he dared not tell his guardian. From 1892 until he qualified in 1897, he studied medicine at St Thomas's Hospital Medical School in Lambeth. Early works In his work as a medical student Maugham met the poorest working-class people: "I was in contact with what I most wanted, life in the raw". In maturity, he recalled the value of his experiences: "I saw how men died. I saw how they bore pain. I saw what hope looked like, fear and relief; I saw the dark lines that despair drew on a face." Maugham took rooms in Westminster, across the Thames from the hospital. He made himself comfortable there, filled many notebooks with literary ideas, and continued writing nightly, while studying for his medical degree. In 1897 he published his first novel, Liza of Lambeth, a tale of working-class adultery and its consequences. It drew its details from his obstetric duties in South London slums. He wrote near the opening of the novel: "... it is impossible always to give the exact unexpurgated words of Liza and the other personages of the story; the reader is therefore entreated with his thoughts to piece out the necessary imperfections of the dialogue". The book received mixed reviews. The Evening Standard commented that there had not been so powerful a story of slum life since Rudyard Kipling's The Record of Badalia Herodsfoot (1890), and praised the author's "vividness and knowledge ... extraordinary gift of directness and concentration ... His characters have an astounding amount of vitality". The Westminster Gazette praised the writing but deplored the subject matter, and The Times also conceded the author's skill – "Mr Maugham seems to aspire, and not unsuccessfully, to be the Zola of the New Cut" – but thought him "capable of better things [than] this singularly unpleasant novel". The first print run sold out within three weeks and a reprint was quickly arranged. Maugham qualified as a physician the month after the publication of Liza of Lambeth but he immediately abandoned medicine and embarked on his 65-year career as a writer. He later said, "I took to it as a duck takes to water." Before the publication of his next novel, The Making of a Saint (1898), Maugham travelled to Spain. He found Mediterranean lands much to his liking, for what his biographer Frederic Raphael calls their "douceur de vivre missing under grim English skies". He based