CONSUMPTION.
THE ÉMEUTE.
"The huge poison-tree once lay concealed in the heart of the minute seed. Why seek ye not the germs of disease poison in their minute receptacles?"
Formerly, in certain parts of the low marshy lands, the moist and noxious exhalations generated various diseases, particularly one answering to your phthisis, and called by us karni-feroli, that is, "absorption of the vitality." Numbers lingered, with energies depressed and faculties impaired, till cut off by death. In its early stages, the disease gave no indications of its presence beyond the signs common to the most ordinary illnesses to which, indeed, they were attributed. However, no remedy was found by the doctors.
Even where the possible presence of the disease was suspected, the respiratory organs of the sufferer were subjected to various tests; but if certain symptoms were absent, and the patient breathed easily, the physicians concluded that there was no danger in the case. The signs they sought were in reality those belonging to an advanced state of the disease and, when these appeared, the malady was generally beyond cure.
No effectual measures were taken for discovering indications of the earlier stages of the malady before the beginning of my reign, when I observed that many young girls, who at first seemed to suffer only from debility and lowness of spirits, soon afterwards withered, and died of what was then called by a term answering to your expression of "rapid consumption." This often happened where the patients had been previously pronounced free from organic disease.
I knew that, in the physical as in the moral constitution, evils, however grave, have their origin in some incipient germ of small proportions, and I would not believe that the confirmed ulcers, which I had seen during the examination of diseased lungs in the Theatre of Anatomy, had arisen suddenly, for I reflected that the operations of nature are gradual. These ulcers, which are, I think, called "tubercles" by your physicians, had been the immediate cause of many deaths.
After much meditation, I concluded that the actual beginning of the malady was unknown, and that the inability of the doctors to master the disease arose from the inadequacy of the means employed for its earlier detection.
I had frequently expressed my convictions to the ablest medical men, but they held to their opinions and practice with unyielding tenacity. Our doctors at that time thought that there was no science beyond what they themselves knew, just as there were many able men who maintained that there was no other world but Montalluyah, until the invention of my telescope brought your earth and other worlds within the limit of their vision.
A young and interesting girl, a penitent, from a course of incontinence and excess, suffered much from weakness and lowness of spirits. The doctors examined her in the usual approved way, with and without their instruments, and declared that her lungs were healthy and sound; all that now ailed her, they said, was the depression arising from involuntary regrets and longings for the excitements of her former life. I had a strong impression, however, that this was not the cause of her prostration, firmly believing that her lungs were affected, though the doctors assured me that they had used every test with scrupulous care to detect disease and had arrived at a contrary decision. Not being convinced, I requested them to give me a daily report of the girl's progress.
As she grew weaker, the doctors determined to administer a powerful potion, which would lay the foundation of her cure, if their estimate of the malady was right, but would accelerate death if the lungs were really affected. Persuaded that, in the then state of medical knowledge, the girl's life could not be saved, if the disease was really phthisis, and knowing that, if it was not the case, the potion was calculated to do good, I did not prevent the doctors from acting according to their own convictions.
The potion was administered accordingly, and the girl soon fell into a calm and tranquil sleep, from which, to the surprise and consternation of the physicians, she never awoke.
The body was examined, and on the right lung were found pimples, small indeed, but visible to the naked eye, which, on closer examination with the microscope, proved to be incipient tubercles; the left lung was similarly affected. These incipient tubercles, though sufficient to cause languor and debility, by attracting the vitality of the body, had not yet become of sufficient size and virulence to affect her breathing; hence her lungs were considered sound by the doctors, who only regarded the usual tests.
I called together the principal physicians, chemists and heads of science, and requested them carefully to study this formidable disease; and, after a time, the discovery was made that all the most fatal cases of consumption were ushered in by the appearance on the lungs of minute incipient spots, which attract and feed on the vital juices of the body. These spots swell gradually into pimples of a reddish hue, on which ultimately a small yellow head appears. This breaks in due course, and the matter discharged spreads, combines, and assists in the growth and accumulation of other and larger tubercles, which cause much pain, greatly impede the passage of the air, and eventually carry off the patient.
Although pain is sometimes felt in the earlier stages of the malady, the passage of the air through the lungs is not as yet affected to any very perceptible extent. It was also found that the ordinary symptoms accompanying the presence of these spots were similar to those produced by many other causes; so that the symptoms of one disease might easily be mistaken for—as was actually the case—those of another.
The tests hitherto used were thus clearly shown to be insufficient for detecting the disease, until the tubercles had assumed a size and virulence sufficient to affect the breathing,—until, in fact, the malady was too often beyond cure.
After some time and many experiments, most efficacious means were discovered for detecting and curing this dreadful disease while still in its incipient state.
I ought to mention, that on the death of the girl to whom the potion was administered, her friends learning that I had not opposed the administering the fatal potion, were very violent against me and, instigated by those who had at first opposed my law, openly declared that she had been put to death by my orders. They thus succeeded in arousing the passions of the multitude. At that time many young persons were dying of consumption in a marshy valley, while others were afflicted with disorders, which baffled the skill of the physicians and were accompanied with the same symptoms that attended the malady of the deceased girl. During the popular excitement to which I have referred, the parents of these sufferers were made to believe that potions similar to those which had already been administered with such fatal results, were now to be administered to their own sick children, and that similar results would ensue.
I lost not a moment in summoning before me the heads of families and friends of the sufferers, at the same time announcing the subject on which I wished to discourse.
The meeting took place in the great hall of my palace, which is capable of containing many thousands, and I explained to the assembled multitude that when the potion was administered to the deceased girl, the malady was so far advanced that there were no means of saving her life, and that in administering the potion the doctors had hoped to do good, believing, contrary to my own convictions, that the complaint was not organic. I explained that her death, and the knowledge gained by the examination of her lungs, would be the salvation of most of their children, of the nature of whose malady the doctors were now convinced.
Asked by the girl's friends if I would myself take a potion similar to that administered to the girl, I offered to drink double the quantity, in the presence of the assembled multitude. When the cup was close to my lips, and I was about to drink the potion, a woman in the crowd called out that the liquid I held in my hand was innocuous, and very different to the poisonous draught administered to the girl! So convinced was she of this, that she offered to let her own child drink the potion out of my cup!
This child being, as I believed, afflicted with incipient consumption, I cautioned the mother, explaining to her what would be the consequences of her rashness. Still she insisted, and adhered to her opinion that if I could drink the potion with impunity, the child could do the same. I resisted, until at length many in the crowd, who had before been influenced by my words, inferred from my hesitation that what the woman said was really true! Perceiving that further hesitation on my part would result in great evil, and in many deaths, I allowed the child to drink a quarter of the potion, and I swallowed the rest myself. My lungs being perfectly sound the potion only stimulated my system, but the effect on the child was the same as it had been on the girl: it slept, and woke no more.
Having addressed the people for a long time and calmed their anger, I requested them to proceed to the place where the girl's body lay, to convince themselves of the advanced state of the disease under which she bad suffered. They were then marshalled by the officers of my palace, and proceeded to the Anatomical Theatre, where they satisfied themselves with their own eyes of the truth of what I had told them. Public confidence was restored, and many sufferers were saved from premature death.
Effective means were afterwards taken to detect the minute incipient pimples with which the disease was always ushered in, and never afterwards was it allowed to reach serious proportions. It was destroyed in its earliest germ, and thus much power and vitality and thousands of lives were saved to the State.