As the door closed behind them, a loud ringing laugh was heard as though the two were going off to enjoy something together. Then another door was closed, and then there resounded through the silence of all the rooms a loud startled scream; not so much of pain but of bewilderment, of amazement, of grief of mind, of a puzzle in the brain. Then there were other sounds, other sounds, other sounds. And then one long continued sound--low, piteous, inconsolable. The spring advanced; tide of new life overflowed the land. Dr. Birney and his boy were seen driving on all bright days: not toward the sick necessarily; sometimes they were on their way to a creek or pond to fish. There was a tragic change in the doctor, and there was a grave change in his son. The father's face began to show the responsibility of handling a case that was becoming more difficult; on a landscape of growing things--growing with the irresistible force of Nature, how was he to arrest the growth of things in the nature of a child? And the boy was beginning in his way to consider the danger of too much devotion to a father, too blind an imitation of him. In his way he was trying to get clear hold of this problem of how to imitate and how not to imitate. Something was gone between them; not affection, but peace. Each was puzzled by the other, and each knew the other was puzzled. How completely they jerked shining fish out of the lucent water; but as each dropped his hook into the sea of character, neither felt assured what he might draw up. At times in the doctor's eyes there was an expression too sad to be seen in any father's; and in the boy's was the look of the first deterioration in life--the defeat of being punished for what he thought was right. Late one cold rainy afternoon in April there were several buggies in Dr. Birney's yard, three of them belonging to physicians called into consultation from adjoining county seats. One of the phenomena which baffle the science of medicine had appeared on the doctor's threshold--the sporadic case. Long after an epidemic is over, by an untraceable path infection arrives. It is quite as if a bird that cannot migrate should be found unearned on the opposite coast of a sea. There was little need of the consultation; the disease was well known, the treatment was that agreed upon by the profession; Dr. Birney himself was the most successful practitioner. A well-known disease, an agreed-upon treatment--but a rate of mortality. Others came, not called: friends, neighbors, members of his Masonic order. During all these years he had slowly won the heart of the whole people, and now it turned to him. * * * * * The doctor watched the progress of the case like one who must now bring to bear the resources of a lifetime and of a life; who must cast the total of skill and of influence on the side of the vital forces.