Doctor On The Ball

Doctor On The Ball

First published in 1985

© Richard Gordon; House of Stratus 1985-2012

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise), without the prior permission of the publisher. Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.

The right of Richard Gordon to be identified as the author of this work has been asserted.

This edition published in 2012 by House of Stratus, an imprint of

Stratus Books Ltd., Lisandra House, Fore Street, Looe,

Cornwall, PL13 1AD, UK.

Typeset by House of Stratus.

A catalogue record for this book is available from the British Library and the Library of Congress.

This is a fictional work and all characters are drawn from the author’s imagination.

Any resemblance or similarities to persons either living or dead are entirely coincidental.

www.houseofstratus.com

Richard Gordon
, real name Dr. Gordon Stanley Ostlere, was born in England on 15 September 1921. He is best-known for his hilarious ‘Doctor’ books. Himself a qualified doctor, he worked as an anaesthetist at the famous St. Bartholomew’s Hospital (where he was also a medical student) and later as a ship’s surgeon, before leaving medical practice in 1952 to take up writing full time. Many of his books are based on his own true experiences in the medical profession and are all told with the wry wit and candid humour that have become his hallmark.

In all, there are eighteen titles in the
Doctor
Series, with further comic writings in another seven volumes, including
‘Great Medical Disasters’
and
‘Great Medical Mysteries’
, plus more serious works concerning the lives of medical practitioners.

He has also published several technical books under his own name, mainly concerned with anaesthetics for both students and patients. Additionally, he has written on gardening, fishing and cricket and was also a regular contributor to
Punch
magazine. His
‘Private Lives’
series, taking in
Dr. Crippen, Jack the Ripper
and
Florence Nightingale
, has been widely acclaimed.

The enormous success of
Doctor in the House
, first published in the 1950’s, startled its author. It was written whilst he was a surgeon aboard a cargo ship, prior to a spell as an academic anaesthetist at Oxford. His only previous literary experience had been confined to work as an assistant editor of the
British Medical Journal
. There was, perhaps, a foretaste of things to come whilst working on the
Journal
as the then editor, finding Gordon somewhat jokey, put him in charge of the obituaries!

The film of
Doctor in the House
uniquely recovered its production costs whilst still showing at the cinema in London’s West End where it had been premiered. This endeared him to the powerful Rank Organisation who made eight films altogether of his works, which were followed by a then record-breaking TV series, and further stage productions.

Richard Gordon’s books have been translated into twenty languages.

He married a doctor and they had four children, two of whom became house surgeons. He now lives in London.

For twenty-five years have I practised in Churchford, a pleasant and prosperous old market town in Kent, now populated largely by middle-class commuters obsessed with their weight. I have steadfastly observed them in the nude, wrestled with their indigestion, insomnia, allergies, phobias, depressions, bronchitis, sexual fantasies and aversion to relatives. I have prescribed sufficient tranquillizers to soothe the tormented devils of Hell, enough laxatives to move the bowels of the earth, and have spread with the pill more carefree enjoyment than Horizon Holidays.

I started single-handed from the Victorian villa where we live, the medical equivalent of the corner shopkeeper or jobbing builder. Now I have an architect-designed surgery and three partners to share the pains of my profession, which grotesquely combines the servitude of a lackey with the authority of a saint, the tenderness of a bride with the steeliness of an assassin, scholarship with squalor, sorcery with science, and handicraft with hocus-pocus.

After a quarter of a century, I am often bored with it. Patients are puzzled or shocked by this admission. But any customer, criminal, case, or confessor becomes much like another to the man who makes his livelihood disposing of him.

Luckily, the doctor enjoys one daily stimulant. What fascinating human conundrum might sit itself next on the consulting-room chair?

I have encountered some amazing cases, which I meant to write up for the education of my fellow-doctors in the learned journals, if only a lifetime of general practice had left me the time to do anything…

One bright, frosty January morning, spryly stepped into my custard-coloured consulting room Ernie Partridge, from
Mann’s Estate
.

Or rather, Nigel Vaughan, the middle-aged actor who plays him in the TV serial about an estate created on the splendid principles of social engineering, which means the poor being obliged to live in unhomely flats tolerable only with the luxuries of the rich. The social mixture, polarizing like iron filings under a magnet, is irresistible to the class-obsessed British, who watch each week by countless millions.

Everyone is fascinated to see a famous actor close to, though they are generally as unremarkable out of action as performing seals. Nigel Vaughan was short, pink, plump, neatly prosperous in tweed jacket, canary pullover and suede boots. He differed from any commuting stockbroker at a weekend only by the lovely hair-do.

He was suffering from bellyache.

I began the well-worn clinical catechism. Where was the pain? Under the ribs, doctor. Severe? Oh, like a vice! Related to meals? Difficult to say, doctor, meals were irregular, the show’s running through a bad patch. You see, we have rehearsals all week, shooting before a studio audience on Saturday night, and it goes out the next Tuesday. I asked, Had he any personal worries? He burst into tears.

‘Dr Gordon,’ he exclaimed, ‘I am going to die.’

‘Oh, tut tut,’ I murmured soothingly. ‘Oh, come, come. We mustn’t jump to gloomy conclusions, must we?’

‘But I
am
, doctor,’ he insisted miserably. ‘On January the thirty-first, to be exact.’

I wondered how the hell he knew, but said comfortingly, ‘We haven’t even made the diagnosis yet, have we? Lots of people suffer digestive trouble and live for years and years. It’s the fifth commonest complaint family doctors see,’ I consoled him. ‘It comes between wax in the ears and backache. There’s statistics to prove it.’

‘But it’s in the script, doctor,’ he explained despairingly. ‘They’re writing me out. I’ve already been taken poorly. It was taped last Saturday, and it’s on the air at seven thirty tonight. Next week, I’m worse. The week after I’m terrible. I haven’t a chance. I’ve read the lines. I have only four more episodes to live.’ He blew his nose on a tissue.

I frowned.

I have reached the age when my hairline can recede no farther, if my waistline enjoys infinite possibilities of advancement. My wife Sandra tuts as she untucks the seams of my favourite brown tweed suit, which she claims is more appropriate for the butts than the bedside. The cells of my brain have meanwhile been steadily degenerating at the rate of a million a week. Or perhaps day. Or possibly hour. So many have gone, I cannot remember. Its grip has lost its forceps’ precision.

I slid my half-moons down my nose and stared at Nigel Vaughan. He stared back with the touching expression of patients towards their government-sponsored ministering angel – I am said by the more imaginative ones to resemble a cherub gone to seed.

‘Now, wait a minute–’ I sieved my thoughts. ‘Let’s get this straight. Look, Ernie Partridge is a terminal case, OK? And rotten luck to the poor fellow. But there is absolutely no reason for Nigel Vaughan to follow Ernie Partridge into an early grave,’ I indicated, ‘unless you are taking your profession with undue seriousness.’

He sat slowly shaking his head. ‘It’s all very well, you putting it like that, doctor. But I’ve been having these nasty pains and feeling utterly wretched since Hal Tibbs – that’s our producer – revealed last month that Ernie was suffering from a fatal illness. Of course, Hal broke the news gently,’ he conceded. ‘He’s a lovely man really. Pity he’s such a bastard over the money.’

‘But that’s
Ernie
–’

Nigel Vaughan gulped. ‘Hal took me out to lunch. He said he’d hardly the heart to tell me. They were all going to miss me terribly, it was just as if one of his own family had the skids on. I’ll never forget it, as long as I live.’

‘But
you
are Mr Vaughan–’

Suddenly he squared his shoulders, looked like the man between the wall and the firing squad. Actors can change their personality as easily as shuffling cards. ‘I took the terrible news on the chin. I just said, If it’s to be, Hal me old darling, it’s to be. None of us can go on for ever. One day the very show itself may come to an end.’

‘The patient is
Mr
Partridge
–’

‘Though God knows how I shall break it to the wife, I told him. Then Hal put down his balloon glass of brandy and took both my hands in his. It was a lovely gesture. As I often say, it takes a personal tragedy to show who your real friends are.’

‘
Who
–’

‘Hal advised me to set my affairs in order. No point in jibbing at the inevitable, is there? I phoned my agent that very afternoon. It’s nice to know I’m leaving behind such wonderful people.’

He jumped. I had banged the desk.

‘
Who
does
not
exist!
’

‘I know, I know,’ he admitted wearily. ‘But Ernie and Nigel have been one and the same bloke over ten years. When I go opening fêtes and that, I’m invited as Ernie Partridge. Everyone wants Ernie Partridge’s autograph, not mine. It’s not me nabbed for speeding in the papers, it’s Ernie Partridge.
This
wasn’t my
Life
, it was Ernie Partridge’s. At that garden party in Buckingham Palace, the Queen was being gracious to Ernie Partridge. In pubs, people call me Ernie and ask after everyone in the show – not the cast, the real people, but the characters they’re paid to perform. When the wife goes shopping, they call her Mrs Partridge and say how wonderful it must be having such a steady, loving hubby.’

He fell silent. I murmured something about the mysterious effect of mind on body. He asked sombrely, ‘Do you know what a
Doppelgänger
is, doctor?’

‘Yes, the ghost of someone who’s still living.’

He nodded disconsolately. ‘It can appear to other people while you’re still walking about. Creepy. My trouble is not knowing exactly who’s the spook – me or Ernie.’

‘If you’ll take off your jacket,’ I directed, ‘I’ll examine both of you.’

Nothing abnormal.

Buttoning up his check shirt, Nigel Vaughan observed whimsically, ‘You know, doctor, I’ve always had a longing to play Hamlet. I suppose most of us have in the profession, at one time or another. But I’ve had to take the parts that come along – “For we that live to please, must please to live,” eh? Maybe you think I’m a bit past it? But the great Beerbohm Tree played Hamlet at the Haymarket when he was over forty.’ He sighed. ‘Well, that’s another ambition I’ve got to forget.’

I pointed out, ‘But once you’ve escaped from the thespian treadmill of
Mann’s Estate
, you’ll be free to play Hamlet or Peter Pan or Charley’s Aunt or whoever you feel like.’

His face lightened. ‘So I will! It’s somehow difficult to believe in life after Ernie’s death.’

‘Though I expect you’d run into the same trouble playing the Bard,’ I pointed out. ‘Most of his characters seem to exit on the point of a sword.’

I prescribed an antacid and warned him off chips and booze.

I could not observe the onset of Ernie Partridge’s fatal illness that evening, through a meeting on GP–hospital relations at the Churchford General. I have complained for years that the consultants’ gloriously trailed clouds of registrars and housemen only befog the GP about who is treating his patient. The surgery is efficient, but anonymous, like supermarket butchery. Perhaps communications will improve now my daughter Jilly is a surgical registrar there. (Against my advice. Hers is a forlorn career, poor dear. Despite the feminist explosion in the medical profession, surgery in the late twentieth century remains as predominantly a male activity as duelling in the early nineteenth.) She seems welcome at the General. Jilly is like her mother was, tall, blonde, with crisp features, and inclined to be bossy.

I thought deeply all week of Nigel Vaughan’s case. Actors’ emotions are their stock-in-trade, like the sportsman’s eye or the athlete’s wind. It is a strange job which demands a man memorize a conversation then deliver it in funny clothes as though passionate in every word. The actor who plays Othello must feel sulphurously jealous, Henry V enviably brave and Romeo dreadfully randy. (Though my friend Dr Lonelyhearts, who writes medical articles for the papers and moves in artistic circles, says that the greatest actors can deliver Caesar’s funeral oration while working out their income tax.)

I decided that Nigel Vaughan’s role was affecting his psychology as powerfully as vice versa. My diagnosis was the famous mental disease of
folie à deux
.

Let me explain this fascinating condition of second-hand madness, discovered by two French psychiatrists in 1873.

We all have days imagining that every policeman is watching us, every driver trying to murder us, and all the girls laughing behind our backs. Some people suffer permanent delusions of persecution – the neighbours, the Jesuits and Jews, the BBC are common culprits. These are trying to poison them, or accusing them of incest and murder, or bugging their homes and spying through the TV. Some sufferers in desperation move house, inevitably to find more persecutors awaiting. The mad ideas can spread to one, two or three perfectly sane relatives or friends, who believe as honestly as they that the Pope or the Editor of
The Times
is nightly pumping lethal gas through the bedroom curtains. The record for psychopathic fallout is twelve, a family in Taiwan, so deluded over non-existent mites crawling through their skins the poor things scratched themselves raw. The only oddity of Nigel Vaughan’s condition was the two sufferers living inside his head like landlord and lodger.

A week later, I determined to join the countless millions watching
Mann’s Estate
. I never do my share of the nation’s television-watching (twenty hours a week, long enough to read aloud a quarter of the Bible). I switched on and settled down with my wife Sandra. She frequently supplies a clear, common-sense second opinion to my cases. She was once a staff nurse at my hospital of St Swithin’s in the East End of London. Her tall figure remains amazingly slim, if the long fair hair once twined bewitchingly under her white cap has faded like the gold of a cornfield in the sunset. She is an incomparable helpmeet, though I sometimes allow myself the shameful fantasy of being a consultant neurosurgeon instead of a downtrodden GP had she come to me thirty years ago with more than two Liberty lawn dresses, a shelf of Penguins, a Teasmade and £26 4s 6d in the Post Office. As I advise our son Andy (in medical research), the best prescription for success in a medical career, as in all others, is to marry money.

The television scene was a tasteful lounge. My patient was staggering against the Parker-Knoll sofa and stumbling over the Habitat coffee table before clutching the Sanderson curtains lining the picture window. As he seized his belly and groaned like the creak of a graveyard gate, I observed with concern, ‘You know, he really is a sick man.’

‘A symptomatic spectacular,’ Sandra agreed admiringly.

He retched noisily, endangering the white fitted carpet. I continued anxiously, ‘I hope I haven’t missed anything.’

‘But it’s only just started, Richard.’

‘I mean, when I saw him last week,’ I elucidated, as the poor fellow gripped his throat and howled like a dyspeptic dog. ‘Supposing it wasn’t simple indigestion? Suppose he’s got a peptic ulcer, an acute gallbladder, cancer of the stomach? Any would fit his present state.’ I felt sweat in my palms. ‘Apart from the tragedy of unnecessary human suffering, I could have exposed myself to enormous damages for malpractice. You know what patients are like these days – get a diagnosis wrong, and you’re in court quicker than going through a red light. Look at that!’ I exclaimed in horror, as he tottered to a repro-Jacobean cocktail cabinet, grabbed a bottle of Scotch, upended it and gulped like a soccer player at half-time.

‘Straight out of the bottle!’ I complained crossly. ‘When I strictly told him to knock it off. It’s no wonder some patients take the short cut to the tomb, not following their doctor’s advice. Frankly, I’m surprised and disappointed. He seemed such a responsible and stolid type.’

Sandra was staring at me. ‘Are you mad?’

‘What’s the matter?’ I asked shortly.

‘You are looking at Ernie Partridge,’ she pronounced slowly, nodding towards the screen. ‘Who is an item of fiction, like King Kong.’