Dec. 9.—Still here; but the wind has gone down almost suddenly within the last three hours, and to-morrow morning I hope we really shall cross. Dear William getting quite worried; I persuaded him to take me to a lecture that was going on, and while we were there the wind went down, and we have been packing up ever since. Twelve o'clock! and William calling to me. I must just put down about Mr.... Good Heaven! What is the matter? I feel so ill—quite—
My name is James Watson, and I am a physician of about thirty years' standing. In 1854, I was practising at Dover. On the night of the 9th of December in that year, I was sent for hurriedly to see a lady, of the name of Anderton, who had been taken suddenly ill immediately after her return from a lecture at the Town-hall, which she had attended with her husband. The message was brought by the servant from the lodgings where they were living. On our way to the house she told me that "the lady was dying, and the poor gentleman quite distracted." On arriving at the house I found Mr. Anderton supporting his wife in his arms. He seemed greatly agitated, and cried, "For God's sake be quick—I think she has got the cholera!" Mrs. Anderton was on the couch in her dressing-room, partially undressed, but with two or three blankets thrown over her, as she seemed shivering with the cold. There was a good fire in the room, but notwithstanding this and the blankets, her hands and feet were both quite chilly.[2] I asked Mr. Anderton why she had not been got to bed, to which he replied, that she had been vomiting, until within a very few moments, so violently, that they had been unable to move her. Almost immediately on my arrival the vomiting re-commenced, though there appeared to be now hardly anything left in the stomach to come away. The retching continued with unabated violence for more than an hour after the stomach had been evidently completely emptied, and was accompanied with great purging and severe cramps both in the stomach and the extremities. I at once sent to my house for a portable bath I happened to have hired for my own wife's use, and, on its arrival, placed Mrs. Anderton in it at a temperature of 98°, having previously added 3/4lb. of mustard. While waiting for the bath, I administered thirty drops of laudanum in a wine-glassful of hot brandy-and-water, but without, in any degree, checking the purging, which continued almost incessantly, and was of a most watery character. It was accompanied also by violent pains and great swelling of the epigastrium. A fresh dose of opium was equally unsuccessful, nor was any amelioration of symptoms produced by the exhibition of prussic acid and creosote. On removing the patient from the warm bath, I had her carefully placed in bed, shortly after which she began to perspire profusely, but without any relief to the other symptoms.... I now began to fear that some deleterious substance had been unconsciously swallowed, the more especially as the patient had, up to the very moment of her seizure, been in unusually good health. I therefore made careful examinations with the view to detecting the presence of arsenic; and instituted, by the aid of Mr. Anderton, the strictest inquiries as to whether there was in the house any preparation containing this or any other irritant poison. Nothing of the kind could, however, be found, nor were such tests, as I was at the time in a position to apply, able to detect anything of the kind to which my suspicions were directed. Deliberate poisoning proved, moreover, on consideration, entirely out of the question, as there could be no doubt of Mr. Anderton's devoted attachment to his wife, and the people of the house were entire strangers to her. Moreover, the length of time since any food had been taken was almost conclusive against such a supposition. Mrs. Anderton had dined at six o'clock, and between that hour and midnight, when the attack came on, had eaten nothing but a biscuit and part of a glass of sherry-and-water, the remainder of which was in the glass upon the dressing-room table when I arrived. Since then I have removed portions of all the matters tested, as well as the remaining wine-and-water, and have had them thoroughly examined by a scientific chemist, but equally without result. I am compelled, therefore, to believe that the symptoms arose from some natural though undiscovered cause. Possibly from a sudden chill in coming from the heated rooms into the night air, though this seems hardly compatible with the fact that she never complained of cold during the long drive home, and that she was seated comfortably in her dressing-room, making her customary entries in her journal, when the attack came on. Another very suspicious circumstance was that, afterwards mentioned by her, of a strong metallic taste in the mouth, a symptom sometimes occasioned, and in conjunction likewise with the others noticed in her case, by the exhibition of excessive doses of antimony in the form of emetic tartar. This medicine, however, had never been prescribed for her, nor was there any possibility of her having had access to any in mistake. At Mr. Anderton's request, however, I exhibited the remedies used in such a case, as port wine, infusion of oak-bark, &c., but with as little effect as the other medicines. Indeed, the remedies of whatever kind were precluded from exercising their full action by the extreme irritability of the stomach, by which they were ejected almost as soon as swallowed. This being the case, I abandoned any further attempt at the exhibition of the heavy doses I had hitherto employed, or indeed of drugs of any kind, and confined myself, until the irritation of the epigastrium should have been in some measure allayed, to a treatment I have occasionally found successful in somewhat similar cases; the administration, that is to say, of simple soda-water in repeated doses of a teaspoonful at a time. I have often found this to remain with good effect upon the stomach when everything else was at once rejected, nor was I disappointed in the present case. About an hour after commencing this treatment, the first violence of the symptoms began to subside, and by the next afternoon the case had resolved itself into an ordinary one of severe gastroenteritis which I then proceeded to treat in the regular manner. After quite as short a period as I could possibly have expected, this also was subdued, leaving the patient, however, in a state of great prostration, and subject to night-perspirations of a most lowering character. I now began to throw in tonics, and to resort, though very cautiously, to more invigorating diet. Under this treatment she continued steadily to improve, though the perspirations still continued, and her constitution cannot be said to have at all recovered the severe shock it had sustained by the month of April, 1855, when they left Dover, by my recommendation, for change of air. Since that time I have not seen her. I am quite unable to account for the seizure from any cause but that of a chill; an hypothesis which, I must admit, rests its authority almost solely on the fact that no other can be found.
3.—Extracts from Mrs. Anderton's Journal— Continued.
Jan. 20, 1855.—At last I get back once more to my old brown friend.[3] Dear old thing, how pleasant its old face seems! Very little to-day though; only a word or two, just to say it is done. Oh, how it tries one!
Jan. 25.—My own dear husband's birthday; and, thank Heaven! I am once more able to sit with him. Oh! how kind he has been through all these weary weeks, when I have been so fretful and impatient. Why should suffering make one cross? God knows, I have suffered. I never thought to live through that terrible night. It makes me shudder to think of it. And, then, that horrid, deathlike, leaden taste—that was worst of all. Well, thank God! I am better now, but so weak. I am quite tired with writing even these few lines....
Feb. 12.—How weak I still am! Walked out to-day with dear William for the first time upon the pier, but had scarcely got to the end of it, when I felt so tired I was obliged to sit down while poor William went to fetch a chair to take me home.
Feb. 13. I have been quite startled to-day. I was talking to Dr. Watson about my being so tired yesterday, and about how very weak I still was, and how ill I had been—and, at last, he let slip that, at the time, he thought I had been poisoned. It gave me quite a turn, and then he tried to make us talk of something else, but I could not get it out of my head, and kept coming back and back to it, and wondering who could have had any possible interest in poisoning poor me. And so we went on talking; and, at last, Dr. Watson said something which let out that at first he had suspected—William! my own William! my precious, precious husband! Oh! I thought I should have choked on the spot. I don't know what I said, but I do know I could not have said too much, and poor William tried to laugh it off, and said: "Who else would have gained anything by it? Would he not have had that miserable 25,000l.? and besides him, there was no one but the Charities in India, and they could not have done it, because they would not exist till we were gone;" but I could see how he winced at the idea, and I felt as though my blood were really boiling in my veins. And then that man—oh! how thankful I shall be when we can get away from him—tried to persuade me that he had not really thought it. I should think not, indeed! and that he soon saw it was impossible, and all that; and at last, I fairly burst out crying with passion, and ran out of the room. And—and—I could cry now to think of my poor dear Willie being—and I shall, too, if I go on thinking about it any longer, so I will write no more to-night.
Feb. 15.—No journal yesterday, I really could not trust myself to write. And poor Willie, though he tried to laugh at it, I could see how bitterly he felt the imputation. Good Heaven! think if that wretched man had really charged him with it. It would have killed him. I know it would, and he would rather have died a thousand times. Well, I must not think of it any more. Only, once more, thank Heaven! we shall soon be going away.
April 7.—Back once more at home, thank Heaven! But how slow, how very slow this convalescence, as they call it, is. Oh! shall I ever be well again, as I was last year before that horrid day at Dover!