A Farewell to Arms & For Whom the Bell Tolls. Ernest Hemingway
just brought them in for a second to show you.”
She went out and I lay there. It was a hot afternoon and I was sick of lying in bed. I sent the porter for the papers, all the papers he could get.
Before he came back three doctors came into the room. I have noticed that doctors who fail in the practice of medicine have a tendency to seek one another’s company and aid in consultation. A doctor who cannot take out your appendix properly will recommend to you a doctor who will be unable to remove your tonsils with success. These were three such doctors.
“This is the young man,” said the house doctor with the delicate hands.
“How do you do?” said the tall gaunt doctor with the beard. The third doctor, who carried the X-ray plates in their red envelopes, said nothing.
“Remove the dressings?” questioned the bearded doctor.
“Certainly. Remove the dressings, please, nurse,” the house doctor said to Miss Gage. Miss Gage removed the dressings. I looked down at the legs. At the field hospital they had the look of not too freshly ground hamburger steak. Now they were crusted and the knee was swollen and discolored and the calf sunken but there was no pus.
“Very clean,” said the house doctor. “Very clean and nice.”
“Um,” said the doctor with the beard. The third doctor looked over the house doctor’s shoulder.
“Please move the knee,” said the bearded doctor.
“I can’t.”
“Test the articulation?” the bearded doctor questioned. He had a stripe beside the three stars on his sleeve. That meant he was a first captain.
“Certainly,” the house doctor said. Two of them took hold of my right leg very gingerly and bent it.
“That hurts,” I said.
“Yes. Yes. A little further, doctor.”
“That’s enough. That’s as far as it goes,” I said.
“Partial articulation,” said the first captain. He straightened up. “May I see the plates again, please, doctor?” The third doctor handed him one of the plates. “No. The left leg, please.”
“That is the left leg, doctor.”
“You are right. I was looking from a different angle.” He returned the plate. The other plate he examined for some time. “You see, doctor?” he pointed to one of the foreign bodies which showed spherical and clear against the light. They examined the plate for some time.
“Only one thing I can say,” the first captain with the beard said. “It is a question of time. Three months, six months probably.”
“Certainly the synovial fluid must re-form.”
“Certainly. It is a question of time. I could not conscientiously open a knee like that before the projectile was encysted.”
“I agree with you, doctor.”
“Six months for what?” I asked.
“Six months for the projectile to encyst before the knee can be opened safely.”
“I don’t believe it,” I said.
“Do you want to keep your knee, young man?”
“No,” I said.
“What?”
“I want it cut off,” I said, “so I can wear a hook on it.”
“What do you mean? A hook?”
“He is joking,” said the house doctor. He patted my shoulder very delicately. “He wants to keep his knee. This is a very brave young man. He has been proposed for the silver medal of valor.”
“All my felicitations,” said the first captain. He shook my hand. “I can only say that to be on the safe side you should wait at least six months before opening such a knee. You are welcome of course to another opinion.”
“Thank you very much,” I said. “I value your opinion.”
The first captain looked at his watch.
“We must go,” he said. “All my best wishes.”
“All my best wishes and many thanks,” I said. I shook hands with the third doctor, “Capitano Varini — Tenente Enry,” and they all three went out of the room.
“Miss Gage,” I called. She came in. “Please ask the house doctor to come back a minute.”
He came in holding his cap and stood by the bed. “Did you wish to see me?”
“Yes. I can’t wait six months to be operated on. My God, doctor, did you ever stay in bed six months?”
“You won’t be in bed all the time. You must first have the wounds exposed to the sun. Then afterward you can be on crutches.”
“For six months and then have an operation?”
“That is the safe way. The foreign bodies must be allowed to encyst and the synovial fluid will re-form. Then it will be safe to open up the knee.”
“Do you really think yourself I will have to wait that long?”
“That is the safe way.”
“Who is that first captain?”
“He is a very excellent surgeon of Milan.”
“He’s a first captain, isn’t he?”
“Yes, but he is an excellent surgeon.”
“I don’t want my leg fooled with by a first captain. If he was any good he would be made a major. I know what a first captain is, doctor.”
“He is an excellent surgeon and I would rather have his judgment than any surgeon I know.”
“Could another surgeon see it?”
“Certainly if you wish. But I would take Dr. Varella’s opinion myself.”
“Could you ask another surgeon to come and see it?”
“I will ask Valentini to come.”
“Who is he?”
“He is a surgeon of the Ospedale Maggiore.”
“Good. I appreciate it very much. You understand, doctor, I couldn’t stay in bed six months.”
“You would not be in bed. You would first take a sun cure. Then you could have light exercise. Then when it was encysted we would operate.”
“But I can’t wait six months.”
The doctor spread his delicate fingers on the cap he held and smiled. “You are in such a hurry to get back to the front?”
“Why not?”
“It is very beautiful,” he said. “You are a noble young man.” He stooped over and kissed me very delicately on the forehead. “I will send for Valentini. Do not worry and excite yourself. Be a good boy.”
“Will you have a drink?” I asked.
“No thank you. I never drink alcohol.”
“Just have one.” I rang for the porter to bring glasses.
“No. No thank you. They are waiting for me.”
“Good-by,” I said.
“Good-by.”
Two hours later Dr. Valentini came into the room. He was in a great hurry and the points of his mustache stood straight up. He was a major, his face was tanned and he laughed all the time.
“How did you do it, this rotten thing?” he asked. “Let me see the plates. Yes. Yes. That’s it. You look healthy as a goat.