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Q.“I have done something; oh, God! I've done something real at last.” Why does Andrew say this? What does it mean?

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Andrew says this in exhausted wonder after reviving both the mother and a child born lifeless — feeling for the first time that he has done work of genuine, life-saving value.

Andrew says these words at the very end of the story, as he walks home at dawn among the miners, “spent and slow.” They come out of the long, desperate struggle he has just been through. In one terrible hour he has had to save Susan Morgan, who lay “almost pulseless” after the anaesthetic, and then to bring back her baby, which was born lifeless and had already been given up as stillborn and hidden under the bed. Refusing to accept defeat, he worked for half an hour with hot and cold baths and desperate effort until the child finally gasped, turned pink and cried.

The words mean that Andrew feels he has at last done something of real, tangible worth — not the routine or textbook work of an ordinary day, but something that made the difference between life and death. Earlier he had been dull, low and doubting, brooding on failed marriages and his own affairs. This night lifts him out of that mood and gives him a sudden, humbling sense of purpose. It is the moment he grasps the true meaning of his calling, and it is why the case “would influence his whole future in Blaenelly.”

✓Final answer

Andrew says this because he has just saved a mother and revived a baby born lifeless — a real, life-and-death achievement. It means that, for the first time, he feels he has done work of genuine value and has understood the true purpose and worth of being a doctor.

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