Part 5

The universal conception of disease as a foe to life, and not as a rational process of cure; the boundless faith in remedies as means to resist the attack, revealed by symptoms, makes the professional care of the sick the gravest of all human occupations, and the most trying to both head and heart.

With all these taxing conditions confronting me, I opened an office in a field which seemed to be more than occupied by men of large experience.

With all my army experience I still had a hazy conception as to Nature in disease. That the vital forces needed the support of all the food the stomach of the sick could dispose of, was not a question of the remotest consideration. That medicine did in some way act to cure disease I could not fully question.

I was now to enter a service in which, from the care of infancy in its first breathings to old age in its last, every resource of the materia medica, of the reason, judgment, and of the soul itself, was to be called in in every grave case, and to be held to a responsibility measured by preposterous faith in medicines.

I entered upon my duties with a determination to win professional success by the most thorough attention to all the details of service upon the sick and their friends, and I confined my efforts almost wholly to acute cases. None of my professional colleagues were winning laurels by the treatment of chronic diseases, and not having faith in drugs for such I had my scruples about fees for failures that seemed inevitable.

And yet with the most painstaking service fortune would play with me at times in the most heartless manner. At one time four of my adult patients were awaiting burial within the radius of a half mile. As they were all physical wrecks, and died after short illnesses, there could be no question raised in any just sense as to the character of my services, but the fatalities were scored against me. Such fortune would be annihilating but for the fatalities inevitable with all practitioners.

For full ten years I visited the sick and dosed them according to the books, but with far less force of hands and faith than any of my brethren, and all were enjoined to take nourishment to keep up the strength for the combat with disease.

My doses were confined to only a few Sampsons of the materia medica, and these were administered with a watching for favorable results that could hardly be surpassed, and yet always with disappointment.

I was innocent enough to believe that a large practice could only be built up by the most painstaking and persistent effort; later on I found that a large practice was but little dependent upon the skill and learning displayed in the sick-room. One physician could immediately secure a large patronage because she was a woman; another, because he belonged to this or that nationality, or there was something in the personal outfit rather than in the professional that incited large hopes for the ailing.

In all my cases of acute sickness there was always a wasting of the body no matter how much they were fed; a like increase of general strength when a normal desire for food occurred no matter how little they were fed. I saw this with eyesight only; but I saw with insight that a large practice could be carried on by doctors too ignorant to know that there was an alphabet in medical science.

I was not then so fully aware of the depths of ignorance among the people as to what cures disease, did not know that faith in doses was so large, as child-like even with the most cultured as with the ignorant. I was not so well aware, as I became later, that the physician himself must have such energy of faith in the materia medica as to reveal it in every line of his countenance when in the rooms of the sick.

As the years went on, my faith in remedies did not increase; but I had to dose to meet the superstitious needs of the people. My practice, though far short of what it seemed to merit from the pains bestowed upon it, was large enough for all the needs of profitable study had I been in a condition for thought and reflection. It was not to my encouragement that there were those doing a far larger business with doses simply crucifying, and because crucifying, a far larger attendance was the direct result.

I now see, as I did not then so clearly, that Nature's victories are often won against the desperate odds of treatments that are simply barbarous; and yet Nature is so powerful, so persistent in the attempts to right all her wrongs, that she wins the victory in the great majority of cases no matter how severely she may be taxed with means that hinder. The great majority of the severely sick of a hundred years ago recovered in spite of the bloody lancet and treatments that are the barbarism of to-day.

II.

I was called one day to one of the families of the poorest of the poor, where I found a sick case that for once in my life set me to thinking. The patient was a sallow, overgrown girl in early maturity, with a history of several months of digestive and other troubles. I found a very sick patient, so sick that for a period of three weeks not even one drink of water was retained, not one dose of medicine, and it was not until several more days that water could be borne. When finally water could be retained my patient seemed brighter in mind, the complexion was clearer, and she seemed actually stronger. As for the tongue, which at first was heavily coated, the improvement was striking; while the breath, utterly foul at first, was strikingly less offensive. In every way the patient was very much better.

I was so surprised at this that I determined at once to let the good work go on on Nature's own terms, and so it did until about the thirty-fifth day, when there was a call, not for the undertaker, but for food, a call that marked the close of the disease. The pulse and temperature had become normal, and there was a tongue as clean as the tongue of a nursing infant.

Up to this time this was the most severely sick case I ever had that recovered, and yet with not apparently more wasting of the body than with other cases of as protracted sickness in which more or less food was given and retained. And all this with only water for thirst until hunger came and a complete cure!

Such ignoring of medical faith and practice, of the accumulated wisdom and experience of all medical history, I had never seen before. Had the patient been able to take both food and medicine, and I had prohibited, and by chance death had occurred, I would have been held guilty of actually putting the patient to death--death from starvation. Feed, feed the sick whether or not, say all the doctors, say all the books, to support strength or to keep life in the body, and yet Nature was absurd enough to ignore all human practice evolved from experience, and in her own way to support vital power while curing the disease.

I could recall a great many cases in which because of intense aversion to food patients had been sick for many days, and even weeks, with not enough nourishment taken to account for the support of vital power; but the fact did not raise a question with me.

The effect of this case upon my mind was so profound that I began to apply the same methods in Nature to other patients, and with the same general results. The body, of course, would waste during the time of sickness; but so did the bodies of sick that were fed. As for medicines, they were utterly ignored except where pain was to be relieved, though unmedicated doses were alike a necessity with all. Not a single medicine was given except for pain, and occasionally in cases in which I had reason to think the entire digestive tract needed a general clearing of foul sewage. Thence on, that supreme work, the cure of disease, in my hands became the work of Nature only.

In a general practice I was able to carry out the non-feeding plan by permitting the various meat teas or the cereal broths, none of which can be taken by the severely sick in quantities to do harm. By withholding milk I was enabled to secure all the fasting Nature required, while satisfying the ever-anxious friends with tea and broth diversions.

This was a line of investigation that I felt ought to be of the deepest interest to every thinking, high-minded physician, to every intelligent layman; and very early the evidences of the utility of withholding food from the sick during the entire time of absence of desire for it, its absolute safety, were beyond any questioning.

I had no fatalities that were apparently in any way due to the enforced lack of food. In cases of chronic disease in which death was inevitable, such as cancer, consumption, etc., patients were permitted to take what they could with the least offence to the sense of relish. In every case of recovery there was a history of increasing general strength as the disease declined, of an actual increase of vital power without the support of food that had no more relish than the dose that crucified the nerves of taste.

In all America milk is the chief reliance to support vital power when no other food can be taken. Milk in one stage of normal digestion gets into the form of tough curds ready for the press, and curds should always be thoroughly masticated before swallowing.

Sir William Roberts, of England, in his exhaustive work on Digestion and Diet, asserts that milk-curds are not digested in the stomach during sickness, but are forced into the duodenum, where, he asserts, they are digested, but he gives no reason for his faith that there is power to digest in the duodenum where there is none in the stomach.

It was not difficult to make the mothers in the homes understand that taking milk by the drink was equivalent to swallowing green cheese-curds without due mastication.

With these hygienic conceptions and methods I continued to visit the sick as a mere witness of Nature's power in disease rather than as an investigator, yet without being able to understand the secret of the support of vital power without food. But whatever risk there might be, or how strong my faith when my patrons were the subjects of what might be called foolhardy experiments, there came a time when this faith was to have the severest of all tests.

An epidemic of diphtheria broke out among my nearest neighbors, and after four deaths in as many families within a stone's throw of my residence a son of mine aged three years was taken. I had never given him in all his life even a cross look, and whatever sin there was in making idols of children in this I was the worst of all sinners, and I did not quite believe, as some Christian folks would have me, that my happiness through him was not the very incense of gratitude to the great Author for the gift of such a treasure of the heart.