The Ape, the Idiot & Other People Part 6

"Perhaps very much."

"Well."

"And even if I succeed (the chance is one in a thousand) you will never be a sound man, and a constant and terrible danger will always be present."

"Well."

Entrefort wrote a note and sent it away in haste by a bell-boy.

"Meanwhile," he resumed, "your life is in imminent danger from shock, and the end may come in a few minutes or hours from that cause. Attend without delay to whatever matters may require settling, and Dr.

Rowell," glancing at that gentleman, "will give you something to brace you up. I speak frankly, for I see that you are a man of extraordinary nerve. Am I right?"

"Be perfectly candid," said Arnold.

Dr. Rowell, evidently bewildered by his cyclonic young a.s.sociate, wrote a prescription, which I sent by a boy to be filled. With unwise zeal I asked Entrefort,--

"Is there not danger of lockjaw?"

"No," he replied; "there is not a sufficiently extensive injury to peripheral nerves to induce traumatic teta.n.u.s."

I subsided. Dr. Rowell's medicine came and I administered a dose. The physician and the surgeon then retired. The poor sufferer straightened up his business. When it was done he asked me,--

"What is that crazy Frenchman going to do to me?"

"I have no idea; be patient."

In less than an hour they returned, bringing with them a keen-eyed, tall young man, who had a number of tools wrapped in an ap.r.o.n.

Evidently he was unused to such scenes, for he became deathly pale upon seeing the ghastly spectacle on my bed. With staring eyes and open mouth he began to retreat towards the door, stammering,--

"I--I can't do it."

"Nonsense, Hippolyte! Don't be a baby. Why, man, it is a case of life and death!"

"But--look at his eyes! he is dying!"

Arnold smiled. "I am not dead, though," he gasped.

"I--I beg your pardon," said Hippolyte.

Dr. Entrefort gave the nervous man a drink of brandy and then said,--

"No more nonsense, my boy; it must be done. Gentlemen, allow me to introduce Mr. Hippolyte, one of the most original, ingenious, and skilful machinists in the country."

Hippolyte, being modest, blushed as he bowed. In order to conceal his confusion he unrolled his ap.r.o.n on the table with considerable noise of rattling tools.

"I have to make some preparations before you may begin, Hippolyte, and I want you to observe me that you may become used not only to the sight of fresh blood, but also, what is more trying, the odor of it."

Hippolyte shivered. Entrefort opened a case of surgical instruments.

"Now, doctor, the chloroform," he said, to Dr. Rowell.

"I will not take it," promptly interposed the sufferer; "I want to know when I die."

"Very well," said Entrefort; "but you have little nerve now to spare.

We may try it without chloroform, however. It will be better if you can do without. Try your best to lie still while I cut."

"What are you going to do?" asked Arnold.

"Save your life, if possible."

"How? Tell me all about it."

"Must you know?"

"Yes."

"Very well, then. The point of the stiletto has pa.s.sed entirely through the aorta, which is the great vessel rising out of the heart and carrying the aerated blood to the arteries. If I should withdraw the weapon the blood would rush from the two holes in the aorta and you would soon be dead. If the weapon had been a knife, the parted tissue would have yielded, and the blood would have been forced out on either side of the blade and would have caused death. As it is, not a drop of blood has escaped from the aorta into the thoracic cavity. All that is left for us to do, then, is to allow the stiletto to remain permanently in the aorta. Many difficulties at once present themselves, and I do not wonder at Dr. Rowell's look of surprise and incredulity."

That gentleman smiled and shook his head.

"It is a desperate chance," continued Entrefort, "and is a novel case in surgery; but it is the only chance. The fact that the weapon is a stiletto is the important point--a stupid weapon, but a blessing to us now. If the a.s.sa.s.sin had known more she would have used----"

Upon his employment of the noun "a.s.sa.s.sin" and the feminine p.r.o.noun "she," both Arnold and I started violently, and I cried out to the man to stop.

"Let him proceed," said Arnold, who, by a remarkable effort, had calmed himself.

"Not if the subject is painful," Entrefort said.

"It is not," protested Arnold; "why do you think the blow was struck by a woman?"

"Because, first, no man capable of being an a.s.sa.s.sin would use so gaudy and valuable a weapon; second, no man would be so stupid as to carry so antiquated and inadequate a thing as a stiletto, when that most murderous and satisfactory of all penetrating and cutting weapons, the bowie-knife, is available. She was a strong woman, too, for it requires a good hand to drive a stiletto to the guard, even though it miss the sternum by a hair's breadth and slip between the ribs, for the muscles here are hard and the intercostal s.p.a.ces narrow. She was not only a strong woman, but a desperate one also."

"That will do," said Arnold. He beckoned me to bend closer. "You must watch this man; he is too sharp; he is dangerous."

"Then," resumed Entrefort, "I shall tell you what I intend to do. There will undoubtedly be inflammation of the aorta, which, if it persist, will cause a fatal aneurism by a breaking down of the aortal walls; but we hope, with the help of your youth and health, to check it.

"Another serious difficulty is this: With every inhalation, the entire thorax (or bony structure of the chest) considerably expands. The aorta remains stationary. You will see, therefore, that as your aorta and your breast are now held in rigid relation to each other by the stiletto, the chest, with every inhalation, pulls the aorta forward out of place about half an inch. I am certain that it is doing this, because there is no indication of an escape of arterial blood into the thoracic cavity; in other words, the mouths of the two aortal wounds have seized upon the blade with a firm hold and thus prevent it from slipping in and out. This is a very fortunate occurrence, but one which will cause pain for some time. The aorta, you may understand, being made by the stiletto to move with the breathing, pulls the heart backward and forward with every breath you take; but that organ, though now undoubtedly much surprised, will accustom itself to its new condition.

"What I fear most, however, is the formation of a clot around the blade. You see, the presence of the blade in the aorta has already reduced the blood-carrying capacity of that vessel; a clot, therefore, need not be very large to stop up the aorta, and, of course, if that should occur death would ensue. But the clot, if one form, may be dislodged and driven forward, in which event it may lodge in any one of the numerous branches from the aorta and produce results more or less serious, possibly fatal. If, for instance, it should choke either the right or the left carotid, there would ensue atrophy of one side of the brain, and consequently paralysis of half the entire body; but it is possible that in time there would come about a secondary circulation from the other side of the brain, and thus restore a healthy condition.

Or the clot (which, in pa.s.sing always from larger arteries to smaller, must unavoidably find one not sufficiently large to carry it, and must lodge somewhere) may either necessitate amputation of one of the four limbs or lodge itself so deep within the body that it cannot be reached with the knife. You are beginning to realize some of the dangers which await you."

Arnold smiled faintly.

"But we shall do our best to prevent the formation of a clot,"

continued Entrefort; "there are drugs which may be used with effect."

"Are there more dangers?"

"Many more; some of the more serious have not been mentioned. One of these is the probability of the aortal tissues pressing upon the weapon relaxing their hold and allowing the blade to slip. That would let out the blood and cause death. I am uncertain whether the hold is now maintained by the pressure of the tissues or the adhesive quality of the serum which was set free by the puncture. I am convinced, though, that in either event the hold is easily broken and that it may give way at any moment, for it is under several kinds of strains. Every time the heart contracts and crowds the blood into the aorta, the latter expands a little, and then contracts when the pressure is removed. Any unusual exercise or excitement produces stronger and quicker heart-beats, and increases the strain on the adhesion of the aorta to the weapon. A fright, fall, a jump, a blow on the chest--any of these might so jar the heart and aorta as to break the hold."