clinic, impressed and frightened in equal parts. It wasnât really intended to, but the Out-Patient Clinic sometimes had the same effect on those unfamiliar with it as the Hall of Justice in the Dogeâs Palace in Veniceâwalking the length of which was said to have concentrated the minds of those brought to trial there more than somewhat.
Dr Friar said, some of his own aching tiredness gone now, âSo that was when you got this feeling again, was it, Mrs Allison?â
âThatâs right,â she responded absently, her eyes on his hands. âWhat are you going to do with that thing there, then?â
âJust putting it round your arm, thatâs all. It wonât hurt.â He picked up his stethoscope. âAnd then Iâm going to have a listen to your ticker.â
ââTâaint what it used to be,â she wheezed.
âNo.â
âAnd my ankles swell something awful by nighttime.â
âYes, Iâm sure they do.â Martin Friar glanced down at her bulging ankles and stout, lace-up shoes and made another note in her record. Her blood pressure was sky-high, of course. He didnât like the colour of Mrs Allisonâs lips either but he did not say so. Instead he asked, âWhat are you like after a rest?â
âRest?â She stared at him as if he was speaking another language. Then her face cleared. âOh, you mean Sundays, Doctor â¦â
He hadnât meant Sundays but he let her go on.
âWell, thereâs still always feeding the stock, of course, but I do put my feet up for a bit in the afternoons Sundays sometimesââ
Doctor and patient both regarded Mrs Allisonâs swollen, pitted legs. She said, âBut it doesnât seem to make a lot of difference to the pain up here.â
âNo.â Dr Friar nodded.
âThatâs why my own doctor thought I ought to come up to the hospital.â
âQuite right,â said the Senior Registrar, thinkingâbut not sayingâthat her own doctorâthe old foolâshould have sent her up to see them months ago. âBecause,â he went on sedulously, âI think we may be able to do something for you.â
âI didnât want to come, see,â she said again, not listening, âbecause Iâve never been to hospital before.â
âOne of your problems,â said Martin Friar, not listening either, âis that your arteries have got all furred upâa bit like an old water pipe doesâand the blood canât flow through like it used to.â
Her face cleared. âThe waterâs terrible hard out our way, Doctor, and I do feel a great throbbing sometimes.â
âYou will,â he said, not bothering to try to dispel her confusion. âNow, what we need to do is to attempt to dissolve all the stuff thatâs stuck on the inside of your arteries without having to send you for an operation.â
âI shouldnât want to have an operation,â she said automatically.
âThere are two treatments that we could give you,â said Dr Friar, ignoring this too. âActually, as it happens weâreâthat is, Dr Meggie isâtesting one of the new ones here at St Ninianâs.â
âWell, I never,â she said, suitably impressed.
âAnd what weâd really like to do, Mrs Allison, is to include you in one of our clinical trials by putting you on a course of one of these new tablets and seeing how you get on.â
She nodded uncomprehendingly.
âI shanât even know myself which one of the two drugs weâre giving you,â said Martin Friar, adding with a winning smile, âThatâs so I shanât be improperly influencing you in any way by what I say about the tablets when I prescribe them for you.â
âThank you, Doctor,â she murmured, now even more mystified than ever. Sheâd come up to St Ninianâs to be influenced and