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round the red lamp(碕菊膨巓)-及58嫗

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     ;Walker was one of the best men in Europe on nervous disease。                     You 

must have read his little book on sclerosis of the posterior columns。                   It's 

as interesting as a novel�察�and epoch´making in its way。                He worked like a 

horse�察  �did   Walkerhuge   consulting   practicehours   a   day   in   the   clinical 

wardsconstant       original   investigations。     And     then   he  enjoyed     himself 

also。    `De mortuis��' of course�察�but still it's an open secret among all who 

knew   him。      If   he   died   at   forty´five�察  �he   crammed   eighty   years   into   it。 

The marvel was that he could have held on so long at the pace at which he 

was going。      But he took it beautifully when it came。 

     ;I   was   his   clinical   assistant   at   the   time。 Walker   was   lecturing   on 

locomotor ataxia to a wardful of youngsters。              He was explaining that one 

of the early signs of the complaint was that the patient could not put his 

heels   together   with   his   eyes   shut   without   staggering。    As   he   spoke�察  �he 

suited the action to the word。         I don't suppose the boys noticed anything。 

I did�察�and so did he�察�though he finished his lecture without a sign。 

     ;When it was over he came into my room and lit a cigarette。 

     ;`Just run over my reflexes�察�Smith��' said he。 

     ;There   was   hardly  a   trace   of   them  left。  I   tapped   away  at   his   knee´ 

tendon and might as well have tried to get a jerk out of that sofa´cushion。 

He stood with his eyes shut again�察�and he swayed like a bush in the wind。 



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     ;`So��' said he�察 �it was not intercostal neuralgia after all。' 

     ;Then I knew that he had had the lightning pains�察�and that the case was 

complete。       There   was   nothing   to   say�察  �so   I   sat   looking   at   him   while   he 

puffed and puffed at his cigarette。             Here he was�察�a   man in the prime of 

life�察  �one   of   the   handsomest   men   in   London�察  �with   money�察  �fame�察  �social 

success�察�everything at his feet�察�and now�察�without a moment's warning�察�he 

was   told   that   inevitable   death   lay   before   him�察  �a   death   accompanied   by 

more   refined   and   lingering   tortures   than   if   he   were   bound   upon   a   Red 

Indian   stake。     He   sat   in   the   middle   of   the   blue   cigarette   cloud   with   his 

eyes   cast   down�察  �and   the   slightest   little   tightening   of   his   lips。 Then   he 

rose with a motion of his arms�察�as one who throws off old thoughts and 

enters upon a new course。 

     ;`Better put this thing straight at once��' said he。               `I must make some 

fresh arrangements。          May I use your paper and envelopes��' 

     ;He settled himself at my desk and he wrote half a dozen letters。                     It is 

not   a   breach   of   confidence   to   say   that   they   were   not   addressed   to   his 

professional   brothers。        Walker   was   a   single   man�察  �which   means   that   he 

was not restricted to a single woman。               When he had finished�察�he walked 

out of that little room of mine�察�leaving every hope and ambition of his life 

behind him。       And he might have had another year of ignorance and peace 

if it had not been for the chance illustration in his lecture。 

     ;It took   five years   to kill   him�察�and   he stood   it well。        If   he had   ever 

been a little irregular he atoned for it in that long martyrdom。                  He kept an 

admirable record of his own symptoms�察�and worked out the eye changes 

more   fully  than   has   ever   been   done。      When   the   ptosis   got   very  bad   he 

would hold his eyelid up with one hand while he wrote。                      Then�察�when he 

could not co´ordinate his muscles to write�察�he dictated to his nurse。                       So 

died�察�in the odour of science�察�James Walker�察�aet。 45。 

     ;Poor old Walker was very fond of experimental surgery�察�and he broke 

ground   in   several   directions。      Between   ourselves�察  �there   may   have   been 

some more ground´breaking afterwards�察�but he did his best for his cases。 

You   know  M`Namara�察 �don't   you�拭            �He   always   wears   his hair   long。      He 

lets it be understood that it comes from his artistic strain�察�but it is really to 

conceal the loss of one of his ears。            Walker cut the other one off�察�but you 



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must not tell Mac I said so。 

     ;It was like this。     Walker had a fad about the portio durathe motor to 

the    face�察  �you    knowand       he   thought     paralysis    of   it  came    from    a 

disturbance of the blood supply。            Something else which counterbalanced 

that   disturbance   might�察  �he   thought�察  �set   it   right   again。   We   had   a   very 

obstinate case of Bell's paralysis in the wards�察�and had tried it with every 

conceivable thing�察�blistering�察�tonics�察�nerve´stretching�察�galvanism�察�needles�察�

but all without result。       Walker got it into his head that removal of the ear 

would increase the blood supply to the part�察�and he very soon gained the 

consent of the patient to the operation。 

     ;Well�察�we did it at night。        Walker�察�of course�察�felt that it was something 

of an experiment�察�and did not wish too much talk about it unless it proved 

successful。      There were half´a´dozen of us there�察�M`Namara and I among 

the rest。    The room was a small one�察�and in the centre was in the narrow 

table�察  �with   a   macintosh   over   the   pillow�察  �and   a   blanket   which   extended 

almost to the floor on either side。           Two candles�察�on a side´table near the 

pillow�察 �supplied   all   the light。     In   came  the  patient�察  �with   one   side   of   his 

face as smooth as a baby's�察�and the other all in a quiver with fright。                    He 

lay   down�察    �and   the  chloroform   towel       was   placed    over   his  face�察  �while 

Walker threaded his needles in the candle light。               The chloroformist stood 

at the head of the table�察�and M`Namara was stationed at the side to control 

the patient。     The rest of us stood by to assist。 

     ;Well�察  �the   man   was   about   half   over   when   he   fell   into   one   of   those 

convulsive      flurries   which     come    with    the  semi´unconscious        stage。   He 

kicked and plunged and struck out with both hands。                     Over with a crash 

went the little table which held the candles�察�and in an instant we were left 

in total darkness。       You can think what a rush and a scurry there was�察�one 

to   pick   up   the   table�察  �one   to   find   the   matches�察  �and   some   to   restrain   the 

patient who was still dashing himself about。                He was held down by two 

dressers�察  �the   chloroform   was   pushed�察  �and   by   the   time   the   candles   were 

relit�察�his incoherent�察�half´smothered shoutings had changed to a stertorous 

snore。      His head was turned on the pillow and the towel was still kept 

over   his   face   while   the   operation   was   carried   through。    Then   the   towel 

was   withdrawn�察  �and   you   can   conceive   our   amazement   when   we   looked 



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upon the face of M`Namara。 

     ;How   did   it   happen�拭     �Why�察  �simply   enough。        As   the   candles   went 

over�察�the chloroformist had stopped for an instant and had tried to catch 

them。     The patient�察�just as the light went out�察�had rolled off and under the 

table。    Poor   M`Namara�察  �clinging   frantically   to   him�察  �had 

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