Summary:

In 1921, the twenty-four year-old Scottish medical graduate, Andrew Manson, takes up an assistant’s position in a small Welsh mining town. He is idealistic, but he quickly learns that his training is inadequate and that his hemiplegic employer will never return to practice. Manson must do all the work for a pittance and bad food. He befriends another assistant, the surgeon Phillip Denny, whose fatal flaw is devotion to drink. Together they solve the town’s problem with typhoid by blowing up the sewer.

Manson’s escape comes in a new job in a larger town and marriage to the equally idealistic Christine. She encourages him to continue his studies and to conduct research on the relationship between dust inhalation and tuberculosis. The results include higher degrees and international recognition, but they also bring about the wrath of the town’s antivivisectionists. To add to the gloom, Christine looses a much wanted pregnancy and the ability to have children.

The Mansons leave Wales for London, where Manson hopes to extend his research within a government agency. Quickly disillusioned by bureaucracy, he is lured into society practice and slowly abandons his ideals in exchange for prestige and wealth. Christine is increasingly unhappy, but his response is annoyance with her and an affair with a married woman. When one of his new associates botches an elective operation on a trusting patient, he realizes the colleague is nothing more than a society abortionist and that he and his new friends are little better.

He decides to sell his practice and renews contact with Denny to establish a group consulting practice "on scientific principles" in a carefully chosen Midland town. He also helps the tubercular daughter of an old friend to an unorthodox (but effective) pneumothorax in a clinic run by Stillman, an American who does not have an MD. Just as he and Christine have rediscovered joy in each other and their future together, she is killed in a freak accident. Only days later in the depths of grief, he is brought before the General Medical Council on charges of unprofessional conduct laid by his former associates. He acquits himself brilliantly and leaves with his old friend Denny for work in the Midlands.

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Summary:

David Moray is a wealthy physician in his fifties who lives in a Swiss villa, where he indulges his passion for collecting art. He is contemplating a relationship with the stylish yet impoverished Frida von Altishofer, but an idle comment overheard at a party brings an intoxicating memory from his youth. As an idealistic medical student, he once loved and planned to marry Mary Cameron, a simple, highland lass. But first, David had to take a long sea voyage as a ship doctor to recover from tuberculosis; there he met pouting but provocative Doris, and her hopeful parents.

The prospect of a fabulous income in the family’s drug business makes him abandon Mary and a medical practice. He marries Doris but within a short time she is permanently committed to an asylum. The family semi-apologizes for not having told him of her illness. David compensates for his miserable marriage with material possessions that are a proxy for self esteem, until Doris dies and sets him free.

The overhead remark sends him back to Scotland only to discover that his jilted Mary, who had married a minister, is now dead. Her daughter, Kathy, is a nurse and the very spit of her mother. He falls in love all over again. Kathy will not marry him unless he returns to practice and joins her and her uncle as missionaries in Africa. Full of good intentions, he agrees. But he does not tell Kathy about Mary, and he forces himself on her against her will.

When he assimilates the very real dangers of mission work, he simply fails to show up for the appointed rendezvous; he will marry Frida and keep his cherished possessions instead. Told bluntly by Frida of the marriage and of her mother’s past, Kathy drowns herself. David must identify her body. He then hangs himself from a Judas Tree.

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Summary:

In 1930s London, a doctor is visited by his wealthy and powerful patient Beatrice Glendenning, who demands an abortion. Although the doctor is an occasional guest of this woman and her husband at their country estate, the law requires that he refuse her request, and he advises her to have the child--and most certainly not to get a backstairs abortion. She tells him that it is not her husband's child, that bearing it would never do, and storms out of the office.

Ten days later her husband calls the doctor to ask if he could drop by the Glendenning townhouse and look in on Beatrice, who, he says, has the flu. The doctor goes, and discovers that she has gotten an infection from an undercover abortion. He feels trapped, but he treats Beatrice anyway, resenting her the whole time. The husband maintains his story that Beatrice has the flu, and the doctor leaves thinking that the husband never suspected. In the fall, as usual, he is invited to a pheasant shoot on the Glendenning estate.

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