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+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: 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.)
+
+
+
+
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+
+
+
+[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 ***
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