W. Somerset Maugham: Of Human Bondage

84. CHAPTER LXXXIV

At the new year Philip became dresser in the surgical out-patients' department. The work was of the same character as that which he had just been engaged on, but with the greater directness which surgery has than medicine; and a larger proportion of the patients suffered from those two diseases which a supine public allows, in its prudishness, to be spread broadcast. The assistant-surgeon for whom Philip dressed was called Jacobs. He was a short, fat man, with an exuberant joviality, a bald head, and a loud voice; he had a cockney accent, and was generally described by the students as an `awful bounder'; but his cleverness, both as a surgeon and as a teacher, caused some of them to overlook this. He had also a considerable facetiousness, which he exercised impartially on the patients and on the students. He took a great pleasure in making his dressers look foolish. Since they were ignorant, nervous, and could not answer as if he were their equal, this was not very difficult. He enjoyed his afternoons, with the home truths he permitted himself, much more than the students who had to put up with them with a smile. One day a case came up of a boy with a club-foot. His parents wanted to know whether anything could be done. Mr. Jacobs turned to Philip.

"You'd better take this case, Carey. It's a subject you ought to know something about."

Philip flushed, all the more because the surgeon spoke obviously with a humorous intention, and his brow-beaten dressers laughed obsequiously. It was in point of fact a subject which Philip, since coming to the hospital, had studied with anxious attention. He had read everything in the library which treated of talipes in its various forms. He made the boy take off his boot and stocking. He was fourteen, with a snub nose, blue eyes, and a freckled face. His father explained that they wanted something done if possible, it was such a hindrance to the kid in earning his living. Philip looked at him curiously. He was a jolly boy, not at all shy, but talkative and with a cheekiness which his father reproved. He was much interested in his foot.

"It's only for the looks of the thing, you know," he said to Philip. "I don't find it no trouble."