Fate Is Remarkable

The clinic was a long one that afternoon. The medical registrar was on holiday; it meant that one of the house physicians was dealing with blood samples and blood sugars and any of the various tests Dr van Elven wanted done at once. He was nervous and therefore a little slow; when they stopped for five minutes to snatch a cup of tea cooling on its tray, there was still a formidable number of patients to see. Of these, two had to be admitted immediately, and several were sent to X-Ray, which meant that Dr van Elven had to sit patiently while the wet films were fetched by a nurse. It was six o’clock by the time the last patient had gone. Sarah had never known him so late before, and even now he evinced no desire to go home. He sat writing endless notes, and even a couple of letters, because the secretary had gone at five-thirty. Sarah cleared up the afternoon’s litter around the department locking doors and inspecting sluices and making sure that there were no patients lurking in the cubicles. When she got back, he had apparently finished, for the desk was cleared of papers, and his case was closed. He got up as she went into the consulting room.

‘Mrs Brown is to come in the day after tomorrow, I believe, Sister?’

Sarah said yes, she was, and had he fetched the cat.

‘Not yet,’ he answered seriously. ‘I wonder if you would do me the favour of coming with me to Mrs Brown’s—er—home? It seems to me to be a good idea if we were to take her to Richmond with the cat; she could meet my housekeeper and then go on to hospital. If you were there too … I believe that you are free on Saturday mornings?’

She was always free on Saturday mornings—she wondered why he asked, because after all these years he must surely know. But she had nothing to do; it would fill the hours before she came on duty after dinner. She replied:

‘Yes, certainly, sir. Shall I meet you there?’ She thought a moment. ‘Mrs Brown lives in Phipps Street, doesn’t she?’

The doctor nodded. ‘Yes. But I will fetch you from the Home. Would eleven o’clock suit you?’

He waited only long enough for her to murmur a rather surprised Yes before he went, calling a brief goodnight over his shoulder.

She went to the front door of the Home exactly on the hour on Saturday morning to find him waiting. The Iso Grigo looked sleek and powerful, and it was very comfortable. Dr van Elven got out and walked round and opened the door for her—something Steven had seldom done. Her spirits lifted a little, to drop to her shoes as the car slid to the gate and purred to a halt to allow Steven’s Mini to pass them, going the other way. She had a glimpse of his face, gazing at her with a stunned surprise, then he had passed them and they themselves were out in the street. She remembered then that it was Steven’s habit to play squash each Saturday and that he invariably returned at eleven. She wondered if the man beside her knew that, and decided that he didn’t, but her flattened ego lifted a little—the small incident would give Steven something to think about.

She felt all of a sudden more cheerful and was able to utter a few pointless remarks about the weather, to which Dr van Elven made courteous replies in a casual voice. He was so relaxed himself that she began to relax too and even to feel pleased that she had dressed with such care. She had read once, a long time ago, when such advice seemed laughingly improbable, that it was of the utmost importance for a girl who had been jilted to take the greatest pains with her appearance. Well, she had. She had put on her new tweed suit—a rather dashing outfit in tobacco brown—and complemented it with brown calf shoes and handbag. She felt pleased that she had taken such sound advice, and pondered the advisability of getting a new hat until, obedient to the doctor’s request, she peered out of the window to look for number 169. Phipps Street was endless, edged with smoke-grimed Victorian houses, the variety of whose curtains bore testimony to the number of people they sheltered; the pavements were crowded with children playing, housewives hurrying along with loaded baskets, and old men leaning against walls, doing nothing at all. Sarah said on a sigh, ‘How drab it all is—how can they live here?’

The doctor eased the car past a coal cart. ‘And yet you choose to work here.’

‘Yes. But I go home three or four times a year—I can escape.’ She broke off to point out the house they were making for, and he brought the car to halt between a milk float and an ice-cream van with a smooth action which earned her admiration. They had barely set foot upon the pavement before a small crowd had collected. The doctor smiled lightly at the curious faces around them and applied himself to the elderly knocker upon the front door. Several faces from various windows peered out, and after a good look, the windows were opened. The nearest framed a large man with a belligerent eye. ‘‘Oo d’yer want?’ he enquired without enthusiasm.

Dr van Elven said simply, ‘Mrs Brown.’

‘Ah,’ said the man, and disappeared, to reappear a moment later at the door. ‘You’ll be the doctor,’ he remarked importantly. ‘Second floor back. Mind the stairs, there’s a bit of rail missing.’ He stared at them both and then stood back to let them pass him into the small dark hall. ‘I’ll keep an eye on that there car,’ he offered.

‘Thank you.’ The doctor had produced some cigarettes from a pocket of his well-cut tweed suit and offered them silently. The man took one, said, ‘Ta’ and waved a muscled arm behind him. ‘Up there.’

They mounted the stairs with a certain amount of caution, the doctor restraining her with a hand on her shoulder. She remembering the missing rail. They were on the first landing when Sarah said:

‘You don’t smoke cigarettes—only a pipe.’

He paused, a step ahead of her, and smiled over his shoulder.

‘How—er—observant of you. They’re useful to carry around in these parts; they smooth the way, I find.’

They went on climbing and she wondered why he talked as if he was in the habit of frequenting similar houses in similar streets. Most unlikely, she decided, when he lived in Richmond and had rooms in Harley Street and a large private practice to boot.

The second landing was smaller, darker, and smelled. The doctor’s splendid nose flared fastidiously, but he said nothing. Sarah had wrinkled her own small nose too; it gave her the air of a rather choosy angel. The doctor glanced at her briefly, and then, as though unable to help himself, he looked again before he knocked on the door before them.

They entered in answer to Mrs Brown’s voice, and found themselves in a small room, depressingly painted in tones of spinach green and margarine, and furnished with a bed, table and chairs which were much too big for it. Mrs Brown was sitting in one of the chairs and when she attempted to get up, said breathily, ‘Well, well, this is nice and no mistake. I ain’t ‘ad visitors for I dunno ‘ow long.’ She beamed at them both. ‘‘Ow about a nice cuppa?’

Rather to Sarah’s surprise, the doctor said that yes, he could just do with one, and drew forward an uncomfortable chair and invited her to sit in it. The twinkle in his eye was kindly but so pronounced that she said hastily, ‘May I get the tea while you and Mrs Brown talk?’ and left him to lower himself cautiously on to the chair, which creaked in protest under his not inconsiderable weight.

Making the tea was quite a complicated business, for it involved going out on to the landing and filling the kettle from the tap there, which presumably everyone adjacent to it shared, and setting it on the solitary gas ring in a corner of the room. She found teapot, cups and sugar, and was hunting for the milk when Mrs Brown broke off her conversation to say:

‘In a tin, Sister dear, under the shelf. I can’t get down to the milkman all that easy, and tinned milk makes a good cuppa tea, I always says.’

The tea was rich and brown and syrupy. Sarah sat in the chair which the doctor had vacated and inquired for Timmy.

Mrs Brown put down her cup. ‘Bless ‘im, ‘e knows I’m going.’ Her elderly voice shook and Sarah made haste to say kindly, ‘Only for a week or so, Mrs Brown, and you’ll soon feel so much better.’

‘That’s as may be,’ Mrs Brown replied darkly. ‘I wouldn’t go to no ‘ospital for no one but Doc ‘ere.’ She drew a wheezy breath. ‘Timmy, come on out ter yer mum!’

Timmy came from under the bed—an elderly, lean cat with battle-scarred ears and magnificent whiskers. He climbed into the old lady’s lap, butted her gently with his bullet head, and purred.

‘Nice, ain’t ‘e?’ his owner asked. ‘Pals, we are—don’t know as ‘ow I wants ter go …’

Dr van Elven turned from his contemplation of the neigh-bouring chimney pots. His voice was gentle.

‘Mrs Brown, if you will consent to go to hospital now, and stay for two weeks, there will be no chance of you waking up one morning and not feeling well enough to get out of bed. You remember I explained that to you. What would happen to Timmy then? Surely it is better to know that he is safe and cared for now than run the risk of not being able to look after him?’ He picked up her coat from the bed. ‘Shall we go? You will be able to see where he will be and who will be looking after him.’

He sounded persuasive and kind and quite sure of what he was talking about. The old lady got up, and allowed herself to be helped into her coat, put on the shapeless hat with a fine disregard as to her appearance, and pronounced herself ready. When they reached the pavement, the small crowd was still there, kept firmly under control by the man who had opened the door to them. He accepted the remainder of the cigarettes from the doctor, shut the car doors firmly upon them and saluted smartly.

‘‘E’s me landlord,’ Mrs Brown informed them from the back of the car. ‘Real gent ‘e is. Let me orf me rent.’ She settled back, Timmy perched on her lap, apparently unimpressed by his surroundings. Sarah didn’t look at the doctor, but she had the feeling that they were thinking the same thing. She was proved right when he murmured:

‘Bis dat qui cito dat.’

She said. ‘Oh, Latin. Something about giving, isn’t it?’

The man beside her chuckled. ‘He who gives quickly, gives twice.’

‘That’s what I thought too, only in English. He didn’t look as though he’d give a crumb to a bird, and I don’t suppose he could really afford to lose the rent, even for a couple of weeks.’

Dr van Elven said briefly, ‘No,’ then glanced at his watch. ‘You’re on at half past one, are you not? It’s just gone half past eleven. Time enough; we’ll go by the back ways.’

He knew his London, that was evident; he didn’t hesitate once, but wove his way in and out of streets which all looked alike, until she wasn’t at all sure where they were. It was a surprise when they crossed the river, and she recognised Putney Bridge. They turned into Upper Richmond Road very shortly after, then into Richmond itself and so to the river. The doctor’s house was one of a row of Georgian bow-fronted houses set well back from the road, with their own private thoroughfare and an oblique view of the water, which was only a couple of hundred yards away. It was surprisingly peaceful. Sarah got out of the car and looked around her while the doctor helped Mrs Brown to get out. It would be nice to live in such a spot, she thought, only a few miles from the hospital, but as far removed from it as if they were upon another planet.

The doctor unlocked the front door with its gleaming knocker and beautiful fanlight and stood aside for them to go in. The hall was a great deal larger than she had thought from the outside, and was square with a polished floor and some lovely rugs. There was a satin-striped wallpaper upon which were a great many pictures, and the furniture was, she thought, early Regency—probably Sheraton. The baize door at the back of the hall opened and a woman came towards them. She was tall and bony and middle-aged, with dark brown eyes and pepper-and-salt hair; she had the nicest smile Sarah had seen for a long time. The doctor shut the door and said easily:

‘Ah, there you are, Alice.’ He glanced at Sarah and said, ‘This is my good friend and housekeeper, Alice Miller. Alice, this is Sister Dunn from the hospital, and this is Mrs Brown, of whom I told you, and Timmy.’ He threw his gloves on to a marble-topped wall table. ‘Supposing you take Mrs Brown with you and show her where Timmy will live, and discuss his diet?’

Sarah watched the two women disappear through the door to the kitchen and looked rather shyly at Dr van Elven.

‘Come and see the splendid view from the sitting room,’ he invited, and led the way to one of the doors opening into the hall. The room was at the back of the house, and from its window there was indeed an excellent view of the river with a stretch of green beyond. It was almost country, and the illusion was heightened by the small garden, which was a mass of primulas and daffodils and grape hyacinths backed by trees and shrubs. There was a white-painted table and several chairs in one corner, sheltered by a box hedge; it would be pleasant to sit there on a summer morning. She said so, and he replied, ‘It is indeed. I breakfast there when it’s fine, for it is difficult for me to get out of doors at all on a busy day.’

She didn’t reply. She was picturing him sitting there, reading the morning paper and his post—she wondered if he had any family to write to him. She hoped so; he was so nice. He had gone to the ground-length window and opened it to let in two dogs, a basset hound and a Jack Russell, whom he introduced as Edward and Albert. They pranced to meet her, greeted her politely and then went back to stand by their master.

He said, ‘Do sit down, won’t you? We’ll give them ten minutes to get to know each other. There are cigarettes beside you if you care to smoke.’

She shook her head. ‘No thanks. I only smoke at parties when I want something to do with my hands.’

He smiled. ‘You won’t mind if I light my pipe?’

‘Please do. What will you do about Mrs Brown, sir?’

‘What I said. Pull her together as far as we can in hospital and then let her go home.’

Sarah looked horrified. ‘Not back to Phipps Street?’

He raised his brows. ‘Phipps Street is her home,’ he said coolly. ‘She has lived there for so long, it would be cruel to take her away, especially as she has only a little of life left. I shall arrange for someone to go in daily and do everything necessary, and I think the landlord could be persuaded to clean up the room and perhaps paint it while she is away.’

Sarah nodded, highly approving. ‘That would be nice. Yes, you’re right, of course. She’d be lost anywhere else.’

He had lighted his pipe; now he stood up. He said, quite without sarcasm, ‘I’m glad you approve. I’m going to fetch Mrs Brown—will you wait here? I shan’t be long.’

When he had gone, she got up and began an inspection of the room. It was comfortable and lived-in, with leather armchairs and an enormous couch drawn up before the beautiful marble fireplace. The floor was polished and covered with the same beautiful rugs as there were in the hall. There was a sofa table behind the couch and a scattering of small drum tables around the room, and a marquetry William and Mary china cabinet against one of the walls. A davenport under one of the windows would make letter writing very pleasant … it had a small button-backed chair to partner it; Sarah went and sat down, feeling soothed and calmer than she had felt for the last two days or so. She realised that she hadn’t thought of Steven for several hours; she had been so occupied with Mrs Brown and the ridiculous Timmy—it had been pure coincidence, of course, that Dr van Elven should have asked for her help; all the same she felt grateful to him. He couldn’t have done more to distract her thoughts even if she had told him about the whole sorry business.

Her gratitude coloured her goodbyes when they parted in the hospital entrance hall, he to go off to some business of his own, she to take Mrs Brown to Women’s Medical. But if he was surprised by the fervour of her thanks, he gave no sign. It was only later, when she was sitting in the lonely isolation of OPD that the first faint doubts as to whether it had been coincidence crept into her mind. She brushed them aside as absurd at first, but they persisted, and the annoying thing was that she wasn’t sure if she minded or not. There was no way of finding out either, short of asking Dr van Elven to his face, something she didn’t care to do; for if she was mistaken, she could imagine only too vividly, the look of bland amusement on his face. The amusement would be kindly, and that would make it worse, because it would mean that he pitied her, a fact, which for some reason or other, she could not bear to contemplate.

She drew the laundry book towards her, resolutely emptying her mind of anything but the number of towels and pillow cases she could expect back on Monday.

CHAPTER TWO

SARAH WENT TO SEE Mrs Brown on Sunday. She went deliberately during the visiting hour in the afternoon, because she thought it unlikely that the old lady would have any visitors. She was right; Mrs Brown was sitting up in bed in a hospital nightie several sizes too large for her, looking very clean, her hair surprisingly white after its washing—a nurse had pinned it up and tied a pink bow in it as well.

‘How nice you look, Mrs Brown—I like that ribbon.’ Sarah drew up a chair and sat down, aware of the glances Mrs Brown was casting left and right to her neighbours as if to say ‘I told you so’. She made a resolve then and there to pop in and see her whenever she could spare a minute, and enquired after the old lady’s health.

Mrs Brown brushed this aside. ‘‘E sent a message,’ she stated. ‘Timmy’s ‘ad a good sleep, ‘e said, and eaten for two.’ She fidgeted around in the bed and all the pillows fell down, so that Sarah had to get up and rearrange them. ‘One of them young doctors told me this morning.’ She frowned reflectively. ‘They knows what they’re doing, I suppose? Them young ones?’

‘Yes, Mrs Brown.’ Sarah sounded very positive. ‘They’re all qualified doctors and they’re here to carry out the consultant’s wishes.’

‘So all them things ‘e did to me ‘e was told ter do by the doc?’

Sarah nodded. ‘That’s right. Now is there anything I can do for you while you’re here? Was anyone going to get your room ready for you to go back?’

The old lady looked astonished. ‘Lor’, no, ducks. ‘Oo’d ‘ave the time? Though I daresay someone’ll pop in and do me bed and get me in some stuff.’

Sarah made a noncommittal reply to this remark, and made a mental note to go round to Phipps Street one evening and make sure that there really was someone.

She didn’t see Steven again until Tuesday morning, when Mr Binns had an extra OP clinic. They had barely exchanged cool good mornings, when he was called away to the wards, and didn’t return until all but two of the patients had gone. It was already past twelve, and they were behind time. Dr van Elven had a vast clinic at one-thirty. For once she was glad of Mr Binns’ briskness; he took no time at all over the last patient—a post-operative check-up—thanked Sarah with faint pomposity, and hurried away with Steven beside him. She sent the nurses to dinner, had a few words with Staff, who had come on duty to take the gynae clinic, and then got on with the business of substituting Dr Binns’paraphernalia for that of Dr van Elven. She had almost finished when Steven returned.

He said abruptly as he came in, ‘Where the hell were you going on Saturday with old van Elven?’

Sarah’s heart gave an excited jump. So he minded! She stacked the case notes neatly and consulted her long list of names before she replied, in a calm voice she hardly recognised as her own:

‘Is it any business of yours? And if you refer to Dr van Elven, he’s not at all old, you know.’

He gave an ugly laugh. ‘You’re a sly one—pretending to be such a little puritan and playing the hurt madam with me! How long have you been leading him by the nose? He’s quite a catch.’

He was standing quite near her. She put down her list and slapped his face hard, and in the act saw Dr van Elven standing at the doorway. As he came into the room he said quietly, ‘Get out.’ His voice had the menace of a knife, although his face was impassive.

Sarah watched Steven standing irresolute, one hand to a reddened cheek, the look of surprise still on his face, and then turn on his heel and go. She had never expected him to brazen it out anyway. Dr van Elven was the senior consultant at St Edwin’s, and could, if he so wished, use his authority. She didn’t look at him now, but mumbled, ‘I’m late for dinner …’

‘Sit down,’ he said placidly, and she obeyed him weakly. She had gone very white; now her face flamed with humiliation and temper—mostly temper. She shook with it, and gripped her hands together in her lap to keep them steady. Dr van Elven went over to the desk in a leisurely fashion and put down his case. He said, not looking at her, in a most reasonable voice:

‘You can’t possibly go to the dining room in such a towering rage.’

He was right, of course. Sarah stared at her hands and essayed to speak.

‘You know about me and Steven.’

‘Yes. But I see no need to enlarge upon what must be a painful subject.’

Sarah choked on a watery chuckle, ‘I’m behaving like a heroine in a Victorian novel, aren’t I?’ She gave him a sudden waspish look. ‘I’m furious!’ she snapped, as though he hadn’t commented upon her feelings already. He said ‘Yes,’ again and gave her a half smile, then bent over his desk, leaving her to pull herself together. Presently he remarked:

‘That’s better. We have a large clinic, I believe. How fortunate—there’s nothing like hard work for calming the nerves. Might I suggest that you go to your dinner now? I should like to start punctually.’

She got up at once, unconsciously obedient to his quietly compelling voice. ‘Yes, of course, sir. I’ve been wasting time.’

She fled through the door, feeling that somehow or other he had contrived to make the whole episode not worth bothering about. She even ate her dinner, aware that he would ask her if she had done so when she got back and would expect a truthful answer.

There was not time to ask her anything, however. When she returned the benches were overflowing. The air rang with a variety of coughs, and as it was raining outside, the same air was heavy with the damp from wet coats and the redolence of sopping garments which those who had arrived first had had the forethought to dry out upon the radiators. Sarah went swiftly into the consultants’ room, saw that Dr van Elven was already sitting at his desk, adjusted her cuffs and said in her usual serene tones:

‘Shall I fetch in the first one, sir? Mr Jenkins—check-up after three weeks as in-patient.’

He gave her a brief, impersonal glance, nodded and returned to his writing. ‘I’ve seen his X-rays—I’ll want some blood though. Will you get Dr Coles on to it?’

She fetched in Mr Jenkins, waited just long enough to make sure that she wouldn’t be wanted for a moment, and flew to find the Medical Registrar. Dr Coles was tucked away in the little room near the sluice, going through Path. Lab. forms and various reports, so that later, when Dr van Elven wanted to know some detail about one of his patients, he would know the answer. He looked up as she went in and said pleasantly:

‘Hullo, Sarah. Is the chief already here? I’m still choking down facts and figures.’ He grinned and she smiled at him warmly. He was a nice man, not young any more, and apparently not ambitious, for he seemed content to stay where he was, working in hospital. He got on well with the consultant staff and was utterly reliable and invariably good-natured. He was reputed to be very happily married and was apt to talk at length about his children, of whom he was very proud. He got up now and followed her back past the rows of patients. Mr Jenkins was still describing the nasty pain that caught him right in the stomach, and Dr van Elven was listening to him with the whole of his attention. When the old man paused for breath, though, the doctor said, ‘Hullo, Dick’, and smiled at his Registrar. ‘What did you make of Mr Jenkins when he was in?’