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Learning English
The Citadel
In 1921, a twenty-four year-old Scottish medical graduate, Andrew Manson, arrives in a small Welsh mining town to take his first job. He quickly learns that his training is inadequate and that his employer will never return to practice. Manson must do all the work for a pittance and bad food. He befriends another assistant, surgeon Phillip Denny. Together they solve the town’s problem with typhoid by blowing up the sewer. Andrew’s diligence, intelligence and decency soon pay off. Patients begin to respect him and choose him over his outmoded colleagues. After some time, Christine, a young female school teacher in the town finds his brashness endearing. When Andrew suddenly quits his job due to compensation agreement that he considers unfair, Christine accepts his precipitous proposal of marriage and accompanies him on his next professional challenge in a larger mining town. She encourages him to continue his studies about tuberculosis. The results include higher degrees and recognition, but they also bring hatred of some people who envy him. However, Manson performs an emergency amputation, lying on his stomach in a narrow, dank mineshaft to save the life of a miner trapped by a partial roof collapse. After this situation Christine loses a much wanted pregnancy and the ability to have children. The Mansons leave Wales for London, where Andrew hopes to extend his research, but Manson is quickly disillusioned. He is lured into society practice and slowly abandons his ideals in exchange for prestige and wealth. Christine is increasingly unhappy, but Manson is annoyed with her and engages in an affair with another woman. After an unsuccessful operation with Andrew’s new “friend” (surgeon), he realizes that his rich friends are very bad company for him. He decides to sell his practice and renews the contact with Denny. He also helps the tubercular daughter of an old friend to pneumothorax in a clinic run by Stillman, who doesn’t have medical education. Christine rediscovers joy they have in each other and their common future, but she is killed in a freak accident. Few days later, Andrew is brought before the General Medical Council charged of unprofessional conduct. Manson acquits himself brilliantly and leaves with his old friend Denny for work in the Midlands.
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