Doctor Parker Peps, one of the Court Physicians, and a man of immense reputation for assisting at the increase of great families, was walking up and down the drawing-room with his hands behind him, to the unspeakable admiration of the family Surgeon, who had regularly puffed the case for the last six weeks, among all his patients, friends, and acquaintances, as one to which he was in hourly expectation day and night of being summoned, in conjunction with Doctor Parker Pep.

‘Well, Sir,’ said Doctor Parker Peps in a round, deep, sonorous voice, muffled for the occasion, like the knocker; ‘do you find that your dear lady is at all roused by your visit?’

‘Stimulated as it were?’ said the family practitioner faintly: bowing at the same time to the Doctor, as much as to say, ‘Excuse my putting in a word, but this is a valuable connexion.’

Mr Dombey was quite discomfited by the question. He had thought so little of the patient, that he was not in a condition to answer it. He said that it would be a satisfaction to him, if Doctor Parker Peps would walk upstairs again.

‘Good! We must not disguise from you, Sir,’ said Doctor Parker Peps, ‘that there is a want of power in Her Grace the Duchess—I beg your pardon; I confound names; I should say, in your amiable lady. That there is a certain degree of languor, and a general absence of elasticity, which we would rather—not—’

‘See,’ interposed the family practitioner with another inclination of the head.

‘Quite so,’ said Doctor Parker Peps, ‘which we would rather not see. It would appear that the system of Lady Cankaby—excuse me: I should say of Mrs Dombey: I confuse the names of cases—’

‘So very numerous,’ murmured the family practitioner—‘can’t be expected I’m sure—quite wonderful if otherwise—Doctor Parker Peps’s West-End practice—’

‘Thank you,’ said the Doctor, ‘quite so. It would appear, I was observing, that the system of our patient has sustained a shock, from which it can only hope to rally by a great and strong—’

‘And vigorous,’ murmured the family practitioner.

‘Quite so,’ assented the Doctor—‘and vigorous effort. Mr Pilkins here, who from his position of medical adviser in this family—no one better qualified to fill that position, I am sure.’

‘Oh!’ murmured the family practitioner. ‘“Praise from Sir Hubert Stanley!”’

‘You are good enough,’ returned Doctor Parker Peps, ‘to say so. Mr Pilkins who, from his position, is best acquainted with the patient’s constitution in its normal state (an acquaintance very valuable to us in forming our opinions in these occasions), is of opinion, with me, that Nature must be called upon to make a vigorous effort in this instance; and that if our interesting friend the Countess of Dombey—I beg your pardon; Mrs Dombey—should not be—’

‘Able,’ said the family practitioner.

‘To make,’ said Doctor Parker Peps.

‘That effort,’ said the family practitioner.

‘Successfully,’ said they both together.

‘Then,’ added Doctor Parker Peps, alone and very gravely, ‘a crisis might arise, which we should both sincerely deplore.’

With that, they stood for a few seconds looking at the ground. Then, on the motion—made in dumb show—of Doctor Parker Peps, they went upstairs; the family practitioner opening the room door for that distinguished professional, and following him out, with most obsequious politeness.

To record of Mr Dombey that he was not in his way affected by this intelligence, would be to do him an injustice. He was not a man of whom it could properly be said that he was ever startled, or shocked; but he certainly had a sense within him, that if his wife should sicken and decay, he would be very sorry, and that he would find a something gone from among his plate and furniture, and other household possessions, which was well worth the having, and could not be lost without sincere regret. Though it would be a cool, business-like, gentlemanly, self-possessed regret, no doubt.

His meditations on the subject were soon interrupted, first by the rustling of garments on the staircase, and then by the sudden whisking into the room of a lady rather past the middle age than otherwise but dressed in a very juvenile manner, particularly as to the tightness of her bodice, who, running up to him with a kind of screw in her face and carriage, expressive of suppressed emotion, flung her arms around his neck, and said, in a choking voice,

‘My dear Paul!

Painful so he