CHAPTER VIII
LEARNING TO EAT
It was three in the early July afternoon. The large parlor, which had been turned into a bedroom, was darkened by closely-drawn shades; a dim, softened light coming from a half-hidden lamp deepened the dark rings around the worn nurse's eyes—eyes which bespoke sleepless nights and a heavy heart. A wan mother stood near the nurse, every line of her face showing the pain of lengthened anxiety. Tensely one hand held the other, the restraint of culture, only, keeping her from wringing them in her anguish. Dr. Harkins, the village physician, stood at the foot of the bed, his honest face set in strong lines in anticipation of the worst. Many scenes of suffering had rendered him only more sympathetic with human sorrow, sympathetic with the real, increasingly intolerant of the false. At the bed-side stood the expert, who had come so far, at so great an expense-long, rough miles by auto that a few hours might be saved-who had come, they all believed, to decide the fate of the beloved girl who lay so death-like before them.
Ruth Rivers was the only one in the room who was not keenly alert or distressingly tense. Even in her waxy whiteness and unnatural emaciation, her face was good. The forehead was high and, with the symmetrical black eyebrows and long, dark lashes, suggested at a glance the good quality of her breeding. The aquiline nose was pinched by suffering, the finely curving lips were now bloodless and drawn tight from time to time, as though to repress the cry of pain; these marks of suffering could not rob her countenance of its refinement. Her breathing was shallow; at times it seemed irregular; and wan, almost inert, the fragile figure seemed nearing the eternal parting with its soul. The silence of the sick-room was fearsomely ominous.
Three weeks before, Ruth, her mother, and ever-apprehensive Aunt Melissa had come from the heat of coastal Georgia to the invigorating coolness of the Southern Appalachians. They had come to Point View several weeks later than usual this year, as spring was tardy and the hot days at home had been few. Ruth had been most miserable for weeks before they left home, but had stood the trip well, and Judge Rivers had received an encouraging, indeed a hopeful report from the invalid. But a few days later a letter telling of another of Ruth's attacks was followed immediately by an urgent, distressed telegram which caused him to adjourn court and hasten to his family.
For many years Dr. Harkins had driven through the mountains eight starving months, serving and saving the poorly housed and often destitute mountaineers. The tourist flood from the burning, summer lowlands to the mountains' refreshment gave him his living. Dr. Harkins was as truly a missionary as though he were on the pay-roll of a denominational society. He had always helped, or the mountains had helped, or something had helped Ruth before, but this time nothing helped. The doctor had already called a neighboring physician; they were both perplexed, and each feared to say the word which, in their minds, spelled her doom. For nearly three days Ruth had been delirious, this gentle, sensible, reserved girl, tossing and calling out. A few times she had even screamed, and her mother always said that she had been "too fine a baby to even cry out loud." For five nights there had been no sleep save an unnatural stupor produced by medicine. Mother and nurse had taxed their strength keeping her in bed during the paroxysms of her suffering, which, hour by hour, seemed to grow in intensity and to defy the ever-increasing doses of quieting drugs. She had recognized no one for days. Even her mother's voice brought back no moment of natural response. "It must be meningitis," Dr. Harkins finally said, and the other doctor nodded in agreement. And Aunt Melissa informed the neighbors that it was "meningitis" and that her darling Ruth could last but a few days. The mother's anxiety reiterated "meningitis," and good, levelheaded Martha King, the nurse, knew that the three cases of meningitis which she had nursed had suffered the same way before they died. When Judge Rivers came, he spent but one minute in the sick-room. It was days before he dared reenter. Ruth did not know him. For the first time in her twenty-seven years, she had failed to respond happily to his hearty, rich-voiced love-greeting. The Judge's small fortune had grown slowly. Only that year had the mortgage been finally lifted on their comfortable Georgia home. But in that minute at the sufferer's bedside all he had was thrown into the scales. Ruth must be saved. She was the only daughter; she was a worthily beloved daughter. "No, she cannot be moved to Johns Hopkins; the trip is too rough and long; she is too weak," decided Dr. Harkins, and the consultant agreed. "Our only hope for her is to get the 'brain expert' from the next state." Five days had passed since the patient had retained food. For twenty-four hours the tide of her strength seemed only to ebb. They all counted the minutes. The summer- boarders in the little town, so many of whom knew the sick girl, counted the hours, for Ruth was much quieter—too quiet, they felt. An hour before, Aunt Melissa had tiptoed in to see her darling; the finger-tips seemed cold in her excited palm, the nails looked bluish to her dreading eyes, and she retreated to the back porch-steps, threw her apron over her head and sat weaving to and fro, inconsolate; nor would she look up even when the big motor panted into sight out of a cloud of dust, and stopped. "It is too late, too late," moaned Aunt Melissa. Dr. Harkins and Judge Rivers met the neurologist. The former reviewed the case in a few sentences. The Judge simply said: "Doctor, my whole savings are nothing. I would give my life for hers."
In the sick-room tensity had given place to intensity, as with deft, skillful directness the doctor made his examination. He had finished; the light had again been dimmed, and in the added shadow the haggard face seemed ashen. Motionless, thoughtful, interminably silent, the expert stood, holding the sick girl's hand. The nurse first saw him smile. It was a serious smile; it was a strangely hopeful smile—a smile which was instantly reflected in her own face and which the mother caught and Dr. Harkins saw. Each one of them was thrilled with such thrills as become rare when the forties have passed, thrilled even before they heard his words: "It is not meningitis. Your daughter can get well."
In the conference which followed, Dr. Harkins felt that his confidence had been well placed. It is surprising how much the expert had discovered in forty minutes,—and how carefully considered and relentlessly logical were his reasons for deciding that it was an "auto-toxic meningismus, secondary to renal and pancreatic insufficiency," which, translated, signifies a self-produced poison due to defective action of the liver and pancreas, resulting in circulatory disturbance in the covering of the brain. Most clearly, too, he revealed that several of the most alarming symptoms were the result of the added poison of the drugs which had been given for the relief of the intolerable pain. Each step of the long road to recovery was outlined with equal clearness, and the light of hope burst in strong on Dr. Harkins first, then on Martha King. The crushing load was lifted from off the Judge's heart. The promise seemed too good to be true, to the mother, who had seen her daughter go down through the years, step by step. It never penetrated the shadow of Aunt Melissa's pessimism.
What forces had been at work to bring ten years of relentlessly increasing suffering, even impending death, to Ruth Rivers at twenty- seven, when she should have been in the glory of her young womanhood? "Her headaches have always been a mystery," her mother had said again and again, and this saying had been accepted by family and friends. Let us join hands with Understanding, step behind this mystery, and find its solution.
Judge Rivers' father had been Judge Rivers, too. The war between the States had absorbed the family wealth; still, our Judge Rivers showed every evidence of good living: he was always well-dressed, as befitted his office, portly and contented, as was also befitting, fine of color and always well. His daughter's illness had been practically the only problem in the affairs of his life which he had not solved to his quite reasonable satisfaction. His love for Ruth held half of his life's sweetness.
Mrs. Rivers was tall, active, almost muscular in type. Her brow, like her daughter's, was high. The quality of her Virginia blood had marked her face. She had always been unduly pale, but never ill. Controlled and reasonable, she had ministered to her home with efficiency and pride.
Aunt Melissa, her sister, five years the senior, was tall and strong, but her paleness had long been unhealthily tinted with sallowness. For years she had been subject to attacks of depression when for days she would insist upon being let alone, even as she let others alone. Ruth was the only bright spot she recognized in her life, and her morbidness was constantly picturing disaster for this object of her love.
Ruth's babyhood was a joy. Plump, cooing and happy, she evinced, even in her earliest days, evidences of her rare disposition. At eighteen months, however, she began having spells of indigestion. She always sat in her high-chair beside Aunt Melissa, at the table, and rarely failed to get at least a taste of anything served which her fancy indicated. Her wise little stomach from time to time expressed its disapproval of such unlawful liberties, but parents and aunts and grandmothers, and probably most of us, are very dull in interpreting the protests of stomachs. So Ruth got what she liked, and what was an equal misfortune, she liked what she got; and no one ever associated the liking and the getting with the poor sick stomach's periodic protests. As a girl Ruth was not very active. There was a certain reserve, even in her playing, quite in keeping with family traditions. Mother, Aunt Melissa and the servants did the work—still Ruth developed, happy, unselfish, kindly and sensitive. There was rigid discipline accompanying certain rules of conduct, and her deportment was carefully molded by the silent forces of family culture. They lived at the county-seat. The public schools which Ruth attended were fairly good. As she grew older, while she remained thin and never approached ruggedness, her digestive "spells" were much less frequent, and during the two years she spent away from home in the Convent, she was quite well, and one year played center on the second basket ball team. Two years away at school were all that the Judge could then afford. And so at eighteen she was home for good. That fall she began having headaches. She was reading much, so she went to Mobile and was carefully fitted with glasses. The correction was not a strong one, but the oculist felt it would relieve the "abnormal sensitiveness of her eyes, which is probably causing her trouble."
Throughout her years of suffering, Ruth had always maintained the rare restraint which marks fineness of soul. No one ever heard her complain. Even her mother could not be sure that another attack was on, until she found Ruth alone in her darkened room. Acquaintances, even friends, never heard her mention her illness.
The midsummer months in Southern Alabama drive such as are able to the relief of the mountains of Tennessee and the Carolinas. The Judge had always felt that he should send his family away during July and August; they often went in June when the summers were early. And these weeks of change proved, year after year, the most helpful influences that came to Ruth. She always improved and would usually remain stronger until after Thanksgiving. But with irregular periodicity the blinding, prostrating headaches would return—a week of pain, nausea and prostration. Yet Ruth never asked for, nor took medicine, unless it was ordered by the doctor, and then more in consideration of the desires of her family, for the unnatural sensations, produced by most of the remedies she was given, seemed but the substitution of one discomfort for another. The only exercise that counted, which this girl ever had, was during her weeks at Point View. The stimulation of the invigorating mountain air seemed to get into her blood, and after a few weeks with her friendly mountains she could climb the highest with little apparent fatigue. At home, the country was flat, the roads sandy, and even horseback riding uninteresting. She had never been taught any strengthening form of daily home-exercise, and so she suffered on. While the glasses brought comfort, they lessened, for but a short time, the number and the intensity of her attacks. Several physicians were consulted and several varying courses of treatment undertaken, but no betterment came which lasted, and the headaches remained a mystery, not only to her mother, but to others who seriously tried to help. As we are behind the scenes, we need no longer delay the mystery's solution. It was not eyes, they were accurately corrected; it was not stomach, as much stomach treatment proved; it was not anaemia, or the many excellent tonics that had been prescribed would have cured; it was not displaced vertebrae nor improperly acting nerves, or the manipulations and vibrations and deep kneadings of the specialists in mechanical treatment would have rescued her years before. It was, and here is the secret—her mother's wonderful table!
The war had brought ruinous, financial losses to most Virginia families. As a result, Ruth's mother had been taught, in minute detail, the high art of the best cookery of the first families of Virginia. And how she could cook, or make the colored cook cook! The Rivers' table had, for years, been the standard of the county-seat. Mrs. Rivers' spiced hams, fig preserves, brandied plum-pudding, stuffed roast-duck, fruit salads, all made by recipes handed down through several generations, could not be excelled in richness and toothsomeness. No simple dishes were known at the Rivers' table; these, for those poor mortals who knew not the inner art. Double cream, stimulating seasonings, sauces rarely spiced, the sort that recreate worn-out appetites, were never lacking at a Rivers' meal. Ruth had been overfed, had been wrongly fed since babyhood.
The expert said hope lay in taking her back to babyhood and feeding her for days as though she were a four months' child. He said she must be taught to eat; that her salvation lay in a few foods of plebeian simplicity, foods which almost any one could get anywhere, foods which did not involve long hours of preparation according to priceless recipes. He said also that certain other foods were vicious, such matter-of-course foods on the Rivers' table, foods which Mrs. Rivers would have felt humiliated to omit from a meal of her ordering, and he insisted that these must be lastingly denied this young woman with prematurely exhausted, digestive glands. The process of her reeducation, succinctly expressed as it was in a few sentences, called for tedious months of care, of denial and of effort. It demanded that which was more than taxing in many details. So for Ruth Rivers long weeks were spent in a hospital-bed. She was fed on the simplest of foods, each feeding measured with the same care as were her few medicines, for now truly her food was medicine, and her chief medicine was food. Massage seemed at last to bring help, for even in bed she gained in strength.
It was several weeks before her mind was entirely clear, but she was soon being taught the science of food; this included an understanding outline of food chemistry, of the processes of digestion, of food values, of the relation of food to work, of the vital importance of muscular activity and the relation of muscle-use to nervous health. Her beloved sweets and her strong coffee, the only friends of her suffering days, were gradually buried even from thought in this accumulation of new and understood truths—most reasonable and sane truths. Forty pounds she gained in twelve weeks. She had never weighed over one hundred and twenty-five. She has never weighed less than one hundred and forty-five since, and, as she is five feet eight, her one hundred and forty-five pounds brought her a new symmetry which, with her high-bred face, transformed the waxen invalid into an attractive beauty. She learned to do manual work. She learned to use every muscle the Lord had given her, every day she lived. An appetite unwhipped by condiments or unstimulated by artifice, an appetite for wholesome food, has made eating a satisfaction she never knew in the old days.
This was ten years ago. Many changes have come in the Rivers' household, the most far-reaching of which is probably the revolution which shook its culinary department from center to circumference. What saved daughter must be good for them all. Father is less portly, more active, less ruddy. Some of the color he lost was found by the mother. Aunt Melissa disappears into her gloom-days but rarely, and has smiling hours unthought in the past. And Ruth has proven that the mystery was adequately solved. She married the kind of man so excellent a woman should have, and went through the trying weeks of her motherhood and has cared for her boy through the demanding months of early childhood without a complication. And all this in the face of Aunt Melissa's reiterated forebodings!