“Is there a medical man of them all in Middlemarch who would question himself as I do?” said poor Lydgate, with a renewed outburst of rebellion against the oppression of his lot. “And yet they will all feel warranted in making a wide space between me and them, as if I were a leper! My practice and my reputation are utterly damned⁠—I can see that. Even if I could be cleared by valid evidence, it would make little difference to the blessed world here. I have been set down as tainted and should be cheapened to them all the same.”

Already there had been abundant signs which had hitherto puzzled him, that just when he had been paying off his debts and getting cheerfully on his feet, the townsmen were avoiding him or looking strangely at him, and in two instances it came to his knowledge that patients of his had called in another practitioner. The reasons were too plain now. The general blackballing had begun.