The Magic Skin Part 28

"I made up my mind to kill myself with debauchery, after spending three years over an extensive work, with which perhaps you may some day occupy yourselves," Raphael replied.

The great doctor shook his head, and so displayed his satisfaction. "I was sure of it," he seemed to say to himself. He was the ill.u.s.trious Brisset, the successor of Cabanis and Bichat, head of the Organic School, a doctor popular with believers in material and positive science, who see in man a complete individual, subject solely to the laws of his own particular organization; and who consider that his normal condition and abnormal states of disease can both be traced to obvious causes.

After this reply, Brisset looked, without speaking, at a middle-sized person, whose darkly flushed countenance and glowing eyes seemed to belong to some antique satyr; and who, leaning his back against the corner of the embrasure, was studying Raphael, without saying a word.

Doctor Cameristus, a man of creeds and enthusiasms, the head of the "Vitalists," a romantic champion of the esoteric doctrines of Van Helmont, discerned a lofty informing principle in human life, a mysterious and inexplicable phenomenon which mocks at the scalpel, deceives the surgeon, eludes the drugs of the pharmacopoeia, the formulae of algebra, the demonstrations of anatomy, and derides all our efforts; a sort of invisible, intangible flame, which, obeying some divinely appointed law, will often linger on in a body in our opinion devoted to death, while it takes flight from an organization well fitted for prolonged existence.

A bitter smile hovered upon the lips of the third doctor, Maugredie, a man of acknowledged ability, but a Pyrrhonist and a scoffer, with the scalpel for his one article of faith. He would consider, as a concession to Brisset, that a man who, as a matter of fact, was perfectly well was dead, and recognize with Cameristus that a man might be living on after his apparent demise. He found something sensible in every theory, and embraced none of them, claiming that the best of all systems of medicine was to have none at all, and to stick to facts. This Panurge of the Clinical Schools, the king of observers, the great investigator, a great sceptic, the man of desperate expedients, was scrutinizing the Magic Skin.

"I should very much like to be a witness of the coincidence of its retrenchment with your wish," he said to the Marquis.

"Where is the use?" cried Brisset.

"Where is the use?" echoed Cameristus.

"Ah, you are both of the same mind," replied Maugredie.

"The contraction is perfectly simple," Brisset went on.

"It is supernatural," remarked Cameristus.

"In short," Maugredie made answer, with affected solemnity, and handing the piece of skin to Raphael as he spoke, "the shriveling faculty of the skin is a fact inexplicable, and yet quite natural, which, ever since the world began, has been the despair of medicine and of pretty women."

All Valentin's observation could discover no trace of a feeling for his troubles in any of the three doctors. The three received every answer in silence, scanned him unconcernedly, and interrogated him unsympathetically. Politeness did not conceal their indifference; whether deliberation or certainty was the cause, their words at any rate came so seldom and so languidly, that at times Raphael thought that their attention was wandering. From time to time Brisset, the sole speaker, remarked, "Good! just so!" as Bianchon pointed out the existence of each desperate symptom. Cameristus seemed to be deep in meditation; Maugredie looked like a comic author, studying two queer characters with a view to reproducing them faithfully upon the stage.

There was deep, unconcealed distress, and grave compa.s.sion in Horace Bianchon's face. He had been a doctor for too short a time to be untouched by suffering and unmoved by a deathbed; he had not learned to keep back the sympathetic tears that obscure a man's clear vision and prevent him from seizing like the general of an army, upon the auspicious moment for victory, in utter disregard of the groans of dying men.

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 pa.s.sage 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 pa.s.sions, 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 G.o.d 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 pa.s.sage, 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 a.s.sent.

"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 const.i.tuents 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 a.s.sist 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, pa.s.sing 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 e.j.a.c.u.l.a.t.i.o.ns and muttered complaints. Society there a.s.sembled 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----"