chunk: Homer, the oldest among the orphans, is very bright, helpful and even-tempered, so Larch trains him in obstetrics and abortions as an apprentice, despite Homer never even having attended high school. Homer disapproves of abortions, and although he has been trained by Larch in the field, he refuses to perform them. After several years, Homer is very skillful and confident in performing obstetrical duties and Larch wants Homer to take over his position after he retires. But Homer finds this idea impossible, both because he lacks formal medical education and because he wants to see more of the world than just the orphanage.