Henry Fielding: The History of Tom Jones, a foundling

BOOK VII. CONTAINING THREE DAYS. 13. Chapter xiii. Containing the great address of the landlady... (continued)

She was proceeding in this manner when the surgeon entered the room. The lieutenant immediately asked how his patient did. But he resolved him only by saying, "Better, I believe, than he would have been by this time, if I had not been called; and even as it is, perhaps it would have been lucky if I could have been called sooner."--"I hope, sir," said the lieutenant, "the skull is not fractured."--"Hum," cries the surgeon: "fractures are not always the most dangerous symptoms. Contusions and lacerations are often attended with worse phaenomena, and with more fatal consequences, than fractures. People who know nothing of the matter conclude, if the skull is not fractured, all is well; whereas, I had rather see a man's skull broke all to pieces, than some contusions I have met with."--"I hope," says the lieutenant, "there are no such symptoms here."--"Symptoms," answered the surgeon, "are not always regular nor constant. I have known very unfavourable symptoms in the morning change to favourable ones at noon, and return to unfavourable again at night. Of wounds, indeed, it is rightly and truly said, Nemo repente fuit turpissimus. I was once, I remember, called to a patient who had received a violent contusion in his tibia, by which the exterior cutis was lacerated, so that there was a profuse sanguinary discharge; and the interior membranes were so divellicated, that the os or bone very plainly appeared through the aperture of the vulnus or wound. Some febrile symptoms intervening at the same time (for the pulse was exuberant and indicated much phlebotomy), I apprehended an immediate mortification. To prevent which, I presently made a large orifice in the vein of the left arm, whence I drew twenty ounces of blood; which I expected to have found extremely sizy and glutinous, or indeed coagulated, as it is in pleuretic complaints; but, to my surprize, it appeared rosy and florid, and its consistency differed little from the blood of those in perfect health. I then applied a fomentation to the part, which highly answered the intention; and after three or four times dressing, the wound began to discharge a thick pus or matter, by which means the cohesion--But perhaps I do not make myself perfectly well understood?"--"No, really," answered the lieutenant, "I cannot say I understand a syllable."--"Well, sir," said the surgeon, "then I shall not tire your patience; in short, within six weeks my patient was able to walk upon his legs as perfectly as he could have done before he received the contusion."--"I wish, sir," said the lieutenant, "you would be so kind only to inform me, whether the wound this young gentleman hath had the misfortune to receive, is likely to prove mortal."--"Sir," answered the surgeon, "to say whether a wound will prove mortal or not at first dressing, would be very weak and foolish presumption: we are all mortal, and symptoms often occur in a cure which the greatest of our profession could never foresee."--"But do you think him in danger?" says the other.--"In danger! ay, surely," cries the doctor: "who is there among us, who, in the most perfect health, can be said not to be in danger? Can a man, therefore, with so bad a wound as this be said to be out of danger? All I can say at present is, that it is well I was called as I was, and perhaps it would have been better if I had been called sooner. I will see him again early in the morning; and in the meantime let him be kept extremely quiet, and drink liberally of water-gruel."--"Won't you allow him sack-whey?" said the landlady.--"Ay, ay, sack-whey," cries the doctor, "if you will, provided it be very small."--"And a little chicken broth too?" added she.--"Yes, yes, chicken broth," said the doctor, "is very good."--"Mayn't I make him some jellies too?" said the landlady.--"Ay, ay," answered the doctor, "jellies are very good for wounds, for they promote cohesion." And indeed it was lucky she had not named soup or high sauces, for the doctor would have complied, rather than have lost the custom of the house.