Philip's ideas of the life of medical students, like those of the public at large, were founded on the pictures which Charles Dickens drew in the middle of the nineteenth century. He soon discovered that Bob Sawyer, if he ever existed, was no longer at all like the medical student of the present.

It is a mixed lot which enters upon the medical profession, and naturally there are some who are lazy and reckless. They think it is an easy life, idle away a couple of years; and then, because their funds come to an end or because angry parents refuse any longer to support them, drift away from the hospital. Others find the examinations too hard for them; one failure after another robs them of their nerve; and, panic-stricken, they forget as soon as they come into the forbidding buildings of the Conjoint Board the knowledge which before they had so pat. They remain year after year, objects of good-humoured scorn to younger men: some of them crawl through the examination of the Apothecaries Hall; others become non-qualified assistants, a precarious position in which they are at the mercy of their employer; their lot is poverty, drunkenness, and Heaven only knows their end. But for the most part medical students are industrious young men of the middle-class with a sufficient allowance to live in the respectable fashion they have been used to; many are the sons of doctors who have already something of the professional manner; their career is mapped out: as soon as they are qualified they propose to apply for a hospital appointment, after holding which (and perhaps a trip to the Far East as a ship's doctor), they will join their father and spend the rest of their days in a country practice. One or two are marked out as exceptionally brilliant: they will take the various prizes and scholarships which are open each year to the deserving, get one appointment after another at the hospital, go on the staff, take a consulting-room in Harley Street, and, specialising in one subject or another, become prosperous, eminent, and titled.

The medical profession is the only one which a man may enter at any age with some chance of making a living. Among the men of Philip's year were three or four who were past their first youth: one had been in the Navy, from which according to report he had been dismissed for drunkenness; he was a man of thirty, with a red face, a brusque manner, and a loud voice. Another was a married man with two children, who had lost money through a defaulting solicitor; he had a bowed look as if the world were too much for him; he went about his work silently, and it was plain that he found it difficult at his age to commit facts to memory. His mind worked slowly. His effort at application was painful to see.

Philip made himself at home in his tiny rooms. He arranged his books and hung on the walls such pictures and sketches as he possessed. Above him, on the drawing-room floor, lived a fifth-year man called Griffiths; but Philip saw little of him, partly because he was occupied chiefly in the wards and partly because he had been to Oxford. Such of the students as had been to a university kept a good deal together: they used a variety of means natural to the young in order to impress upon the less fortunate a proper sense of their inferiority; the rest of the students found their Olympian serenity rather hard to bear. Griffiths was a tall fellow, with a quantity of curly red hair and blue eyes, a white skin and a very red mouth; he was one of those fortunate people whom everybody liked, for he had high spirits and a constant gaiety. He strummed a little on the piano and sang comic songs with gusto; and evening after evening, while Philip was reading in his solitary room, he heard the shouts and the uproarious laughter of Griffiths' friends above him. He thought of those delightful evenings in Paris when they would sit in the studio, Lawson and he, Flanagan and Clutton, and talk of art and morals, the love-affairs of the present, and the fame of the future. He felt sick at heart. He found that it was easy to make a heroic gesture, but hard to abide by its results. The worst of it was that the work seemed to him very tedious. He had got out of the habit of being asked questions by demonstrators. His attention wandered at lectures. Anatomy was a dreary science, a mere matter of learning by heart an enormous number of facts; dissection bored him; he did not see the use of dissecting out laboriously nerves and arteries when with much less trouble you could see in the diagrams of a book or in the specimens of the pathological museum exactly where they were.

He made friends by chance, but not intimate friends, for he seemed to have nothing in particular to say to his companions. When he tried to interest himself in their concerns, he felt that they found him patronising. He was not of those who can talk of what moves them without caring whether it bores or not the people they talk to. One man, hearing that he had studied art in Paris, and fancying himself on his taste, tried to discuss art with him; but Philip was impatient of views which did not agree with his own; and, finding quickly that the other's ideas were conventional, grew monosyllabic. Philip desired popularity but could bring himself to make no advances to others. A fear of rebuff prevented him from affability, and he concealed his shyness, which was still intense, under a frigid taciturnity. He was going through the same experience as he had done at school, but here the freedom of the medical students' life made it possible for him to live a good deal by himself.

It was through no effort of his that he became friendly with Dunsford, the fresh-complexioned, heavy lad whose acquaintance he had made at the beginning of the session. Dunsford attached himself to Philip merely because he was the first person he had known at St. Luke's. He had no friends in London, and on Saturday nights he and Philip got into the habit of going together to the pit of a music-hall or the gallery of a theatre. He was stupid, but he was good-humoured and never took offence; he always said the obvious thing, but when Philip laughed at him merely smiled. He had a very sweet smile. Though Philip made him his butt, he liked him; he was amused by his candour and delighted with his agreeable nature: Dunsford had the charm which himself was acutely conscious of not possessing.

They often went to have tea at a shop in Parliament Street, because Dunsford admired one of the young women who waited. Philip did not find anything attractive in her. She was tall and thin, with narrow hips and the chest of a boy.

'No one would look at her in Paris,' said Philip scornfully.

'She's got a ripping face,' said Dunsford.

'What DOES the face matter?'

She had the small regular features, the blue eyes, and the broad low brow, which the Victorian painters, Lord Leighton, Alma Tadema, and a hundred others, induced the world they lived in to accept as a type of Greek beauty. She seemed to have a great deal of hair: it was arranged with peculiar elaboration and done over the forehead in what she called an Alexandra fringe. She was very anaemic. Her thin lips were pale, and her skin was delicate, of a faint green colour, without a touch of red even in the cheeks. She had very good teeth. She took great pains to prevent her work from spoiling her hands, and they were small, thin, and white. She went about her duties with a bored look.

Dunsford, very shy with women, had never succeeded in getting into conversation with her; and he urged Philip to help him.

'All I want is a lead,' he said, 'and then I can manage for myself.'

Philip, to please him, made one or two remarks, but she answered with monosyllables. She had taken their measure. They were boys, and she surmised they were students. She had no use for them. Dunsford noticed that a man with sandy hair and a bristly moustache, who looked like a German, was favoured with her attention whenever he came into the shop; and then it was only by calling her two or three times that they could induce her to take their order. She used the clients whom she did not know with frigid insolence, and when she was talking to a friend was perfectly indifferent to the calls of the hurried. She had the art of treating women who desired refreshment with just that degree of impertinence which irritated them without affording them an opportunity of complaining to the management. One day Dunsford told him her name was Mildred. He had heard one of the other girls in the shop address her.

'What an odious name,' said Philip.

'Why?' asked Dunsford.

'I like it.'

'It's so pretentious.'

It chanced that on this day the German was not there, and, when she brought the tea, Philip, smiling, remarked:

'Your friend's not here today.'

'I don't know what you mean,' she said coldly.

'I was referring to the nobleman with the sandy moustache. Has he left you for another?' 'I'm awfully sorry, old man, but we're all in the same boat. No one thought the war was going to hang on this way. I put you into them, but I was in myself too.'

'Some people would do better to mind their own business,' she retorted. 'It doesn't matter at all,' said Philip. 'One has to take one's chance.'

She left them, and, since for a minute or two there was no one to attend to, sat down and looked at the evening paper which a customer had left behind him. He moved back to the table from which he had got up to talk to Macalister. He was dumfounded; his head suddenly began to ache furiously; but he did not want them to think him unmanly. He sat on for an hour. He laughed feverishly at everything they said. At last he got up to go.

'You are a fool to put her back up,' said Dunsford. 'You take it pretty coolly,' said Macalister, shaking hands with him. 'I don't suppose anyone likes losing between three and four hundred pounds.'

'I'm really quite indifferent to the attitude of her vertebrae,' replied Philip. When Philip got back to his shabby little room he flung himself on his bed, and gave himself over to his despair. He kept on regretting his folly bitterly; and though he told himself that it was absurd to regret for what had happened was inevitable just because it had happened, he could not help himself. He was utterly miserable. He could not sleep. He remembered all the ways he had wasted money during the last few years. His head ached dreadfully.

But he was piqued. It irritated him that when he tried to be agreeable with a woman she should take offence. When he asked for the bill, he hazarded a remark which he meant to lead further. The following evening there came by the last post the statement of his account. He examined his pass-book. He found that when he had paid everything he would have seven pounds left. Seven pounds! He was thankful he had been able to pay. It would have been horrible to be obliged to confess to Macalister that he had not the money. He was dressing in the eye-department during the summer session, and he had bought an ophthalmoscope off a student who had one to sell. He had not paid for this, but he lacked the courage to tell the student that he wanted to go back on his bargain. Also he had to buy certain books. He had about five pounds to go on with. It lasted him six weeks; then he wrote to his uncle a letter which he thought very business-like; he said that owing to the war he had had grave losses and could not go on with his studies unless his uncle came to his help. He suggested that the Vicar should lend him a hundred and fifty pounds paid over the next eighteen months in monthly instalments; he would pay interest on this and promised to refund the capital by degrees when he began to earn money. He would be qualified in a year and a half at the latest, and he could be pretty sure then of getting an assistantship at three pounds a week. His uncle wrote back that he could do nothing. It was not fair to ask him to sell out when everything was at its worst, and the little he had he felt that his duty to himself made it necessary for him to keep in case of illness. He ended the letter with a little homily. He had warned Philip time after time, and Philip had never paid any attention to him; he could not honestly say he was surprised; he had long expected that this would be the end of Philip's extravagance and want of balance. Philip grew hot and cold when he read this. It had never occurred to him that his uncle would refuse, and he burst into furious anger; but this was succeeded by utter blankness: if his uncle would not help him he could not go on at the hospital. Panic seized him and, putting aside his pride, he wrote again to the Vicar of Blackstable, placing the case before him more urgently; but perhaps he did not explain himself properly and his uncle did not realise in what desperate straits he was, for he answered that he could not change his mind; Philip was twenty-five and really ought to be earning his living. When he died Philip would come into a little, but till then he refused to give him a penny. Philip felt in the letter the satisfaction of a man who for many years had disapproved of his courses and now saw himself justified.

'Are we no longer on speaking terms?' he smiled.

'I'm here to take orders and to wait on customers. I've got nothing to say to them, and I don't want them to say anything to me.' Philip began to pawn his clothes. He reduced his expenses by eating only one meal a day beside his breakfast; and he ate it, bread and butter and cocoa, at four so that it should last him till next morning. He was so hungry by nine o'clock that he had to go to bed. He thought of borrowing money from Lawson, but the fear of a refusal held him back; at last he asked him for five pounds. Lawson lent it with pleasure, but, as he did so, said:

She put down the slip of paper on which she had marked the sum they had to pay, and walked back to the table at which she had been sitting. Philip flushed with anger. 'You'll let me have it back in a week or so, won't you? I've got to pay my framer, and I'm awfully broke just now.'

'That's one in the eye for you, Carey,' said Dunsford, when they got outside. Philip knew he would not be able to return it, and the thought of what Lawson would think made him so ashamed that in a couple of days he took the money back untouched. Lawson was just going out to luncheon and asked Philip to come too. Philip could hardly eat, he was so glad to get some solid food. On Sunday he was sure of a good dinner from Athelny. He hesitated to tell the Athelnys what had happened to him: they had always looked upon him as comparatively well-to-do, and he had a dread that they would think less well of him if they knew he was penniless.

'Ill-mannered slut,' said Philip. 'I shan't go there again.' Though he had always been poor, the possibility of not having enough to eat had never occurred to him; it was not the sort of thing that happened to the people among whom he lived; and he was as ashamed as if he had some disgraceful disease. The situation in which he found himself was quite outside the range of his experience. He was so taken aback that he did not know what else to do than to go on at the hospital; he had a vague hope that something would turn up; he could not quite believe that what was happening to him was true; and he remembered how during his first term at school he had often thought his life was a dream from which he would awake to find himself once more at home. But very soon he foresaw that in a week or so he would have no money at all. He must set about trying to earn something at once. If he had been qualified, even with a club-foot, he could have gone out to the Cape, since the demand for medical men was now great. Except for his deformity he might have enlisted in one of the yeomanry regiments which were constantly being sent out. He went to the secretary of the Medical School and asked if he could give him the coaching of some backward student; but the secretary held out no hope of getting him anything of the sort. Philip read the advertisement columns of the medical papers, and he applied for the post of unqualified assistant to a man who had a dispensary in the Fulham Road. When he went to see him, he saw the doctor glance at his club-foot; and on hearing that Philip was only in his fourth year at the hospital he said at once that his experience was insufficient: Philip understood that this was only an excuse; the man would not have an assistant who might not be as active as he wanted. Philip turned his attention to other means of earning money. He knew French and German and thought there might be some chance of finding a job as correspondence clerk; it made his heart sink, but he set his teeth; there was nothing else to do. Though too shy to answer the advertisements which demanded a personal application, he replied to those which asked for letters; but he had no experience to state and no recommendations: he was conscious that neither his German nor his French was commercial; he was ignorant of the terms used in business; he knew neither shorthand nor typewriting. He could not help recognising that his case was hopeless. He thought of writing to the solicitor who had been his father's executor, but he could not bring himself to, for it was contrary to his express advice that he had sold the mortgages in which his money had been invested. He knew from his uncle that Mr. Nixon thoroughly disapproved of him. He had gathered from Philip's year in the accountant's office that he was idle and incompetent.

His influence with Dunsford was strong enough to get him to take their tea elsewhere, and Dunsford soon found another young woman to flirt with. But the snub which the waitress had inflicted on him rankled. If she had treated him with civility he would have been perfectly indifferent to her; but it was obvious that she disliked him rather than otherwise, and his pride was wounded. He could not suppress a desire to be even with her. He was impatient with himself because he had so petty a feeling, but three or four days' firmness, during which he would not go to the shop, did not help him to surmount it; and he came to the conclusion that it would be least trouble to see her. Having done so he would certainly cease to think of her. Pretexting an appointment one afternoon, for he was not a little ashamed of his weakness, he left Dunsford and went straight to the shop which he had vowed never again to enter. He saw the waitress the moment he came in and sat down at one of her tables. He expected her to make some reference to the fact that he had not been there for a week, but when she came up for his order she said nothing. He had heard her say to other customers: 'I'd sooner starve,' Philip muttered to himself.

'You're quite a stranger.' Once or twice the possibility of suicide presented itself to him; it would be easy to get something from the hospital dispensary, and it was a comfort to think that if the worst came to the worst he had at hand means of making a painless end of himself; but it was not a course that he considered seriously. When Mildred had left him to go with Griffiths his anguish had been so great that he wanted to die in order to get rid of the pain. He did not feel like that now. He remembered that the Casualty Sister had told him how people oftener did away with themselves for want of money than for want of love; and he chuckled when he thought that he was an exception. He wished only that he could talk his worries over with somebody, but he could not bring himself to confess them. He was ashamed. He went on looking for work. He left his rent unpaid for three weeks, explaining to his landlady that he would get money at the end of the month; she did not say anything, but pursed her lips and looked grim. When the end of the month came and she asked if it would be convenient for him to pay something on account, it made him feel very sick to say that he could not; he told her he would write to his uncle and was sure to be able to settle his bill on the following Saturday.

She gave no sign that she had ever seen him before. In order to see whether she had really forgotten him, when she brought his tea, he asked: 'Well, I 'ope you will, Mr. Carey, because I 'ave my rent to pay, and I can't afford to let accounts run on.' She did not speak with anger, but with determination that was rather frightening. She paused for a moment and then said: 'If you don't pay next Saturday, I shall 'ave to complain to the secretary of the 'ospital.'

'Have you seen my friend tonight?' 'Oh yes, that'll be all right.'

'No, he's not been in here for some days.' She looked at him for a little and glanced round the bare room. When she spoke it was without any emphasis, as though it were quite a natural thing to say.

He wanted to use this as the beginning of a conversation, but he was strangely nervous and could think of nothing to say. She gave him no opportunity, but at once went away. He had no chance of saying anything till he asked for his bill. 'I've got a nice 'ot joint downstairs, and if you like to come down to the kitchen you're welcome to a bit of dinner.'

'Filthy weather, isn't it?' he said. Philip felt himself redden to the soles of his feet, and a sob caught at his throat.

It was mortifying that he had been forced to prepare such a phrase as that. He could not make out why she filled him with such embarrassment. 'Thank you very much, Mrs. Higgins, but I'm not at all hungry.'

'It don't make much difference to me what the weather is, having to be in here all day.' 'Very good, sir.'

There was an insolence in her tone that peculiarly irritated him. A sarcasm rose to his lips, but he forced himself to be silent. When she left the room Philip threw himself on his bed. He had to clench his fists in order to prevent himself from crying.

'I wish to God she'd say something really cheeky,' he raged to himself, 'so that I could report her and get her sacked. It would serve her damned well right.'