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Considering
that
statistics
had
not
yet
embraced
a
calculation
as
to
the
number
of
ignorant
or
canting
doctors
which
absolutely
must
exist
in
the
teeth
of
all
changes
,
it
seemed
to
Lydgate
that
a
change
in
the
units
was
the
most
direct
mode
of
changing
the
numbers
.
He
meant
to
be
a
unit
who
would
make
a
certain
amount
of
difference
towards
that
spreading
change
which
would
one
day
tell
appreciably
upon
the
averages
,
and
in
the
mean
time
have
the
pleasure
of
making
an
advantageous
difference
to
the
viscera
of
his
own
patients
.
But
he
did
not
simply
aim
at
a
more
genuine
kind
of
practice
than
was
common
.
He
was
ambitious
of
a
wider
effect
:
he
was
fired
with
the
possibility
that
he
might
work
out
the
proof
of
an
anatomical
conception
and
make
a
link
in
the
chain
of
discovery
.
Does
it
seem
incongruous
to
you
that
a
Middlemarch
surgeon
should
dream
of
himself
as
a
discoverer
?
Most
of
us
,
indeed
,
know
little
of
the
great
originators
until
they
have
been
lifted
up
among
the
constellations
and
already
rule
our
fates
.
But
that
Herschel
,
for
example
,
who
"
broke
the
barriers
of
the
heavens
"
did
he
not
once
play
a
provincial
church
-
organ
,
and
give
music
-
lessons
to
stumbling
pianists
?
Each
of
those
Shining
Ones
had
to
walk
on
the
earth
among
neighbors
who
perhaps
thought
much
more
of
his
gait
and
his
garments
than
of
anything
which
was
to
give
him
a
title
to
everlasting
fame
:
each
of
them
had
his
little
local
personal
history
sprinkled
with
small
temptations
and
sordid
cares
,
which
made
the
retarding
friction
of
his
course
towards
final
companionship
with
the
immortals
.
Lydgate
was
not
blind
to
the
dangers
of
such
friction
,
but
he
had
plenty
of
confidence
in
his
resolution
to
avoid
it
as
far
as
possible
:
being
seven
-
and
-
twenty
,
he
felt
himself
experienced
.
And
he
was
not
going
to
have
his
vanities
provoked
by
contact
with
the
showy
worldly
successes
of
the
capital
,
but
to
live
among
people
who
could
hold
no
rivalry
with
that
pursuit
of
a
great
idea
which
was
to
be
a
twin
object
with
the
assiduous
practice
of
his
profession
.
There
was
fascination
in
the
hope
that
the
two
purposes
would
illuminate
each
other
:
the
careful
observation
and
inference
which
was
his
daily
work
,
the
use
of
the
lens
to
further
his
judgment
in
special
cases
,
would
further
his
thought
as
an
instrument
of
larger
inquiry
.
Was
not
this
the
typical
pre
-
eminence
of
his
profession
?
He
would
be
a
good
Middlemarch
doctor
,
and
by
that
very
means
keep
himself
in
the
track
of
far
-
reaching
investigation
.
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On
one
point
he
may
fairly
claim
approval
at
this
particular
stage
of
his
career
:
he
did
not
mean
to
imitate
those
philanthropic
models
who
make
a
profit
out
of
poisonous
pickles
to
support
themselves
while
they
are
exposing
adulteration
,
or
hold
shares
in
a
gambling
-
hell
that
they
may
have
leisure
to
represent
the
cause
of
public
morality
.
He
intended
to
begin
in
his
own
case
some
particular
reforms
which
were
quite
certainly
within
his
reach
,
and
much
less
of
a
problem
than
the
demonstrating
of
an
anatomical
conception
.
One
of
these
reforms
was
to
act
stoutly
on
the
strength
of
a
recent
legal
decision
,
and
simply
prescribe
,
without
dispensing
drugs
or
taking
percentage
from
druggists
.
This
was
an
innovation
for
one
who
had
chosen
to
adopt
the
style
of
general
practitioner
in
a
country
town
,
and
would
be
felt
as
offensive
criticism
by
his
professional
brethren
.
But
Lydgate
meant
to
innovate
in
his
treatment
also
,
and
he
was
wise
enough
to
see
that
the
best
security
for
his
practising
honestly
according
to
his
belief
was
to
get
rid
of
systematic
temptations
to
the
contrary
.
Perhaps
that
was
a
more
cheerful
time
for
observers
and
theorizers
than
the
present
;
we
are
apt
to
think
it
the
finest
era
of
the
world
when
America
was
beginning
to
be
discovered
,
when
a
bold
sailor
,
even
if
he
were
wrecked
,
might
alight
on
a
new
kingdom
;
and
about
1829
the
dark
territories
of
Pathology
were
a
fine
America
for
a
spirited
young
adventurer
.
Lydgate
was
ambitious
above
all
to
contribute
towards
enlarging
the
scientific
,
rational
basis
of
his
profession
.
The
more
he
became
interested
in
special
questions
of
disease
,
such
as
the
nature
of
fever
or
fevers
,
the
more
keenly
he
felt
the
need
for
that
fundamental
knowledge
of
structure
which
just
at
the
beginning
of
the
century
had
been
illuminated
by
the
brief
and
glorious
career
of
Bichat
,
who
died
when
he
was
only
one
-
and
-
thirty
,
but
,
like
another
Alexander
,
left
a
realm
large
enough
for
many
heirs
.
That
great
Frenchman
first
carried
out
the
conception
that
living
bodies
,
fundamentally
considered
,
are
not
associations
of
organs
which
can
be
understood
by
studying
them
first
apart
,
and
then
as
it
were
federally
;
but
must
be
regarded
as
consisting
of
certain
primary
webs
or
tissues
,
out
of
which
the
various
organs
brain
,
heart
,
lungs
,
and
so
on
are
compacted
,
as
the
various
accommodations
of
a
house
are
built
up
in
various
proportions
of
wood
,
iron
,
stone
,
brick
,
zinc
,
and
the
rest
,
each
material
having
its
peculiar
composition
and
proportions
.
No
man
,
one
sees
,
can
understand
and
estimate
the
entire
structure
or
its
parts
what
are
its
frailties
and
what
its
repairs
,
without
knowing
the
nature
of
the
materials
.
And
the
conception
wrought
out
by
Bichat
,
with
his
detailed
study
of
the
different
tissues
,
acted
necessarily
on
medical
questions
as
the
turning
of
gas
-
light
would
act
on
a
dim
,
oil
-
lit
street
,
showing
new
connections
and
hitherto
hidden
facts
of
structure
which
must
be
taken
into
account
in
considering
the
symptoms
of
maladies
and
the
action
of
medicaments
.
But
results
which
depend
on
human
conscience
and
intelligence
work
slowly
,
and
now
at
the
end
of
1829
,
most
medical
practice
was
still
strutting
or
shambling
along
the
old
paths
,
and
there
was
still
scientific
work
to
be
done
which
might
have
seemed
to
be
a
direct
sequence
of
Bichat
s
.
This
great
seer
did
not
go
beyond
the
consideration
of
the
tissues
as
ultimate
facts
in
the
living
organism
,
marking
the
limit
of
anatomical
analysis
;
but
it
was
open
to
another
mind
to
say
,
have
not
these
structures
some
common
basis
from
which
they
have
all
started
,
as
your
sarsnet
,
gauze
,
net
,
satin
,
and
velvet
from
the
raw
cocoon
?
Here
would
be
another
light
,
as
of
oxy
-
hydrogen
,
showing
the
very
grain
of
things
,
and
revising
ail
former
explanations
.
Of
this
sequence
to
Bichat
s
work
,
already
vibrating
along
many
currents
of
the
European
mind
,
Lydgate
was
enamoured
;
he
longed
to
demonstrate
the
more
intimate
relations
of
living
structure
,
and
help
to
define
men
s
thought
more
accurately
after
the
true
order
.
The
work
had
not
yet
been
done
,
but
only
prepared
for
those
who
knew
how
to
use
the
preparation
.
What
was
the
primitive
tissue
?
In
that
way
Lydgate
put
the
question
not
quite
in
the
way
required
by
the
awaiting
answer
;
but
such
missing
of
the
right
word
befalls
many
seekers
.
And
he
counted
on
quiet
intervals
to
be
watchfully
seized
,
for
taking
up
the
threads
of
investigation
on
many
hints
to
be
won
from
diligent
application
,
not
only
of
the
scalpel
,
but
of
the
microscope
,
which
research
had
begun
to
use
again
with
new
enthusiasm
of
reliance
.
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Such
was
Lydgate
s
plan
of
his
future
:
to
do
good
small
work
for
Middlemarch
,
and
great
work
for
the
world
.
He
was
certainly
a
happy
fellow
at
this
time
:
to
be
seven
-
and
-
twenty
,
without
any
fixed
vices
,
with
a
generous
resolution
that
his
action
should
be
beneficent
,
and
with
ideas
in
his
brain
that
made
life
interesting
quite
apart
from
the
cultus
of
horseflesh
and
other
mystic
rites
of
costly
observance
,
which
the
eight
hundred
pounds
left
him
after
buying
his
practice
would
certainly
not
have
gone
far
in
paying
for
.
He
was
at
a
starting
-
point
which
makes
many
a
man
s
career
a
fine
subject
for
betting
,
if
there
were
any
gentlemen
given
to
that
amusement
who
could
appreciate
the
complicated
probabilities
of
an
arduous
purpose
,
with
all
the
possible
thwartings
and
furtherings
of
circumstance
,
all
the
niceties
of
inward
balance
,
by
which
a
man
swims
and
makes
his
point
or
else
is
carried
headlong
.
The
risk
would
remain
even
with
close
knowledge
of
Lydgate
s
character
;
for
character
too
is
a
process
and
an
unfolding
.
The
man
was
still
in
the
making
,
as
much
as
the
Middlemarch
doctor
and
immortal
discoverer
,
and
there
were
both
virtues
and
faults
capable
of
shrinking
or
expanding
.
The
faults
will
not
,
I
hope
,
be
a
reason
for
the
withdrawal
of
your
interest
in
him
.
Among
our
valued
friends
is
there
not
some
one
or
other
who
is
a
little
too
self
-
confident
and
disdainful
;
whose
distinguished
mind
is
a
little
spotted
with
commonness
;
who
is
a
little
pinched
here
and
protuberant
there
with
native
.
prejudices
;
or
whose
better
energies
are
liable
to
lapse
down
the
wrong
channel
under
the
influence
of
transient
solicitations
?
All
these
things
might
be
alleged
against
Lydgate
,
but
then
,
they
are
the
periphrases
of
a
polite
preacher
,
who
talks
of
Adam
,
and
would
not
like
to
mention
anything
painful
to
the
pew
-
renters
.
The
particular
faults
from
which
these
delicate
generalities
are
distilled
have
distinguishable
physiognomies
,
diction
,
accent
,
and
grimaces
;
filling
up
parts
in
very
various
dramas
.
Our
vanities
differ
as
our
noses
do
:
all
conceit
is
not
the
same
conceit
,
but
varies
in
correspondence
with
the
minutiae
of
mental
make
in
which
one
of
us
differs
from
another
.
Lydgate
s
conceit
was
of
the
arrogant
sort
,
never
simpering
,
never
impertinent
,
but
massive
in
its
claims
and
benevolently
contemptuous
.
He
would
do
a
great
deal
for
noodles
,
being
sorry
for
them
,
and
feeling
quite
sure
that
they
could
have
no
power
over
him
:
he
had
thought
of
joining
the
Saint
Simonians
when
he
was
in
Paris
,
in
order
to
turn
them
against
some
of
their
own
doctrines
.
All
his
faults
were
marked
by
kindred
traits
,
and
were
those
of
a
man
who
had
a
fine
baritone
,
whose
clothes
hung
well
upon
him
,
and
who
even
in
his
ordinary
gestures
had
an
air
of
inbred
distinction
.
Where
then
lay
the
spots
of
commonness
?
says
a
young
lady
enamoured
of
that
careless
grace
.