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- The Resident Patient
-
- In glancing over the somewhat incoherent series of Memoirs
- with which I have endeavoured to illustrate a few of the mental
- peculiarities of my friend Mr. Sherlock Holmes, I have been
- struck by the difficulty which I have experienced in picking out
- examples which shall in every way answer my purpose. For in
- those cases in which Holmes has performed some tour de force
- of analytical reasoning, and has demonstrated the value of his
- peculiar methods of investigation, the facts themselves have
- often been so slight or so commonplace that I could not feel
- justified in laying them before the public. On the other hand, it
- has frequently happened that he has been concerned in some
- research where the facts have been of the most remarkable and
- dramatic character, but where the share which he has himself
- taken in determining their causes has been less pronounced than
- I, as his biographer, could wish. The small matter which I have
- chronicled under the heading of "A Study in Scarlet," and that
- other later one connected with the loss of the Gloria Scott, may
- serve as examples of this Scylla and Charybdis which are forever
- threatening the historian. It may be that in the business of which
- I am now about to write the part which my friend played is not
- sufficiently accentuated; and yet the whole train of circumstances
- is so remarkable that I cannot bring myself to omit it entirely
- from this series.
- It had been a close, rainy day in October. Our blinds were
- half-drawn, and Holmes lay curled upon the sofa, reading and
- re-reading a letter which he had received by the morning post.
- For myself, my term of service in India had trained me to stand
- heat better than cold, and a thermometer of ninety was no
- hardship. But the paper was uninteresting. Parliament had risen.
- Everybody was out of town, and I yearned for the glades of the
- New Forest or the shingle of Southsea. A depleted bank account
- had caused me to postpone my holiday, and as to my compan-
- ion, neither the country nor the sea presented the slightest attrac-
- tion to him. He loved to lie in the very centre of five millions of
- people, with his filaments stretching out and running through
- them, responsive to every little rumour or suspicion of unsolved
- crime. Appreciation of nature found no place among his many
- gifts, and his only change was when he turned his mind from the
- evildoer of the town to track down his brother of the country.
- Finding that Holmes was too absorbed for conversation, I had
- tossed aside the barren paper, and, leaning back in my chair I
- fell into a brown study. Suddenly my companion's voice broke
- in upon my thoughts.
- "You are right, Watson," said he. "It does seem a very
- preposterous way of settling a dispute."
- "Most preposterous!" I exclaimed, and then, suddenly realiz-
- ing how he had echoed the inmost thought of my soul, I sat up in
- my chair and stared at him in blank amazement.
- "What is this, Holmes?" I cried. "This is beyond anything
- which I could have imagined."
- He laughed heartily at my perplexity.
- "You remember," said he, "that some little time ago, when I
- read you the passage in one of Poe's sketches, in which a close
- reasoner follows the unspoken thoughts of his companion, you
- were inclined to treat the matter as a mere tour de force of the
- author. On my remarking that I was constantly in the habit of
- doing the same thing you expressed incredulity."
- "Oh, no!"
- "Perhaps not with your tongue, my dear Watson, but certainly
- with your eyebrows. So when I saw you throw down your paper
- and enter upon a train of thought, I was very happy to have the
- opportunity of reading it off, and eventually of breaking into it,
- as a proof that I had been in rapport with you."
- But I was still far from satisfied. "In the example which you
- read to me," said I, "the reasoner drew his conclusions from the
- actions of the man whom he observed. If I remember right, he
- stumbled over a heap of stones, looked up at the stars, and so
- on. But I have been seated quietly in my chair, and what clues
- can I have given you?"
- "You do yourself an injustice. The features are given to man
- as the means by which he shall express his emotions, and yours
- are faithful servants."
- "Do you mean to say that you read my train of thoughts from
- my features?"
- "Your features, and especially your eyes. Perhaps you cannot
- yourself recall how your reverie commenced?"
- "No, I cannot."
- "Then I will tell you. After throwing down your paper, which
- was the action which drew my attention to you, you sat for half a
- minute with a vacant expression. Then your eyes fixed them-
- selves upon your newly framed picture of General Gordon, and I
- saw by the alteration in your face that a train of thought had been
- started. But it did not lead very far. Your eyes turned across to
- the unframed portrait of Henry Ward Beecher, which stands
- upon the top of your books. You then glanced up at the wall, and
- of course your meaning was obvious. You were thinking that if
- the portrait were framed it would just cover that bare space and
- correspond with Gordon's picture over there."
- "You have followed me wonderfully!" I exclaimed.
- "So far I could hardly have gone astray. But now your
- thoughts went back to Beecher, and you looked hard across as if
- you were studying the character in his features. Then your eyes
- ceased to pucker, but you continued to look across, and your
- face was thoughtful. You were recalling the incidents of Bee-
- cher's career. I was well aware that you could not do this
- without thinking of the mission which he undertook on behalf of
- the North at the time of the Civil War, for I remember you
- expressing your passionate indignation at the way in which he
- was received by the more turbulent of our people. You felt so
- strongly about it that I knew you could not think of Beecher
- without thinking of that also. When a moment later I saw your
- eyes wander away from the picture, I suspected that your mind
- had now turned to the Civil War, and when I observed that your
- lips set, your eyes sparkled, and your hands clinched, I was
- positive that you were indeed thinking of the gallantry which was
- shown by both sides in that desperate struggle. But then, again,
- your face grew sadder; you shook your head. You were dwelling
- upon the sadness and horror and useless waste of life. Your hand
- stole towards your own old wound, and a smile quivered on your
- lips, which showed me that the ridiculous side of this method of
- settling international questions had forced itself upon your mind.
- At this point I agreed with you that it was preposterous, and was
- glad to find that all my deductions had been correct.
- "Absolutely!" said I. "And now that you have explained it, I
- confess that I am as amazed as before."
- "It was very superficial, my dear Watson, I assure you. I
- should not have intruded it upon your attention had you not
- shown some incredulity the other day. But the evening has
- brought a breeze with it. What do you say to a ramble through
- London?"
- I was weary of our little sitting-room and gladly acquiesced.
- For three hours we strolled about together, watching the ever-
- changing kaleidoscope of life as it ebbs and flows through Fleet
- Street and the Strand. His characteristic talk, with its keen
- observance of detail and subtle power of inference, held me
- amused and enthralled. It was ten o'clock before we reached
- Baker Street again. A brougham was waiting at our door.
- "Hum! A doctor's -- general practitioner, I perceive," said
- Holmes. "Not been long in practice, but has a good deal to do.
- Come to consult us, I fancy! Lucky we came back!"
- I was sufficiently conversant with Holmes's methods to be
- able to follow his reasoning, and to see that the nature and state
- of the various medical instruments in the wicker basket which
- hung in the lamp-light inside the brougham had given him the
- data for his swift deduction. The light in our window above
- showed that this late visit was indeed intended for us. With some
- curiosity as to what could have sent a brother medico to us at
- such an hour, I followed Holmes into our sanctum.
- A pale, taper-faced man with sandy whiskers rose up from a
- chair by the fire as we entered. His age may not have been more
- than three or four and thirty, but his haggard expression and
- unhealthy hue told of a life which had sapped his strength and
- robbed him of his youth. His manner was nervous and shy, like
- that of a sensitive gentleman, and the thin white hand which he
- laid on the mantelpiece as he rose was that of an artist rather than
- of a surgeon. His dress was quiet and sombre -- a black frock-
- coat, dark trousers, and a touch of colour about his necktie.
- "Good-evening, Doctor," said Holmes cheerily. "I am glad
- to see that you have only been waiting a very few minutes."
- "You spoke to my coachman, then?"
- "No, it was the candle on the side-table that told me. Pray
- resume your seat and let me know how I can serve you."
- "My name is Dr. Percy Trevelyan," said our visitor, "and I
- live at 403 Brook Street."
- "Are you not the author of a monograph upon obscure ner-
- vous lesions?" I asked.
- His pale cheeks flushed with pleasure at hearing that his work
- was known to me.
- "I so seldom hear of the work that I thought it was quite
- dead," said he. "My publishers gave me a most discouraging
- account of its sale. You are yourself, I presume, a medical man."
- "A retired army surgeon."
- "My own hobby has always been nervous disease. I should
- wish to make it an absolute specialty, but of course a man must
- take what he can get at first. This, however, is beside the
- question, Mr. Sherlock Holmes, and I quite appreciate how
- valuable your time is. The fact is that a very singular train of
- events has occurred recently at my house in Brook Street, and
- to-night they came to such a head that I felt it was quite
- impossible for me to wait another hour before asking for your
- advlce and assistance."
- Sherlock Holmes sat down and lit his pipe. "You are very
- welcome to both," said he. "Pray let me have a detailed account
- of what the circumstances are which have disturbed you."
- "One or two of them are so trivial," said Dr. Trevelyan
- "that really I am almost ashamed to mention them. But the
- matter is so inexplicable, and the recent turn which it has taken
- is so elaborate, that I shall lay it all before you, and you shall
- judge what is essential and what is not.
- "I am compelled, to begin with, to say something of my own
- college career. I am a London University man, you know, and I
- am sure that you will not think that I am unduly singing my own
- praises if I say that my student career was considered by my
- professors to be a very promising one. After I had graduated I
- continued to devote myself to research, occupying a minor posi-
- tion in King's College Hospital, and I was fortunate enough to
- excite considerable interest by my research into the pathology of
- catalepsy, and finally to win the Bruce Pinkerton prize and
- medal by the monograph on nervous lesions to which your friend
- has just alluded. I should not go too far if I were to say that there
- was a general impression at that time that a distinguished career
- lay before me.
- "But the one great stumbling-block lay in my want of capital.
- As you will readily understand, a specialist who aims high is
- compelled to start in one of a dozen streets in the Cavendish
- Square quarter, all of which entail enormous rents and furnishing
- expenses. Besides this preliminary outlay, he must be prepared
- to keep himself for some years, and to hire a presentable carriage
- and horse. To do this was quite beyond my power, and I could
- only hope that by economy I might in ten years' time save
- enough to enable me to put up my plate. Suddenly, however, an
- unexpected incident opened up quite a new prospect to me.
- "This was a visit from a gentleman of the name of Blessington,
- who was a complete stranger to me. He came up into my room
- one morning, and plunged into business in an instant.
- " 'You are the same Percy Trevelyan who has had so distin-
- guished a career and won a great prize lately?' said he.
- "I bowed.
- " 'Answer me frankly,' he continued, 'for you will find it to
- your interest to do so. You have all the cleverness which makes a
- successful man. Have you the tact?'
- "I could not help smiling at the abruptness of the question.
- " 'l trust that I have my share,' I said.
- " 'Any bad habits? Not drawn towards drink, eh?'
- " 'Really, sir!' I cried.
- " 'Quite right! That's all right! But I was bound to ask. With
- all these qualities, why are you not in practice?'
- "I shrugged my shoulders.
- " 'Come, come!' said he in his bustling way. 'It's the old story.
- More in your brains than in your pocket, eh? What would you
- say if I were to start you in Brook Street?'
- "I stared at him in astonishment.
- " 'Oh, it's for my sake, not for yours,' he cried. 'I'll be
- perfectly frank with you, and if it suits you it will suit me very
- well. I have a few thousands to invest, d'ye see, and I think I'll
- sink them in you.'
- " 'But why?' I gasped.
- " 'Well, it's just like any other speculation, and safer than
- most.'
- " 'What am I to do, then?'
- " 'I'll tell you. I'll take the house, furnish it, pay the maids,
- and run the whole place. All you have to do is just to wear out
- your chair in the consulting-room. I'll let you have pocket-
- money and everything. Then you hand over to me three quarters
- of what you earn, and you keep the other quarter for yourself.'
- "This was the strange proposal, Mr. Holmes, with which the
- man Blessington approached me. I won't weary you with the
- account of how we bargained and negotiated. It ended in my
- moving into the house next Lady Day, and starting in-practice on
- very much the same conditions as he had suggested. He came
- himself to live with me in the character of a resident patient. His
- heart was weak, it appears, and he needed constant medical
- supervision. He turned the two best rooms of the first floor into a
- sitting-room and bedroom for himself. He was a man of singular
- habits, shunning company and very seldom going out. His life
- was irregular, but in one respect he was regularity itself. Every
- evening, at the same hour, he walked into the consulting-room,
- examined the books, put down five and three-pence for every
- guinea that I had earned, and carried the rest off to the strong-
- box in his own room.
- "I may say with confidence that he never had occasion to
- regret his speculation. From the first it was a success. A few
- good cases and the reputation which I had won in the hospital
- brought me rapidly to the front, and during the last few years I
- have made him a rich man.
- "So much, Mr. Holmes, for my past history and my relations
- with Mr. Blessington. It only remains for me now to tell you
- what has occurred to bring me here tonight.
- "Some weeks ago Mr. Blessington came down to me in, as it
- seemed to me, a state of considerable agitation. He spoke of
- some burglary which, he said, had been committed in the West
- End, and he appeared, I remember, to be quite unnecessarily
- excited about it, declaring that a day should not pass before we
- should add stronger bolts to our windows and doors. For a week
- he continued to be in a peculiar state of restlessness, peering
- continually out of the windows, and ceasing to take the short
- walk which had usually been the prelude to his dinner. From his
- manner it struck me that he was in mortal dread of something or
- somebody, but when I questioned him upon the point he became
- so offensive that I was compelled to drop the subject. Gradually,
- as time passed, his fears appeared to die away, and he renewed
- his former habits, when a fresh event reduced him to the pitiable
- state of prostration in which he now lies.
- "What happened was this. Two days ago I received the letter
- which I now read to you. Neither address nor date is attached to it.
-
- "A Russian nobleman who is now resident in England [it
- runs], would be glad to avail himself of the professional
- assistance of Dr. Percy Trevelyan. He has been for some
- years a victim to cataleptic attacks, on which, as is well
- known, Dr. Trevelyan is an authority. He proposes to call at
- about a quarter-past six to-morrow evening, if Dr. Trevelyan
- will make it convenient to be at home.
-
- "This letter interested me deeply, because the chief difficulty
- in the study of catalepsy is the rareness of the disease. You may
- believe, then, that I was in my consulting-room when, at the
- appointed hour, the page showed in the patient.
- "He was an elderly man, thin, demure, and commonplace -- by
- no means the conception one forms of a Russian nobleman. I
- was much more struck by the appearance of his companion. This
- was a tall young man, surprisingly handsome, with a dark, fierce
- face, and the limbs and chest of a Hercules. He had his hand
- under the other's arm as they entered, and helped him to a chair
- with a tenderness which one would hardly have expected from
- his appearance.
- " 'You will excuse my coming in, Doctor,' said he to me,
- speaking English with a slight lisp. 'This is my father, and his
- health is a matter of the most overwhelming importance to me.'
- "I was touched by this filial anxiety. 'You would, perhaps,
- care to remain during the consultation?' said I.
- " 'Not for the world,' he cried with a gesture of horror. 'It is
- more painful to me than I can express. If I were to see my father
- in one of these dreadful seizures I am convinced that I should
- never survive it. My own nervous system is an exceptionally
- sensitive one. With your permission, I will remain in the waiting-
- room while you go into my father's case.'
- "To this, of course, I assented, and the young man withdrew.
- The patient and I then plunged into a discussion of his case, of
- which I took exhaustive notes. He was not remarkable for intelli-
- gence, and his answers were frequently obscure, which I attrib-
- uted to his limited acquaintance with our language. Suddenly,
- however, as I sat writing, he ceased to give any answer at all to
- my inquiries, and on my turning towards him I was shocked to
- see that he was sitting bolt upright in his chair, staring at me with
- a perfectly blank and rigid face. He was again in the grip of his
- mysterious malady.
- "My first feeling, as I have just said, was one of pity and
- horror. My second, I fear, was rather one of professional satis-
- faction. I made notes of my patient's pulse and temperature,
- tested the rigidity of his muscles. and examined his reflexes.
- There was nothing markedly abnormal in any of these condi-
- tions, which harmonized with my former experiences. I had
- obtained good results in such cases by the inhalation of nitrite of
- amyl, and the present seemed an admirable opportunity of
- testing its virtues. The bottle was downstairs in my laboratory,
- so, leaving my patient seated in his chair, I ran down to get it.
- There was some little delay in finding it -- five minutes, let us
- say -- and then I returned. Imagine my amazement to find the
- room empty and the patient gone.
- "Of course, my first act was to run into the waiting-room.
- The son had gone also. The hall door had been closed, but not
- shut. My page who admits patients is a new boy and by no
- means quick. He waits downstairs and runs up to show patients
- out when I ring the consulting-room bell. He had heard nothing,
- and the affair remained a complete mystery. Mr. Blessington
- came in from his walk shortly afterwards, but I did not say
- anything to him upon the subject, for, to tell the truth, I have got
- in the way of late of holding as little communication with him as
- possible.
- "Well, I never thought that I should see anything more of the
- Russian and his son, so you can imagine my amazement when,
- at the very same hour this evening, they both came marching
- into my consulting-room, just as they had done before.
- " 'I feel that I owe you a great many apologies for my abrupt
- departure yesterday, Doctor,' said my patient.
- " 'I confess that I was very much surprised at it,' said I.
- " 'Well, the fact is,' he remarked, 'that when I recover from
- these attacks my mind is always very clouded as to all that has
- gone before. I woke up in a strange room, as it seemed to me,
- and made my way out into the street in a sort of dazed way when
- you were absent.'
- " 'And I,' said the son, 'seeing my father pass the door of the
- waiting-room, naturally thought that the consultation had come
- to an end. It was not until we had reached home that I began to
- realize the true-----
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- " 'Well,' said I, laughing, 'there is no harm done except that
- you puzzled me terribly; so if you, sir, would kindly step into the
- waiting-room I shall be happy to continue our consultation which
- was brought to so abrupt an ending.'
- "For half an hour or so I discussed the old gentleman's
- symptoms with him, and then, having prescribed for him, I saw
- him go off upon the arm of his son.
- "I have told you that Mr. Blessington generally chose this
- hour of the day for his exercise. He came in shortly afterwards
- and passed upstairs. An instant later I heard him running down,
- and he burst into my consulting-room like a man who is mad
- with panic.
- " 'Who has been in my room?' he cried.
- " 'No one,' said I.
- " 'It's a lie!' he yelled. 'Come up and look!'
- "I passed over the grossness of his language, as he seemed
- half out of his mind with fear. When I went upstairs with him he
- pointed to several footprints upon the light carpet.
- " 'Do you mean to say those are mine?' he cried.
- "They were certainly very much larger than any which he
- could have made, and were evidently quite fresh. It rained hard
- this afternoon, as you know, and my patients were the only
- people who called. It must have been the case, then, that the
- man in the waiting-room had, for some unknown reason, while I
- was busy with the other, ascended to the room of my resident
- patient. Nothing had been touched or taken, but there were the
- footprints to prove that the intrusion was an undoubted fact.
- "Mr. Blessington seemed more e Venus.cpt PACTCPCT └ Σ╤ º╖╡≡º╖╕" D , i&┤ oöÿ oöÿ o┤á