George Eliot: Middlemarch

BOOK IV. THREE LOVE PROBLEMS. 42. CHAPTER XLII. (continued)

"Then I can no longer hesitate as to my course," said Lydgate; "but the first thing I must impress on you is that my conclusions are doubly uncertain--uncertain not only because of my fallibility, but because diseases of the heart are eminently difficult to found predictions on. In any ease, one can hardly increase appreciably the tremendous uncertainty of life."

Mr. Casaubon winced perceptibly, but bowed.

"I believe that you are suffering from what is called fatty degeneration of the heart, a disease which was first divined and explored by Laennec, the man who gave us the stethoscope, not so very many years ago. A good deal of experience--a more lengthened observation--is wanting on the subject. But after what you have said, it is my duty to tell you that death from this disease is often sudden. At the same time, no such result can be predicted. Your condition may be consistent with a tolerably comfortable life for another fifteen years, or even more. I could add no information to this beyond anatomical or medical details, which would leave expectation at precisely the same point." Lydgate's instinct was fine enough to tell him that plain speech, quite free from ostentatious caution, would be felt by Mr. Casaubon as a tribute of respect.

"I thank you, Mr. Lydgate," said Mr. Casaubon, after a moment's pause. "One thing more I have still to ask: did you communicate what you have now told me to Mrs. Casaubon?"

"Partly--I mean, as to the possible issues." Lydgate was going to explain why he had told Dorothea, but Mr. Casaubon, with an unmistakable desire to end the conversation, waved his hand slightly, and said again, "I thank you," proceeding to remark on the rare beauty of the day.