<h2><SPAN name="CHAPTER_IV" id="CHAPTER_IV"></SPAN>CHAPTER IV.</h2>
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<p>AN UNWELCOME VISITOR IN CRUCES—THE CHOLERA—SUCCESS OF THE
YELLOW DOCTRESS—FEARFUL SCENE AT THE MULE-OWNER’S—THE
BURYING PARTIES—THE CHOLERA ATTACKS ME.</p>
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<p>I do not think I have ever known what it is to despair, or
even to despond (if such were my inclination, I have had
some opportunities recently), and it was not long before
I began to find out the bright side of Cruces life, and enter
into schemes for staying there. But it would be a week
or so before the advent of another crowd would wake
<span class="pagenum"><SPAN name="Page_24" id="Page_24">[Pg 24]</SPAN></span>
Cruces to life and activity again; and in the meanwhile,
and until I could find a convenient hut for my intended
hotel, I remained my brother’s guest.</p>
<p>But it was destined that I should not be long in Cruces
before my medicinal skill and knowledge were put to the
test. Before the passengers for Panama had been many
days gone, it was found that they had left one of their
number behind them, and that one—the cholera. I believe
that the faculty have not yet come to the conclusion that
the cholera is contagious, and I am not presumptuous
enough to forestall them; but my people have always considered
it to be so, and the poor Cruces folks did not
hesitate to say that this new and terrible plague had been a
fellow-traveller with the Americans from New Orleans or
some other of its favoured haunts. I had the first intimation
of its unwelcome presence in the following abrupt and
unpleasant manner:—</p>
<p>A Spaniard, an old and intimate friend of my brother,
had supped with him one evening, and upon returning
home had been taken ill, and after a short period of intense
suffering had died. So sudden and so mysterious a death
gave rise to the rumour that he had been poisoned, and
suspicion rested for a time, perhaps not unnaturally, upon
my brother, in whose company the dead man had last been.
Anxious for many reasons—the chief one, perhaps, the
position of my brother—I went down to see the corpse. A
single glance at the poor fellow showed me the terrible
truth. The distressed face, sunken eyes, cramped limbs, and
discoloured shrivelled skin were all symptoms which I had
been familiar with very recently; and at once I pronounced
the cause of death to be cholera. The Cruces people were
<span class="pagenum"><SPAN name="Page_25" id="Page_25">[Pg 25]</SPAN></span>
mightily angry with me for expressing such an opinion;
even my brother, although it relieved him of the odium of
a great crime, was as annoyed as the rest. But by twelve
o’clock that morning one of the Spaniard’s friends was
attacked similarly, and the very people who had been most
angry with me a few hours previously, came to me now
eager for advice. There was no doctor in Cruces; the
nearest approach to one was a little timid dentist, who was
there by accident, and who refused to prescribe for the
sufferer, and I was obliged to do my best. Selecting from
my medicine chest—I never travel anywhere without it—what
I deemed necessary, I went hastily to the patient,
and at once adopted the remedies I considered fit. It was
a very obstinate case, but by dint of mustard emetics,
warm fomentations, mustard plasters on the stomach and
the back, and calomel, at first in large then in gradually
smaller doses, I succeeded in saving my first cholera
patient in Cruces.</p>
<p>For a few days the terrible disease made such slow
progress amongst us that we almost hoped it had passed on
its way and spared us; but all at once it spread rapidly,
and affrighted faces and cries of woe soon showed how
fatally the destroyer was at work. And in so great request
were my services, that for days and nights together I
scarcely knew what it was to enjoy two successive hours’
rest.</p>
<p>And here I must pause to set myself right with my
kind reader. He or she will not, I hope, think that, in
narrating these incidents, I am exalting my poor part in
them unduly. I do not deny (it is the only thing indeed
that I have to be proud of) that I <em>am</em> pleased and gratified
<span class="pagenum"><SPAN name="Page_26" id="Page_26">[Pg 26]</SPAN></span>
when I look back upon my past life, and see times now
and then, and places here and there, when and where I
have been enabled to benefit my fellow-creatures suffering
from ills my skill could often remedy. Nor do I think
that the kind reader will consider this feeling an unworthy
one. If it be so, and if, in the following pages, the
account of what Providence has given me strength to do
on larger fields of action be considered vain or egotistical,
still I cannot help narrating them, for my share in them
appears to be the one and only claim I have to interest
the public ear. Moreover I shall be sadly disappointed, if
those years of life which may be still in store for me are
not permitted by Providence to be devoted to similar
usefulness. I am not ashamed to confess—for the gratification
is, after all, a selfish one—that I love to be of
service to those who need a woman’s help. And wherever
the need arises—on whatever distant shore—I ask no
greater or higher privilege than to minister to it. After
this explanation, I resume more freely the account of my
labours in Cruces.</p>
<p>It was scarcely surprising that the cholera should
spread rapidly, for fear is its powerful auxiliary, and the
Cruces people bowed down before the plague in slavish
despair. The Americans and other foreigners in the place
showed a brave front, but the natives, constitutionally
cowardly, made not the feeblest show of resistance.
Beyond filling the poor church, and making the priests
bring out into the streets figures of tawdry dirty saints,
supposed to possess some miraculous influence which they
never exerted, before which they prostrated themselves,
invoking their aid with passionate prayers and cries, they
<span class="pagenum"><SPAN name="Page_27" id="Page_27">[Pg 27]</SPAN></span>
did nothing. Very likely the saints would have got the
credit of helping them if they had helped themselves; but
the poor cowards never stirred a finger to clean out their
close, reeking huts, or rid the damp streets of the rotting
accumulation of months. I think their chief reliance was
on “the yellow woman from Jamaica with the cholera
medicine.” Nor was this surprising; for the Spanish
doctor, who was sent for from Panama, became nervous
and frightened at the horrors around him, and the people
soon saw that he was not familiar with the terrible disease
he was called upon to do battle with, and preferred trusting
to one who was.</p>
<p>It must be understood that many of those who could
afford to pay for my services did so handsomely, but the
great majority of my patients had nothing better to give
their doctress than thanks. The best part of my practice
lay amongst the American store and hotel keepers, the
worst among the native boatmen and muleteers. These
latter died by scores, and among them I saw some scenes
of horror I would fain forget, if it were possible. One
terrible night, passed with some of them, has often
haunted me. I will endeavour to narrate it, and should
the reader be supposed to think it highly coloured and
doubtful, I will only tell him that, terrible as it seems, I
saw almost as fearful scenes on the Crimean peninsula
among British men, a few thousand miles only from comfort
and plenty.</p>
<p>It was late in the evening when the largest mule-owner
in Cruces came to me and implored me to accompany him
to his kraal, a short distance from the town, where he said
some of his men were dying. One in particular, his head
<span class="pagenum"><SPAN name="Page_28" id="Page_28">[Pg 28]</SPAN></span>
muleteer, a very valuable servant, he was most selfishly
anxious for, and, on the way thither, promised me a large
remuneration if I should succeed in saving him. Our
journey was not a long one, but it rained hard, and the
fields were flooded, so that it took us some time to reach
the long, low hut which he called his home. I would
rather not see such another scene as the interior of that
hut presented. Its roof scarcely sheltered its wretched inmates
from the searching rain; its floor was the damp, rank
turf, trodden by the mules’ hoofs and the muleteers’ feet
into thick mud. Around, in dirty hammocks, and on the
damp floor, were the inmates of this wretched place, male
and female, the strong and the sick together, breathing air
that nearly choked me, accustomed as I had grown to live
in impure atmosphere; for beneath the same roof the mules,
more valuable to their master than his human servants,
were stabled, their fore-feet locked, and beside them were
heaps of saddles, packs, and harness. The groans of the
sufferers and the anxiety and fear of their comrades were
so painful to hear and witness, that for a few minutes I felt
an almost uncontrollable impulse to run out into the stormy
night, and flee from this plague-spot. But the weak feeling
vanished, and I set about my duty. The mule-owner was
so frightened that he did not hesitate to obey orders, and,
by my directions, doors and shutters were thrown open,
fires were lighted, and every effort made to ventilate the
place; and then, with the aid of the frightened women, I
applied myself to my poor patients. Two were beyond my
skill. Death alone could give them relief. The others I
could help. But no words of mine could induce them to
bear their terrible sufferings like men. They screamed and
<span class="pagenum"><SPAN name="Page_29" id="Page_29">[Pg 29]</SPAN></span>
groaned, not like women, for few would have been so
craven-hearted, but like children; calling, in the intervals
of violent pain, upon Jesu, the Madonna, and all the
saints of heaven whom their lives had scandalised. I
stayed with them until midnight, and then got away for
a little time. But I had not long been quiet, before
the mule-master was after me again. The men were
worse; would I return with him. The rain was drifting
heavily on the thatched roof, as it only does in tropical climates,
and I was tired to death; but I could not resist his
appeal. He had brought with him a pair of tall, thick boots,
in which I was to wade through the flooded fields; and with
some difficulty I again reached the kraal. I found the worst
cases sinking fast, one of the others had relapsed, while fear
had paralysed the efforts of the rest. At last I restored some
order; and, with the help of the bravest of the women,
fixed up rude screens around the dying men. But no
screens could shut out from the others their awful groans
and cries for the aid that no mortal power could give them.
So the long night passed away; first a deathlike stillness
behind one screen, and then a sudden silence behind the
other, showing that the fierce battle with death was over,
and who had been the victor. And, meanwhile, I sat
before the flickering fire, with my last patient in my lap—a
poor, little, brown-faced orphan infant, scarce a year old,
was dying in my arms, and I was powerless to save it. It
may seem strange, but it is a fact, that I thought more
of that little child than I did of the men who were
struggling for their lives, and prayed very earnestly and
solemnly to God to spare it. But it did not please Him to
grant my prayer, and towards morning the wee spirit left
<span class="pagenum"><SPAN name="Page_30" id="Page_30">[Pg 30]</SPAN></span>
this sinful world for the home above it had so lately left,
and what was mortal of the little infant lay dead in my
arms. Then it was that I began to think—how the idea
first arose in my mind I can hardly say—that, if it were possible
to take this little child and examine it, I should learn
more of the terrible disease which was sparing neither young
nor old, and should know better how to do battle with it.
I was not afraid to use my baby patient thus. I knew its
fled spirit would not reproach me, for I had done all I could
for it in life—had shed tears over it, and prayed for it.</p>
<p>It was cold grey dawn, and the rain had ceased, when
I followed the man who had taken the dead child away to
bury it, and bribed him to carry it by an unfrequented
path down to the river-side, and accompany me to the thick
retired bush on the opposite bank. Having persuaded him
thus much, it was not difficult, with the help of silver arguments
to convince him that it would be for the general benefit
and his own, if I could learn from this poor little thing the
secret inner workings of our common foe; and ultimately
he stayed by me, and aided me in my first and last <i>post
mortem</i> examination. It seems a strange deed to accomplish,
and I am sure I could not wield the scalpel or the
substitute I then used now, but at that time the excitement
had strung my mind up to a high pitch of courage
and determination; and perhaps the daily, almost hourly,
scenes of death had made me somewhat callous. I need
not linger on this scene, nor give the readers the results of
my operation; although novel to me, and decidedly useful,
they were what every medical man well knows.</p>
<p>We buried the poor little body beneath a piece of
luxuriant turf, and stole back into Cruces like guilty things.
<span class="pagenum"><SPAN name="Page_31" id="Page_31">[Pg 31]</SPAN></span>
But the knowledge I had obtained thus strangely was
very valuable to me, and was soon put into practice. But
that I dreaded boring my readers, I would fain give them
some idea of my treatment of this terrible disease. I have
no doubt that at first I made some lamentable blunders,
and, may be, lost patients which a little later I could have
saved. I know I came across, the other day, some notes
of cholera medicines which made me shudder, and I dare
say they have been used in their turn and found wanting.
The simplest remedies were perhaps the best. Mustard
plasters, and emetics, and calomel; the mercury applied externally,
where the veins were nearest the surface, were
my usual resources. Opium I rather dreaded, as its effect
is to incapacitate the system from making any exertion,
and it lulls the patient into a sleep which is often the sleep
of death. When my patients felt thirsty, I would give
them water in which cinnamon had been boiled. One stubborn
attack succumbed to an additional dose of ten grains
of sugar of lead, mixed in a pint of water, given in doses
of a table-spoonful every quarter of an hour. Another
patient, a girl, I rubbed over with warm oil, camphor, and
spirits of wine. Above all, I never neglected to apply
mustard poultices to the stomach, spine, and neck, and
particularly to keep my patient warm about the region of
the heart. Nor did I relax my care when the disease had
passed by, for danger did not cease when the great foe
was beaten off. The patient was left prostrate; strengthening
medicines had to be given cautiously, for fever, often of
the brain, would follow. But, after all, one great conclusion,
which my practice in cholera cases enabled me to
come to, was the old one, that few constitutions permitted
<span class="pagenum"><SPAN name="Page_32" id="Page_32">[Pg 32]</SPAN></span>
the use of exactly similar remedies, and that the course of
treatment which saved one man, would, if persisted in,
have very likely killed his brother.</p>
<p>Generally speaking, the cholera showed premonitory
symptoms; such as giddiness, sickness, diarrhœa, or sunken
eyes and distressed look; but sometimes the substance
followed its forecoming shadow so quickly, and the crisis
was so rapid, that there was no time to apply any remedies.
An American carpenter complained of giddiness and sickness—warning
signs—succeeded so quickly by the worst
symptoms of cholera, that in less than an hour his face became
of an indigo tint, his limbs were doubled up horribly
with violent cramps, and he died.</p>
<p>To the convicts—and if there could be grades of
wretchedness in Cruces, these poor creatures were the
lowest—belonged the terrible task of burying the dead; a
duty to which they showed the utmost repugnance. Not
unfrequently, at some fancied alarm, they would fling
down their burden, until at last it became necessary to
employ the soldiers to see that they discharged the task
allotted to them. Ordinarily, the victims were buried immediately
after death, with such imperfect rites of sepulture
as the harassed frightened priests would pay them,
and very seldom was time afforded by the authorities to
the survivors to pay those last offices to the departed which
a Spaniard and a Catholic considers so important. Once I
was present at a terrible scene in the house of a New
Granada grandee, whose pride and poverty justified many
of the old Spanish proverbs levelled at his caste.</p>
<p>It was when the cholera was at its height, and yet he
had left—perhaps on important business—his wife and
<span class="pagenum"><SPAN name="Page_33" id="Page_33">[Pg 33]</SPAN></span>
family, and gone to Panama for three days. On the day
after his departure, the plague broke out in his house, and
my services were required promptly. I found the miserable
household in terrible alarm, and yet confining their
exertions to praying to a coarse black priest in a black
surplice, who, kneeling beside the couch of the Spanish lady,
was praying (in his turn) to some favourite saint in Cruces.
The sufferer was a beautiful woman, suffering from a violent
attack of cholera, with no one to help her, or even to take
from her arms the poor little child they had allowed her to
retain. In her intervals of comparative freedom from pain,
her cries to the Madonna and her husband were heartrending
to hear. I had the greatest difficulty to rout the stupid
priest and his as stupid worshippers, and do what I could
for the sufferer. It was very little, and before long the
unconscious Spaniard was a widower. Soon after, the
authorities came for the body. I never saw such passionate
anger and despair as were shown by her relatives and servants,
old and young, at the intrusion—rage that she,
who had been so exalted in life, should go to her grave like
the poor, poor clay she was. Orders were given to bar
the door against the convict gang who had come to discharge
their unpleasant duty, and while all were busy
decking out the unconscious corpse in gayest attire, none
paid any heed to me bending over the fire with the motherless
child, journeying fast to join its dead parent. I had
made more than one effort to escape, for I felt more sick
and wretched than at any similar scene of woe; but finding
exit impossible, I turned my back upon them, and attended
to the dying child. Nor did I heed their actions until I
heard orders given to admit the burial party, and then I
<span class="pagenum"><SPAN name="Page_34" id="Page_34">[Pg 34]</SPAN></span>
found that they had dressed the corpse in rich white satin,
and decked her head with flowers.</p>
<p>The agitation and excitement of this scene had
affected me as no previous horror had done, and I could
not help fancying that symptoms were showing themselves
in me with which I was familiar enough in others. Leaving
the dying infant to the care of its relatives (when the
Spaniard returned he found himself widowed and childless),
I hastened to my brother’s house. When there, I felt an
unpleasant chill come over me, and went to bed at once.
Other symptoms followed quickly, and, before nightfall, I
knew full well that my turn had come at last, and that the
cholera had attacked me, perhaps its greatest foe in Cruces.</p>
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