3. The Agony - Part 5

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_ After spending about half an hour over taking in some sort the measure of the patient and the complaint, much as a tailor measures a young man for a coat when he orders his wedding outfit, the authorities uttered several commonplaces, and even talked of politics. Then they decided to go into Raphael's study to exchange their ideas and frame their verdict.

"May I not be present during the discussion, gentlemen?" Valentin had asked them, but Brisset and Maugredie protested against this, and, in spite of their patient's entreaties, declined altogether to deliberate in his presence.

Raphael gave way before their custom, thinking that he could slip into a passage adjoining, whence he could easily overhear the medical conference in which the three professors were about to engage.

"Permit me, gentlemen," said Brisset, as they entered, "to give you my own opinion at once. I neither wish to force it upon you nor to have it discussed. In the first place, it is unbiased, concise, and based on an exact similarity that exists between one of my own patients and the subject that we have been called in to examine; and, moreover, I am expected at my hospital. The importance of the case that demands my presence there will excuse me for speaking the first word. The subject with which we are concerned has been exhausted in an equal degree by intellectual labors--what did he set about, Horace?" he asked of the young doctor.

"A 'Theory of the Will,'"

"The devil! but that's a big subject. He is exhausted, I say, by too much brain-work, by irregular courses, and by the repeated use of too powerful stimulants. Violent exertion of body and mind has demoralized the whole system. It is easy, gentlemen, to recognize in the symptoms of the face and body generally intense irritation of the stomach, an affection of the great sympathetic nerve, acute sensibility of the epigastric region, and contraction of the right and left hypochondriac. You have noticed, too, the large size and prominence of the liver. M. Bianchon has, besides, constantly watched the patient, and he tells us that digestion is troublesome and difficult. Strictly speaking, there is no stomach left, and so the man has disappeared. The brain is atrophied because the man digests no longer. The progressive deterioration wrought in the epigastric region, the seat of vitality, has vitiated the whole system. Thence, by continuous fevered vibrations, the disorder has reached the brain by means of the nervous plexus, hence the excessive irritation in that organ. There is monomania. The patient is burdened with a fixed idea. That piece of skin really contracts, to his way of thinking; very likely it always has been as we have seen it; but whether it contracts or no, that thing is for him just like the fly that some Grand Vizier or other had on his nose. If you put leeches at once on the epigastrium, and reduce the irritation in that part, which is the very seat of man's life, and if you diet the patient, the monomania will leave him. I will say no more to Dr. Bianchon; he should be able to grasp the whole treatment as well as the details. There may be, perhaps, some complication of the disease--the bronchial tubes, possibly, may be also inflamed; but I believe that treatment for the intestinal organs is very much more important and necessary, and more urgently required than for the lungs. Persistent study of abstract matters, and certain violent passions, have induced serious disorders in that vital mechanism. However, we are in time to set these conditions right. Nothing is too seriously affected. You will easily get your friend round again," he remarked to Bianchon.

"Our learned colleague is taking the effect for the cause," Cameristus replied. "Yes, the changes that he has observed so keenly certainly exist in the patient; but it is not the stomach that, by degrees, has set up nervous action in the system, and so affected the brain, like a hole in a window pane spreading cracks round about it. It took a blow of some kind to make a hole in the window; who gave the blow? Do we know that? Have we investigated the patient's case sufficiently? Are we acquainted with all the events of his life?

"The vital principle, gentlemen," he continued, "the Archeus of Van Helmont, is affected in his case--the very essence and centre of life is attacked. The divine spark, the transitory intelligence which holds the organism together, which is the source of the will, the inspiration of life, has ceased to regulate the daily phenomena of the mechanism and the functions of every organ; thence arise all the complications which my learned colleague has so thoroughly appreciated. The epigastric region does not affect the brain but the brain affects the epigastric region. No," he went on, vigorously slapping his chest, "no, I am not a stomach in the form of a man. No, everything does not lie there. I do not feel that I have the courage to say that if the epigastric region is in good order, everything else is in a like condition----

"We cannot trace," he went on more mildly, "to one physical cause the serious disturbances that supervene in this or that subject which has been dangerously attacked, nor submit them to a uniform treatment. No one man is like another. We have each peculiar organs, differently affected, diversely nourished, adapted to perform different functions, and to induce a condition necessary to the accomplishment of an order of things which is unknown to us. The sublime will has so wrought that a little portion of the great All is set within us to sustain the phenomena of living; in every man it formulates itself distinctly, making each, to all appearance, a separate individual, yet in one point co-existent with the infinite cause. So we ought to make a separate study of each subject, discover all about it, find out in what its life consists, and wherein its power lies. From the softness of a wet sponge to the hardness of pumice-stone there are infinite fine degrees of difference. Man is just like that. Between the sponge-like organizations of the lymphatic and the vigorous iron muscles of such men as are destined for a long life, what a margin for errors for the single inflexible system of a lowering treatment to commit; a system that reduces the capacities of the human frame, which you always conclude have been over-excited. Let us look for the origin of the disease in the mental and not in the physical viscera. A doctor is an inspired being, endowed by God with a special gift--the power to read the secrets of vitality; just as the prophet has received the eyes that foresee the future, the poet his faculty of evoking nature, and the musician the power of arranging sounds in an harmonious order that is possibly a copy of an ideal harmony on high."

"There is his everlasting system of medicine, arbitrary, monarchical, and pious," muttered Brisset.

"Gentlemen," Maugredie broke in hastily, to distract attention from Brisset's comment, "don't let us lose sight of the patient."

"What is the good of science?" Raphael moaned. "Here is my recovery halting between a string of beads and a rosary of leeches, between Dupuytren's bistoury and Prince Hohenlohe's prayer. There is Maugredie suspending his judgment on the line that divides facts from words, mind from matter. Man's 'it is,' and 'it is not,' is always on my track; it is the _Carymary Carymara_ of Rabelais for evermore: my disorder is spiritual, _Carymary_, or material, _Carymara_. Shall I live? They have no idea. Planchette was more straightforward with me, at any rate, when he said, 'I do not know.'"

Just then Valentin heard Maugredie's voice.

"The patient suffers from monomania; very good, I am quite of that opinion," he said, "but he has two hundred thousand a year; monomaniacs of that kind are very uncommon. As for knowing whether his epigastric region has affected his brain, or his brain his epigastric region, we shall find that out, perhaps, whenever he dies. But to resume. There is no disputing the fact that he is ill; some sort of treatment he must have. Let us leave theories alone, and put leeches on him, to counteract the nervous and intestinal irritation, as to the existence of which we all agree; and let us send him to drink the waters, in that way we shall act on both systems at once. If there really is tubercular disease, we can hardly expect to save his life; so that----"

Raphael abruptly left the passage, and went back to his armchair. The four doctors very soon came out of the study; Horace was the spokesman.

"These gentlemen," he told him, "have unanimously agreed that leeches must be applied to the stomach at once, and that both physical and moral treatment are imperatively needed. In the first place, a carefully prescribed rule of diet, so as to soothe the internal irritation"--here Brisset signified his approval; "and in the second, a hygienic regimen, to set your general condition right. We all, therefore, recommend you to go to take the waters in Aix in Savoy; or, if you like it better, at Mont Dore in Auvergne; the air and the situation are both pleasanter in Savoy than in the Cantal, but you will consult your own taste."

Here it was Cameristus who nodded assent.

"These gentlemen," Bianchon continued, "having recognized a slight affection of the respiratory organs, are agreed as to the utility of the previous course of treatment that I have prescribed. They think that there will be no difficulty about restoring you to health, and that everything depends upon a wise and alternate employment of these various means. And----"

"And that is the cause of the milk in the cocoanut," said Raphael, with a smile, as he led Horace into his study to pay the fees for this useless consultation.

"Their conclusions are logical," the young doctor replied. "Cameristus feels, Brisset examines, Maugredie doubts. Has not man a soul, a body, and an intelligence? One of these three elemental constituents always influences us more or less strongly; there will always be the personal element in human science. Believe me, Raphael, we effect no cures; we only assist them. Another system--the use of mild remedies while Nature exerts her powers--lies between the extremes of theory of Brisset and Cameristus, but one ought to have known the patient for some ten years or so to obtain a good result on these lines. Negation lies at the back of all medicine, as in every other science. So endeavor to live wholesomely; try a trip to Savoy; the best course is, and always will be, to trust to Nature."

It was a month later, on a fine summer-like evening, that several people, who were taking the waters at Aix, returned from the promenade and met together in the salons of the Club. Raphael remained alone by a window for a long time. His back was turned upon the gathering, and he himself was deep in those involuntary musings in which thoughts arise in succession and fade away, shaping themselves indistinctly, passing over us like thin, almost colorless clouds. Melancholy is sweet to us then, and delight is shadowy, for the soul is half asleep. Valentin gave himself up to this life of sensations; he was steeping himself in the warm, soft twilight, enjoying the pure air with the scent of the hills in it, happy in that he felt no pain, and had tranquilized his threatening Magic Skin at last. It grew cooler as the red glow of the sunset faded on the mountain peaks; he shut the window and left his place.

"Will you be so kind as not to close the windows, sir?" said an old lady; "we are being stifled----"

The peculiarly sharp and jarring tones in which the phrase was uttered grated on Raphael's ears; it fell on them like an indiscreet remark let slip by some man in whose friendship we would fain believe, a word which reveals unsuspected depths of selfishness and destroys some pleasing sentimental illusion of ours. The Marquis glanced, with the cool inscrutable expression of a diplomatist, at the old lady, called a servant, and, when he came, curtly bade him:

"Open that window."

Great surprise was clearly expressed on all faces at the words. The whole roomful began to whisper to each other, and turned their eyes upon the invalid, as though he had given some serious offence. Raphael, who had never quite managed to rid himself of the bashfulness of his early youth, felt a momentary confusion; then he shook off his torpor, exerted his faculties, and asked himself the meaning of this strange scene.

A sudden and rapid impulse quickened his brain; the past weeks appeared before him in a clear and definite vision; the reasons for the feelings he inspired in others stood out for him in relief, like the veins of some corpse which a naturalist, by some cunningly contrived injection, has colored so as to show their least ramifications.

He discerned himself in this fleeting picture; he followed out his own life in it, thought by thought, day after day. He saw himself, not without astonishment, an absent gloomy figure in the midst of these lively folk, always musing over his own fate, always absorbed by his own sufferings, seemingly impatient of the most harmless chat. He saw how he had shunned the ephemeral intimacies that travelers are so ready to establish--no doubt because they feel sure of never meeting each other again--and how he had taken little heed of those about him. He saw himself like the rocks without, unmoved by the caresses or the stormy surgings of the waves.

Then, by a gift of insight seldom accorded, he read the thoughts of all those about him. The light of a candle revealed the sardonic profile and yellow cranium of an old man; he remembered now that he had won from him, and had never proposed that the other should have his revenge; a little further on he saw a pretty woman, whose lively advances he had met with frigid coolness; there was not a face there that did not reproach him with some wrong done, inexplicably to all appearance, but the real offence in every case lay in some mortification, some invisible hurt dealt to self-love. He had unintentionally jarred on all the small susceptibilities of the circle round about him.

His guests on various occasions, and those to whom he had lent his horses, had taken offence at his luxurious ways; their ungraciousness had been a surprise to him; he had spared them further humiliations of that kind, and they had considered that he looked down upon them, and had accused him of haughtiness ever since. He could read their inmost thoughts as he fathomed their natures in this way. Society with its polish and varnish grew loathsome to him. He was envied and hated for his wealth and superior ability; his reserve baffled the inquisitive; his humility seemed like haughtiness to these petty superficial natures. He guessed the secret unpardonable crime which he had committed against them; he had overstepped the limits of the jurisdiction of their mediocrity. He had resisted their inquisitorial tyranny; he could dispense with their society; and all of them, therefore, had instinctively combined to make him feel their power, and to take revenge upon this incipient royalty by submitting him to a kind of ostracism, and so teaching him that they in their turn could do without him.

Pity came over him, first of all, at this aspect of mankind, but very soon he shuddered at the thought of the power that came thus, at will, and flung aside for him the veil of flesh under which the moral nature is hidden away. He closed his eyes, so as to see no more. A black curtain was drawn all at once over this unlucky phantom show of truth; but still he found himself in the terrible loneliness that surrounds every power and dominion. Just then a violent fit of coughing seized him. Far from receiving one single word--indifferent, and meaningless, it is true, but still containing, among well-bred people brought together by chance, at least some pretence of civil commiseration--he now heard hostile ejaculations and muttered complaints. Society there assembled disdained any pantomime on his account, perhaps because he had gauged its real nature too well.

"His complaint is contagious."

"The president of the Club ought to forbid him to enter the salon."

"It is contrary to all rules and regulations to cough in that way!"

"When a man is as ill as that, he ought not to come to take the waters----"

"He will drive me away from the place."

Raphael rose and walked about the rooms to screen himself from their unanimous execrations. He thought to find a shelter, and went up to a young pretty lady who sat doing nothing, minded to address some pretty speeches to her; but as he came towards her, she turned her back upon him, and pretended to be watching the dancers. Raphael feared lest he might have made use of the talisman already that evening; and feeling that he had neither the wish nor the courage to break into the conversation, he left the salon and took refuge in the billiard-room. No one there greeted him, nobody spoke to him, no one sent so much as a friendly glance in his direction. His turn of mind, naturally meditative, had discovered instinctively the general grounds and reasons for the aversion he inspired. This little world was obeying, unconsciously perhaps, the sovereign law which rules over polite society; its inexorable nature was becoming apparent in its entirety to Raphael's eyes. A glance into the past showed it to him, as a type completely realized in Foedora.

He would no more meet with sympathy here for his bodily ills than he had received it at her hands for the distress in his heart. The fashionable world expels every suffering creature from its midst, just as the body of a man in robust health rejects any germ of disease. The world holds suffering and misfortune in abhorrence; it dreads them like the plague; it never hesitates between vice and trouble, for vice is a luxury. Ill-fortune may possess a majesty of its own, but society can belittle it and make it ridiculous by an epigram. Society draws caricatures, and in this way flings in the teeth of fallen kings the affronts which it fancies it has received from them; society, like the Roman youth at the circus, never shows mercy to the fallen gladiator; mockery and money are its vital necessities. "Death to the weak!" That is the oath taken by this kind of Equestrian order, instituted in their midst by all the nations of the world; everywhere it makes for the elevation of the rich, and its motto is deeply graven in hearts that wealth has turned to stone, or that have been reared in aristocratic prejudices.

Assemble a collection of school-boys together. That will give you a society in miniature, a miniature which represents life more truly, because it is so frank and artless; and in it you will always find poor isolated beings, relegated to some place in the general estimations between pity and contempt, on account of their weakness and suffering. To these the Evangel promises heaven hereafter. Go lower yet in the scale of organized creation. If some bird among its fellows in the courtyard sickens, the others fall upon it with their beaks, pluck out its feathers, and kill it. The whole world, in accordance with its character of egotism, brings all its severity to bear upon wretchedness that has the hardihood to spoil its festivities, and to trouble its joys.

Any sufferer in mind or body, any helpless or poor man, is a pariah. He had better remain in his solitude; if he crosses the boundary-line, he will find winter everywhere; he will find freezing cold in other men's looks, manners, words, and hearts; and lucky indeed is he if he does not receive an insult where he expected that sympathy would be expended upon him. Let the dying keep to their bed of neglect, and age sit lonely by its fireside. Portionless maids, freeze and burn in your solitary attics. If the world tolerates misery of any kind, it is to turn it to account for its own purposes, to make some use of it, saddle and bridle it, put a bit in its mouth, ride it about, and get some fun out of it.

Crotchety spinsters, ladies' companions, put a cheerful face upon it, endure the humors of your so-called benefactress, carry her lapdogs for her; you have an English poodle for your rival, and you must seek to understand the moods of your patroness, and amuse her, and--keep silence about yourselves. As for you, unblushing parasite, uncrowned king of unliveried servants, leave your real character at home, let your digestion keep pace with your host's laugh when he laughs, mingle your tears with his, and find his epigrams amusing; if you want to relieve your mind about him, wait till he is ruined. That is the way the world shows its respect for the unfortunate; it persecutes them, or slays them in the dust.

Such thoughts as these welled up in Raphael's heart with the suddenness of poetic inspiration. He looked around him, and felt the influence of the forbidding gloom that society breathes out in order to rid itself of the unfortunate; it nipped his soul more effectually than the east wind grips the body in December. He locked his arms over his chest, set his back against the wall, and fell into a deep melancholy. He mused upon the meagre happiness that this depressing way of living can give. What did it amount to? Amusement with no pleasure in it, gaiety without gladness, joyless festivity, fevered dreams empty of all delight, firewood or ashes on the hearth without a spark of flame in them. When he raised his head, he found himself alone, all the billiard players had gone.

"I have only to let them know my power to make them worship my coughing fits," he said to himself, and wrapped himself against the world in the cloak of his contempt.

Next day the resident doctor came to call upon him, and took an anxious interest in his health. Raphael felt a thrill of joy at the friendly words addressed to him. The doctor's face, to his thinking, wore an expression that was kind and pleasant; the pale curls of his wig seemed redolent of philanthropy; the square cut of his coat, the loose folds of his trousers, his big Quaker-like shoes, everything about him down to the powder shaken from his queue and dusted in a circle upon his slightly stooping shoulders, revealed an apostolic nature, and spoke of Christian charity and of the self-sacrifice of a man, who, out of sheer devotion to his patients, had compelled himself to learn to play whist and tric-trac so well that he never lost money to any of them.

"My Lord Marquis," said he, after a long talk with Raphael, "I can dispel your uneasiness beyond all doubt. I know your constitution well enough by this time to assure you that the doctors in Paris, whose great abilities I know, are mistaken as to the nature of your complaint. You can live as long as Methuselah, my Lord Marquis, accidents only excepted. Your lungs are as sound as a blacksmith's bellows, your stomach would put an ostrich to the blush; but if you persist in living at high altitude, you are running the risk of a prompt interment in consecrated soil. A few words, my Lord Marquis, will make my meaning clear to you.

"Chemistry," he began, "has shown us that man's breathing is a real process of combustion, and the intensity of its action varies according to the abundance or scarcity of the phlogistic element stored up by the organism of each individual. In your case, the phlogistic, or inflammatory element is abundant; if you will permit me to put it so, you generate superfluous oxygen, possessing as you do the inflammatory temperament of a man destined to experience strong emotions. While you breath the keen, pure air that stimulates life in men of lymphatic constitution, you are accelerating an expenditure of vitality already too rapid. One of the conditions for existence for you is the heavier atmosphere of the plains and valleys. Yes, the vital air for a man consumed by his genius lies in the fertile pasture-lands of Germany, at Toplitz or Baden-Baden. If England is not obnoxious to you, its misty climate would reduce your fever; but the situation of our baths, a thousand feet above the level of the Mediterranean, is dangerous for you. That is my opinion at least," he said, with a deprecatory gesture, "and I give it in opposition to our interests, for, if you act upon it, we shall unfortunately lose you."

But for these closing words of his, the affable doctor's seeming good-nature would have completely won Raphael over; but he was too profoundly observant not to understand the meaning of the tone, the look and gesture that accompanied that mild sarcasm, not to see that the little man had been sent on this errand, no doubt, by a flock of his rejoicing patients. The florid-looking idlers, tedious old women, nomad English people, and fine ladies who had given their husbands the slip, and were escorted hither by their lovers--one and all were in a plot to drive away a wretched, feeble creature to die, who seemed unable to hold out against a daily renewed persecution! Raphael accepted the challenge, he foresaw some amusement to be derived from their manoeuvres.

"As you would be grieved at losing me," said he to the doctor, "I will endeavor to avail myself of your good advice without leaving the place. I will set about having a house built to-morrow, and the atmosphere within it shall be regulated by your instructions."

The doctor understood the sarcastic smile that lurked about Raphael's mouth, and took his leave without finding another word to say.

The Lake of Bourget lies seven hundred feet above the Mediterranean, in a great hollow among the jagged peaks of the hills; it sparkles there, the bluest drop of water in the world. From the summit of the Cat's Tooth the lake below looks like a stray turquoise. This lovely sheet of water is about twenty-seven miles round, and in some places is nearly five hundred feet deep. _

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