"And remember," Susila interjected, "in those days Pala was much more forbidden than it is now."
"So you can imagine how eagerly young Dr. Andrew jumped at the opportunity now offered by the Raja's ambassador. Ten days later his ship dropped anchor off the north coast of the forbidden island. With his medicine chest, his bag of instruments, and a small tin trunk containing his clothes and a few indispensable books, he was rowed in an outrigger canoe through the pounding surf, carried in a palanquin through the streets of Shivapuram and set down in the inner courtyard of the royal palace. His royal patient was eagerly awaiting him. Without being given time to shave or change his clothes, Dr. Andrew was ushered into the presence-the pitiable presence of a small brown man in his early forties, terribly emaciated under his rich brocades, his face so swollen and distorted as to be barely human, his voice reduced to a hoarse whisper. Dr. Andrew examined him. From the maxillary antrum, where it had its roots, a tumor had spread in all directions. It had filled the nose, it had pushed up into the socket of the right eye, it had half blocked the throat. Breathing had become difficult, swallowing acutely painful, and sleep an impossibility-for whenever he dropped off, the patient would choke and wake up frantically struggling for air. Without radical surgery, it was obvious, the Raja would be dead within a couple of months. With radical surgery, much sooner. Those were the good old days, remember-the good old days of septic operations without benefit of chloroform. Even in the most favorable circumstances surgery was fatal to one patient out of four. Where conditions were less propitious, the odds declined-fifty-fifty, thirty to seventy, zero to a hundred. In the present case the prognosis could hardly have been worse. The patient was already weak and the operation would be long, difficult and excruciatingly painful. There was a good chance that he would die on the operating table and a virtual certainty that, if he survived, it would only be to die a few days later of blood poisoning. But if he should die, Dr. Andrew now reflected, what would be the fate of the alien surgeon who had killed a king? And, during the operation, who would hold the royal patient down while he writhed under the.knife? Which of his servants or courtiers would have the strength of mind to disobey, when the master screamed in agony or positively commanded them to let him go?
"Perhaps the wisest thing would be to say, here and now, that the case was hopeless, that he could do nothing, and ask to be sent back to Madras forthwith. Then he looked again at the sick man. Through the grotesque mask of his poor deformed face the Raja was looking at him intently-looking with the eyes of a condemned criminal begging the judge for mercy. Touched by the appeal, Dr. Andrew gave him a smile of encouragement and all at once, as he patted the thin hand, he had an idea. It was absurd, crackbrained, thoroughly discreditable; but all the same, all the same ...
"Five years before, he suddenly remembered, while he was still at Edinburgh, there had been an article in The Lancet, an article denouncing the notorious Professor Elliotson for his advocacy of animal magnetism. Elliotson had had the effrontery to talk of painless operations performed on patients in the mesmeric trance.
"The man was either a gullible fool or an unscrupulous knave. The so-called evidence for such nonsense was manifestly worthless. It was all sheer humbug, quackery, downright fraud- and so on for six columns of righteous indignation. At the time-for he was still full of La Mettrie and Hume and Cabanis- Dr. Andrew had read the article with a glow of orthodox approval. After which he had forgotten about the very existence of animal magnetism. Now, at the Raja's bedside, it all came back to him-the mad professor, the magnetic passes, the amputations without pain, the low death rate and the rapid recoveries. Perhaps, after all, there might be something in it. He was deep in these thoughts when, breaking a long silence, the sick man spoke to him. From a young sailor who had deserted his ship at Rendang-Lobo and somehow made his way across the Strait, the Raja had learned to speak English with remarkable fluency, but , also, in faithful imitation of his teacher, with a strong Cockney accent. That Cockney accent," Dr. MacPhail repeated with a little laugh. "It turns up again and again in my great-grandfather's memoirs. There was something, to him, inexpressibly improper about a king who spoke like Sam Weller. And in this case the impropriety was more than merely social. Besides being a king, the Raja was a man of intellect and the most exquisite refinement; a man, not only of deep religious convictions (any crude oaf can have deep religious convictions), but also of deep religious experience and spiritual insight. That such a man should express himself in Cockney was something that an Early Victorian Scotsman who had read The Pickwick Papers could never get over. Nor, in spite of all my great-grandfather's tactful coaching, could the Raja ever get over his impure diphthongs and dropped aitches. But all that was in the future. At their first tragic meeting, that shocking, lower-class accent seemed strangely touching. Laying the palms of his hands together in a gesture of supplication, the sick man whispered, ' 'Elp me, Dr. MacPhile, 'elp me.'