He was terrified, how could he dare to practice again? The dream made Ephraim understand his God-given duty to return to medicine. He saw that he had let his own doubts stand in the way. But he did not know if he was capable; so much had happened in medicine since 1878. He was a fool, a coward, he’d run away from doctoring and forced these wandering years on his loyal loving wife. After all her sacrifice, could she forgive a turn-around?
‘Still bearing fruit when I am old, still green and full of sap,’ Ephraim quotes Psalm 92 in Chapter 35, Still Full of Sap. He is awed by becoming a father again at age 58. The birth of a boy, Leo, can never make up for the death of William, but at last Ephraim feels the call to his former profession. After nine years he ends his self-banishment and in 1887 applies to the state of West Virginia for his medical license.
A letter from home at last, but it was bordered with black, the only words: ‘O my son Absalom, my son, my son Absalom!’ At the bottom his parents names and the numbers 1829 – 1853: the dates of Ephraim’s birth and his revealed conversion to Christianity. They had declared him dead.
The room spun and he gripped the sides of the wooden chair he sat in. Trembling, he gathered his scarf and hat and hurried down the staircase into the biting air of gray November. He walked fast, blindly. He sped on, driven by grief, by horror: what had he done? He had found his own God. And now his parents had severed him.
Having successfully begun at seminary in Chapter 11, At Andover, Ephraim breaks down in health and mind at his family’s reaction to his conversion. He learns new lessons in endurance, finding support in the household of his teacher, Professor Calvin Stowe, and Mrs Harriet Beecher Stowe, author of Uncle Tom’s Cabin. Will Ephraim see his wife and daughter again? When I am a physician, he vows, then I will rescue them.