Question

1919, W. Somerset Maugham, The Moon and Sixpence, ch. 26,

At one time it looked as though he could not live more than a few hours, and I am convinced that it was only through the Dutchman's doggedness that he pulled through.

Accepted Answer

to come through painhttps://en.wiktionary.org/wiki/pain and troublehttps://en.wiktionary.org/wiki/trouble through perseverancehttps://en.wiktionary.org/wiki/perseverance

Sentence	1919, W. Somerset Maugham, The Moon and Sixpence, ch. 26, At one time it looked as though he could not live more than a few hours, and I am convinced that it was only through the Dutchman's doggedness that he pulled through.
Definition	to come through pain https://en.wiktionary.org/wiki/pain and trouble https://en.wiktionary.org/wiki/trouble through perseverance https://en.wiktionary.org/wiki/perseverance

W Somerset Maugham Moon Sixpence Ch Time Looked