capitalism and industrial slums, but also of Shakespeare and Mozart, also of scientific knowledge and logical thinking. It was paradise, but it wouldn’t do, it wouldn’t do. They sailed on. They visited Fiji and the Carolines and the Solomons. They charted the northern coast of New Guinea and, in Borneo, a party went ashore, trapped a pregnant orangutan and climbed to the top of Mount Kinabalu. Then followed a week at Panay, a fortnight in the Mergui Archipelago. After which they headed west to the Andamans and from the Andamans to the mainland of India. While ashore, my great-grandfather was thrown from his horse and broke his right leg. The captain of the Melampus found another surgeon and sailed for home. Two months later, as good as new, Andrew was practicing medicine at Madras. Doctors were scarce in those days and sickness fearfully common. The young man began to prosper. But life among the merchants and officials of the presidency was oppressively boring. It was an exile, but an exile without any of the compensations of exile, an exile without adventure or strangeness, a banishment merely to the provinces, to the tropical equivalent of Swansea or Huddersfield. But still he resisted the temptation to book a passage on the next homebound ship. If he stuck it out for five years, he would have enough money to buy a good practice in Edinburgh—no, in London, in the West End. The future beckoned, rosy and golden. There would be a wife, preferably with auburn hair and a modest competence. There would be four or five children—happy, unwhipped and atheistic. And his practice would grow, his patients would be drawn from circles ever more exalted. Wealth, reputation, dignity, even a knighthood. Sir Andrew MacPhail stepping out of his brougham in Belgrave Square. The great Sir Andrew, physician to the Queen. Summoned to St. Petersburg to operate on the Grand Duke, to the Tuileries, to the Vatican, to the Sublime Porte. Delightful phantasies! But the facts, as it turned out, were to be far more interesting. One fine morning a brown-skinned stranger called at the surgery. In halting English he gave an account of himself. He was from Pala and had been commanded by His Highness, the Raja, to seek out and bring back with him a skillful surgeon from the West. The rewards would be princely. Princely, he insisted. There and then Dr. Andrew accepted the invitation. Partly, of course, for the money; but mostly because he was bored, because he needed a change, needed a taste of adventure. A trip to the Forbidden Island—the lure was irresistible.”
“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