This chapter opens with a conversation between Dr. Rivers and Dr. Manette. The conversation is interrupted by the arrival of a new patient. The patient is a young man who has just graduated from medical school. He is eager to begin his medical career. The doctor asks him what he would like to do with his life. The young man tells the doctor that he wants to go back to school and become a physician. The physician tells the patient that he is too young and inexperienced to enter the medical profession. He asks the patient if he has ever thought of going back into medicine. The man replies that he has never thought of such a thing. He then asks the young man if he had ever thought about going back to medicine, and the patient responds that he had thought of doing so. He tells the physician that he wishes he could go back into the profession because it would give him the opportunity to practice medicine in a different environment. He also tells the young patient that if he wanted to go into medicine, he would have to leave the profession and become an independent citizen.