rum and wormwood, or salve, as you would have done, and keepin' it warm. Enough to make him ketch his death a cold!"
"Is he not doing well enough?"
"Doin' well enough! The awfullest sight of proud flesh; it was a sight to behold49. I was there when old Granma'am Tyler put on her specs and looked at it. She exclaimed right out. Says she, 'That wound will never heal in this varsal world, with all that ere proud flesh in it, Matilda,' says she (that's the boy's mother). 'Let me put on some burnt alum, to eat out that proud flesh.' Matilda made answer, 'I should like to have you, granma'am.' Then the boy up and says, 'No, she shan't.' 'Some red precipitate50, then, dear, and hog's lard.' No, he wouldn't have that. 'Some spruce gum, then.' No, he wouldn't have anything; nobody should consarn with it or touch it but Mr. Richardson; he knew more than Granny Tyler and all the old women in town."
"I rather think the boy was right."
"Right! That little snipper-snapper, that brought an ungodly fiddle51 into the sanctuary52 on the Lord's day, know more'n Granny Tyler, an experienced woman in sickness, and that's brought up a large family of children! What do you s'pose he said when he came the next day, and Matilda told him what Granny Tyler said? He jist laughed, and[Pg 239] said all the proud flesh there was wouldn't hinder it from healing. Much he knows, to say proud flesh wouldn't hinder a cut from healing! Them's the very identical words he used. I'll stan' to it till my dyin' day."
"I have not the least doubt he said so."
"Well, then, doctor, I hope you'll go right in there, and put things to rights, 'cause the old folks'll hear to you, and the boy'll hear to you; and if you don't, perhaps the proud flesh'll grow worser and mortify53; 'cause granny said a sore never would heal as long's there was one mite54 of proud flesh in it; and if the boy should die, you'll be 'countable55, sartainly."
"I can't go in; I've a long ride to another part of the town before me."
"Well, you'll see, mark my word for it, there'll be trouble grow out of this."
The doctor had lost, in the course of his practice, several patients from gangrene occasioned by the load of poultices, ointments56, and bandages it was then customary to apply, and he had some suspicions whether there might not be some mistake in the old practice, and resolved to permit Rich to manage matters as he thought best, having so much confidence in his judgment57 and discretion58 that he felt sure he would come to him for advice and consultation59 if the wound was manifesting any unfavorable symptoms.
We have no doubt our young readers share to[Pg 240] the full the confidence of the doctor in both the ability and discretion of Rich; still it seems as though it were well to say a few words in his behalf, and in explanation.
Clean cuts, when the two sides of the wound can be brought together directly, sometimes heal without any inflammation or suppuration; as it were, stick right together. But when the parts cannot be brought together at once, and are exposed to the external air, even if bandaged, there will be inflammation, and then the wound heals by a natural process, called by physicians "granulation."
It was thus in the present instance. The boy and his father had taken a field of oats to mow14 and harvest, a long distance from home, and the wound had been some time exposed to the air, and by reason of the part of the body in which it was situated60 could not be brought together so closely as to cause it thus to heal by what surgeons call the "first intention," and adhesive61 inflammation occurred, as is always the case when wounded surfaces are not brought in contact at once.
The process is this. In consequence of the inflammation which then takes place, a yellow jelly-like substance is effused, covering the surfaces of the wound, called fibrin; veins62 and arteries63 from the sound flesh shoot into this, it becomes organized, another layer is thrown out, which in its turn passes through the same process; but now begins another step in the progress. From this[Pg 241] organized fibrin spring innumerable little pointed64 cones65, similar to the kernels66 of rice corn, at first of a pale red, becoming more florid as they increase in age, into which arteries and veins thrust themselves. These are the granulations. They have nerves and blood-vessels, are therefore alive, and when healthy, sensitive; and they likewise possess a disposition to unite, and when the two surfaces of a wound covered with granulations come in contact, the blood-vessels of one penetrate67 the other, they amalgamate68 and form flesh.
As they increase they contract, thus both filling the cavity and drawing the lips of the wound together, till, when it heals, the scar occupies much less space than the original cut. This process takes place when the granulations are healthy, and almost, but not completely, fill the wound, being a grain lower than the surface of the skin, and manifesting a disposition to glaze69 over.
At other times they are coarse, of large size, the points blunt, are spongy, pale, or blue, show no tendency to skin over, and puff70 up above the surface of the sound flesh, which swells71 and is inflamed72. Physicians denominate these granulations fungus73, it being found from experience that whenever granulations rise higher than the level of the surrounding surface they are not likely to form skin. This, among people in general, from the appearance, probably, goes by the name of proud flesh.
[Pg 242]
The old matrons cherished a mortal dread42 of proud flesh. They would put on their spectacles, look carefully at the wound, hold up both hands, and exclaim with alarm, "Proud flesh!" often times when only the proper amount of granulations was present, and they had numerous specifics for its removal—spruce gum, burnt alum, the ashes of oak bark, nutgalls, and red precipitate. But in their zeal74 to extirpate75 proud flesh, and, as they termed it, do something, they sometimes used little discrimination, and made war upon healthy material.
The particular thing that seemed to lie with the greatest weight upon the minds of the ancient dames76 and Miss Buckminster was, that, according to them, Rich was doing nothing for the poor lad. He was neither bleeding him, physicking him, putting on salves and heavy bandages, nor anything to kill the proud flesh. They made such a fuss that at last the boy, who had hitherto reposed77 the greatest confidence in his young physician, became a little nervous, and told Rich what the matrons said.
"My dear boy," said he, "there is very little to be done. What these good women call proud flesh is a healthy growth, the rudiments78 of new flesh, and without it your wound would never heal. It is no more in my power, or that of any other person, to heal your flesh than to make one hair white or black. Nature and time will do[Pg 243] that. The inflammation has passed off, and the wound is healing. All that can be done is to keep the parts cool, defend them from the air, sustain your strength by a proper diet, and keep you quiet. The less you move, the faster your leg will heal; and as for bleeding, you have lost too much blood already from the cut."
The lad, after this, dismissing his anxieties, concerned himself no more about the proud flesh or the fears and prognostications of the matrons.
The patient in due time recovered, greatly to the satisfaction of Dr. Ryan. It also increased the reputation of Rich, though Miss Buckminster declared that "the boy should ought to have died of mortification79 or lockjaw, but the Lord overruled it and spared him for some good end, spite of the new-fangled doctor."
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1
lameness
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| n. 跛, 瘸, 残废 | |
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lame
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| adj.跛的，(辩解、论据等)无说服力的 | |
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fathom
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| v.领悟，彻底了解 | |
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consecutive
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| adj.连续的，联贯的，始终一贯的 | |
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graveyard
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| n.坟场 | |
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jug
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| n.(有柄，小口，可盛水等的)大壶，罐，盂 | |
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7
interfere
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| v.(in)干涉，干预；(with)妨碍，打扰 | |
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8
slaughter
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| n.屠杀，屠宰；vt.屠杀，宰杀 | |
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relinquished
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| 交出，让给( relinquish的过去式和过去分词 )； 放弃 | |
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rigid
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| adj.严格的，死板的；刚硬的，僵硬的 | |
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inquiries
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| n.调查( inquiry的名词复数 )；疑问；探究；打听 | |
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thigh
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| n.大腿；股骨 | |
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13
mowing
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| n.割草，一次收割量，牧草地v.刈，割( mow的现在分词 ) | |
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14
mow
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| v.割（草、麦等），扫射，皱眉；n.草堆，谷物堆 | |
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artery
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| n.干线，要道；动脉 | |
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severed
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| v.切断，断绝( sever的过去式和过去分词 )；断，裂 | |
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gash
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| v.深切，划开；n.(深长的)切(伤)口；裂缝 | |
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18
cleansed
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| 弄干净，清洗( cleanse的过去式和过去分词 ) | |
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livelihood
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| n.生计，谋生之道 | |
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inveterate
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| adj.积习已深的，根深蒂固的 | |
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decided
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| adj.决定了的，坚决的；明显的，明确的 | |
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housekeeper
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| n.管理家务的主妇，女管家 | |
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industrious
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| adj.勤劳的，刻苦的，奋发的 | |
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piety
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| n.虔诚，虔敬 | |
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vociferous
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| adj.喧哗的，大叫大嚷的 | |
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recipient
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| a.接受的,感受性强的 n.接受者,感受者,容器 | |
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peculiar
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| adj.古怪的，异常的；特殊的，特有的 | |
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derived
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| vi.起源；由来；衍生；导出v.得到( derive的过去式和过去分词 )；（从…中）得到获得；源于；（从…中）提取 | |
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29
gratitude
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| adj.感激，感谢 | |
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corrosive
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| adj.腐蚀性的；有害的；恶毒的 | |
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bestow
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| v.把…赠与，把…授予；花费 | |
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32
motives
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| n.动机，目的( motive的名词复数 ) | |
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manifestation
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| n.表现形式；表明；现象 | |
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doctrine
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| n.教义；主义；学说 | |
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squire
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| n.护卫, 侍从, 乡绅 | |
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exhortation
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| n.劝告，规劝 | |
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curt
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| adj.简短的，草率的 | |
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tempted
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| v.怂恿（某人）干不正当的事；冒…的险（tempt的过去分词） | |
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confiding
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| adj.相信人的，易于相信的v.吐露（秘密，心事等）( confide的现在分词 )；（向某人）吐露（隐私、秘密等） | |
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possessed
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| adj.疯狂的；拥有的，占有的 | |
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hearth
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| n.壁炉炉床，壁炉地面 | |
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42
dread
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| vt.担忧，忧虑；惧怕，不敢；n.担忧，畏惧 | |
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43
outlast
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| v.较…耐久 | |
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44
viper
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| n.毒蛇；危险的人 | |
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45
gals
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| abbr.gallons （复数）加仑（液量单位）n.女孩，少女( gal的名词复数 ) | |
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46
disposition
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| n.性情，性格；意向，倾向；排列，部署 | |
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remarkable
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| adj.显著的，异常的，非凡的，值得注意的 | |
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48
scythe
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| n. 长柄的大镰刀，战车镰； v. 以大镰刀割 | |
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49
behold
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| v.看，注视，看到 | |
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50
precipitate
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| adj.突如其来的；vt.使突然发生；n.沉淀物 | |
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51
fiddle
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| n.小提琴；vi.拉提琴；不停拨弄，乱动 | |
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52
sanctuary
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| n.圣所，圣堂，寺庙；禁猎区，保护区 | |
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53
mortify
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| v.克制，禁欲，使受辱 | |
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54
mite
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| n.极小的东西；小铜币 | |
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55
countable
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| adj.可数的，可以计算的 | |
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56
ointments
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| n.软膏( ointment的名词复数 )；扫兴的人；煞风景的事物；药膏 | |
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57
judgment
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| n.审判；判断力，识别力，看法，意见 | |
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58
discretion
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| n.谨慎；随意处理 | |
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59
consultation
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| n.咨询；商量；商议；会议 | |
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60
situated
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| adj.坐落在...的，处于某种境地的 | |
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61
adhesive
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| n.粘合剂；adj.可粘着的，粘性的 | |
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62
veins
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| n.纹理；矿脉( vein的名词复数 )；静脉；叶脉；纹理 | |
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63
arteries
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| n.动脉( artery的名词复数 )；干线，要道 | |
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64
pointed
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| adj.尖的，直截了当的 | |
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65
cones
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| n.（人眼）圆锥细胞；圆锥体( cone的名词复数 )；球果；圆锥形东西；（盛冰淇淋的）锥形蛋卷筒 | |
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66
kernels
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| 谷粒( kernel的名词复数 )； 仁； 核； 要点 | |
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penetrate
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| v.透(渗)入；刺入，刺穿；洞察，了解 | |
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amalgamate
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| v.(指业务等)合并，混合 | |
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69
glaze
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| v.因疲倦、疲劳等指眼睛变得呆滞，毫无表情 | |
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70
puff
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| n.一口(气)；一阵(风)；v.喷气，喘气 | |
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71
swells
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| 增强( swell的第三人称单数 )； 肿胀； （使）凸出； 充满（激情） | |
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72
inflamed
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| adj.发炎的，红肿的v.（使）变红，发怒，过热( inflame的过去式和过去分词 ) | |
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73
fungus
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| n.真菌，真菌类植物 | |
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74
zeal
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| n.热心，热情，热忱 | |
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75
extirpate
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| v.除尽，灭绝 | |
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76
dames
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| n.（在英国）夫人（一种封号），夫人（爵士妻子的称号）( dame的名词复数 )；女人 | |
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77
reposed
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| v.将（手臂等）靠在某人（某物）上( repose的过去式和过去分词 ) | |
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78
rudiments
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| n.基础知识，入门 | |
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79
mortification
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| n.耻辱，屈辱 | |
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