George Eliot: Middlemarch

BOOK II. OLD AND YOUNG.
18. CHAPTER XVIII. (continued)

Dr. Minchin was soft-handed, pale-complexioned, and of rounded outline, not to be distinguished from a mild clergyman in appearance: whereas Dr. Sprague was superfluously tall; his trousers got creased at the knees, and showed an excess of boot at a time when straps seemed necessary to any dignity of bearing; you heard him go in and out, and up and down, as if he had come to see after the roofing. In short, he had weight, and might be expected to grapple with a disease and throw it; while Dr. Minchin might be better able to detect it lurking and to circumvent it. They enjoyed about equally the mysterious privilege of medical reputation, and concealed with much etiquette their contempt for each other's skill. Regarding themselves as Middlemarch institutions, they were ready to combine against all innovators, and against non-professionals given to interference. On this ground they were both in their hearts equally averse to Mr. Bulstrode, though Dr. Minchin had never been in open hostility with him, and never differed from him without elaborate explanation to Mrs. Bulstrode, who had found that Dr. Minchin alone understood her constitution. A layman who pried into the professional conduct of medical men, and was always obtruding his reforms,-- though he was less directly embarrassing to the two physicians than to the surgeon-apothecaries who attended paupers by contract, was nevertheless offensive to the professional nostril as such; and Dr. Minchin shared fully in the new pique against Bulstrode, excited by his apparent determination to patronize Lydgate. The long-established practitioners, Mr. Wrench and Mr. Toller; were just now standing apart and having a friendly colloquy, in which they agreed that Lydgate was a jackanapes, just made to serve Bulstrode's purpose. To non-medical friends they had already concurred in praising the other young practitioner, who had come into the town on Mr. Peacock's retirement without further recommendation than his own merits and such argument for solid professional acquirement as might be gathered from his having apparently wasted no time on other branches of knowledge. It was clear that Lydgate, by not dispensing drugs, intended to cast imputations on his equals, and also to obscure the limit between his own rank as a general practitioner and that of the physicians, who, in the interest of the profession, felt bound to maintain its various grades,-- especially against a man who had not been to either of the English universities and enjoyed the absence of anatomical and bedside study there, but came with a libellous pretension to experience in Edinburgh and Paris, where observation might be abundant indeed, but hardly sound.

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