The Citadel
A. J. Cronin
Hardcover
(P. F. Collier & Son, March 15, 1948)
Hippocrates conquers hypocrisy in this story of an idealistic, young Scottish doctor, Andrew Manson, fresh out of medical school and embarking upon his career. Committed to helping mankind and hardworking though of modest means, he arrives in Wales, where his first job is working for an older doctor in the small town of 'Drineffy'. Shocked by the conditions there, he works to improve matters before marrying Christine, a school teacher. They subsequently move to 'Aberalaw', a coal mining town in the South Wales coalfield, where she helps her husband with his silicosis research. Eager to improve the lives of his rustic patients, Manson dedicates many hours to private study in his chosen field of lung disease. The couple later moves to London, where the doctor works for a government department before going into private practice. Seduced by the thought of easy money from wealthy clients rather than the good works that he originally set out to, Manson becomes involved with pampered private patients and fashionable surgeons and grows further and further from his wife, until a patient dies because of a surgeon's ineptitude. The incident causes Manson to abandon his practice and return to his former, idealistic ways. He and his wife repair their damaged relationship, but Christine is killed in a traffic accident shortly afterward. Meanwhile, since Manson had accused the incompetent surgeon of murder, he is vindictively reported to the General Medical Council for having worked with an American tuberculosis specialist (who does not have a medical degree), even though the patient had been successfully treated. Manson manages to justify his actions satisfactorily during the hearing and is not struck off the medical register. He finally decides to join two friends in opening an integrated, multispecialty practice in a country town.