For a) there are only 172 FT palliative docs in Ontario for 14M patients. b) PC physicians often struggle for the basics like office space just to see patients let alone admin support, tech support, etc. c) there are unfortunate disincentives in OHIP that prevent early referral to PC. While not as bad as the USA, the quirks in OHIP (like restricting PC to last year of life and no concurrent treatment) need to be rectified.
She put her hand in mine as confidingly as if she had known me from her cradle, and we trudged away together; the little creature accommodating her pace to mine, and rather seeming to lead and take care of me than I to be protecting her. I observed that every now and then she stole a curious look at my face, as if to make quite sure that I was not deceiving her, and that these glances (very sharp and keen they were too) seemed to increase her confidence at every repetition.
With this, they separated. The child opened the door (now guarded by a shutter which I had heard the boy put up before he left the house) and with another farewell whose clear and tender note I have recalled a thousand times, held it until we had passed out. The old man paused a moment while it was gently closed and fastened on the inside, and satisfied that this was done, walked on at a slow pace. At the street-corner he stopped, and regarding me with a troubled countenance said that our ways were widely different and that he must take his leave. I would have spoken, but summoning up more alacrity than might have been expected in one of his appearance, he hurried away. I could see that twice or thrice he looked back as if to ascertain if I were still watching him, or perhaps to assure himself that I was not following at a distance. The obscurity of the night favoured his disappearance, and his figure was soon beyond my sight.
There were few passengers astir; the street was sad and dismal, and pretty well my own. A few stragglers from the theatres hurried by, and now and then I turned aside to avoid some noisy drunkard as he reeled homewards, but these interruptions were not frequent and soon ceased. The clocks struck one. Still I paced up and down, promising myself that every time should be the last, and breaking faith with myself on some new plea as often as I did so.
Occupied with such thoughts as these, and a crowd of others all tending to the same point, I continued to pace the street for two long hours; at length the rain began to descend heavily, and then over-powered by fatigue though no less interested than I had been at first, I engaged the nearest coach and so got home. A cheerful fire was blazing on the hearth, the lamp burnt brightly, my clock received me with its old familiar welcome; everything was quiet, warm and cheering, and in happy contrast to the gloom and darkness I had quitted.
He said no more, but taking the money turned away with a slow, uncertain step, and pressed his hand upon his head like a weary and dejected man. The dwarf watched him sharply, while he passed into the little sitting-room and locked it in an iron safe above the chimney-piece; and after musing for a short space, prepared to take his leave, observing that unless he made good haste, Mrs Quilp would certainly be in fits on his return.
The dwarf said never a word, but watched his companion as he paced restlessly up and down the room, and presently returned to his seat. Here he remained, with his head bowed upon his breast for some time, and then suddenly raising it, said,
Without relaxing his pace, or stopping to take breath, this mysterious individual dashed on through a great many alleys and narrow ways until he at length arrived in a square paved court, when he subsided into a walk, and making for a small house from the window of which a light was shining, lifted the latch of the door and passed in.
He was quite tired out with pacing the streets, to say nothing of repeated disappointments, and was sitting down upon a step to rest, when there approached towards him a little clattering jingling four-wheeled chaise, drawn by a little obstinate-looking rough-coated pony, and driven by a little fat placid-faced old gentleman. Beside the little old gentleman sat a little old lady, plump and placid like himself, and the pony was coming along at his own pace and doing exactly as he pleased with the whole concern. If the old gentleman remonstrated by shaking the reins, the pony replied by shaking his head. It was plain that the utmost the pony would consent to do, was to go in his own way up any street that the old gentleman particularly wished to traverse, but that it was an understanding between them that he must do this after his own fashion or not at all.
Again this quarter passed, they came upon a straggling neighbourhood, where the mean houses parcelled off in rooms, and windows patched with rags and paper, told of the populous poverty that sheltered there. The shops sold goods that only poverty could buy, and sellers and buyers were pinched and griped alike. Here were poor streets where faded gentility essayed with scanty space and shipwrecked means to make its last feeble stand, but tax-gatherer and creditor came there as elsewhere, and the poverty that yet faintly struggled was hardly less squalid and manifest than that which had long ago submitted and given up the game.
Any further controversy being now out of the question, Short was fain to part with Mr Grinder and his pupils and to follow his morose companion. After lingering at the finger-post for a few minutes to see the stilts frisking away in the moonlight and the bearer of the drum toiling slowly after them, he blew a few notes upon the trumpet as a parting salute, and hastened with all speed to follow Mr Codlin. With this view he gave his unoccupied hand to Nell, and bidding her be of good cheer as they would soon be at the end of their journey for that night, and stimulating the old man with a similar assurance, led them at a pretty swift pace towards their destination, which he was the less unwilling to make for, as the moon was now overcast and the clouds were threatening rain.
They made a path through booths and carriages and throngs of people, and never once stopped to look behind. The bell was ringing and the course was cleared by the time they reached the ropes, but they dashed across it insensible to the shouts and screeching that assailed them for breaking in upon its sanctity, and creeping under the brow of the hill at a quick pace, made for the open fields.
It was some two minutes after the time when he reached the spot, which was a considerable distance from his home, but by great good luck the little old gentleman had not yet arrived; at least there was no pony-chaise to be seen, and it was not likely that he had come and gone again in so short a space. Greatly relieved to find that he was not too late, Kit leant against a lamp-post to take breath, and waited the advent of the pony and his charge.
Lest anybody should feel a curiosity to know how Kit was clad, it may be briefly remarked that he wore no livery, but was dressed in a coat of pepper-and-salt with waistcoat of canary colour, and nether garments of iron-grey; besides these glories, he shone in the lustre of a new pair of boots and an extremely stiff and shiny hat, which on being struck anywhere with the knuckles, sounded like a drum. And in this attire, rather wondering that he attracted so little attention, and attributing the circumstance to the insensibility of those who got up early, he made his way towards Abel Cottage.
They bade him farewell very many times, and turned away, walking slowly and often looking back, until they could see him no more. At length they had left the village far behind, and even lost sight of the smoke among the trees. They trudged onward now, at a quicker pace, resolving to keep the main road, and go wherever it might lead them.
The sisters had gone home, and she was alone. She raised her eyes to the bright stars, looking down so mildly from the wide worlds of air, and, gazing on them, found new stars burst upon her view, and more beyond, and more beyond again, until the whole great expanse sparkled with shining spheres, rising higher and higher in immeasurable space, eternal in their numbers as in their changeless and incorruptible existence. She bent over the calm river, and saw them shining in the same majestic order as when the dove beheld them gleaming through the swollen waters, upon the mountain tops down far below, and dead mankind, a million fathoms deep.
She had gained a little wooden bridge, which, thrown across the stream, led into a meadow in her way, when she came suddenly upon a ruddy light, and looking forward more attentively, discerned that it proceeded from what appeared to be an encampment of gipsies, who had made a fire in one corner at no great distance from the path, and were sitting or lying round it. As she was too poor to have any fear of them, she did not alter her course (which, indeed, she could not have done without going a long way round), but quickened her pace a little, and kept straight on.
The night crept on apace, the moon went down, the stars grew pale and dim, and morning, cold as they, slowly approached. Then, from behind a distant hill, the noble sun rose up, driving the mists in phantom shapes before it, and clearing the earth of their ghostly forms till darkness came again. When it had climbed higher into the sky, and there was warmth in its cheerful beams, they laid them down to sleep, upon a bank, hard by some water.
Sometimes walking for a mile or two while her grandfather rode inside, and sometimes even prevailing upon the schoolmaster to take her place and lie down to rest, Nell travelled on very happily until they came to a large town, where the waggon stopped, and where they spent a night. They passed a large church; and in the streets were a number of old houses, built of a kind of earth or plaster, crossed and re-crossed in a great many directions with black beams, which gave them a remarkable and very ancient look. The doors, too, were arched and low, some with oaken portals and quaint benches, where the former inhabitants had sat on summer evenings. The windows were latticed in little diamond panes, that seemed to wink and blink upon the passengers as if they were dim of sight. They had long since got clear of the smoke and furnaces, except in one or two solitary instances, where a factory planted among fields withered the space about it, like a burning mountain. When they had passed through this town, they entered again upon the country, and began to draw near their place of destination. 2b1af7f3a8