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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/24699-8.txt b/24699-8.txt new file mode 100644 index 0000000..8736d27 --- /dev/null +++ b/24699-8.txt @@ -0,0 +1,985 @@ +The Project Gutenberg EBook of Some Personal Recollections of Dr. Janeway, by +James Bayard Clark + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Some Personal Recollections of Dr. Janeway + +Author: James Bayard Clark + +Release Date: February 26, 2008 [EBook #24699] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK SOME PERSONAL RECOLLECTIONS *** + + + + +Produced by Bernd Meyer and the Online Distributed +Proofreading Team at http://www.pgdp.net (This file was +produced from images generously made available by The +Internet Archive/American Libraries.) + + + + + + + + +[Illustration] + + + + + Some + + Personal Recollections + + of + + Dr. Janeway + + + + By + + James Bayard Clark + + + + G. P. Putnam's Sons + New York and London + The Knickerbocker Press + 1917 + + + + + + COPYRIGHT, 1917 + BY + JAMES BAYARD CLARK + + + + + + + + + + + + + The Knickerbocker Press, New York + + + + + + BIOGRAPHICAL NOTE + + +Edward Gamaliel Janeway was born in New Brunswick, New Jersey, August +31, 1841. He was graduated from Rutgers College in 1860, receiving the +degree of B.A. and M.A. from that institution. In 1864 he was graduated +from the College of Physicians and Surgeons in New York, receiving the +degree of M.D. Later in life, the degree of LL.D. was conferred upon +him, by Rutgers in 1898, by Columbia in 1904, and by Princeton in 1907. +While in the medical school in the years 1862 and 1863, he was made +acting medical cadet in the United States Army hospitals at Newark, New +Jersey. + +He began to practise medicine in New York City where he continued and +ended his professional career. In 1869, he became professor of pathology +and practical anatomy in Bellevue Hospital Medical College, continuing +in that capacity until 1876. From 1868 to 1871 he was visiting physician +to Charity Hospital. In 1871 he became visiting physician to Bellevue +Hospital where he remained for many years and where, in the pathological +department, he won such distinction. He later became visiting and +consulting physician to other hospitals in the city. + +In 1874 he was vice-president of the New York Pathological Society. From +1875 till 1882, he was Health Commissioner of New York. In 1876 he was +president of the New York Medical Journal Association. His principal +contributions to medical literature appear in the medical journals of +New York. + +He was president of the Academy of Medicine in 1897 and 1898 and a +trustee from 1899 until 1903. + +He died in Summit, New Jersey, on February 10, 1911. + + + + IN MEMORIAM + + +On April 6, 1911, the Fellows of the New York Academy of Medicine met to +honour his memory and to give reverent tribute to the sum of his +accomplishments as Pathologist, Sanitarian and Physician. + + + + Some + Personal Recollections of + Dr. Janeway + + + + +I + + +What it is that has kept urging me to write down these recollections of +Edward Gamaliel Janeway, the physician, would indeed be rather hard to +define, but the desire to record a little something of what I had +personally come to know of this unusual man made itself felt very +shortly after his death, now over five years ago. Since that time this +feeling--steadily growing--seems irresistibly to have drawn me on to +this endeavour to add some little part to the perpetuation of his +memory--this man, who without pretence held the reputation of--one stops +to take a breath before writing it--the reputation of being the best +diagnostician in the world. + +If by some happy chance these pen-pictured glimpses should bear some +likeness to the man--if they should bring out here and there a line or +colour which will recall some characteristic, show some quality, reveal +some trait which, for those who knew him, will help to keep his memory +fresh, they will have earned for themselves a very good reward. But +beyond this, if they should fall to the notice of a younger generation +and, more especially, to those choosing the profession of the physician, +and the reader can discern therein something of the man himself, can get +some glimpse of his life and its meaning, can gain some sense of the +sincerity, the simplicity, the self-sacrifice and singleness of purpose +which guided him and finally lifted him so far out of and above the +ordinary, then will the pleasant task of recalling fully justify this +venturesome effort. + + * * * * * + +It was in the midst of my medical schooldays and in the unrestraint of +Adirondack holidays twenty years ago that I first met Dr. Janeway. As I +look back at this first memory I can see a vigorous, well-built man a +little way on in the fifties, dressed for a mountain climb or a game of +golf. His fine, firm-featured face would have struck one as rather stern +if one happened to miss that blessed kindliness which always lighted his +steady eyes. Though dressed for outing, it was not difficult to see by a +brief study of his face that his choice of exercise was intellectual +rather than physical, yet he went to his game or his walk with the same +directness of purpose with which he went to his work. + +Ordinary social intercourse was an effort for him. It seemed as if he +had to focus his mind down to the mental horizon of the everyday world +of everyday people around him, yet he did not appear impatient of the +small talk going on about him so long as it was plain he was not to take +part in it himself. + +One characteristic which never failed to impress those who met him was +his reserve. It was the quality of it which was so striking. It was not +a reserve which was raised of aloofness; there was no particle of that, +no self-esteem, no egoism--common builders of reserve--yet on the other +hand it was not the retreat of shyness as many might have thought, +though out of it a certain constraint was undoubtedly born. One might +almost say it was a result rather than a reserve; the result of a +something hard at work within; a preoccupying something; a gestating +something, the offspring of which was--well--what _he_ was. + +Another quality which leaves itself deep carved in the memory of these +early days of acquaintance was the quiet, unconscious respect he seemed, +with equal unconsciousness, to inspire in all about him; and more, even +in those who in kinship and friendship were closest to him, and with a +constancy which never wavered. In those days only the more evident +traits of his character came home to me. It was rather by feeling, by +intuition, that he impressed me. I had no measure of my own with which +to estimate his mental attainments. I had a kind of awe, of hero-worship +in knowing him, which left me reticent in the discussion of any medical +matters with him--so I usually stuck in those days to safer subjects. + +It was not until two or three years later, after I was graduated, that I +had any association of a professional nature with him. It was near the +end of the summer, up in the mountains. An elderly lady, a member of a +well-known family, was suddenly taken ill. I was hurriedly called to see +her, and on arriving at her cottage was told that Dr. Janeway had been +sent for also and would be there soon; but they were anxious to have me +go to the patient at once. The state of excitement into which this, my +first professional call, threw me, was in itself enough without the +crushing thought of what the great man might think of me, a then +full-fledged M.D. I was ushered into the bedroom where she lay, totally +unconscious and breathing heavily. As I hastened to the house, I had +been formulating in my mind just the questions I should put to her--for +I had learned in the medical school how to take a careful history--and +there she lay without speech, without hearing, and without response. As +I stood looking at her I could feel, rather than see, the family +anxiously crowding about the doorway, waiting for me to tell them just +what the trouble was, how serious it was, what were the chances of her +recovery. At that moment I wondered why I had ever thought of studying +medicine. I sat down by the bedside and felt her pulse. Why was she +unconscious? I tried to think of all the things which caused a state of +unconsciousness. Suppose she should die before I could think of what the +trouble was, and before I could do anything to save her life! The +thought was staggering! And then as I looked down at the patient again +I realized, alas, that my chance of making a diagnosis to give to the +family and then to proudly repeat it to Dr. Janeway, had vanished--for +at that moment the doctor's voice could be heard outside the door and +the next he was quietly stepping into the room. As he came forward, I +stood aside to give him my place at the bedside. He asked one or two +simple questions which I was fortunately able to answer. As I look back, +I feel sure he did this to put me at my ease. This was the first time I +had ever seen Dr. Janeway in the sick-room. It would be hard to describe +the difference between this man I now saw examining the sick woman and +the Dr. Janeway I had known before. There was a light in his eyes and an +alertness in his voice, entirely new to me, as he deftly built up his +diagnosis, pointing out this physical sign and that, until the complete +pathological picture seemed to stand out as on the page of a book. + +A little later as we came out from a talk with the family, he turned to +them and said: "Now the doctor and I wish to have a little consultation +together." How well I remember my feelings at that moment as he led me +into a room apart and closed the door. Anticipating what seemed to me +inevitable I said: "Of course, Dr. Janeway, they will want someone who +is older, someone with more--" He cut me short with, "You are going to +take care of her." "But--but--" I said. As if reading my thoughts he +smiled as he remarked: "That's what we are going to talk over now. Get a +pencil and paper and we will outline the necessary treatment." I wrote +down what he suggested, we arranged about getting the trained nurses, +and then, somehow, as the Doctor rose to go, the feeling came over me +that after all this was more of a job than, perhaps, I had any right to +undertake alone. I stood for a moment with these thoughts in my mind +when the Doctor put his hand on my shoulder and said: "If things don't +go just right come up any time and see me and we'll have a little talk; +or if you need me here, let me know. I am going now to tell the family +you will take charge of this case." + +And thus it was that the old lady was guided back to consciousness and +comfort by the steady head and generous hand in the background; while +the fledgeling physician reaped praise for her progress. + + + + +II + + +It was not until a year or two later that I was again brought, in a +medical way, into association with the Doctor. It happened to be at the +beginning of summer and at a time when I was waiting for a hospital +position in the fall, that I received word from him offering me a +position in his office in New York to take the place of his regular +laboratory assistant who was to be away for several months. No offer +before or since ever sounded so good to me. The morning of the appointed +day saw me there bright and early. This was to be a rare opportunity. I +felt it then; I know it now. Some of the secrets of his greatness were +to be unfolded to me, and I was eager for the work which would teach me +something of his ways. + +I was shown to the laboratory which was to be my special province. This +was equipped for carrying out by microscopical and chemical analysis, +all the practical tests which were necessary, as well as some bacterial +breeding. Absolute accuracy of results was the single aim and the simple +motto of this workshop. It was a room built on at the back of the house, +where light and quiet were assured. To the front of this were the +waiting-rooms for the patients, and at the front of the house, the +Doctor's office. Simple and sound and always of the best quality, would +serve as a description of the furnishings; there was a striking +similarity between these and the advice that a patient was sure to +receive. + +Several days went by without seeing much of the Doctor beyond saying +"good-morning," but no time went by without feeling that force in the +farther office. It seemed to shape itself into one's work, into one's +results. One was not told to do his best--it would not have been +necessary; somehow, one did it. + +One day about noon, word came from the Doctor asking me to lunch with +him upstairs after the morning's work was finished, which was usually +half-past one. We sat down to table together, his family being away for +the summer, and luncheon was served. I waited quietly to hear what the +Doctor wished to speak with me about, but as he said nothing, we ate on +in silence until the end of the meal. When we rose to leave the table, +the Doctor turned to me and in his blunt way said: "Better have your +lunch here every day." As he hurried off to keep an appointment, the +suspicion fell across my mind that perhaps he had surmised that my +pocketbook would be better for this little noonday rest he was +suggesting; but quite apart from that, I was more than glad to have this +extra opportunity of being with him and of learning from him. + +For some little time we met daily at lunch without the conversation +getting much above the level of the small civilities incident to eating, +when one day it suddenly came over me that I was not making the best of +my opportunities. But Dr. Janeway was a man of very few words. Through +doing, not talking, had he risen to his reputation--to his results. How +was I to begin? How was I to gain his interest? Surely not by airing +that new and conventional structure of scanty knowledge the medical +school had so recently assisted me in setting up in my mind, its +storerooms so empty of experience, its machinery still rigid for want +of real use. No, I did not mean to burden him by trying to open the +ball of intercourse in that direction. And yet, if somehow we could only +get on some common ground, and I could commence to learn something from +his rich experience; if, somehow, I could get by my diffidence of nature +in the presence of his depth of knowledge! + +I do not know how it came about, as he sat there opposite me, so +serious, so silent, but something seemed suddenly to plunge my mind into +a perfectly irrelevant region of thought, and drag therefrom to the +surface some droll tale I had happened to hear only a few days since. +Before I knew it, I was telling the Doctor that story. Fools rush in; +but there is a Providence that cares for them, for the Doctor enjoyed +it--he laughed, and from then on interchange of thought was less +restrained. + + + + +III + + +As time went on, the structural elements of this extraordinary man's +character became more and more evident. He was then at the very apogee +of his useful career. His fame had found its way around the world. The +makings of a material monument were within his easy reach--the thing +which spells supreme success in life for so many men and women, and not +a few physicians, was at his very door had he cared to look in that +direction; yet his face was set steadily forward toward other things. If +his income was ample, his energy was enormous, and he spent both freely +for the best interests of his profession and his people whom he loved. +One hears of the fabulous fees physicians sometimes get. Dr. Janeway +never used his unique position to prey upon the pockets of patients, +simply because they were people of large worldly wealth. To him a +patient was a human being who was sick and who needed to get well by the +shortest possible route science and sense could secure. Each patient +also provided a problem, and it was here where his masterly mind with +its prodigious store of pathological information, derived a singular +satisfaction. Illustrating the Doctor's direction of mind in matters of +money in comparison with his interest in the patient's condition, this +story, which belongs to the period of his beginning prominence, is +significant even if its verity cannot be vouched for. + +To one of the smaller Hudson River valley towns the Doctor was called by +a local practitioner to see in consultation a man noted for his wealth, +who lay critically ill. All the afternoon and evening were consumed in +this rather trying trip. When the next morning at breakfast his wife +made some mention of his arduous journey of the previous day, his face +lighted up with interest at the recollection. To a practical wife, what +could be more natural than an interest which embraced with some +satisfaction the thought of her husband's immediate reward--that reward +which could be readily converted into the shoes and frocks constantly +needed by the little brood about her? So led on with the thought in her +mind, she inquired how far the Doctor had travelled--the town to which +he had gone. He told her with readiness the name of the railway station +where the practitioner had met him and driven him to the patient's +house; then his face relighting with the memory of the case which had so +engrossed him, came out in his characteristic way with: "Very sick man; +pneumonia; unusual type--very unusual." "But that very long trip, a +whole afternoon and evening, that should mean a pretty good fee," said +his wife. The Doctor, his mind still occupied with the sick man's +problem, replied: "It was in the upper lobe, right side, quite solid, +very rare--very rare to see that in these cases." + +Then very gently from his wife came: "Did you remember to put down his +address?" "No, no," was the somewhat irritable response. His mind then +going back to the patient again: "But I have my notes on the case--on +his condition." "But his name?" she came out with, "so that you can send +your bill; you put that down?" "His name?" repeated the Doctor slowly, a +slight frown of annoyance coming over his face as his train of thought +was by then definitely derailed. "His name? No. Didn't get that." + + + + +IV + + +One morning I happened, for some reason or other, to be in the Doctor's +office. A lady from a near-by town had been consulting him. As she was +about to leave, she said: "Tell me, Dr. Janeway, about Dr. N. in our +town. We have just gone there to live, you know, and we want to be sure +to have the best doctor in case we have to call one in." Dr. Janeway +replied: "You cannot do better than Dr. N. I know him very well. He is a +good doctor. He won't do you any harm." The lady went away and I went +back to my work in the laboratory, but that phrase kept ringing in my +ears. "He is a very good doctor. He won't do you any harm." What had he +meant by that? I kept wondering. Well, the woman seemed to be +satisfied; at least she went away without further comment. Later +on--perhaps two or three weeks later--I heard him make very much the +same remark again: "Dr. R. is an excellent doctor. He won't do you any +harm." I did not understand his meaning then, but the thing got stuck in +my mind, and I remembered it. It was some years, I think, before that +saying, for it would keep coming back to me, commenced to make its real +impression. Then, as time and experience went on, clearer and clearer +became its significance until I have come to see it as an expression of +that wisdom--that deeper wisdom of the man whose simple words often +revealed such subtle truths. + + + + +V + + +Dr. Janeway's relation to his profession and to his fellow physicians +was one of rare felicity, and well it might have been, for his code of +professional conduct stood squarely upon that principle of consideration +for others, on which the hope of a some-time civilization in reality, +must ever rest. "Do unto others as you would have them do unto you," was +more than his motto; it was his motive; more than his precept, it was +his practice. The revised version: "Do others before they do you," which +has come so largely into recent vogue, both professionally as well as +commercially, would have had little appeal to a man whose real goal lay +so far on beyond personal position and private gain. In no better place +than here, with his simple and straight code of conduct, can I mention +something of Dr. Janeway's religion. + +In days when doctors are flying from creeds and more--from faith, +seeking to solace their souls in science alone, this great man's simple +adherence to the teachings of Christ become dramatic proof of his powers +of vision. But it was not the conventional Christ drawing a fashionable +flock to a Sunday morning service to church and a Monday morning service +to self, which gave the angle to this man's uprightness; his religion +was one of action rather than exhibition; he used it to control his own +life rather than to coerce the lives of others. + + + + +VI + + +There is one notably outstanding memory of Dr. Janeway which dates from +those earlier days in his office and which deals with that large class +of people who imagine they are ill--those people whose numbers are +directly proportionate to periods of so-called prosperity, who call +forth innumerable cults of curing, and who are the mainstay of much of +the mummery in medicine. + +I shall never forget one day at lunch after Dr. Janeway had been seeing +some of these mentally mortgaged men and women. As he sat down at table +his face wore that expression of perplexity which one at times sees as +the outward sign of that inward sense of the futility of things in +general. I inquired how matters had been going in the office that +morning. His reply, "Neurasthenics!" as it came out with all his +characteristic bluntness, set me to asking questions. What I learned +that day from the Doctor, coupled with later observations of his methods +in dealing with these unfortunates, has never needed unlearning. He saw +in these patients, wholly free from organic disorder, yet a prey to +aches and obsessions, to fears and depressions, the unhappy results of +that conflict in the subconscious self between the natural order of life +and the socially ordered life. He saw it and I am sure sorrowed over it. +Yet he never entered into a compact to treat them for what he knew they +did not have. He never left a stone unturned to prove to himself that +they suffered from no physical fault, and with his positive terseness he +rarely failed to prove that fact to them--freeing them, oftentimes for +good and all, from the fears and symptoms which assailed them, and +giving them in few and frank terms the key to their unconscious +calamity. + + + + +VII + + +All too soon for me passed that period of service in Dr. Janeway's +office, but as good fortune would have it, my future was still to feel +the touch of that fine association. + +A year later, when my hospital work as an interne was over, Dr. +Janeway's son, Dr. Theodore Janeway, asked me to make my office in his +house. This arrangement continued for two or three years, when I found +myself going to Europe for a winter's special study. With my return to +New York, the necessity of a larger office brought that one-time closer +affiliation with the Doctor to an end. But the seeds were planted which +were destined to bear for me the fruit of one of those infrequent +friendships, the influence of which still goes on, finding fresh +inspiration from its memory. + +I had not been long in my new quarters before I again began to feel the +result of Dr. Janeway's and his son's thoughts of me, for it was from +them that many of my first patients were referred, and it was from this +beginning that the happy relationship with the Doctor was steadily +continued as long as he remained in practice. + +There was one remarkable thing about all these patients who came from +Dr. Janeway's office, or to those I was called to see at his suggestion; +one thing in which they seemed to differ from all other patients. They +came full of that faith which his thoughtful study and understanding of +their cases forced them to feel--and full of that faith which the deep +sincerity of his interest in their welfare inspired. It made my part +easy and it helped secure good results for the patients, from whom I +would often harvest a gratitude where he had scattered the seeds, and +reap a reward which was due to his husbandry. + +It may be trite, nothing more than a frayed commonplace, perhaps, to say +that the force of good goes on, is never lost--yet the sincere, the +straight, the strong something that went out from this man and entered +into others, certainly continued on, and was not lost. + + + + +VIII + + +Self-contained and self-controlled as Dr. Janeway was, there were some +things which kindled his righteous wrath to a state of militant +activity. And one of these was petty political plotting in the ranks of +his own profession--the profession he loved and believed in as an +institution of sound progress when not soiled by selfish purpose. An +instance of this came to me through a personal experience. It was soon +after my return from study abroad, while I was seeking a suitable +position in a city hospital. This particular place was all but secured +when another post was offered to me by the head of one of the largest +medical institutions in town. With youthful naïveté, I expressed my +appreciation of the offer but explained my reasons for wishing to secure +the appointment I had been seeking. Incensed by the fact that I did not +directly jump at his offer, the noted doctor brought the interview +rapidly to an end, and I departed. Some weeks went by and from the +position which I had been in quest of and from which I should have +received word, I heard nothing. And then, I found out why. The powerful +gentleman, whose offer I had not accepted, had lost no time in going to +the hospital head who had practically arranged to assign me to the +desired position, and telling him it would be a great mistake to give me +the post. + +When Dr. Janeway found this out, it was plain that there was still +another side to the Doctor, for his strength to strike out at foul play +showed its sufficient force on that occasion. It is almost needless to +say that the desired appointment was very soon mine. + + + + +IX + + +There were three things I should say the Doctor did not like. One of +these was the newspaper reporter who tried to get "inside" information +when some especially prominent person happened to be a patient of his. +This was not just a simple, single-sided dislike which the Doctor felt, +either. The idea of any physician inviting press publicity was bad +enough, but the idea of any physician telling the public about the +private affairs of a patient was--well--. I happened one day to be with +the Doctor when a reporter approached on such an errand, so I know quite +well how the Doctor felt on this subject, and I am inclined to believe +the reporter must also have carried away some impression of it. + +The other two things the Doctor seemed to dislike were writing medical +papers and speaking in public; anything, in short, which might by any +chance give an impression of putting himself forward, was distasteful to +him. As for display of any sort, any external polishing, for the purpose +of appearing prosperous and thus inviting prosperity, would have been to +Dr. Janeway utterly impossible. + +As far as personal success and advancement went, I am convinced his mind +was never concerned beyond that measure of reward which might openly be +balanced against actual attainment and actual ability. What a sorrowful +satisfaction that would be for many of us! + + + + +X + + +Now that these few ingredients of Dr. Janeway's greatness, which have +come out of memory to mind, have found their way to paper, it is hoped +they may not wholly miss their mark. Incomplete though the picture is, +it should carry some clue to the character of the man who made the +profession of medicine a finer and a better profession for his having +been in it. To bring into any walk of life so much talent and truth, so +much candour and courage, and withal, such simplicity and sincerity, is +to leave it raised to a higher level for all time. + +Such lives need no tribute to their memory. On the contrary, they levy +an unforgettable tax on all who would live on by lower standards. + +To those whose minds can grasp the general disorder in which we try to +live--the moral indirection of our everyday endeavour to get somewhere, +this day toward a gilded goal, tomorrow toward the promise of fame, the +day after seeking applause for our benevolence, or one after one thing, +another after another thing, and hardly any one after anything that +counts--it is to these that this man's unaffected, unselfish, upbuilding +life must come as a strong and refreshing draught of reality. + +A life worth knowing about for those with ideals; a life to study for +those who are sincere; a life with a lesson for every student of +medicine. + + + + + +End of the Project Gutenberg EBook of Some Personal Recollections of Dr. +Janeway, by James Bayard Clark + +*** END OF THIS PROJECT GUTENBERG EBOOK SOME PERSONAL RECOLLECTIONS *** + +***** This file should be named 24699-8.txt or 24699-8.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/2/4/6/9/24699/ + +Produced by Bernd Meyer and the Online Distributed +Proofreading Team at http://www.pgdp.net (This file was +produced from images generously made available by The +Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Some Personal Recollections of Dr. Janeway + +Author: James Bayard Clark + +Release Date: February 26, 2008 [EBook #24699] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK SOME PERSONAL RECOLLECTIONS *** + + + + +Produced by Bernd Meyer and the Online Distributed +Proofreading Team at http://www.pgdp.net (This file was +produced from images generously made available by The +Internet Archive/American Libraries.) + + + + + + +</pre> + + + +<p><span class='pagenum'><a name="Page_1" id="Page_1">[Pg 1]</a></span></p> + + +<div class="figcenter"> +<img src="images/frontispiece.png" + width="400" height="574" alt="Illustration" title="Frontispiece" /> +</div> + +<p><span class='pagenum'><a name="Page_2" id="Page_2">[Pg 2]</a></span></p> +<h2>Some</h2> +<h2>Personal Recollections</h2> +<h3>of</h3> +<h1>Dr. Janeway</h1> + +<div><br /><br /><br /><br /><br /></div> + +<h3>By</h3> +<h3>James Bayard Clark</h3> + +<div><br /><br /><br /><br /><br /><br /><br /><br /></div> + +<h3>G. P. Putnam's Sons</h3> +<div class="center">New York and London</div> +<div class="center">The Knickerbocker Press</div> +<div class="center">1917</div> +<div><br /><br /><br /></div> +<p><span class='pagenum'><a name="Page_3" id="Page_3">[Pg 3]</a></span></p> + +<div><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></div> + +<div class="center smcap">Copyright, 1917</div> +<div class="center smcap">by</div> +<div class="center">JAMES BAYARD CLARK</div> + +<div><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></div> + +<div class="center">The Knickerbocker Press, New York</div> + +<div><br /><br /><br /><br /><br /><br /><br /><br /></div> + +<p><span class='pagenum'><a name="Page_4" id="Page_4">[Pg 4]</a></span></p> + + + +<p class="center">BIOGRAPHICAL NOTE</p> + + +<p>Edward Gamaliel Janeway was born in New Brunswick, New Jersey, August +31, 1841. He was graduated from Rutgers College in 1860, receiving the +degree of B.A. and M.A. from that institution. In 1864 he was graduated +from the College of Physicians and Surgeons in New York, receiving the +degree of M.D. Later in life, the degree of LL.D. was conferred upon +him, by Rutgers in 1898, by Columbia in 1904, and by Princeton in 1907. +While in the medical school in the years 1862 and 1863, he was made +acting medical cadet in the United States Army hospitals at Newark, New +Jersey.</p> + +<p><span class='pagenum'><a name="Page_5" id="Page_5">[Pg 5]</a></span></p> +<p>He began to practise medicine in New York City where he continued and +ended his professional career. In 1869, he became professor of pathology +and practical anatomy in Bellevue Hospital Medical College, continuing +in that capacity until 1876. From 1868 to 1871 he was visiting physician +to Charity Hospital. In 1871 he became visiting physician to Bellevue +Hospital where he remained for many years and where, in the pathological +department, he won such distinction. He later became visiting and +consulting physician to other hospitals in the city.</p> + +<p>In 1874 he was vice-president of the New York Pathological Society. From +1875 till 1882, he was Health Commissioner of New York. In 1876 he was +president of the New York Medical Journal Association. His principal +contributions to medical literature appear in the medical journals of +New York.</p> + +<p><span class='pagenum'><a name="Page_6" id="Page_6">[Pg 6]</a></span></p> +<p>He was president of the Academy of Medicine in 1897 and 1898 and a +trustee from 1899 until 1903.</p> + +<p><span class='pagenum'><a name="Page_7" id="Page_7">[Pg 7]</a></span></p> +<p>He died in Summit, New Jersey, on February 10, 1911.</p> + +<p><span class='pagenum'><a name="Page_8" id="Page_8">[Pg 8]</a></span></p> + +<p class="center">IN MEMORIAM</p> + + +<p>On April 6, 1911, the Fellows of the New York Academy of Medicine met to +honour his memory and to give reverent tribute to the sum of his +<span class='pagenum'><a name="Page_9" id="Page_9">[Pg 9]</a></span>accomplishments as Pathologist, Sanitarian and Physician.</p> + +<p><span class='pagenum'><a name="Page_10" id="Page_10">[Pg 10]</a></span></p> + +<h2>Some</h2> +<h2>Personal Recollections of</h2> +<h2>Dr. Janeway</h2> + + + + +<hr style="width: 65%;" /> +<h2><a name="I" id="I"></a>I</h2> + + +<p>What it is that has kept urging me to write down these recollections of +Edward Gamaliel Janeway, the physician, would indeed be rather hard to +define, but the desire to record a little something of what I had +personally come to know of this unusual man made itself felt very +shortly after his death, now over five years ago. Since that time this +feeling—steadily growing—seems irresistibly to have drawn me on to +this endeavour<span class='pagenum'><a name="Page_11" id="Page_11">[Pg 11]</a></span> to add some little part to the perpetuation of his +memory—this man, who without pretence held the reputation of—one stops +to take a breath before writing it—the reputation of being the best +diagnostician in the world.</p> + +<p>If by some happy chance these pen-pictured glimpses should bear some +likeness to the man—if they should bring out here and there a line or +colour which will recall some characteristic, show some quality, reveal +some trait which, for those who knew him, will help to keep his memory +fresh, they will have earned for themselves a very good reward. But +beyond this, if they should fall to the notice of a younger generation +and, more especially, to those choosing the profession of the physician, +and the reader can discern therein something of the man himself, can get +some glimpse of his life and its meaning, can gain some sense of the +sin<span class='pagenum'><a name="Page_12" id="Page_12">[Pg 12]</a></span>cerity, the simplicity, the self-sacrifice and singleness of purpose +which guided him and finally lifted him so far out of and above the +ordinary, then will the pleasant task of recalling fully justify this +venturesome effort.</p> + +<hr style='width: 45%;' /> + +<p>It was in the midst of my medical schooldays and in the unrestraint of +Adirondack holidays twenty years ago that I first met Dr. Janeway. As I +look back at this first memory I can see a vigorous, well-built man a +little way on in the fifties, dressed for a mountain climb or a game of +golf. His fine, firm-featured face would have struck one as rather stern +if one happened to miss that blessed kindliness which always lighted his +steady eyes. Though dressed for outing, it was not difficult to see by a +brief study of his face that his choice of exercise was intellectual<span class='pagenum'><a name="Page_13" id="Page_13">[Pg 13]</a></span> +rather than physical, yet he went to his game or his walk with the same +directness of purpose with which he went to his work.</p> + +<p>Ordinary social intercourse was an effort for him. It seemed as if he +had to focus his mind down to the mental horizon of the everyday world +of everyday people around him, yet he did not appear impatient of the +small talk going on about him so long as it was plain he was not to take +part in it himself.</p> + +<p>One characteristic which never failed to impress those who met him was +his reserve. It was the quality of it which was so striking. It was not +a reserve which was raised of aloofness; there was no particle of that, +no self-esteem, no egoism—common builders of reserve—yet on the other +hand it was not the retreat of shyness as many might have thought, +though out of it a certain<span class='pagenum'><a name="Page_14" id="Page_14">[Pg 14]</a></span> constraint was undoubtedly born. One might +almost say it was a result rather than a reserve; the result of a +something hard at work within; a preoccupying something; a gestating +something, the offspring of which was—well—what <i>he</i> was.</p> + +<p>Another quality which leaves itself deep carved in the memory of these +early days of acquaintance was the quiet, unconscious respect he seemed, +with equal unconsciousness, to inspire in all about him; and more, even +in those who in kinship and friendship were closest to him, and with a +constancy which never wavered. In those days only the more evident +traits of his character came home to me. It was rather by feeling, by +intuition, that he impressed me. I had no measure of my own with which +to estimate his mental attainments. I had a kind of awe, of hero-worship +in knowing<span class='pagenum'><a name="Page_15" id="Page_15">[Pg 15]</a></span> him, which left me reticent in the discussion of any medical +matters with him—so I usually stuck in those days to safer subjects.</p> + +<p>It was not until two or three years later, after I was graduated, that I +had any association of a professional nature with him. It was near the +end of the summer, up in the mountains. An elderly lady, a member of a +well-known family, was suddenly taken ill. I was hurriedly called to see +her, and on arriving at her cottage was told that Dr. Janeway had been +sent for also and would be there soon; but they were anxious to have me +go to the patient at once. The state of excitement into which this, my +first professional call, threw me, was in itself enough without the +crushing thought of what the great man might think of me, a then +full-fledged M.D. I was ushered into the bedroom where she lay, totally +unconscious and<span class='pagenum'><a name="Page_16" id="Page_16">[Pg 16]</a></span> breathing heavily. As I hastened to the house, I had +been formulating in my mind just the questions I should put to her—for +I had learned in the medical school how to take a careful history—and +there she lay without speech, without hearing, and without response. As +I stood looking at her I could feel, rather than see, the family +anxiously crowding about the doorway, waiting for me to tell them just +what the trouble was, how serious it was, what were the chances of her +recovery. At that moment I wondered why I had ever thought of studying +medicine. I sat down by the bedside and felt her pulse. Why was she +unconscious? I tried to think of all the things which caused a state of +unconsciousness. Suppose she should die before I could think of what the +trouble was, and before I could do anything to save her life! The +thought was staggering! And then as I looked<span class='pagenum'><a name="Page_17" id="Page_17">[Pg 17]</a></span> down at the patient again +I realized, alas, that my chance of making a diagnosis to give to the +family and then to proudly repeat it to Dr. Janeway, had vanished—for +at that moment the doctor's voice could be heard outside the door and +the next he was quietly stepping into the room. As he came forward, I +stood aside to give him my place at the bedside. He asked one or two +simple questions which I was fortunately able to answer. As I look back, +I feel sure he did this to put me at my ease. This was the first time I +had ever seen Dr. Janeway in the sick-room. It would be hard to describe +the difference between this man I now saw examining the sick woman and +the Dr. Janeway I had known before. There was a light in his eyes and an +alertness in his voice, entirely new to me, as he deftly built up his +diagnosis, pointing out this physical sign and that, until the<span class='pagenum'><a name="Page_18" id="Page_18">[Pg 18]</a></span> complete +pathological picture seemed to stand out as on the page of a book.</p> + +<p>A little later as we came out from a talk with the family, he turned to +them and said: "Now the doctor and I wish to have a little consultation +together." How well I remember my feelings at that moment as he led me +into a room apart and closed the door. Anticipating what seemed to me +inevitable I said: "Of course, Dr. Janeway, they will want someone who +is older, someone with more—" He cut me short with, "You are going to +take care of her." "But—but—" I said. As if reading my thoughts he +smiled as he remarked: "That's what we are going to talk over now. Get a +pencil and paper and we will outline the necessary treatment." I wrote +down what he suggested, we arranged about getting the trained nurses, +and then, somehow, as the Doctor rose to go, the feeling<span class='pagenum'><a name="Page_19" id="Page_19">[Pg 19]</a></span> came over me +that after all this was more of a job than, perhaps, I had any right to +undertake alone. I stood for a moment with these thoughts in my mind +when the Doctor put his hand on my shoulder and said: "If things don't +go just right come up any time and see me and we'll have a little talk; +or if you need me here, let me know. I am going now to tell the family +you will take charge of this case."</p> + +<p>And thus it was that the old lady was guided back to consciousness and +comfort by the steady head and generous hand in the background; while +the fledgeling physician reaped praise for her progress.<span class='pagenum'><a name="Page_20" id="Page_20">[Pg 20]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="II" id="II"></a>II</h2> + + +<p>It was not until a year or two later that I was again brought, in a +medical way, into association with the Doctor. It happened to be at the +beginning of summer and at a time when I was waiting for a hospital +position in the fall, that I received word from him offering me a +position in his office in New York to take the place of his regular +laboratory assistant who was to be away for several months. No offer +before or since ever sounded so good to me. The morning of the appointed +day saw me there bright and early. This was to be a rare opportunity. I +felt it then; I know it now. Some of the secrets of his greatness were +to be unfolded to me, and I was<span class='pagenum'><a name="Page_21" id="Page_21">[Pg 21]</a></span> eager for the work which would teach me +something of his ways.</p> + +<p>I was shown to the laboratory which was to be my special province. This +was equipped for carrying out by microscopical and chemical analysis, +all the practical tests which were necessary, as well as some bacterial +breeding. Absolute accuracy of results was the single aim and the simple +motto of this workshop. It was a room built on at the back of the house, +where light and quiet were assured. To the front of this were the +waiting-rooms for the patients, and at the front of the house, the +Doctor's office. Simple and sound and always of the best quality, would +serve as a description of the furnishings; there was a striking +similarity between these and the advice that a patient was sure to +receive.</p> + +<p>Several days went by without seeing much of the Doctor beyond saying +"good<span class='pagenum'><a name="Page_22" id="Page_22">[Pg 22]</a></span>-morning," but no time went by without feeling that force in the +farther office. It seemed to shape itself into one's work, into one's +results. One was not told to do his best—it would not have been +necessary; somehow, one did it.</p> + +<p>One day about noon, word came from the Doctor asking me to lunch with +him upstairs after the morning's work was finished, which was usually +half-past one. We sat down to table together, his family being away for +the summer, and luncheon was served. I waited quietly to hear what the +Doctor wished to speak with me about, but as he said nothing, we ate on +in silence until the end of the meal. When we rose to leave the table, +the Doctor turned to me and in his blunt way said: "Better have your +lunch here every day." As he hurried off to keep an appointment, the +suspicion fell across my mind that perhaps he had surmised<span class='pagenum'><a name="Page_23" id="Page_23">[Pg 23]</a></span> that my +pocketbook would be better for this little noonday rest he was +suggesting; but quite apart from that, I was more than glad to have this +extra opportunity of being with him and of learning from him.</p> + +<p>For some little time we met daily at lunch without the conversation +getting much above the level of the small civilities incident to eating, +when one day it suddenly came over me that I was not making the best of +my opportunities. But Dr. Janeway was a man of very few words. Through +doing, not talking, had he risen to his reputation—to his results. How +was I to begin? How was I to gain his interest? Surely not by airing +that new and conventional structure of scanty knowledge the medical +school had so recently assisted me in setting up in my mind, its +storerooms so empty of experience, its machinery still rigid for want +of<span class='pagenum'><a name="Page_24" id="Page_24">[Pg 24]</a></span> real use. No, I did not mean to burden him by trying to open the +ball of intercourse in that direction. And yet, if somehow we could only +get on some common ground, and I could commence to learn something from +his rich experience; if, somehow, I could get by my diffidence of nature +in the presence of his depth of knowledge!</p> + +<p>I do not know how it came about, as he sat there opposite me, so +serious, so silent, but something seemed suddenly to plunge my mind into +a perfectly irrelevant region of thought, and drag therefrom to the +surface some droll tale I had happened to hear only a few days since. +Before I knew it, I was telling the Doctor that story. Fools rush in; +but there is a Providence that cares for them, for the Doctor enjoyed +it—he laughed, and from then on interchange of thought was less +restrained.<span class='pagenum'><a name="Page_25" id="Page_25">[Pg 25]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="III" id="III"></a>III</h2> + + +<p>As time went on, the structural elements of this extraordinary man's +character became more and more evident. He was then at the very apogee +of his useful career. His fame had found its way around the world. The +makings of a material monument were within his easy reach—the thing +which spells supreme success in life for so many men and women, and not +a few physicians, was at his very door had he cared to look in that +direction; yet his face was set steadily forward toward other things. If +his income was ample, his energy was enormous, and he spent both freely +for the best interests of his profession and his people whom he loved. +One hears of the fabulous fees physicians sometimes get.<span class='pagenum'><a name="Page_26" id="Page_26">[Pg 26]</a></span> Dr. Janeway +never used his unique position to prey upon the pockets of patients, +simply because they were people of large worldly wealth. To him a +patient was a human being who was sick and who needed to get well by the +shortest possible route science and sense could secure. Each patient +also provided a problem, and it was here where his masterly mind with +its prodigious store of pathological information, derived a singular +satisfaction. Illustrating the Doctor's direction of mind in matters of +money in comparison with his interest in the patient's condition, this +story, which belongs to the period of his beginning prominence, is +significant even if its verity cannot be vouched for.</p> + +<p>To one of the smaller Hudson River valley towns the Doctor was called by +a local practitioner to see in consultation a man noted for his wealth, +who lay critically ill. All the afternoon and evening<span class='pagenum'><a name="Page_27" id="Page_27">[Pg 27]</a></span> were consumed in +this rather trying trip. When the next morning at breakfast his wife +made some mention of his arduous journey of the previous day, his face +lighted up with interest at the recollection. To a practical wife, what +could be more natural than an interest which embraced with some +satisfaction the thought of her husband's immediate reward—that reward +which could be readily converted into the shoes and frocks constantly +needed by the little brood about her? So led on with the thought in her +mind, she inquired how far the Doctor had travelled—the town to which +he had gone. He told her with readiness the name of the railway station +where the practitioner had met him and driven him to the patient's +house; then his face relighting with the memory of the case which had so +engrossed him, came out in his characteristic way with: "Very sick man; +pneu<span class='pagenum'><a name="Page_28" id="Page_28">[Pg 28]</a></span>monia; unusual type—very unusual." "But that very long trip, a +whole afternoon and evening, that should mean a pretty good fee," said +his wife. The Doctor, his mind still occupied with the sick man's +problem, replied: "It was in the upper lobe, right side, quite solid, +very rare—very rare to see that in these cases."</p> + +<p>Then very gently from his wife came: "Did you remember to put down his +address?" "No, no," was the somewhat irritable response. His mind then +going back to the patient again: "But I have my notes on the case—on +his condition." "But his name?" she came out with, "so that you can send +your bill; you put that down?" "His name?" repeated the Doctor slowly, a +slight frown of annoyance coming over his face as his train of thought +was by then definitely derailed. "His name? No. Didn't get that."<span class='pagenum'><a name="Page_29" id="Page_29">[Pg 29]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="IV" id="IV"></a>IV</h2> + + +<p>One morning I happened, for some reason or other, to be in the Doctor's +office. A lady from a near-by town had been consulting him. As she was +about to leave, she said: "Tell me, Dr. Janeway, about Dr. N. in our +town. We have just gone there to live, you know, and we want to be sure +to have the best doctor in case we have to call one in." Dr. Janeway +replied: "You cannot do better than Dr. N. I know him very well. He is a +good doctor. He won't do you any harm." The lady went away and I went +back to my work in the laboratory, but that phrase kept ringing in my +ears. "He is a very good doctor. He won't do you any harm." What had he +meant by that? I kept wondering. Well,<span class='pagenum'><a name="Page_30" id="Page_30">[Pg 30]</a></span> the woman seemed to be +satisfied; at least she went away without further comment. Later +on—perhaps two or three weeks later—I heard him make very much the +same remark again: "Dr. R. is an excellent doctor. He won't do you any +harm." I did not understand his meaning then, but the thing got stuck in +my mind, and I remembered it. It was some years, I think, before that +saying, for it would keep coming back to me, commenced to make its real +impression. Then, as time and experience went on, clearer and clearer +became its significance until I have come to see it as an expression of +that wisdom—that deeper wisdom of the man whose simple words often +revealed such subtle truths.<span class='pagenum'><a name="Page_31" id="Page_31">[Pg 31]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="V" id="V"></a>V</h2> + + +<p>Dr. Janeway's relation to his profession and to his fellow physicians +was one of rare felicity, and well it might have been, for his code of +professional conduct stood squarely upon that principle of consideration +for others, on which the hope of a some-time civilization in reality, +must ever rest. "Do unto others as you would have them do unto you," was +more than his motto; it was his motive; more than his precept, it was +his practice. The revised version: "Do others before they do you," which +has come so largely into recent vogue, both professionally as well as +commercially, would have had little appeal to a man whose real goal lay +so far on beyond personal position and private gain. In no better place +than here,<span class='pagenum'><a name="Page_32" id="Page_32">[Pg 32]</a></span> with his simple and straight code of conduct, can I mention +something of Dr. Janeway's religion.</p> + +<p>In days when doctors are flying from creeds and more—from faith, +seeking to solace their souls in science alone, this great man's simple +adherence to the teachings of Christ become dramatic proof of his powers +of vision. But it was not the conventional Christ drawing a fashionable +flock to a Sunday morning service to church and a Monday morning service +to self, which gave the angle to this man's uprightness; his religion +was one of action rather than exhibition; he used it to control his own +life rather than to coerce the lives of others.<span class='pagenum'><a name="Page_33" id="Page_33">[Pg 33]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="VI" id="VI"></a>VI</h2> + + +<p>There is one notably outstanding memory of Dr. Janeway which dates from +those earlier days in his office and which deals with that large class +of people who imagine they are ill—those people whose numbers are +directly proportionate to periods of so-called prosperity, who call +forth innumerable cults of curing, and who are the mainstay of much of +the mummery in medicine.</p> + +<p>I shall never forget one day at lunch after Dr. Janeway had been seeing +some of these mentally mortgaged men and women. As he sat down at table +his face wore that expression of perplexity which one at times sees as +the outward sign of that inward sense of the futility of things in +general. I inquired how matters had<span class='pagenum'><a name="Page_34" id="Page_34">[Pg 34]</a></span> been going in the office that +morning. His reply, "Neurasthenics!" as it came out with all his +characteristic bluntness, set me to asking questions. What I learned +that day from the Doctor, coupled with later observations of his methods +in dealing with these unfortunates, has never needed unlearning. He saw +in these patients, wholly free from organic disorder, yet a prey to +aches and obsessions, to fears and depressions, the unhappy results of +that conflict in the subconscious self between the natural order of life +and the socially ordered life. He saw it and I am sure sorrowed over it. +Yet he never entered into a compact to treat them for what he knew they +did not have. He never left a stone unturned to prove to himself that +they suffered from no physical fault, and with his positive terseness he +rarely failed to prove that fact to them—freeing them, oftentimes for +good and<span class='pagenum'><a name="Page_35" id="Page_35">[Pg 35]</a></span> all, from the fears and symptoms which assailed them, and +giving them in few and frank terms the key to their unconscious +calamity.<span class='pagenum'><a name="Page_36" id="Page_36">[Pg 36]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="VII" id="VII"></a>VII</h2> + + +<p>All too soon for me passed that period of service in Dr. Janeway's +office, but as good fortune would have it, my future was still to feel +the touch of that fine association.</p> + +<p>A year later, when my hospital work as an interne was over, Dr. +Janeway's son, Dr. Theodore Janeway, asked me to make my office in his +house. This arrangement continued for two or three years, when I found +myself going to Europe for a winter's special study. With my return to +New York, the necessity of a larger office brought that one-time closer +affiliation with the Doctor to an end. But the seeds were planted which +were destined to bear for me the fruit of one of those infrequent +friendships, the influence of which still<span class='pagenum'><a name="Page_37" id="Page_37">[Pg 37]</a></span> goes on, finding fresh +inspiration from its memory.</p> + +<p>I had not been long in my new quarters before I again began to feel the +result of Dr. Janeway's and his son's thoughts of me, for it was from +them that many of my first patients were referred, and it was from this +beginning that the happy relationship with the Doctor was steadily +continued as long as he remained in practice.</p> + +<p>There was one remarkable thing about all these patients who came from +Dr. Janeway's office, or to those I was called to see at his suggestion; +one thing in which they seemed to differ from all other patients. They +came full of that faith which his thoughtful study and understanding of +their cases forced them to feel—and full of that faith which the deep +sincerity of his interest in their welfare inspired. It made my part +easy and it<span class='pagenum'><a name="Page_38" id="Page_38">[Pg 38]</a></span> helped secure good results for the patients, from whom I +would often harvest a gratitude where he had scattered the seeds, and +reap a reward which was due to his husbandry.</p> + +<p>It may be trite, nothing more than a frayed commonplace, perhaps, to say +that the force of good goes on, is never lost—yet the sincere, the +straight, the strong something that went out from this man and entered +into others, certainly continued on, and was not lost.<span class='pagenum'><a name="Page_39" id="Page_39">[Pg 39]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="VIII" id="VIII"></a>VIII</h2> + + +<p>Self-contained and self-controlled as Dr. Janeway was, there were some +things which kindled his righteous wrath to a state of militant +activity. And one of these was petty political plotting in the ranks of +his own profession—the profession he loved and believed in as an +institution of sound progress when not soiled by selfish purpose. An +instance of this came to me through a personal experience. It was soon +after my return from study abroad, while I was seeking a suitable +position in a city hospital. This particular place was all but secured +when another post was offered to me by the head of one of the largest<span class='pagenum'><a name="Page_40" id="Page_40">[Pg 40]</a></span> +medical institutions in town. With youthful naïveté, I expressed my +appreciation of the offer but explained my reasons for wishing to secure +the appointment I had been seeking. Incensed by the fact that I did not +directly jump at his offer, the noted doctor brought the interview +rapidly to an end, and I departed. Some weeks went by and from the +position which I had been in quest of and from which I should have +received word, I heard nothing. And then, I found out why. The powerful +gentleman, whose offer I had not accepted, had lost no time in going to +the hospital head who had practically arranged to assign me to the +desired position, and telling him it would be a great mistake to give me +the post.</p> + +<p>When Dr. Janeway found this out, it was plain that there was still +another side to the Doctor, for his strength to strike<span class='pagenum'><a name="Page_41" id="Page_41">[Pg 41]</a></span> out at foul play +showed its sufficient force on that occasion. It is almost needless to +say that the desired appointment was very soon mine.<span class='pagenum'><a name="Page_42" id="Page_42">[Pg 42]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="IX" id="IX"></a>IX</h2> + + +<p>There were three things I should say the Doctor did not like. One of +these was the newspaper reporter who tried to get "inside" information +when some especially prominent person happened to be a patient of his. +This was not just a simple, single-sided dislike which the Doctor felt, +either. The idea of any physician inviting press publicity was bad +enough, but the idea of any physician telling the public about the +private affairs of a patient was—well—. I happened one day to be with +the Doctor when a reporter approached on such an errand, so I know quite +well how the Doctor felt on this subject, and I am inclined to believe +the reporter must also have carried away some impression of it.<span class='pagenum'><a name="Page_43" id="Page_43">[Pg 43]</a></span></p> + +<p>The other two things the Doctor seemed to dislike were writing medical +papers and speaking in public; anything, in short, which might by any +chance give an impression of putting himself forward, was distasteful to +him. As for display of any sort, any external polishing, for the purpose +of appearing prosperous and thus inviting prosperity, would have been to +Dr. Janeway utterly impossible.</p> + +<p>As far as personal success and advancement went, I am convinced his mind +was never concerned beyond that measure of reward which might openly be +balanced against actual attainment and actual ability. What a sorrowful +satisfaction that would be for many of us!<span class='pagenum'><a name="Page_44" id="Page_44">[Pg 44]</a></span></p> + + + +<hr style="width: 65%;" /> +<h2><a name="X" id="X"></a>X</h2> + + +<p>Now that these few ingredients of Dr. Janeway's greatness, which have +come out of memory to mind, have found their way to paper, it is hoped +they may not wholly miss their mark. Incomplete though the picture is, +it should carry some clue to the character of the man who made the +profession of medicine a finer and a better profession for his having +been in it. To bring into any walk of life so much talent and truth, so +much candour and courage, and withal, such simplicity and sincerity, is +to leave it raised to a higher level for all time.</p> + +<p>Such lives need no tribute to their memory. On the contrary, they levy +an unforgettable tax on all who would live on by lower standards.<span class='pagenum'><a name="Page_45" id="Page_45">[Pg 45]</a></span></p> + +<p>To those whose minds can grasp the general disorder in which we try to +live—the moral indirection of our everyday endeavour to get somewhere, +this day toward a gilded goal, tomorrow toward the promise of fame, the +day after seeking applause for our benevolence, or one after one thing, +another after another thing, and hardly any one after anything that +counts—it is to these that this man's unaffected, unselfish, upbuilding +life must come as a strong and refreshing draught of reality.</p> + +<p>A life worth knowing about for those with ideals; a life to study for +those who are sincere; a life with a lesson for every student of +medicine.</p> + + + + + + + + +<pre> + + + + + +End of the Project Gutenberg EBook of Some Personal Recollections of Dr. +Janeway, by James Bayard Clark + +*** END OF THIS PROJECT GUTENBERG EBOOK SOME PERSONAL RECOLLECTIONS *** + +***** This file should be named 24699-h.htm or 24699-h.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/2/4/6/9/24699/ + +Produced by Bernd Meyer and the Online Distributed +Proofreading Team at http://www.pgdp.net (This file was +produced from images generously made available by The +Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Some Personal Recollections of Dr. Janeway + +Author: James Bayard Clark + +Release Date: February 26, 2008 [EBook #24699] + +Language: English + +Character set encoding: ASCII + +*** START OF THIS PROJECT GUTENBERG EBOOK SOME PERSONAL RECOLLECTIONS *** + + + + +Produced by Bernd Meyer and the Online Distributed +Proofreading Team at http://www.pgdp.net (This file was +produced from images generously made available by The +Internet Archive/American Libraries.) + + + + + + + + +[Illustration] + + + + + Some + + Personal Recollections + + of + + Dr. Janeway + + + + By + + James Bayard Clark + + + + G. P. Putnam's Sons + New York and London + The Knickerbocker Press + 1917 + + + + + + COPYRIGHT, 1917 + BY + JAMES BAYARD CLARK + + + + + + + + + + + + + The Knickerbocker Press, New York + + + + + + BIOGRAPHICAL NOTE + + +Edward Gamaliel Janeway was born in New Brunswick, New Jersey, August +31, 1841. He was graduated from Rutgers College in 1860, receiving the +degree of B.A. and M.A. from that institution. In 1864 he was graduated +from the College of Physicians and Surgeons in New York, receiving the +degree of M.D. Later in life, the degree of LL.D. was conferred upon +him, by Rutgers in 1898, by Columbia in 1904, and by Princeton in 1907. +While in the medical school in the years 1862 and 1863, he was made +acting medical cadet in the United States Army hospitals at Newark, New +Jersey. + +He began to practise medicine in New York City where he continued and +ended his professional career. In 1869, he became professor of pathology +and practical anatomy in Bellevue Hospital Medical College, continuing +in that capacity until 1876. From 1868 to 1871 he was visiting physician +to Charity Hospital. In 1871 he became visiting physician to Bellevue +Hospital where he remained for many years and where, in the pathological +department, he won such distinction. He later became visiting and +consulting physician to other hospitals in the city. + +In 1874 he was vice-president of the New York Pathological Society. From +1875 till 1882, he was Health Commissioner of New York. In 1876 he was +president of the New York Medical Journal Association. His principal +contributions to medical literature appear in the medical journals of +New York. + +He was president of the Academy of Medicine in 1897 and 1898 and a +trustee from 1899 until 1903. + +He died in Summit, New Jersey, on February 10, 1911. + + + + IN MEMORIAM + + +On April 6, 1911, the Fellows of the New York Academy of Medicine met to +honour his memory and to give reverent tribute to the sum of his +accomplishments as Pathologist, Sanitarian and Physician. + + + + Some + Personal Recollections of + Dr. Janeway + + + + +I + + +What it is that has kept urging me to write down these recollections of +Edward Gamaliel Janeway, the physician, would indeed be rather hard to +define, but the desire to record a little something of what I had +personally come to know of this unusual man made itself felt very +shortly after his death, now over five years ago. Since that time this +feeling--steadily growing--seems irresistibly to have drawn me on to +this endeavour to add some little part to the perpetuation of his +memory--this man, who without pretence held the reputation of--one stops +to take a breath before writing it--the reputation of being the best +diagnostician in the world. + +If by some happy chance these pen-pictured glimpses should bear some +likeness to the man--if they should bring out here and there a line or +colour which will recall some characteristic, show some quality, reveal +some trait which, for those who knew him, will help to keep his memory +fresh, they will have earned for themselves a very good reward. But +beyond this, if they should fall to the notice of a younger generation +and, more especially, to those choosing the profession of the physician, +and the reader can discern therein something of the man himself, can get +some glimpse of his life and its meaning, can gain some sense of the +sincerity, the simplicity, the self-sacrifice and singleness of purpose +which guided him and finally lifted him so far out of and above the +ordinary, then will the pleasant task of recalling fully justify this +venturesome effort. + + * * * * * + +It was in the midst of my medical schooldays and in the unrestraint of +Adirondack holidays twenty years ago that I first met Dr. Janeway. As I +look back at this first memory I can see a vigorous, well-built man a +little way on in the fifties, dressed for a mountain climb or a game of +golf. His fine, firm-featured face would have struck one as rather stern +if one happened to miss that blessed kindliness which always lighted his +steady eyes. Though dressed for outing, it was not difficult to see by a +brief study of his face that his choice of exercise was intellectual +rather than physical, yet he went to his game or his walk with the same +directness of purpose with which he went to his work. + +Ordinary social intercourse was an effort for him. It seemed as if he +had to focus his mind down to the mental horizon of the everyday world +of everyday people around him, yet he did not appear impatient of the +small talk going on about him so long as it was plain he was not to take +part in it himself. + +One characteristic which never failed to impress those who met him was +his reserve. It was the quality of it which was so striking. It was not +a reserve which was raised of aloofness; there was no particle of that, +no self-esteem, no egoism--common builders of reserve--yet on the other +hand it was not the retreat of shyness as many might have thought, +though out of it a certain constraint was undoubtedly born. One might +almost say it was a result rather than a reserve; the result of a +something hard at work within; a preoccupying something; a gestating +something, the offspring of which was--well--what _he_ was. + +Another quality which leaves itself deep carved in the memory of these +early days of acquaintance was the quiet, unconscious respect he seemed, +with equal unconsciousness, to inspire in all about him; and more, even +in those who in kinship and friendship were closest to him, and with a +constancy which never wavered. In those days only the more evident +traits of his character came home to me. It was rather by feeling, by +intuition, that he impressed me. I had no measure of my own with which +to estimate his mental attainments. I had a kind of awe, of hero-worship +in knowing him, which left me reticent in the discussion of any medical +matters with him--so I usually stuck in those days to safer subjects. + +It was not until two or three years later, after I was graduated, that I +had any association of a professional nature with him. It was near the +end of the summer, up in the mountains. An elderly lady, a member of a +well-known family, was suddenly taken ill. I was hurriedly called to see +her, and on arriving at her cottage was told that Dr. Janeway had been +sent for also and would be there soon; but they were anxious to have me +go to the patient at once. The state of excitement into which this, my +first professional call, threw me, was in itself enough without the +crushing thought of what the great man might think of me, a then +full-fledged M.D. I was ushered into the bedroom where she lay, totally +unconscious and breathing heavily. As I hastened to the house, I had +been formulating in my mind just the questions I should put to her--for +I had learned in the medical school how to take a careful history--and +there she lay without speech, without hearing, and without response. As +I stood looking at her I could feel, rather than see, the family +anxiously crowding about the doorway, waiting for me to tell them just +what the trouble was, how serious it was, what were the chances of her +recovery. At that moment I wondered why I had ever thought of studying +medicine. I sat down by the bedside and felt her pulse. Why was she +unconscious? I tried to think of all the things which caused a state of +unconsciousness. Suppose she should die before I could think of what the +trouble was, and before I could do anything to save her life! The +thought was staggering! And then as I looked down at the patient again +I realized, alas, that my chance of making a diagnosis to give to the +family and then to proudly repeat it to Dr. Janeway, had vanished--for +at that moment the doctor's voice could be heard outside the door and +the next he was quietly stepping into the room. As he came forward, I +stood aside to give him my place at the bedside. He asked one or two +simple questions which I was fortunately able to answer. As I look back, +I feel sure he did this to put me at my ease. This was the first time I +had ever seen Dr. Janeway in the sick-room. It would be hard to describe +the difference between this man I now saw examining the sick woman and +the Dr. Janeway I had known before. There was a light in his eyes and an +alertness in his voice, entirely new to me, as he deftly built up his +diagnosis, pointing out this physical sign and that, until the complete +pathological picture seemed to stand out as on the page of a book. + +A little later as we came out from a talk with the family, he turned to +them and said: "Now the doctor and I wish to have a little consultation +together." How well I remember my feelings at that moment as he led me +into a room apart and closed the door. Anticipating what seemed to me +inevitable I said: "Of course, Dr. Janeway, they will want someone who +is older, someone with more--" He cut me short with, "You are going to +take care of her." "But--but--" I said. As if reading my thoughts he +smiled as he remarked: "That's what we are going to talk over now. Get a +pencil and paper and we will outline the necessary treatment." I wrote +down what he suggested, we arranged about getting the trained nurses, +and then, somehow, as the Doctor rose to go, the feeling came over me +that after all this was more of a job than, perhaps, I had any right to +undertake alone. I stood for a moment with these thoughts in my mind +when the Doctor put his hand on my shoulder and said: "If things don't +go just right come up any time and see me and we'll have a little talk; +or if you need me here, let me know. I am going now to tell the family +you will take charge of this case." + +And thus it was that the old lady was guided back to consciousness and +comfort by the steady head and generous hand in the background; while +the fledgeling physician reaped praise for her progress. + + + + +II + + +It was not until a year or two later that I was again brought, in a +medical way, into association with the Doctor. It happened to be at the +beginning of summer and at a time when I was waiting for a hospital +position in the fall, that I received word from him offering me a +position in his office in New York to take the place of his regular +laboratory assistant who was to be away for several months. No offer +before or since ever sounded so good to me. The morning of the appointed +day saw me there bright and early. This was to be a rare opportunity. I +felt it then; I know it now. Some of the secrets of his greatness were +to be unfolded to me, and I was eager for the work which would teach me +something of his ways. + +I was shown to the laboratory which was to be my special province. This +was equipped for carrying out by microscopical and chemical analysis, +all the practical tests which were necessary, as well as some bacterial +breeding. Absolute accuracy of results was the single aim and the simple +motto of this workshop. It was a room built on at the back of the house, +where light and quiet were assured. To the front of this were the +waiting-rooms for the patients, and at the front of the house, the +Doctor's office. Simple and sound and always of the best quality, would +serve as a description of the furnishings; there was a striking +similarity between these and the advice that a patient was sure to +receive. + +Several days went by without seeing much of the Doctor beyond saying +"good-morning," but no time went by without feeling that force in the +farther office. It seemed to shape itself into one's work, into one's +results. One was not told to do his best--it would not have been +necessary; somehow, one did it. + +One day about noon, word came from the Doctor asking me to lunch with +him upstairs after the morning's work was finished, which was usually +half-past one. We sat down to table together, his family being away for +the summer, and luncheon was served. I waited quietly to hear what the +Doctor wished to speak with me about, but as he said nothing, we ate on +in silence until the end of the meal. When we rose to leave the table, +the Doctor turned to me and in his blunt way said: "Better have your +lunch here every day." As he hurried off to keep an appointment, the +suspicion fell across my mind that perhaps he had surmised that my +pocketbook would be better for this little noonday rest he was +suggesting; but quite apart from that, I was more than glad to have this +extra opportunity of being with him and of learning from him. + +For some little time we met daily at lunch without the conversation +getting much above the level of the small civilities incident to eating, +when one day it suddenly came over me that I was not making the best of +my opportunities. But Dr. Janeway was a man of very few words. Through +doing, not talking, had he risen to his reputation--to his results. How +was I to begin? How was I to gain his interest? Surely not by airing +that new and conventional structure of scanty knowledge the medical +school had so recently assisted me in setting up in my mind, its +storerooms so empty of experience, its machinery still rigid for want +of real use. No, I did not mean to burden him by trying to open the +ball of intercourse in that direction. And yet, if somehow we could only +get on some common ground, and I could commence to learn something from +his rich experience; if, somehow, I could get by my diffidence of nature +in the presence of his depth of knowledge! + +I do not know how it came about, as he sat there opposite me, so +serious, so silent, but something seemed suddenly to plunge my mind into +a perfectly irrelevant region of thought, and drag therefrom to the +surface some droll tale I had happened to hear only a few days since. +Before I knew it, I was telling the Doctor that story. Fools rush in; +but there is a Providence that cares for them, for the Doctor enjoyed +it--he laughed, and from then on interchange of thought was less +restrained. + + + + +III + + +As time went on, the structural elements of this extraordinary man's +character became more and more evident. He was then at the very apogee +of his useful career. His fame had found its way around the world. The +makings of a material monument were within his easy reach--the thing +which spells supreme success in life for so many men and women, and not +a few physicians, was at his very door had he cared to look in that +direction; yet his face was set steadily forward toward other things. If +his income was ample, his energy was enormous, and he spent both freely +for the best interests of his profession and his people whom he loved. +One hears of the fabulous fees physicians sometimes get. Dr. Janeway +never used his unique position to prey upon the pockets of patients, +simply because they were people of large worldly wealth. To him a +patient was a human being who was sick and who needed to get well by the +shortest possible route science and sense could secure. Each patient +also provided a problem, and it was here where his masterly mind with +its prodigious store of pathological information, derived a singular +satisfaction. Illustrating the Doctor's direction of mind in matters of +money in comparison with his interest in the patient's condition, this +story, which belongs to the period of his beginning prominence, is +significant even if its verity cannot be vouched for. + +To one of the smaller Hudson River valley towns the Doctor was called by +a local practitioner to see in consultation a man noted for his wealth, +who lay critically ill. All the afternoon and evening were consumed in +this rather trying trip. When the next morning at breakfast his wife +made some mention of his arduous journey of the previous day, his face +lighted up with interest at the recollection. To a practical wife, what +could be more natural than an interest which embraced with some +satisfaction the thought of her husband's immediate reward--that reward +which could be readily converted into the shoes and frocks constantly +needed by the little brood about her? So led on with the thought in her +mind, she inquired how far the Doctor had travelled--the town to which +he had gone. He told her with readiness the name of the railway station +where the practitioner had met him and driven him to the patient's +house; then his face relighting with the memory of the case which had so +engrossed him, came out in his characteristic way with: "Very sick man; +pneumonia; unusual type--very unusual." "But that very long trip, a +whole afternoon and evening, that should mean a pretty good fee," said +his wife. The Doctor, his mind still occupied with the sick man's +problem, replied: "It was in the upper lobe, right side, quite solid, +very rare--very rare to see that in these cases." + +Then very gently from his wife came: "Did you remember to put down his +address?" "No, no," was the somewhat irritable response. His mind then +going back to the patient again: "But I have my notes on the case--on +his condition." "But his name?" she came out with, "so that you can send +your bill; you put that down?" "His name?" repeated the Doctor slowly, a +slight frown of annoyance coming over his face as his train of thought +was by then definitely derailed. "His name? No. Didn't get that." + + + + +IV + + +One morning I happened, for some reason or other, to be in the Doctor's +office. A lady from a near-by town had been consulting him. As she was +about to leave, she said: "Tell me, Dr. Janeway, about Dr. N. in our +town. We have just gone there to live, you know, and we want to be sure +to have the best doctor in case we have to call one in." Dr. Janeway +replied: "You cannot do better than Dr. N. I know him very well. He is a +good doctor. He won't do you any harm." The lady went away and I went +back to my work in the laboratory, but that phrase kept ringing in my +ears. "He is a very good doctor. He won't do you any harm." What had he +meant by that? I kept wondering. Well, the woman seemed to be +satisfied; at least she went away without further comment. Later +on--perhaps two or three weeks later--I heard him make very much the +same remark again: "Dr. R. is an excellent doctor. He won't do you any +harm." I did not understand his meaning then, but the thing got stuck in +my mind, and I remembered it. It was some years, I think, before that +saying, for it would keep coming back to me, commenced to make its real +impression. Then, as time and experience went on, clearer and clearer +became its significance until I have come to see it as an expression of +that wisdom--that deeper wisdom of the man whose simple words often +revealed such subtle truths. + + + + +V + + +Dr. Janeway's relation to his profession and to his fellow physicians +was one of rare felicity, and well it might have been, for his code of +professional conduct stood squarely upon that principle of consideration +for others, on which the hope of a some-time civilization in reality, +must ever rest. "Do unto others as you would have them do unto you," was +more than his motto; it was his motive; more than his precept, it was +his practice. The revised version: "Do others before they do you," which +has come so largely into recent vogue, both professionally as well as +commercially, would have had little appeal to a man whose real goal lay +so far on beyond personal position and private gain. In no better place +than here, with his simple and straight code of conduct, can I mention +something of Dr. Janeway's religion. + +In days when doctors are flying from creeds and more--from faith, +seeking to solace their souls in science alone, this great man's simple +adherence to the teachings of Christ become dramatic proof of his powers +of vision. But it was not the conventional Christ drawing a fashionable +flock to a Sunday morning service to church and a Monday morning service +to self, which gave the angle to this man's uprightness; his religion +was one of action rather than exhibition; he used it to control his own +life rather than to coerce the lives of others. + + + + +VI + + +There is one notably outstanding memory of Dr. Janeway which dates from +those earlier days in his office and which deals with that large class +of people who imagine they are ill--those people whose numbers are +directly proportionate to periods of so-called prosperity, who call +forth innumerable cults of curing, and who are the mainstay of much of +the mummery in medicine. + +I shall never forget one day at lunch after Dr. Janeway had been seeing +some of these mentally mortgaged men and women. As he sat down at table +his face wore that expression of perplexity which one at times sees as +the outward sign of that inward sense of the futility of things in +general. I inquired how matters had been going in the office that +morning. His reply, "Neurasthenics!" as it came out with all his +characteristic bluntness, set me to asking questions. What I learned +that day from the Doctor, coupled with later observations of his methods +in dealing with these unfortunates, has never needed unlearning. He saw +in these patients, wholly free from organic disorder, yet a prey to +aches and obsessions, to fears and depressions, the unhappy results of +that conflict in the subconscious self between the natural order of life +and the socially ordered life. He saw it and I am sure sorrowed over it. +Yet he never entered into a compact to treat them for what he knew they +did not have. He never left a stone unturned to prove to himself that +they suffered from no physical fault, and with his positive terseness he +rarely failed to prove that fact to them--freeing them, oftentimes for +good and all, from the fears and symptoms which assailed them, and +giving them in few and frank terms the key to their unconscious +calamity. + + + + +VII + + +All too soon for me passed that period of service in Dr. Janeway's +office, but as good fortune would have it, my future was still to feel +the touch of that fine association. + +A year later, when my hospital work as an interne was over, Dr. +Janeway's son, Dr. Theodore Janeway, asked me to make my office in his +house. This arrangement continued for two or three years, when I found +myself going to Europe for a winter's special study. With my return to +New York, the necessity of a larger office brought that one-time closer +affiliation with the Doctor to an end. But the seeds were planted which +were destined to bear for me the fruit of one of those infrequent +friendships, the influence of which still goes on, finding fresh +inspiration from its memory. + +I had not been long in my new quarters before I again began to feel the +result of Dr. Janeway's and his son's thoughts of me, for it was from +them that many of my first patients were referred, and it was from this +beginning that the happy relationship with the Doctor was steadily +continued as long as he remained in practice. + +There was one remarkable thing about all these patients who came from +Dr. Janeway's office, or to those I was called to see at his suggestion; +one thing in which they seemed to differ from all other patients. They +came full of that faith which his thoughtful study and understanding of +their cases forced them to feel--and full of that faith which the deep +sincerity of his interest in their welfare inspired. It made my part +easy and it helped secure good results for the patients, from whom I +would often harvest a gratitude where he had scattered the seeds, and +reap a reward which was due to his husbandry. + +It may be trite, nothing more than a frayed commonplace, perhaps, to say +that the force of good goes on, is never lost--yet the sincere, the +straight, the strong something that went out from this man and entered +into others, certainly continued on, and was not lost. + + + + +VIII + + +Self-contained and self-controlled as Dr. Janeway was, there were some +things which kindled his righteous wrath to a state of militant +activity. And one of these was petty political plotting in the ranks of +his own profession--the profession he loved and believed in as an +institution of sound progress when not soiled by selfish purpose. An +instance of this came to me through a personal experience. It was soon +after my return from study abroad, while I was seeking a suitable +position in a city hospital. This particular place was all but secured +when another post was offered to me by the head of one of the largest +medical institutions in town. With youthful naivete, I expressed my +appreciation of the offer but explained my reasons for wishing to secure +the appointment I had been seeking. Incensed by the fact that I did not +directly jump at his offer, the noted doctor brought the interview +rapidly to an end, and I departed. Some weeks went by and from the +position which I had been in quest of and from which I should have +received word, I heard nothing. And then, I found out why. The powerful +gentleman, whose offer I had not accepted, had lost no time in going to +the hospital head who had practically arranged to assign me to the +desired position, and telling him it would be a great mistake to give me +the post. + +When Dr. Janeway found this out, it was plain that there was still +another side to the Doctor, for his strength to strike out at foul play +showed its sufficient force on that occasion. It is almost needless to +say that the desired appointment was very soon mine. + + + + +IX + + +There were three things I should say the Doctor did not like. One of +these was the newspaper reporter who tried to get "inside" information +when some especially prominent person happened to be a patient of his. +This was not just a simple, single-sided dislike which the Doctor felt, +either. The idea of any physician inviting press publicity was bad +enough, but the idea of any physician telling the public about the +private affairs of a patient was--well--. I happened one day to be with +the Doctor when a reporter approached on such an errand, so I know quite +well how the Doctor felt on this subject, and I am inclined to believe +the reporter must also have carried away some impression of it. + +The other two things the Doctor seemed to dislike were writing medical +papers and speaking in public; anything, in short, which might by any +chance give an impression of putting himself forward, was distasteful to +him. As for display of any sort, any external polishing, for the purpose +of appearing prosperous and thus inviting prosperity, would have been to +Dr. Janeway utterly impossible. + +As far as personal success and advancement went, I am convinced his mind +was never concerned beyond that measure of reward which might openly be +balanced against actual attainment and actual ability. What a sorrowful +satisfaction that would be for many of us! + + + + +X + + +Now that these few ingredients of Dr. Janeway's greatness, which have +come out of memory to mind, have found their way to paper, it is hoped +they may not wholly miss their mark. Incomplete though the picture is, +it should carry some clue to the character of the man who made the +profession of medicine a finer and a better profession for his having +been in it. To bring into any walk of life so much talent and truth, so +much candour and courage, and withal, such simplicity and sincerity, is +to leave it raised to a higher level for all time. + +Such lives need no tribute to their memory. On the contrary, they levy +an unforgettable tax on all who would live on by lower standards. + +To those whose minds can grasp the general disorder in which we try to +live--the moral indirection of our everyday endeavour to get somewhere, +this day toward a gilded goal, tomorrow toward the promise of fame, the +day after seeking applause for our benevolence, or one after one thing, +another after another thing, and hardly any one after anything that +counts--it is to these that this man's unaffected, unselfish, upbuilding +life must come as a strong and refreshing draught of reality. + +A life worth knowing about for those with ideals; a life to study for +those who are sincere; a life with a lesson for every student of +medicine. + + + + + +End of the Project Gutenberg EBook of Some Personal Recollections of Dr. +Janeway, by James Bayard Clark + +*** END OF THIS PROJECT GUTENBERG EBOOK SOME PERSONAL RECOLLECTIONS *** + +***** This file should be named 24699.txt or 24699.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/2/4/6/9/24699/ + +Produced by Bernd Meyer and the Online Distributed +Proofreading Team at http://www.pgdp.net (This file was +produced from images generously made available by The +Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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