THE MANUSCRIPT OF A VILLAGE DOCTOR

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Doctor H——, who recently died at Servigny (Aisne), where he had practised medicine for more than forty years, left behind him a journal never intended for the public eye. I should not feel justified in publishing the manuscript in extenso, nor even in printing fragments of any considerable length, although, like Monsieur Taine, there is a large number of persons nowadays of the opinion that it is above all things desirable to print and circulate what was never planned for publication. Whatever these worthy folk may say, the fact that a writer is an amateur does not afford any guarantee that what he has to say will be interesting. The memoirs of Doctor H—— would be wearisome from their mere monotonously moral note. And yet the man who wrote them, in his lowly environment, possessed an intellect quite out of the ordinary. This village doctor was philosopher as well as physician. Perhaps the closing pages of his journal might be perused without any exceptional distaste. I venture to transcribe them here:—

Extract from the Journal of the late Doctor H——,
Physician at Servigny (Aisne).

“It is an axiom of philosophy that nothing in this world is either altogether bad or altogether good. Pity, the tenderest, the most natural, the most useful of the virtues, is not at all times in place either with the soldier or the priest; both with priest and soldier there are occasions when it must be held in restraint—when confronted by the enemy, for instance. Officers do not make a practice of recommending it on the eve of battle, and in some old book I have read that Monsieur Nicole held it in distrust as the motive principle of concupiscence. There is nothing of the priest about me, and still less of the soldier. I am a doctor, and amongst the most insignificant of that profession, a country doctor. I have practised my art for long years and in obscurity, and I would assert that if pity alone can be a worthy stimulus to the adoption of our profession, we must lay it aside finally when we encounter those miseries which it has inspired us with the desire to alleviate. A doctor whom pity accompanies to the bedside of his patients will find his observation not sufficiently acute, his hands not sufficiently steady. We go wherever compassion for the human race calls, but we must leave pity behind us. Moreover, doctors for the most part find it an easy task to attain the callousness which is so necessary to them. That is a mental condition which cannot long elude them, and there are moral reasons for this. Pity speedily becomes blunted when brought into contact with suffering; there is less disposition to deplore those misfortunes for which alleviation can be procured; finally, to the physician an illness offers a succession of interesting phenomena.

“From the time when I began the practice of medicine I flung myself into it with ardour. In the bodily ills disclosed to me I saw only opportunities for the practical application of my art. When a complaint developed without complications, I was able to see beauty in its conformity to the normal type. Those phenomena of disease, which offered apparent anomalies, awakened curiosity in my mind; so that I was enamoured of disease. What am I saying? From the point of view I espoused disease and health were possessed of indisputable personality. As an enthusiastic observer of the human mechanism, I found as much to admire in its more baleful affections as in its most healthy compliance with law. Willingly should I have exclaimed with Pinel: ‘What a magnificent cancer!’ That was a fine attitude of mind, and I was on my way to become a philosopher-physician. I only needed to have a genius for my art in order to enjoy completely, and enter into possession of, the full beauty of the theory of disease classification. It is the privilege of genius to unveil the splendour of things. Where the ordinary man would see only a disgusting wound, the naturalist worthy of the name stands enraptured before a battlefield on which the mysterious forces of life struggle for supremacy, in an encounter more inexorable, more terrifying than any that the strenuous abandon of Salvator Rosa ever depicted. I only caught glimpses of that spectacle of which the Magendies and Claude Bernards were familiar witnesses, and it was a distinction for me to do so; but though resigned to the career of a humble practitioner, I fortified myself, as a professional duty, in the habit of confronting grievous situations unemotionally. I gave my patients my energies and my intellect. I did not give them pity. God forbid that I should place any gift, howsoever precious, above His gift of pity! Pity is the widow’s mite; it is the incomparable offering of the poor man, who with generosity outstripping that of all the wealthy in this world of ours, gives with the gift of his tears a piece torn from his heart. For that very reason it is that pity must be dissociated from the carrying out of a professional duty, how noble soe’er that profession may be.

“To enter upon more particular considerations, I would say that the folk in whose midst I am living evoke in their misfortunes a sentiment which is not pity. There is something of truth in the theory that a man cannot inspire in another an emotion which he is incapable of experiencing himself. Now the peasantry in our part of the country are not tender-hearted. Harsh to others as to themselves, they drag out an existence morose in its gravity. That gravity, too, is contagious, and in their company sadness and dejection affect one’s mind. What is fine about their moral outlook is that they preserve unscathed the nobler features of humanity. As they are not accustomed to think with any frequency or profundity, their thoughts assume naturally in certain circumstances a solemn tone. I have heard some of them give utterance at the point of death to brief, forcible speeches worthy of the patriarchs of the Old Testament. They can call forth one’s admiration, but do not awaken one’s sympathies. With them everything is quite simple, even their illnesses. Their sufferings are not accentuated by their imagination. They are not like those over-sensitive creatures who construct from their ills a monster more harassing than the ills themselves. They meet death so much as a matter of course that it is impossible to be greatly disturbed. To sum up, I might say that they are all so much alike that no shred of individuality vanishes as each one passes away.

“For the reasons which I have just set down it follows that I practise my profession of village doctor very peacefully. I never regret having chosen it. I sometimes think I am a little above it; but if it is vexatious to a man to feel himself above his position, the annoyance would certainly be greater if he felt unequal to it. I am not rich, and never shall be so long as I live. But of what use would money be to one who leads a solitary village life? My little grey mare, Jenny, is as yet only fifteen years old, and she still trots as easily as in the days of her first youth, especially when we are going in the direction of the stable. I do not, like my illustrious fellow-physicians in Paris, possess a gallery of pictures for the entertainment of my visitors, but I can show pear trees which the townsmen have nothing like. My orchard is famous for twenty leagues round, and the owners of the neighbouring chÂteaux come to beg cuttings from me.

“Now on a certain Monday—it will be a year ago this very day—as I was busy in my garden inspecting my espaliers, a farm servant came to beg me to call as soon as possible at Les Alies.

“I asked him whether Jean Blin, the farmer at Les Alies, had sustained a fall the previous day as he came home in the evening. For in my part of the country a sprain is a common Sunday occurrence, and it is not at all rare for a man to break two or three ribs that day on leaving the public-house. Jean Blin is not exactly a bad sort, but he likes drinking in company, and more than once he has known what it is like to wait for Monday’s dawn at the bottom of a miry ditch.

“The farm servant replied that there was nothing the matter with Jean Blin, but that Éloi, Jean’s little son, was seized with fever.

“Without another thought for my espaliers, I went in search of my hat and stick, and set out on foot for Les Alies, which is only twenty minutes’ walk from my house. As I walked, my thoughts were on ahead with Jean Blin’s little boy in the grip of a fever. His father was a peasant much like every other peasant, with this peculiar difference, that the Intelligence which created him forgot to provide him with a brain. This great hulking Jean Blin has a head as thick as his fist. Divine wisdom has only furnished that particular skull with what was strictly indispensable, there’s no getting over that. His wife, the best-looking woman in the place, is a noisy, bustling housewife, stolidly virtuous. Well, well! To this worthy couple a child had been given, who was easily the most delicate, the most spiritual little being that ever adorned this old world of ours. Heredity is responsible for some of the surprises in nature, and it has been well said that nobody knows what he is about when he father’s a child. Heredity, according to our honoured Nysten, is the biological phenomenon which is responsible for the fact that, in addition to the normal type of the species, ancestors transmit to their descendants certain peculiarities of organization and of aptitude. I admit it. But what peculiarities are transmitted and what are not, that is what is not very clear, even after a perusal of the learned works of Doctor Lucas and Monsieur Ribot. My neighbour, the notary, lent me last year a volume by Monsieur Émile Zola, and I observe that that author takes credit for particular discernment in this respect. ‘Here,’ he says, in substance, ‘is an ancestor afflicted with neurosis; his descendants will show neuropathic tendencies, that is to say, when they do not do so; amongst them will be found some foolish and some intelligent individuals; one of them may even be a genius.’ He has gone to the trouble of drawing up a genealogical chart to make his idea more easily apprehended. Well and good! The discovery is not particularly novel, and its expounder would unquestionably be ill-advised to vaunt himself upon it; it is none the less true, however, that it embraces practically all we know on the subject of heredity. And this is how it came about that Éloi, Jean Blin’s little son, was an embodied intellect. He had the creative imagination. Many a time, when he was no higher than my walking-stick, I have come across him playing truant with the village urchins. Whilst they were reaching after nests, I have watched the little fellow constructing model mills and miniature syphons with pipes of straw. Inventive and unsociable he turned to nature. His schoolmaster despaired of ever making anything of so inattentive a child; and, to tell the truth, at eight years old Éloi was still ignorant of his letters. But at that age he learned to read and write with astonishing rapidity, and in six months became the best scholar in the village.

“He was the most affectionate and the most clinging child. I gave him a few lessons in mathematics, and was astounded at the fertility that his mind displayed at this early age. In fact—I own it without any fear of being ridiculed, for in an old man cut off from civilization some exaggeration is pardonable—I rejoiced to have detected in this little peasant the premonitions of one of those enlightened spirits which at long intervals shine forth in the midst of our purblind race, and, impelled alike by the need of lavishing their affection and the desire for knowledge, are bound to effect something useful or beautiful wherever fate may assign them a place.

“My mind was occupied with musings of this kind as far as Les Alies. Entering the low-ceiled room, I found little Éloi ensconced in the big bed with cotton hangings, to which no doubt his parents had removed him on account of the gravity of his condition. He was lethargic; his head, though small and delicate, nevertheless made as great a dent in the pillow as if it had been of enormous weight. I stole near. His forehead was on fire; there was a disquieting redness about the conjunctive membrane; the temperature of the body was altogether too high. His mother and grandmother kept close to him, anxiously. Jean Blin, whose uneasiness prevented him from working, not knowing what to do, and being afraid to go away, stood with his hands in his pockets looking inquiringly first at one and then at another. The child turned his drawn face towards me, and scrutinizing me with an affectionate but heartbreaking glance, said in reply to my questions that his forehead and his eyes were both very painful, that he could hear noises which he knew were imaginary, and that he knew perfectly well who I was, his dear old friend.

“‘First he has shivering fits, and then he is feverishly hot,’ said his mother.

“Jean Blin, after ruminating for several minutes, remarked—

“‘My belief is that what ails him is his inside.’

“Then he relapsed into silence.

“It had been only too easy for me to diagnose the symptoms of acute meningitis. I prescribed revulsive applications to the feet, and leeches behind the ears. I drew near to my little friend a second time, and tried to say something cheerful to him, more cheerful, alas! than facts warranted. But I was suddenly aware of an entirely new personal experience. Although I was completely self-possessed I seemed to see the sick child through a veil, and at such a distance that he appeared quite, quite small. This upsetting of my ideas of space was speedily followed by an analogous upheaval of my ideas of time. Although my visit had not lasted above five minutes, I received the impression that I had been in that low-ceiled room, in front of that bed with its white cotton hangings, for a long time, for a very long time, and that months and even years had rolled by whilst I was held motionless.

“By a mental effort which is perfectly natural to me, I there and then put these singular impressions under analysis, and the cause of them became quite clear to me. It was simple enough. Éloi was dear to me. At the sight of him so unexpectedly and so seriously ill I could not ‘get my bearings.’ It is the popular phrase, and it is appropriate. Moments of anguish appear to us unnaturally long. That is why I received the impression that the five or six minutes I had passed beside Éloi had something interminable about them. As to the fancy that the child was at a distance from me, that came from the idea that I was about to lose him. This idea, impressed on me against my will, had from the first moment assumed a character of absolute certainty.

“The following day Éloi was in a less alarming condition. The improvement continued for several days. I had sent into the town to procure ice, and this had had a good effect. But on the fifth day I recognized that he was in violent delirium. He talked a great deal, and amongst the disconnected words I heard him pouring out I could distinguish these—

“'The balloon! the balloon! I have hold of the helm of the balloon. It rises. The sky is inky. Mamma, mamma! why won’t you come with me? I am steering my balloon to a place where it will be so beautiful! Come, it is stifling here.'

“That day Jean Blin followed me up the road. He slouched along with that air of embarrassment a man has who wants to say something and is yet afraid to say it. At last, after walking some twenty paces with me in silence, he stopped, and laying his hand on my arm said—

“'See here, Doctor, it’s my belief that what ails the little chap is his inside.'

“I continued my way sorrowfully, and for the first time in my life my eagerness to see once more my pears and apricots did not avail to mend my pace. For the first time in forty years of practice I found the plight of one of my patients heartrending, and in my inmost self I bewailed the child I was powerless to save.

“Distracting pangs soon came to magnify my grief. I feared that my treatment had contributed to the development of the disease. I caught myself forgetting in the morning what I had prescribed the night before, uncertain in my diagnosis, nervous, and worried. I called in one of my fellow-practitioners, a clever young fellow, who had a practice in the next village. When he arrived, the poor little fellow, whose sight was already gone, was plunged in a profound coma.

“The following day he died.

“A year having elapsed after this misfortune, it happened that I was called in consultation to the county town. The fact is singular. The causes which led up to it are extraordinary; but as they have no connection with what I am relating, I do not record them here. After the consultation, Dr. C——, physician to the prefecture, did me the honour to invite me to lunch with him and two other members of the profession. After lunch, where I found refreshment in conversation at once erudite and diversified, coffee was served to us in the doctor’s sanctum. As I approached the mantelpiece to put down my empty cup, I saw hanging upon the mirror-frame a portrait which aroused in me so profound an emotion that it was with difficulty I refrained from crying out. It was a miniature, the portrait of a child. This child resembled in so striking a fashion the one I had been unable to cure—the child of whom I had been constantly thinking for a year past—that for a moment I could not avoid the thought that it was he himself. That supposition, however, was of course absurd. The black wooden frame, with the circlet of gold surrounding the miniature, proclaimed the taste of the end of the eighteenth century, and the child was depicted in a vest of pink and white striped material such as the little Louis XVII might have worn; but the face was out-and-out the face of my little Éloi. The same forehead, imperious and powerful—the forehead of a man beneath the curls of a cherub; the same fire in the eyes, the same suffering grace on the lips! Indeed, to the very same features was joined the identical expression!

“I had probably been examining this portrait for quite a long while when Dr. C——, clapping me on the shoulder, said—

“‘Ah, my friend, you have before you a family relic which I am proud to possess. My maternal grandfather was the friend of the illustrious man whom you see painted there in the days of his early boyhood, and it was from my grandfather that that miniature came into my possession.’

“I asked him to be good enough to tell me the name of his grandfather’s illustrious friend. Upon this he unhooked the miniature and held it out to me:

“‘See,’ he said, 'on the exergue ... Lyon, 1787. Doesn’t that recall anything to you? No? Well, that child of twelve was the great AmpÈre.'

“Then, in a flash, I had an exact perception, an unequivocal estimate of what death had swept away one year previously in the farmhouse of Les Alies.”


MEMOIRS OF A VOLUNTEER
TO PAUL ARÈNE
                                                                                                                                                                                                                                                                                                           

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